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MOTHERS AT RISK
Safe Mothers, Healthy Babies, Literate Girls
2009-2014
2
Mothers At Risk 2009-2014 Report
The Mothers At Risk 2009-2014 Report
is distributed to members, beneficiaries
and partners of Mothers At Risk. It is
edited at the Mothers At Risk office in
Brussels, Belgium
Mothers at Risk, a.s.b.l.
23 Rue Darwin
1050 Brussels, Belgium
info@mothersatrisk.org
http://www.mothersatrisk.org
Copyright © 2014 by Mothers At Risk
Design:Alexandra Birladianu
Ajay Singh - www.chilifactor.com
All rights reserved.
No part of this publication may be
reproduced, stored in a retrieval system,
or transmitted, in any form, or by any
means, electronic, mechanical,
photocopying, recording, or otherwise,
without the prior consent of the
publisher.
3
TABLE OF CONTENTS
Message From Prof. Dr. Alain Vokaer 	 4
Message From Diana Perez-Buck	 5
Overview 2009-2014 	 6
The Issues	 7
Invest in Maternal and New Born Health	 8
Invest in Girls Education	 9
Milestones 2009-2014 	 10
Our Work:
	 -	 Kenya 	 12
	 -	 Egypt 	 14
	 -	 Haiti 	 16
	 -	 Nicaragua 	 18
	 -	 Morocco 	 20
	 -	 Tanzania 	 22
	 -	 Belgium 	 24
	 -	 Peru 	 26
Financial Snapshots 	 28
Our Partners	 29
Our Team	
	 -	 Mothers At Risk Board	 30
	 -	 Executive Team 	 31
	 -	 Management Committee, MAR Fund, King Baudouin Foundation	 32
	 -	 MAR Advisors	 33
MAR Fundraising Recitals	 34
Events		 36
MAR In The News	 37
Volunteers	38
Working Together 	 40
4
MESSAGE FROM PROF. DR.ALAINVOKAER
PRESIDENT, MANAGEMENT COMMITTEE, MOTHERS AT RISK FUND,
KING BAUDOUIN FOUNDATION
In my more than 40 years practicing as an obstetrician
together with my wife, a certified midwife, we have
had the fortune of assisting thousands of women
to safely deliver healthy babies. Over the course of
these decades we have also witnessed the serious
complications that can and do arise, and we know all
too well that adequate prenatal prevention and timely
skilled interventions at the moment of birth can make
the difference between life and death.
Today, inexcusably, almost 300,000 women continue to
die every year from pregnancy and childbirth-related
complications - most of them in developing countries.
And motherless children are ten times more likely to
die within two years of their mother’s death. What is
more, for every maternal death, approximately 20 more
women suffer severe illness or injury.
The vast majority of these tragic deaths and disabilities
could be prevented if women had better access to
family planning and to quality care during pregnancy
and childbirth. More generally, if girls and women
have more access to education, their health and that of
their children improves dramatically.
It is these challenges that inspired the creation of
Mothers at Risk (MAR) by a small but very dynamic
group of volunteers, whose evolution I have had the
pleasure of following and contributing to over the
years. MAR has consistently grown to encompass
more projects, reach more beneficiaries, establish new
partnershipsandbecomeincreasinglyprofessionalized
whileretainingaflexibleandresponsiveorganizational
structure that are its trademark.
I am convinced that we urgently need initiatives like
MAR to accelerate progress towards a day when all
women reach motherhood healthy and literate and
have access to adequate standards of care. I commend
MAR and its community of friends and supporters,
and I look forward to accompanying them further in
this journey to help enable women to become healthy,
literate and empowered so they may in turn build
stronger families, communities and societies.
5
MESSAGE FROM DIANA PEREZ-BUCK
FOUNDER, MOTHERS AT RISK
Never underestimate the power
of a small group of committed people
to change the world. Indeed,
it is the only thing that ever has.
– Margaret Mead
This exciting idea, that ordinary citizens can help solve
intractable problems, was very much at the core of my
motivation to launch Mothers at Risk (MAR) five years
ago. I wondered: with the unspeakable tragedy of
maternal mortality unfolding across the globe, could
a handful of individuals make a difference? Five years
later, surprised and humbled by the many committed
people I have encountered, my answer is a resounding
‘yes’!
I am thinking first and foremost of the outstanding
individuals who lead our local partner organizations
and with whom we have had the privilege of working
these years - Eleni, Claire, Anastasia, Iman, Nadene,
Francisca, Luis… They are tireless and charismatic
problem-solvers, activists and leaders working to
help transform the situation for women in their
communities in the Middle East, Sub-Saharan Africa
and Central America. Their unwavering belief in the
possibility of change gives us great optimism.
Mothers at Risk, across all its activities and endeavors,
is entirely volunteer-run thanks to thousands of
hours dedicated by scores of truly outstanding people
from all walks of life, backgrounds and nationalities.
Each and every one of our volunteers brings added
value to our joint effort, and it is a real privilege to be
surrounded by talented, high-caliber professionals
who have chosen to contribute their expertise and
skills to MAR.
Thanks to these collective contributions, we have
been able to help bring prenatal care and safe delivery
closer to rural women in Tanzania, Haiti, Kenya and
Nicaragua. We have invested in the education of
vulnerable girls in Egypt. And we have supported
women who face motherhood alone, in extreme
conditions of social, economic and emotional exclusion
in Morocco and in Belgium.
We have been touched by the stories of mothers,
girls and babies whose lives have been impacted for
the better by these efforts. Like baby Emmanuel in
nomadic Turkana, Kenya, born safe and sound thanks
only to the overnight efforts of the medical team of
the Nariokotome dispensary. Or Magdala, who after
barely surviving the birth of her second son, became a
midwife in her native Haiti to help other women avoid
the same fate. And Fatima, a poor and single mother
in Tangier, who can now better support herself and
her daughter Jamila thanks to the job she secured after
vocational training. Or Yasmeen, a girl from the slums
of Cairo, who is now literate.
We could not have supported any of this without
the institutions and individuals who have supported
us financially, starting with the startup capital
provided by our founding donors, followed by other
generous private donors and by organizations like
Rotary, as well as private sector companies such as
Alcatel-Lucent, the bpost and the Belgian National
Lottery. We are indebted to them all for their vote of
confidence in us.
Looking back at these first five years I am immensely
proud of what we have accomplished but I am equally
aware of how much there is still to do. In Khmer,
the language of Cambodia, childbirth is known as
“crossing the river. May MAR’s work continue to serve
so that more women may ‘cross the river’ safely.
6
OVERVIEW 2009-2014
2009-2014 AT A GLANCE
o	37 projects, 8 Countries, 3 continents
o	Over 5000 beneficiaries
o	Total grants awarded: 323,688 Euros
o	Total funds raised: 433,246 Euros
OUR MISSION
Mothers at Risk (MAR) is an independent, international non-profit
organization devoted to reducing the vulnerability of mothers, women
and girls living in poverty, so they may have safer pregnancies and
deliveries and reach motherhood healthier and better educated.
Haiti
Nicaragua
Peru
Belgium
Morocco
Egypt
Kenya
Tanzania
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THE ISSUES
Mothers at Risk came into being by a group of people who
were moved by the unacceptable risks women around
the world still face in childbirth. In these next pages, we
illustrate some of the sobering facts that have moved us into
action.
MATERNAL AND NEWBORN MORTALITY
•	Over 289,000 women die from pregnancy and childbirth-
related complications each year. That is 800 women a day
•	99% of these deaths happen in developing countries
•	For every maternal death, approximately 20 women
suffer severe illness, injury, or disability
•	Maternal deaths leave one million orphan children
behind, and these children are 10 times more likely to die
within two years of their mother’s death
•	Nearly 3 million newborn babies die every year
unnecessarily
•	90% of these maternal and newborn deaths are
preventable when women have access to three types
of interventions: quality care during pregnancy and
birth; access to emergency obstetric care when problems
arise during pregnancy and delivery; and adequate
reproductive health services.
MOTHERHOOD AND THE GIRL-CHILD
•	Worldwide 31 million girls of primary school age are not
enrolled in school
•	Many of them become mothers while still girls
•	Research shows that the consequences of adolescent
childbearing include higher risk of complications during
pregnancy and maternal mortality. Teenage pregnancies
are also correlated with increased rates of infant
mortality and malnutrition, lower levels of education
for the mother and their children, and increased risk of
poverty
•	If girls stay in school beyond grade 7 they are:
	 o	 More likely to have healthier children
	 o	 More likely to have an average of 2.2 fewer children
	 o	 More likely to send their children to school
	 o	 More likely to marry 4 years later
	 o	 Less likely to die in pregnancy/ childbirth
MOTHERHOOD ALONE AND EXCLUDED
Beyond pregnancy and delivery, raising children in poverty can be an insurmountable challenge for those
women facing the experience alone, impoverished and excluded. Some may be far from their homes, seeking
refuge or asylum from conflict, violence or persecution. Some women may have lost their partners and may
become sole breadwinners. Others may have become pregnant out of wedlock and be shunned by their families
and communities. Some, out of desperation, may revert to dangerous back-street abortions or feel no choice but
to abandon their newborn babies. We support vulnerable women experiencing pregnancy, delivery and the early
years of their children alone so they and their babies may be as safe, healthy and independent as possible.
8
THE CONNECTION
WOMEN DIE FROM
PREGNANCY AND
CHILDBIRTH-RELATED
COMPLICATIONS
EACH YEAR.
289,000+289,000+
Motherless children
are up to 10 TIMES
more likely to die
within 2 years of their
mother’s death.
NEARLY
INVESTING IN MATERNAL
AND NEWBORN HEALTH:
THREE
MILLION
THREE
MILLION
NEWBORN BABIES
DIE EVERY YEAR.
That’s 800 women a day.
99% of these deaths occur
in developing countries.
Nearly 90% are preventable.
For every maternal death, approximately 20
women suffer severe illness, injury, or disability.
{
{
INVEST IN MATERNAL
AND NEWBORN HEALTH
STRATEGIES TO IMPROVE
MATERNAL & NEWBORN HEALTH
THE 3 DELAYS
Increase
access to
family
planning
Increase access
to quality care
for pregnancy
and childbirth
Saves women’s
& children’s lives
Strengthens
health systems
Increase
access to safe
abortion
services
When a woman seeks
care, she faces:
Delay in seeking help
Delay in reaching a
health care facility
Delay in receiving
appropriate care
upon arrival
1.
2.
3.
Improves
economies
WHO WINS? EVERYBODY.
9
THE PICTURE IS DIFFERENT FOR GIRLS AND BOYS
WHY DO GIRLS
DROP OUT?
BUT… IF WE COULD KEEP GIRLS IN SCHOOL
BEYOND GRADE 7, THEY WOULD BE:
More likely to have
an average of 2.2
fewer children
More likely to
have healthier
children
More likely to
send their
children to school
Less likely to die
in pregnancy/
childbirth
More likely
to marry
4 years later
INVEST IN GIRLS’ EDUCATION
WHO WINS? EVERYBODY.
Entering School
100 girls per
100 boys
Secondary Education
84 girls per
100 boys
Primary School
92 girls per
100 boys
Enrollment rates in sub-Saharan Africa{
{
OF PRIMARY SCHOOL AGE ARE NOT ENROLLED IN SCHOOL.
31 MILLION GIRLS31 MILLION GIRLS
Tertiary Education
61 girls per
100 boys
CHILD
MARRIAGE
SCHOOL
FEES
SEXUAL
VIOLENCE
LACK OF
SANITARY
FACILITIES
10
MILESTONES 2009-2014
2009
August	 MAR is registered in Belgium as a non-profit organization
September	 First field visits to Egypt and Nicaragua
October	 MAR partners with the Yantalo Foundation in Peru to survey over 450 mothers and pregnant
women, as well as health care providers in the upper Amazon jungle area, to assess the local
communities’ use of maternal health services
November	 MAR Fund is established at the King Baudouin Foundation, where a group of private donors
provide seed funding for MAR projects
December	MAR Website goes live
2010
April	 MAR joins the White Ribbon Alliance for Safe Motherhood (WRA)
May	 First project launched with Moroccan partner ‘100% Mamans’, an exchange program between
Moroccan and Belgian shelters for mothers
June 	 First field visit to Morocco
July 	 MAR inaugurates partnership with the Egyptian Association for the Development and
Enhancement of Women (ADEW) for a survey on delivery care of close to 400 mothers and 25
traditional birth attendants in the slums of Cairo
2011
January 	 MAR starts supporting the annual salaries of midwives in a prenatal mobile clinic in the
isolated Central Plateau Region of Haiti in partnership with Midwives for Haiti.
February 	 In Nicaragua, MAR and the maternal waiting home ‘Casa Materna Cihuatlampa’ partner
to address the higher maternal mortality risk and school attrition associated with adolescent
pregnancies, through a reproductive and sexual health education program in the province of
Jinotega
March 	 MAR’s first fundraising recital
April 	 The Rotary Club Hamburg-Bergedorf sponsors a pilot project of combined life skills and
literacy for 40 girls in the Cairo slums
May	 MAR admitted to membership in the World Health Organization’s (WHO) Partnership for
Maternal Neonatal and Child Health (PMNCH)
August	 Grant awarded by the Belgian postal service bpost for a literacy program for mothers
developed by MAR in collaboration with the shelter Chevrefeuille and the Belgian literacy
federation Lire et Ecrire
September	 MAR office inaugurated
11
2012
June	 MAR begins supporting the Casa Materna Ocotal in Nicaragua
September	 MAR sponsors the first in a series of trainings of midwives with the health department of the
Diocese of Musoma in Tanzania
October	 MARs funding surpasses $100,000
November	 The Alcatel-Lucent Foundation awards MAR a grant to scale up from 40 to 200 girls the life-
skills and literacy program in the Cairo slums with local partner ADEW
2013
May	 MAR enters into a new partnership with the Missionary Community Saint Paul Apostle in
northern Kenya to support the maternal health of nomadic women
June	 MAR launches the Friends of MAR initiative
July	 First field visit to Haiti
March	 MAR receives its largest donation from a private philanthropist: $100,000; Colgate matches it
with a $100,000-contribution
December	 MAR develops a project-based partnership with the International Center for Reproductive
Health (ICRH) at Ghent University to support maternal homes in Kenya
2014
March	 MAR becomes a partner of Vesalius College and establishes an internship program offered to
Vesalius students
May	The 15th MAR fundraising recital is held.
June	 The MAR-ICRH project to support maternal homes in Kenya is selected for a grant by the
Millennium Development Fund of the Loterie Nationale
July	 MAR is awarded a grant from the Fonds Elisabeth et Amelie to promote food security and
water access in Turkana, Kenya
September	 MAR marks its five-year anniversary
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KENYA
Location: Turkana, Kenya
MAR Thematic Area:
· Maternal health
· Education and livelihoods
· Infrastructure
Total Grant: 126,439 Euros
Local Partner: The Missionary Community Saint
Paul Apostle (MCSPA)
Turkana is a remote, arid, semi-desert region in North-East Kenya. It is very isolated and lacks basic infrastructure
and services. Its 800,000 inhabitants belong to the Turkana tribe and are semi-nomadic shepherds who live in
endemic poverty. In recent years the entire region has been suffering from drought, leading to loss of livelihood
assets and widespread food insecurity. With droughts becoming longer and more unpredictable due to climate
change, Turkana is in a situation of ‘chronic crisis’, with families struggling to recover from one drought to the
next and pastoralists unable to rebuild their herds.
Eighty percent of the population lacks acceptable access to clean water, and water-borne diseases are widespread.
Education and literacy levels are low and there is limited knowledge on health and nutrition issues. Women and
children are particularly vulnerable. Nationally, the maternal mortality rate is among the highest in the world,
with 400 deaths for ever 100,000 live births, and the rate of mortality for children under five is 73 for every 100,000
live births.
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OUR WORK IN KENYA
Our Local Partner
The Missionary Community of Saint Paul Apostle (MCSPA) has worked in Turkana
for 27 years carrying out community-based development programs with the goal
of improving the lives of the Turkana. It serves 150,000 people in a 10,000 km2
area, providing access to water, sanitation, health care, basic agriculture training, nutritional units and food aid
when necessary. MCSPA works closely with the government and other non-governmental organizations, and in
the area where MCSPA is active, child malnutrition is 15 percentage points lower than elsewhere in the region.
Our Contribution
MAR’s goal is to support MCSPA’s comprehensive efforts to improve the living conditions and coping mechanisms
of the people of Turkana. We do this through the following initiatives:
o	A project to increase access to basic health services and mother and child-care for pregnant and lactating
women of Kokuselei by establishing mobile clinics and training village health promoters in seven villages
in Turkana. This project also focuses on improving overall health and nutrition through training on food
preparation and the introduction of greater diversity in the local diet.
o	MAR has facilitated a partnership between MCSPA and the ‘Elisabeth et Amelie Fund’ to improve access to
water for domestic and agricultural use in the Nakwasuro area of Turkana, that was also drought affected.
The project involves the drilling of a borehole and the installation of a solar pumping system as well as
promoting the establishment of small-scale, women-led agriculture to complement nomadic pastoralism.
o	MAR has also supported the construction of a community room at the dispensary that is now used for
holding workshops with the women and trainings.
o	Due to the extreme drought in the region in 2013 and 2014, MAR also assisted with the provision of
emergency food aid to vulnerable families for a three- month period targeting in particular children under
five, pregnant and lactating women and the elderly.
Thank you very much for working together with us in so many aspects, you are really contributing
to a deep change in Turkana. We hope we can continue to work together for many years.
You are our angels in Brussels!
– Eleni, representative of MAR local partner MCSPA in Kenya, 2014
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EGYPT
Location: Cairo, Egypt
MAR Thematic Area:
· Education and livelihoods
· Maternal Health
Total Grant: 117,942 Euros
Local Partner: The Association for the Development
and Enhancement of Women (ADEW)
Urban Poverty
As is true in many parts of the world, urbanization and urban poverty in Egypt are rising, as populations of
urban slums grow both in absolute numbers and relative to the rest of the urban population. Cairo has one
of the largest slum populations in the country and the world, known as aashwa’iat, or ‘random’ areas. They
house hundreds of thousands of people in crowded conditions, have inadequate or insufficient basic amenities
like running water, electricity, and sanitation, and are exposed to environmental hazards and to decaying or
weak infrastructure. The millions living in these urban slums, are largely unaccounted for and are therefore
‘invisible’ and, to a great extent, forgotten. Life in these urban slums is particularly harsh for women and girls,
who additionally face societal and cultural prejudices.
Opportunities for girls
Girls in these slums grow up in an environment of drastic inequality compared to boys. They usually leave school
before their brothers and remain mostly confined to their homes where their potential to escape poverty is slim.
They join the ranks of the over 90 million young girls thought to be out-of-school worldwide, of which more than
a quarter become mothers before the age of 18. In Egypt, the government and civil society organizations have
made considerable strides towards the goal of achieving universal primary education, but in many rural areas
and urban slums, some 50 percent of school-age children either do not attend school, or eventually drop out
around the age of 11. Gender disparity remains a challenge.
Deliveries in poor urban settings
Egypt has made remarkable progress in efforts to curb maternal mortality, having reduced the maternal mortality
ratio between 1990 and 2010 by over 71% and considered on track to achieve the maternal health Millennium
Development Goal (MDG 5) by the 2015 deadline. However urban population growth is outstripping the capacity
of many urban health centers to provide quality maternal services, resulting in lower standards of care and
evidence of discrimination of poor urban women. This marginalization is resulting in many poor urban women
choosing to deliver at home with unskilled attendants despite the proximity of health centers.
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OUR WORK IN EGYPT
Our Local Partner
Established in 1987, the Association for the Development and Enhancement of Women
(ADEW) advocates for women’s rights in Egypt and supports women living in the
poorest urban and peri-urban slums, in particular female–headed households. ADEW’s
initiatives include micro-credit lending, legal services, literacy promotion for women and
girls and health services.
Our Contribution
GirlsDreamsandLiteracy(GDL)isacombinedprogramdeveloped
by ADEW and MAR to empower girls in poor urban communities
to gain life-skills and literacy and to create opportunities for staying
in, and/or returning to school. The program’s objectives are to:
i)	 Promote literacy and life skills for girls through the ‘Girls’
Dreams and Literacy’ curriculum
ii)	 Document obstacles and challenges preventing girls from
completing formal education in targeted communities,
iii)	Strengthen community-wide learning and access to formal
educational opportunities for girls through the participatory
approach of ‘Facilitated Learning’.
A first pilot project for 40 young women was funded by the Rotary
Club Hamburg-Bergedorf, and following its success a scaled-up
program for 200 girls is being implemented over a period of three
years (2012-2015) funded by the Alcatel-Lucent Foundation, whose
employees have also volunteered their time.
Survey of ‘dayas’ and mothers: To better understand the enduring
preference of poor urban mothers for deliveries with traditional
birth attendants (“dayas’), MAR and ADEW surveyed almost 400
mothers and 26 dayas in two of Cairo’s largest slums. The survey
showed these women face unique challenges to accessing quality
facility-based deliveries and that targeted interventions will be
necessary to improve the quality and patient care at facility-based
deliveries and to promote the uptake of these services by poor
urban women are needed. MAR and ADEW will be working on
developing programs along two mutually reinforcing lines of
action:
a)	to promote new, officially-sanctioned roles for the dayas in
community health promotion and in advocacy for institutional
deliveries.
b)	to promote an increase in institutional deliveries in the slums
by ensuring better access to skilled care for deliveries, including
through enhanced quality care at hospital deliveries.
Again, thank you for your interest, your passion, and your
belief in our work; this kind of partnership is what keeps us
going & managing our way through the challenges we face.
You’re not just partners in this program, but an inspiring
developmental institution that we’re so fortunate to be
working with on equal grounds
– Sarah Hani, representative of MAR local partner in
Egypt, ADEW, 2014
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HAITI
Location: Hinche, Haiti
MAR Thematic Area: Maternal health
Total grant: 19,534 Euros
Local Partner: Midwives for Haiti
Haiti is the poorest country in the Western Hemisphere and has the highest maternal mortality rate in the
region, at 300 deaths for every 100,000 live births. Due to a lack of resources, and workforce attrition, Haiti has
a severe shortage of skilled healthcare providers. Only 26 percent of births are attended by skilled healthcare
professionals. To make matter worse, the devastating 2010 earthquake damaged many healthcare facilities.
Most births take place at home assisted by non-qualified persons unable to help in the event of complications.
Haiti also has the highest rates of infant and under-five mortality (89 for every 1,000 live births) in the Western
Hemisphere. A quarter of all newborns have low birth weight and hundreds of thousands of children suffer from
chronic malnutrition. Better access to skilled care during pregnancy and delivery is desperately needed in order
to ensure healthy pregnancies and healthy babies.
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OUR WORK IN HAITI
Our Local Partner
Midwives for Haiti is a small US-based organization founded in
2005. Its core mission is to enable access to maternal and infant care
in remote areas in Haiti. The organization works with the Ministry
of Health to provide obstetrics training to Haitian auxiliary nurses
so they can attend births and provide prenatal care to rural women
that otherwise have limited access to medical care during pregnancy.
Our Contribution
One way to expand access to prenatal care in hard-to-reach or
underserved areas is through mobile health clinics. Mothers at Risk
sponsors midwives who travel with Midwives for Haiti’s prenatal
mobile clinic in the remote Central Plateau Region in Haiti. The
mobile clinic reaches 16 villages monthly and provides prenatal care
to hundreds of women. Prenatal care ensures that any problems are
detected and addressed in time, and helps the mother take care of
her health and that of her unborn baby.
We’re so glad that you’re supporting Magdala and Marie
Denise! You are making an impact on more than just these
two midwives. You are helping their families and the
hundreds of women in Haiti’s central plateau who benefit
from their experience and compassion. Thanks again for
your amazing support!
– Emily Davis Midwives for Haiti 2014
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NICARAGUA
Location: Jinotega and Ocotal, Nicaragua
MAR Thematic Area: Maternal health
Total Grant: 14,924 Euros
Local Partners: Casas Maternas Mery Barreda and
Cihuatlampa
Nicaragua is, after Haiti, the poorest country in the region and has one of the highest rates of maternal mortality
in Latin America, at over 90 per 100,000 live births. Although the number of women dying in childbirth has
decreased over the past 25 years, maternal mortality remains especially high among women in rural areas due
to lower prenatal care coverage and lower rates of deliveries attended by skilled personnel. While nationally 74
percent of births are attended by skilled health professionals, this figure drops to just over 50 % in rural areas.
Nicaragua also has one of the highest adolescent fertility rates in the world with over a quarter of girls aged 15-
19 already having had a baby. Research shows that the consequences of adolescent childbearing include higher
risk of complications during pregnancy and maternal mortality. Teenage pregnancies are also correlated with
increased rates of infant mortality and malnutrition, lower levels of education for the mother and their children,
and increased risk of poverty.
19
OUR WORK IN NICARAGUA
Our Partners
Casas Maternas (maternal waiting homes) form an integral part of the national
strategy to curb pre-natal, maternal and neonatal mortality by sheltering
expectant mothers from isolated rural communities with high obstetric risk
during the weeks before delivery. At the Casas Maternas they are monitored
by health professionals, and deliver in nearby hospitals or medical centers
with skilled care rather than at home. MAR has supported the Casa Materna
Cihuatlampa in the region of Jinotega, and the Casa Materna Mary Barreda in
Ocotal, Nueva Segovia, which each shelter an average of 300 mothers yearly, a
quarter of which are adolescents.
Our Contribution
MAR has supported a year-long community outreach program to promote
maternal, sexual and reproductive health awareness in Jinotega and surrounding
villages. This program aimed to ensure that adolescents who are already
pregnant receive proper prenatal care and are attended in delivery by skilled
personnel; and to help reduce the number of unwanted adolescent pregnancies
through information and awareness-raising.
Under the project, fifty health community promoters and youth leaders were
trained in maternal, sexual and reproductive health issues and in community
outreach techniques, including peer-to-peer education. Once trained, they went
into the communities to raise awareness through workshops, focus groups,
visits to schools and presentations in communities and in the Casa Materna.
MAR also designed and funded an organizational and needs assessment of the
Casa Materna Ocotal to identify urgent and long-term needs of the maternal
home. This resulted in a plan to strengthen the Casa Materna across different
areas including:
o	Infrastructure repairs and basic equipment
o	Running costs (including food, staff, utilities, etc)
o	Promoting community and institutional partnerships to support the Casa
o	Improving administrative and financial management processes
o	Strengthening the program of educational activities for sheltered mothers
o	Supporting training for the Casa’s staff
o	Identifying funding sources
According to the local school professor Mrs. Afrania, with
the implementation of the Mothers at Risk program, teenage
pregnancies have been decreasing at the high school at a noticeable
rate compared to previous years.
– Report by local project manager Rina, Jinotega Nicaragua, 2013
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MOROCCO
Location: Tangier, Morocco
MAR Thematic Area: Education and livelihoods
Total Grant: 27,152 Euros
Local Partner: 100% Oumahat
Pregnancy out of wedlock carries a heavy social stigma in Morocco. Despite an important reform to Morocco’s
family code, the Moudawana, in 2004 the unwed mother and her baby have few rights under current law. It is
considered a great dishonor to the family, and the pregnant woman is often shunned or pressured to abandon her
baby. Most of these abandoned babies are institutionalized and face life-long discrimination.
21
OUR WORK IN MOROCCO
Our Local Partner
100% Oumahat (‘100% Mothers’) shelters single pregnant women during pregnancy, the
birth of their babies and until the mothers secure employment. The shelter offers emergency
accommodation and a comprehensive support program: psychological, social, health-related,
legal and logistical. The goals are to encourage a safe and healthy pregnancy, a positive
mother-child relationship and to promote the mothers’ self-sufficiency. 100% Oumahat also
raises awareness to improve the social integration of the mothers, and advocates for legal
recognition of the status of single mothers and their children. It is the only shelter of its kind
in the north of the country.
Our Contribution
Our support for 100% Oumahat has covered the following initiatives:
o	VOCATIONAL TRAINING SCHOLARSHIPS. MAR has sponsored vocational training scholarships for
mothers, most of whom are illiterate and have had limited education or training. The goal of the trainings
is to help mothers secure a job placement after they leave the shelter so they can become self- sufficient and
can support themselves and their children. The trainings also help mothers build self confidence, familiarity
with work-related attitudes and behaviors, and improved communications skills.
o	JOB PLACEMENT STAFF. MAR funds the salary of a job-placement officer as a contribution to a
comprehensive 3-year capacity-building program for the shelter to scale up substantially is vocational
training and job-placement capabilities.
o	SHELTER UPGRADING. MAR has financed a much-needed refurbishment of the shelter’s sleeping quarters,
the children’s ‘crèche’, the kitchen, the living room and the laundry room.
o	SHELTERS EXCHANGE PROGRAM. MAR is coordinating an exchange program between 100% Oumahat
and the Belgian shelter for mothers Chevrefeuille for the two shelters to exchange best practices, knowledge
and information.
It is also very important to me to communicate as we do with each other, to share our challenges and
progress. Our close relationship comforts us, despite the geographical distance.
Thank you so much for the trust you continue to have!!! It is great support !!
– Claire Trichot, President, MAR local partner in Morocco 100% Oumahat
22
TANZANIA
Tanzania continues to have one of the highest maternal mortality rates in Africa and the world at 454 deaths for
every 100,000 live births. And Tanzania is one of the ten countries in the world where two-thirds of all babies’
deaths globally occur. The scarcity of trained health professionals and the difficulties for women in reaching
hospital for pre-natal check-ups and delivery, due to dispersed health centers and hospitals in rural areas, are
key challenges. In addition, there is a critical lack of health service professionals who are skilled in providing
comprehensive emergency obstetric and newborn care, and few health facilities equipped for this standard of
care. Disease (including but not limited to malaria and HIV/AIDS), early pregnancies and a paucity of family
planning services all contribute as well towards the present situation, particularly in rural areas. The Mara region
is among the three worse performing regions in the country for skilled birth attendance during delivery, with
only one in three births taking place in a health facility (compared to the national average, which is 50%).
Location: Mara Region, Tanzania
MAR Thematic Area: Maternal health
Total Grant: 12,697 Euros
Local Partners: Diocese of Musoma
23
OUR WORK IN TANZANIA
Our Local Partner
Established in May 1975, the Roman Catholic Diocese of Musoma undertakes pastoral and
development activities in the Mara Region. The Diocese is particularly concerned with health
care and it focuses on reducing infant and maternal mortality and morbidity in the area.
Annually, over 17,000 patients benefit from prenatal care and 732 deliver in the Diocese’s twelve
health facilities. Eight of the health facilities owned by the Diocese are equipped to provide
comprehensive emergency obstetric and new born care.
Our Contribution
MAR sponsors training workshops on basic emergency obstetric care (EOC) and antenatal care (ANC) for scores
of service providers (nurse midwives, nursing officers, public health nurses, clinical officers) working within
the health care facilities managed by the Diocese of Musoma. This training is based on the national curriculum
and is lead by expert facilitators from the Ministry of Health and Social Welfare. Maintaining these health care
workers’ skills and knowledge up-to-date is essential to saving the lives of the mothers and babies they attend
to. MAR also sponsors ongoing oversight and supervision of this staff to ensure consistent quality and standards
and to identify gaps in performance. MAR and the Diocese’s efforts are fully aligned with the priorities of the
recently-adopted Mara Region Strategic Plan for the Accelerated Reduction of Maternal and Newborn Deaths
2013-2016.
We present our sincere thanks for the good support we receive from Mothers at Risk. This workshop
enlightens our mind and capabilities to provide quality care to reduce maternal and child mortality
rates. May almighty God bless you all, guide you all and protect you all.
– Anastasia, Diocesan Health Secretary, Musoma, Tanzania
24
BELGIUM
Across European cities, urban poverty and inequality persist. Poor urban women, and particularly new
immigrants, deal with a complex range of challenges including unemployment and low income, low levels of
education and skills, dysfunctional family situations, domestic violence and a lack of social and family support
networks. Motherhood in this context is particularly difficult and has the potential to increase their vulnerability.
Location: Brussels, Belgium
MAR Thematic Area: Education and livelihoods
Total grant: 5000 Euros
Local Partner: Chevrefeuille
25
OUR WORK IN BELGIUM
Our Partner
“Chevrefeuille” is a shelter for vulnerable mothers with over 40 years of experience. Since it
opened its doors, it has sheltered over 2000 pregnant women and new mothers of both Belgian
and immigrant origin. It enjoys an outstanding reputation for its multi-dimensional support
of mothers covering their social, administrative, educational, emotional and practical needs.
Chevrefeuille’s goal is to help women become self sufficient, develop strong bonds with their
baby and access housing and employment in order to be able to sustain themselves and their
children independently.
Our Contribution
In partnership with the Belgian literacy federation ‘Lire et Ecrire’, MAR and
Chevrefeuille have developed a literacy program for illiterate immigrant mothers,
which was selected by the Literacy Fund of the Belgian Post (bPost) for a start-up
grant. In this program Chevrefeuille provides scholarships to immigrant mothers
and supports them over several years as they progress through various stages of
literacy, become more self-sufficient and contribute to their children’s own literacy
and schooling.
MAR has also developed and exchange program between Chevrefeuille and the
shelter for mothers ‘100% Oumahat’ in Tangier, Morocco to promote and facilitate the
exchange of best practices, knowledge and information between these two shelters.
This year was the first time I have taken literacy lessons. I feel like I have
made a lot of progress and I have much more confidence now. I relied on
others before, but now I feel like I can do a lot more on my own. When I
look for a job I can express myself and ask questions. I understand the
signs on the street, I can now get around on my own. I feel very motived
and ready to continue learning.
– JN, immigrant mother, participant in literacy program
After 3 intense and fascinating days, thanks to all of you, we return to Tangier
with the spirit ‘oxygenated’ and a full heart…completely energized! We have
had some marvelous exchanges and we leave feeling like we have accomplished
so much more than our original objectives. You cannot imagine just much we
are now full of hope and certainty about our choices and our daily struggles”.
– Claire Trichot, President 100% Oumahat
26
PERU
Despite economic growth in Peru over the last years, more than half of the rural population continues to live in
poverty. The maternal mortality rate at 90 deaths per 100,000 live births, although a considerable improvement
from 2000 levels, is still unacceptably high. Most women who die in childbirth are poor, indigenous rural women.
Much remains to be done to ensure access to adequate pre-natal, natal and post-natal care for all Peruvian women,
in particular those in hard-to-reach areas.
Location: Yantalo, Peru
MAR Thematic Area: Maternal health
Total Grant: in-kind
Local Partner: The Yantalo Foundation
27
OUR WORK IN PERU
Our Local Partner
The Yantalo Foundation is a local organization working in the village of Yantalo
and surrounding rural areas, in the province of San Martin, in the upper Amazon
jungle. The mission of the Yantalo Foundation is to improve health and education
standards in the area. The Foundation is building a 16-bed International Clinic to
serve all the people of the San Martin region, regardless of their ability to pay, while
also serving as a training center for Peruvian medical students and physicians.
Our Contribution
Mothers at Risk partnered with the Yantalo Foundation, the Tarapoto Nursing School and the Yantalo local
administration to develop and implement a maternal health assessment in Yantalo. 465 mothers and pregnant
women, as well as traditional birth attendants and the local health staff were interviewed to better assess the
uptake of maternal health services in the area. The survey showed evidence of several challenges, including
inconsistent, incomplete prenatal care; a low rate of postnatal check-ups; low awareness of sexual and reproductive
health issues; high incidence of domestic violence; and high incidence of teenage pregnancies.
As a result of this assessment, the Yantalo Foundation was able to develop targeted strategies to increase prenatal
coverage, encourage postnatal check-ups and enhance overall reproductive health in the area.
28
FINANCIAL SNAPSHOTS
MAR Sources of Funding
Private
46%
MAR mobilized more than 430,000 Euros
Funds Raised (000’ of Euros)
(in Euros)
* Estimate
More than 300,000 grants
awarded for 37 projects
Grants awarded (000’ of Euros)
Summary of funds raised, grants awarded and available funding
* preliminary figures as of September 30th 2014
Events
12%
Institutional
13%
Corporate
29%
Total 2009-2014: 433,246 Euros
17.3
48.4
96.8
139.9
122.7
7.3
26.9
15.4
119.3
154.6
Summary	 2009	 2010	 2011	 2012	 2013	 2014 (*)	 Total
MAR Fund	 15,000 	 7,813 	 31,195 	 7,736 	 122,935 	 110,480 	 295,159
MAR ASBL	 2,373 	 - 	 12,290 	 89,126 	 16,999 	 12,300 	 133,087
Other			 5,000 				 5,000
Funds Raised	 17,373 	 7,813 	 48,486 	 96,862 	 139,934 	 122,780 	 433,246
							
MAR Fund	 - 	 7,345 	 21,978 	 9,965 	 44,386 	 137,084 	 220,758
MAR ASBL	 - 	 - 	 - 	 5,440 	 74,930 	 17,560 	 97,930
Other	 - 	 - 	 5,000 	 - 	 - 	 - 	 5,000
Grants Awarded	 - 	 7,345 	 26,978 	 15,405 	 119,316 	 154,644 	 323,688
							
MAR Fund	 15,000 	 15,167 	 23,444 	 21,029 	 97,336 	 65,974 	 65,974
MAR ASBL	 - 	 - 	 9,086 	 89,199 	 30,136 	 16,961 	 16,961
Available Funds	 15,000 	 15,167 	 32,530 	 1,10,228 	 127,471 	 82,936 	 82,936
29
OUR PARTNERS
Project Partners:
Kenya: Missionary Community Saint Paul Apostle (MCSPA)
Haiti: Midwives for Haiti
Egypt: The Association for the Development and Enhancement of Women
Nicaragua: Casa Materna Mery Barreda, Casa Materna Chihuatlampa
Tanzania: The Diocese of Musoma
Belgium: Chevrefeuille
Peru: The Yantalo Foundation
Morocco: 100% Mamans
Special Thanks
We want to thank the following people and organizations for their pro bono support to MAR in key areas:
o	The web solutions company Crystal Digit for developing and managing our website and communications
o	The employee gift-matching programs of Google and Colgate.
o	The design of our 2009-2014 Report by Ajay Singh of Chilly Factor and by Alexandra Birladianu of the
Alcatel-Lucent Foundation
o	The law firm KS4V (Keuleneer, Storme, Vanneste, Van Varenbergh, Verhelst) for legal advice.
o	Katharina von Wendt of designwerkstatt (katharinawendt@gmail.com) for her design and layout of MAR
printed materials.
o	Level 13 Europe Ltd, for donating proceeds of art and musical events
o	Vinos Alfonso Escubos for recurrent contributions to MAR’s fundraising events
simple web solutions for your company
Institutional Partners:
King Baudouin Foundation
The International Center for Reproductive Health
The White Ribbon Alliance
The Partnership for Maternal Newborn and Child Health
Funders:
The Alcatel-Lucent Foundation
bpost
Loterie Nationale,
Rotary Club Hamburg-Bergedorf
Elisabeth and Amelie Fund
30
OUR TEAM: MOTHERS AT RISK BOARD
DIANA PEREZ BUCK (Board, Executive Team) A former Fulbright scholar,
and a graduate of the Fletcher School of Law and Diplomacy, in Boston, Diana
worked for the UN Volunteers Program (UNDP) for seven years and helped the US
non-profit Vital Voices Global Partnership develop a capacity-building program for
Afghan women parliamentarians. She currently serves on the Board of the shelter
for disadvantaged mothers ‘Chevrefeuille’ in Brussels.
OLIVIA LOEWE (Board, Executive Team) earned degrees in law and business
administration at the Universidad Pontificia de Comillas (ICADE) in Madrid
and, as a Deutscher Akademischer Austausch Dienst Scholar, a Master of Law at
the Ruprecht- Karls- University in Heidelberg. She has practiced business law in
Madrid, and has worked as Director in the banking sector in Frankfurt, Madrid and
Milan. Before joining Mothers at Risk she was active with an anti-poverty nonprofit
in Bogotá, Colombia.
BECCA NASRALLAH (Board, Executive Team) is a dental surgeon by
training. She obtained a degree at the United Medical and Dental School of Guys
and St Thomas, London University, and had a private practice in Lebanon.
KATHLEEN BECKMANN is an expert at the German Ministry for
Development Cooperation (BMZ) and was most recently the BMZ’s Nicaragua
Country Director
DANA STRUPOVA is a lawyer by training, she has practiced law in the U.S.,
Germany and the Czech Republic, has been a Director at the professional services
firm PricewaterhouseCoopers and is now General Counsel for the award-wining
Dialogue Social Enterprise.
RACHEL HAMMONDS currently works as legal adviser for a research
project on global health and human rights at the Institute of Tropical Medicine in
Antwerp, Belgium. She was previously a consultant with Medecins Sans Frontieres
and researcher at Harvard University’s François-Xavier Bagnoud (FXB) Center for
Health and Human Rights.
DR. MARIE DIANE BUCK’s field is Education and Organizational
Leadership. Diane has taught extensively at the university level, and has served
for most of her career as Director of intercultural programs as well as government
programs to enhance opportunities for the elderly and for physically and
intellectually-challenged persons.
31
CRISTINA SAMITIER
Director (Operations). Cristina has degrees in Business and Accounting from
Argentina and an MBA from the INSEAD Business School in Fontainebleau /
Singapore. She worked in Mergers and Acquisitions in Argentina for 8 years and
was most recently a Management Consultant at Bain & Company Belgium.
TERESA POPPELWELL
Director (Programs). Teresa is a planning consultant with more than fourteen
years of policy, program and management experience with the United Nations
and international NGOs. Teresa has a MA in Planning from the University of
British Columbia (1997) and an MSt in Forced Migration and Refugee Studies from
the University of Oxford (2002). Teresa has used her professional training and
experience to conduct sector assessments, develop poverty reduction strategies, and
design programs and projects in a number of countries including Afghanistan, Iran,
Burma, Maldives, Pakistan, Philippines, and Indonesia.
MIRIAM CACERES
Fundraising Coordinator. Miriam obtained a degree in Business Administration
in Peru and an MBA in International Marketing in Germany and has sales and
marketing experience in the medical and pharmaceutical industries.
LETICIA DE ALVEAR
Volunteer Coordinator. Leticia is a lawyer by training and a sworn translator
PAULINE CAMACHO FIELDING
Events Coordinator. Pauline is Director of Level 13 Europe, a boutique EU policy
consultancy. Pauline is a conference interpreter at the European Union institutions
(from English, French, Portuguese and Spanish into German), and is a trained
psychotherapist
MOTHERS AT RISK EXECUTIVE TEAM
32
MANAGEMENT COMMITTEE,
MAR FUND, KING BAUDOUIN FOUNDATION
To manage our funds with the utmost rigor we have created the Mothers at Risk Fund at the King Baudouin
Foundation in Brussels, a public institution involved in social and economic development in Belgium and abroad.
The Mothers at Risk Fund is lead by a Management Committee chaired by an expert in the field of maternal
health, and composed of donors and philanthropy advisers.
PROF. DR.ALAINVOKAER
Professor Emeritus of Obstetrics
and Director Emeritus of the
Mother and Child Clinic at the
Brugmann University Hospital in
Brussels.
DR. GEORG FROWEIN
Partner, Hengeler Mueller,
Frankfurt, Germany.
DR. EDURNE NAVARRO
VARONA
Partner, Uría Menéndez, Brussels,
Belgium.
MR. GEORGE A. NAZI
Senior Advisor, Network Services
Strategy Lead, Accenture, Brussels,
Belgium
DR. FRANCOISE PISSART
Francoise Pissart, Director,
Fondation Roi Baudouin
DR. SVENVÖLCKER
Partner, Latham & Watkins,
Brussels, Belgium.
33
MAR ADVISORS
Dr. Ramiz Alakbarov (Azerbaijan) is United Nations Population Fund (UNFPA)
Representative in Haiti. He has been Head of Office for UNFPA in South Sudan and the
UNFPA Regional Desk Adviser for Arab States in New York. Dr. Alakbarov has worked for
over 15 years for the United Nations, including in Central Asia, Eastern Europe, Turkey, Iraq,
Sudan and the Democratic Republic of Congo. His published research covers, among other
topics, reproductive health matters and humanitarian response.
Dr. Sarah Sabry (Egypt), Guest Lecturer/Research Associate, University of Zurich,
Switzerland. Dr. Sabry’s research is focused on urban poverty, informal areas, civil society and
socialpolicyinEgypt.ShehasextensivefieldworkexperienceinEgypt’sinformalareas.Shehas
been a consultant for various organizations including the Ford Foundation, the International
Institute for Environment and Development (IIED), the International Development Research
Centre (IDRC) and the Arab Human Rights Fund. Past positions include chairing the board
of a local Egyptian NGO working on poverty reduction, supporting the establishment of
the Community Service program at the American University in Cairo and teaching Political
Economy of Development at SOAS.
Dr. Eleanor O’Gorman (Ireland) is Senior Associate with the Centre for Gender Studies
and Research Associate with POLIS at the University of Cambridge in the UK. Eleanor runs
a private consulting practice on international conflict and development including issues of
gender, peacebuilding and aid strategy. Her clients include the United Nations, the European
Union, the UK Government and GIZ (Germany). Her field experience includes Nepal, Sri
Lanka, Pakistan, Democratic Republic of Congo, Liberia, and Zimbabwe. Eleanor previously
served as a Senior Adviser with the United Nations in New York and Brussels. She is the
author of 2011 book titled Conflict and Development with Zed Books, London.
Dr. Jean Evrard (Belgium) is Head of Neonatology and Pediatrics at the Namur Regional
Hospital in Namur, Belgium. A neonatologist by specialization, he has served as the Head of
the neonatal intensive care unit for over 20 years. Dr. Evrard has volunteered in Senegal for
several development projects, including the construction of a maternity, and has led pediatric
projects in the Ghoussous slums north of Cairo for the Belgian organization FACE Charity.
Stefanie von Westarp (Canada) just completed three years in Haiti as Deputy Head of
Aid, for Canada’s Department of Foreign Affairs, Trade and Development (formerly CIDA).
Prior to this Stefanie has worked in South Sudan, Honduras and Madagascar in various
aspects of development, including public health.
Dr. Angelika Wolfrum (Germany) is Assistant Medical Director at the Department of
Obstetrics and Gynecology, Marienkrankenhaus Schwerte, Germany.
Prof. Dr. Alain Vokaer (Belgium) recently retired as Head of the Mother and Child
Clinic at Brugmann University Hospital in Brussels, and as Professor of Obstetrics at the
Université Libre de Bruxelles. He is a long-time practitioner specializing in pregnancies with
complications.
Edmund Bengtsson (Denmark) is the former Head of the Evaluation Unit and currently
Knowledge Manager at the United Nations Volunteers Program (UNV), part of the United
Nations Development Program (UNDP) at UNV Headquarters in Bonn, Germany. He has
worked for UNDP for over 25 years, both in African country offices and in Europe serving
most recently as Head of Evaluation and Policy.
Dr. Renee Herfs (Germany) is a Gynecologist-Obstetrician in private practice in
Grünwald-Munich, Germany
Catherine Adams (US) is Supervising Attorney specializing in gender and domestic
violence at Legal Aid, West Virginia
34
MAR FUNDRAISING RECITALS
We wish to thank the following musicians who have generously performed pro bono in the course of 15 recitals
to raise funds for Mothers at Risk projects:
1. Martine Reyners (Soprano)
2. Louisa Petais (Mezzo Soprano)
3. Patrick Heidsieck (Pianist)
4. Dmytro Sukhovienko (Pianist)
5. Rie Yamamoto (Pianist)
6. Tatiana Longuinova (Pianist)
7. Elodie Vignon (Pianist)
8. Laure Stehling (Flute)
9. Matthew Zadow (Baritone)
10. Eve Stehling (Author)
11. Peter Tomek (Pianist)
12. Hanna Selivanava (Soprano)
13. Maria Palatine (Harp and Voice)
14. Sophie de Tillese (Mezzo-Soprano)
15. Marayana Butko (Pianist)
16. Anne Sophie Maier (Backup Voice)
17. Max de beer (Pianist)
18. Estelle Goldfarb (Violinist)
19. Jasminka Derveaux (Lecturer)
20. Dimitri Sesmis (Violinist)
21. Caroline Stinson (Cellist)
22. Fabian Fiorini (Pianist)
23. Dimitra Mantzouratou (Pianist)
24. Anait Karpova (Pianist)
25. Caroline Stinson (Cellist)
35
36
EVENTS
A delegation from the
International Studies Abroad
program visits MAR
MAR invited by US
Ambassador
to Belgium
MAR stand at St. Anthony’s
Chrismas market
Speaking about MAR
Speaking about MAR
MAR launches the
‘CineMAR’ series
MAR speaks on International
Women’s Day at St. John’s
International School
MAR at
Procter & Gamble
Employee Day
MAR Art
Vernissage
MAR featured at
‘Easy Sundays’ Fundraiser
MAR at National
Literacy Conference
37
MAR IN THE NEWS
MAR mentioned in
Harper’s Bazaar
MAR mentioned in
Procter & Gamble magazine
Interview of MAR Vicepresident in
Paulus Rundbrief
MAR quoted in Egypt
Community Times
Interview of MAR President in
BCT Magazine
MAR mentioned in
Seattle Times
Interview of MAR volunteer
in European Parliament
38
VOLUNTEERS
Eva Elmet Georgina Ferrer
Danielle Van de Putte Diane Mazzitelli
Jola Montgelas
Isabel Yglesias
Engy Fahmy
Gordana Popovic
Eloisa de la Pena
Julia Borneman
Brigitte Straathof
Adrian Fielding Alexandra Birladianu Antonella Vittore
Catherine Chevallier Caroline BorggreveCarine Henoque
Ajay Singh
Louise CoganKelsey Lefebvre
39
Rocio Uriarte
Patricia Wallis
Sabine Elsayegh
Nima Shahsavari
Maya Bensalem Mikaela Nordenfelt
Patricia D’Amico
Nicole Pacheco
Stephanie Castro
Salome Cisnal
Yulia Andreeva
Samora Basil
Manuela Van Voorst Margaret DennisLucila Rivera
Maria Palatine Maria Roldan Marta Diez
Maria Barea
Maria Escubos
Penelope Wyatt
Mariela Nino Pineda
40
WORKING TOGETHER
As an intern at MAR I was able to see that a small team is able to accomplish
very large things with the right amount of hard work and passion.
– Stephanie Castro, MAR intern
41
Working with you has been a real pleasure: your professionalism, the commitment of your members, the
generosity of your donors, your mission to improve the conditions of each of the women and children who
have benefitted from your help...
– Marguerite Beaudoin, Project Manager, King Baudouin Foundation
It has been a please to lend support to the great cause and work of MAR and work with such a dynamic and
diverse group of talented and committed women. The professionalism and calibre of the volunteerism of
MAR is unique and inspiring.
– Dr. Eleanor O’Gorman, MAR adviser
42
FIELDVISITS
43
44
Mothers at Risk, a.s.b.l.
23 Rue Darwin
1050 Brussels, Belgium
info@mothersatrisk.org	
Mothers at Risk Fund
King Baudoin Foundation
Rue Brederodestraat 21, 1000 Brussels, Belgium
forrest.L@Kbs-frb.be

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MAR 2009/2014 Report

  • 1. 1 MOTHERS AT RISK Safe Mothers, Healthy Babies, Literate Girls 2009-2014
  • 2. 2 Mothers At Risk 2009-2014 Report The Mothers At Risk 2009-2014 Report is distributed to members, beneficiaries and partners of Mothers At Risk. It is edited at the Mothers At Risk office in Brussels, Belgium Mothers at Risk, a.s.b.l. 23 Rue Darwin 1050 Brussels, Belgium info@mothersatrisk.org http://www.mothersatrisk.org Copyright © 2014 by Mothers At Risk Design:Alexandra Birladianu Ajay Singh - www.chilifactor.com All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior consent of the publisher.
  • 3. 3 TABLE OF CONTENTS Message From Prof. Dr. Alain Vokaer 4 Message From Diana Perez-Buck 5 Overview 2009-2014 6 The Issues 7 Invest in Maternal and New Born Health 8 Invest in Girls Education 9 Milestones 2009-2014 10 Our Work: - Kenya 12 - Egypt 14 - Haiti 16 - Nicaragua 18 - Morocco 20 - Tanzania 22 - Belgium 24 - Peru 26 Financial Snapshots 28 Our Partners 29 Our Team - Mothers At Risk Board 30 - Executive Team 31 - Management Committee, MAR Fund, King Baudouin Foundation 32 - MAR Advisors 33 MAR Fundraising Recitals 34 Events 36 MAR In The News 37 Volunteers 38 Working Together 40
  • 4. 4 MESSAGE FROM PROF. DR.ALAINVOKAER PRESIDENT, MANAGEMENT COMMITTEE, MOTHERS AT RISK FUND, KING BAUDOUIN FOUNDATION In my more than 40 years practicing as an obstetrician together with my wife, a certified midwife, we have had the fortune of assisting thousands of women to safely deliver healthy babies. Over the course of these decades we have also witnessed the serious complications that can and do arise, and we know all too well that adequate prenatal prevention and timely skilled interventions at the moment of birth can make the difference between life and death. Today, inexcusably, almost 300,000 women continue to die every year from pregnancy and childbirth-related complications - most of them in developing countries. And motherless children are ten times more likely to die within two years of their mother’s death. What is more, for every maternal death, approximately 20 more women suffer severe illness or injury. The vast majority of these tragic deaths and disabilities could be prevented if women had better access to family planning and to quality care during pregnancy and childbirth. More generally, if girls and women have more access to education, their health and that of their children improves dramatically. It is these challenges that inspired the creation of Mothers at Risk (MAR) by a small but very dynamic group of volunteers, whose evolution I have had the pleasure of following and contributing to over the years. MAR has consistently grown to encompass more projects, reach more beneficiaries, establish new partnershipsandbecomeincreasinglyprofessionalized whileretainingaflexibleandresponsiveorganizational structure that are its trademark. I am convinced that we urgently need initiatives like MAR to accelerate progress towards a day when all women reach motherhood healthy and literate and have access to adequate standards of care. I commend MAR and its community of friends and supporters, and I look forward to accompanying them further in this journey to help enable women to become healthy, literate and empowered so they may in turn build stronger families, communities and societies.
  • 5. 5 MESSAGE FROM DIANA PEREZ-BUCK FOUNDER, MOTHERS AT RISK Never underestimate the power of a small group of committed people to change the world. Indeed, it is the only thing that ever has. – Margaret Mead This exciting idea, that ordinary citizens can help solve intractable problems, was very much at the core of my motivation to launch Mothers at Risk (MAR) five years ago. I wondered: with the unspeakable tragedy of maternal mortality unfolding across the globe, could a handful of individuals make a difference? Five years later, surprised and humbled by the many committed people I have encountered, my answer is a resounding ‘yes’! I am thinking first and foremost of the outstanding individuals who lead our local partner organizations and with whom we have had the privilege of working these years - Eleni, Claire, Anastasia, Iman, Nadene, Francisca, Luis… They are tireless and charismatic problem-solvers, activists and leaders working to help transform the situation for women in their communities in the Middle East, Sub-Saharan Africa and Central America. Their unwavering belief in the possibility of change gives us great optimism. Mothers at Risk, across all its activities and endeavors, is entirely volunteer-run thanks to thousands of hours dedicated by scores of truly outstanding people from all walks of life, backgrounds and nationalities. Each and every one of our volunteers brings added value to our joint effort, and it is a real privilege to be surrounded by talented, high-caliber professionals who have chosen to contribute their expertise and skills to MAR. Thanks to these collective contributions, we have been able to help bring prenatal care and safe delivery closer to rural women in Tanzania, Haiti, Kenya and Nicaragua. We have invested in the education of vulnerable girls in Egypt. And we have supported women who face motherhood alone, in extreme conditions of social, economic and emotional exclusion in Morocco and in Belgium. We have been touched by the stories of mothers, girls and babies whose lives have been impacted for the better by these efforts. Like baby Emmanuel in nomadic Turkana, Kenya, born safe and sound thanks only to the overnight efforts of the medical team of the Nariokotome dispensary. Or Magdala, who after barely surviving the birth of her second son, became a midwife in her native Haiti to help other women avoid the same fate. And Fatima, a poor and single mother in Tangier, who can now better support herself and her daughter Jamila thanks to the job she secured after vocational training. Or Yasmeen, a girl from the slums of Cairo, who is now literate. We could not have supported any of this without the institutions and individuals who have supported us financially, starting with the startup capital provided by our founding donors, followed by other generous private donors and by organizations like Rotary, as well as private sector companies such as Alcatel-Lucent, the bpost and the Belgian National Lottery. We are indebted to them all for their vote of confidence in us. Looking back at these first five years I am immensely proud of what we have accomplished but I am equally aware of how much there is still to do. In Khmer, the language of Cambodia, childbirth is known as “crossing the river. May MAR’s work continue to serve so that more women may ‘cross the river’ safely.
  • 6. 6 OVERVIEW 2009-2014 2009-2014 AT A GLANCE o 37 projects, 8 Countries, 3 continents o Over 5000 beneficiaries o Total grants awarded: 323,688 Euros o Total funds raised: 433,246 Euros OUR MISSION Mothers at Risk (MAR) is an independent, international non-profit organization devoted to reducing the vulnerability of mothers, women and girls living in poverty, so they may have safer pregnancies and deliveries and reach motherhood healthier and better educated. Haiti Nicaragua Peru Belgium Morocco Egypt Kenya Tanzania
  • 7. 7 THE ISSUES Mothers at Risk came into being by a group of people who were moved by the unacceptable risks women around the world still face in childbirth. In these next pages, we illustrate some of the sobering facts that have moved us into action. MATERNAL AND NEWBORN MORTALITY • Over 289,000 women die from pregnancy and childbirth- related complications each year. That is 800 women a day • 99% of these deaths happen in developing countries • For every maternal death, approximately 20 women suffer severe illness, injury, or disability • Maternal deaths leave one million orphan children behind, and these children are 10 times more likely to die within two years of their mother’s death • Nearly 3 million newborn babies die every year unnecessarily • 90% of these maternal and newborn deaths are preventable when women have access to three types of interventions: quality care during pregnancy and birth; access to emergency obstetric care when problems arise during pregnancy and delivery; and adequate reproductive health services. MOTHERHOOD AND THE GIRL-CHILD • Worldwide 31 million girls of primary school age are not enrolled in school • Many of them become mothers while still girls • Research shows that the consequences of adolescent childbearing include higher risk of complications during pregnancy and maternal mortality. Teenage pregnancies are also correlated with increased rates of infant mortality and malnutrition, lower levels of education for the mother and their children, and increased risk of poverty • If girls stay in school beyond grade 7 they are: o More likely to have healthier children o More likely to have an average of 2.2 fewer children o More likely to send their children to school o More likely to marry 4 years later o Less likely to die in pregnancy/ childbirth MOTHERHOOD ALONE AND EXCLUDED Beyond pregnancy and delivery, raising children in poverty can be an insurmountable challenge for those women facing the experience alone, impoverished and excluded. Some may be far from their homes, seeking refuge or asylum from conflict, violence or persecution. Some women may have lost their partners and may become sole breadwinners. Others may have become pregnant out of wedlock and be shunned by their families and communities. Some, out of desperation, may revert to dangerous back-street abortions or feel no choice but to abandon their newborn babies. We support vulnerable women experiencing pregnancy, delivery and the early years of their children alone so they and their babies may be as safe, healthy and independent as possible.
  • 8. 8 THE CONNECTION WOMEN DIE FROM PREGNANCY AND CHILDBIRTH-RELATED COMPLICATIONS EACH YEAR. 289,000+289,000+ Motherless children are up to 10 TIMES more likely to die within 2 years of their mother’s death. NEARLY INVESTING IN MATERNAL AND NEWBORN HEALTH: THREE MILLION THREE MILLION NEWBORN BABIES DIE EVERY YEAR. That’s 800 women a day. 99% of these deaths occur in developing countries. Nearly 90% are preventable. For every maternal death, approximately 20 women suffer severe illness, injury, or disability. { { INVEST IN MATERNAL AND NEWBORN HEALTH STRATEGIES TO IMPROVE MATERNAL & NEWBORN HEALTH THE 3 DELAYS Increase access to family planning Increase access to quality care for pregnancy and childbirth Saves women’s & children’s lives Strengthens health systems Increase access to safe abortion services When a woman seeks care, she faces: Delay in seeking help Delay in reaching a health care facility Delay in receiving appropriate care upon arrival 1. 2. 3. Improves economies WHO WINS? EVERYBODY.
  • 9. 9 THE PICTURE IS DIFFERENT FOR GIRLS AND BOYS WHY DO GIRLS DROP OUT? BUT… IF WE COULD KEEP GIRLS IN SCHOOL BEYOND GRADE 7, THEY WOULD BE: More likely to have an average of 2.2 fewer children More likely to have healthier children More likely to send their children to school Less likely to die in pregnancy/ childbirth More likely to marry 4 years later INVEST IN GIRLS’ EDUCATION WHO WINS? EVERYBODY. Entering School 100 girls per 100 boys Secondary Education 84 girls per 100 boys Primary School 92 girls per 100 boys Enrollment rates in sub-Saharan Africa{ { OF PRIMARY SCHOOL AGE ARE NOT ENROLLED IN SCHOOL. 31 MILLION GIRLS31 MILLION GIRLS Tertiary Education 61 girls per 100 boys CHILD MARRIAGE SCHOOL FEES SEXUAL VIOLENCE LACK OF SANITARY FACILITIES
  • 10. 10 MILESTONES 2009-2014 2009 August MAR is registered in Belgium as a non-profit organization September First field visits to Egypt and Nicaragua October MAR partners with the Yantalo Foundation in Peru to survey over 450 mothers and pregnant women, as well as health care providers in the upper Amazon jungle area, to assess the local communities’ use of maternal health services November MAR Fund is established at the King Baudouin Foundation, where a group of private donors provide seed funding for MAR projects December MAR Website goes live 2010 April MAR joins the White Ribbon Alliance for Safe Motherhood (WRA) May First project launched with Moroccan partner ‘100% Mamans’, an exchange program between Moroccan and Belgian shelters for mothers June First field visit to Morocco July MAR inaugurates partnership with the Egyptian Association for the Development and Enhancement of Women (ADEW) for a survey on delivery care of close to 400 mothers and 25 traditional birth attendants in the slums of Cairo 2011 January MAR starts supporting the annual salaries of midwives in a prenatal mobile clinic in the isolated Central Plateau Region of Haiti in partnership with Midwives for Haiti. February In Nicaragua, MAR and the maternal waiting home ‘Casa Materna Cihuatlampa’ partner to address the higher maternal mortality risk and school attrition associated with adolescent pregnancies, through a reproductive and sexual health education program in the province of Jinotega March MAR’s first fundraising recital April The Rotary Club Hamburg-Bergedorf sponsors a pilot project of combined life skills and literacy for 40 girls in the Cairo slums May MAR admitted to membership in the World Health Organization’s (WHO) Partnership for Maternal Neonatal and Child Health (PMNCH) August Grant awarded by the Belgian postal service bpost for a literacy program for mothers developed by MAR in collaboration with the shelter Chevrefeuille and the Belgian literacy federation Lire et Ecrire September MAR office inaugurated
  • 11. 11 2012 June MAR begins supporting the Casa Materna Ocotal in Nicaragua September MAR sponsors the first in a series of trainings of midwives with the health department of the Diocese of Musoma in Tanzania October MARs funding surpasses $100,000 November The Alcatel-Lucent Foundation awards MAR a grant to scale up from 40 to 200 girls the life- skills and literacy program in the Cairo slums with local partner ADEW 2013 May MAR enters into a new partnership with the Missionary Community Saint Paul Apostle in northern Kenya to support the maternal health of nomadic women June MAR launches the Friends of MAR initiative July First field visit to Haiti March MAR receives its largest donation from a private philanthropist: $100,000; Colgate matches it with a $100,000-contribution December MAR develops a project-based partnership with the International Center for Reproductive Health (ICRH) at Ghent University to support maternal homes in Kenya 2014 March MAR becomes a partner of Vesalius College and establishes an internship program offered to Vesalius students May The 15th MAR fundraising recital is held. June The MAR-ICRH project to support maternal homes in Kenya is selected for a grant by the Millennium Development Fund of the Loterie Nationale July MAR is awarded a grant from the Fonds Elisabeth et Amelie to promote food security and water access in Turkana, Kenya September MAR marks its five-year anniversary
  • 12. 12 KENYA Location: Turkana, Kenya MAR Thematic Area: · Maternal health · Education and livelihoods · Infrastructure Total Grant: 126,439 Euros Local Partner: The Missionary Community Saint Paul Apostle (MCSPA) Turkana is a remote, arid, semi-desert region in North-East Kenya. It is very isolated and lacks basic infrastructure and services. Its 800,000 inhabitants belong to the Turkana tribe and are semi-nomadic shepherds who live in endemic poverty. In recent years the entire region has been suffering from drought, leading to loss of livelihood assets and widespread food insecurity. With droughts becoming longer and more unpredictable due to climate change, Turkana is in a situation of ‘chronic crisis’, with families struggling to recover from one drought to the next and pastoralists unable to rebuild their herds. Eighty percent of the population lacks acceptable access to clean water, and water-borne diseases are widespread. Education and literacy levels are low and there is limited knowledge on health and nutrition issues. Women and children are particularly vulnerable. Nationally, the maternal mortality rate is among the highest in the world, with 400 deaths for ever 100,000 live births, and the rate of mortality for children under five is 73 for every 100,000 live births.
  • 13. 13 OUR WORK IN KENYA Our Local Partner The Missionary Community of Saint Paul Apostle (MCSPA) has worked in Turkana for 27 years carrying out community-based development programs with the goal of improving the lives of the Turkana. It serves 150,000 people in a 10,000 km2 area, providing access to water, sanitation, health care, basic agriculture training, nutritional units and food aid when necessary. MCSPA works closely with the government and other non-governmental organizations, and in the area where MCSPA is active, child malnutrition is 15 percentage points lower than elsewhere in the region. Our Contribution MAR’s goal is to support MCSPA’s comprehensive efforts to improve the living conditions and coping mechanisms of the people of Turkana. We do this through the following initiatives: o A project to increase access to basic health services and mother and child-care for pregnant and lactating women of Kokuselei by establishing mobile clinics and training village health promoters in seven villages in Turkana. This project also focuses on improving overall health and nutrition through training on food preparation and the introduction of greater diversity in the local diet. o MAR has facilitated a partnership between MCSPA and the ‘Elisabeth et Amelie Fund’ to improve access to water for domestic and agricultural use in the Nakwasuro area of Turkana, that was also drought affected. The project involves the drilling of a borehole and the installation of a solar pumping system as well as promoting the establishment of small-scale, women-led agriculture to complement nomadic pastoralism. o MAR has also supported the construction of a community room at the dispensary that is now used for holding workshops with the women and trainings. o Due to the extreme drought in the region in 2013 and 2014, MAR also assisted with the provision of emergency food aid to vulnerable families for a three- month period targeting in particular children under five, pregnant and lactating women and the elderly. Thank you very much for working together with us in so many aspects, you are really contributing to a deep change in Turkana. We hope we can continue to work together for many years. You are our angels in Brussels! – Eleni, representative of MAR local partner MCSPA in Kenya, 2014
  • 14. 14 EGYPT Location: Cairo, Egypt MAR Thematic Area: · Education and livelihoods · Maternal Health Total Grant: 117,942 Euros Local Partner: The Association for the Development and Enhancement of Women (ADEW) Urban Poverty As is true in many parts of the world, urbanization and urban poverty in Egypt are rising, as populations of urban slums grow both in absolute numbers and relative to the rest of the urban population. Cairo has one of the largest slum populations in the country and the world, known as aashwa’iat, or ‘random’ areas. They house hundreds of thousands of people in crowded conditions, have inadequate or insufficient basic amenities like running water, electricity, and sanitation, and are exposed to environmental hazards and to decaying or weak infrastructure. The millions living in these urban slums, are largely unaccounted for and are therefore ‘invisible’ and, to a great extent, forgotten. Life in these urban slums is particularly harsh for women and girls, who additionally face societal and cultural prejudices. Opportunities for girls Girls in these slums grow up in an environment of drastic inequality compared to boys. They usually leave school before their brothers and remain mostly confined to their homes where their potential to escape poverty is slim. They join the ranks of the over 90 million young girls thought to be out-of-school worldwide, of which more than a quarter become mothers before the age of 18. In Egypt, the government and civil society organizations have made considerable strides towards the goal of achieving universal primary education, but in many rural areas and urban slums, some 50 percent of school-age children either do not attend school, or eventually drop out around the age of 11. Gender disparity remains a challenge. Deliveries in poor urban settings Egypt has made remarkable progress in efforts to curb maternal mortality, having reduced the maternal mortality ratio between 1990 and 2010 by over 71% and considered on track to achieve the maternal health Millennium Development Goal (MDG 5) by the 2015 deadline. However urban population growth is outstripping the capacity of many urban health centers to provide quality maternal services, resulting in lower standards of care and evidence of discrimination of poor urban women. This marginalization is resulting in many poor urban women choosing to deliver at home with unskilled attendants despite the proximity of health centers.
  • 15. 15 OUR WORK IN EGYPT Our Local Partner Established in 1987, the Association for the Development and Enhancement of Women (ADEW) advocates for women’s rights in Egypt and supports women living in the poorest urban and peri-urban slums, in particular female–headed households. ADEW’s initiatives include micro-credit lending, legal services, literacy promotion for women and girls and health services. Our Contribution GirlsDreamsandLiteracy(GDL)isacombinedprogramdeveloped by ADEW and MAR to empower girls in poor urban communities to gain life-skills and literacy and to create opportunities for staying in, and/or returning to school. The program’s objectives are to: i) Promote literacy and life skills for girls through the ‘Girls’ Dreams and Literacy’ curriculum ii) Document obstacles and challenges preventing girls from completing formal education in targeted communities, iii) Strengthen community-wide learning and access to formal educational opportunities for girls through the participatory approach of ‘Facilitated Learning’. A first pilot project for 40 young women was funded by the Rotary Club Hamburg-Bergedorf, and following its success a scaled-up program for 200 girls is being implemented over a period of three years (2012-2015) funded by the Alcatel-Lucent Foundation, whose employees have also volunteered their time. Survey of ‘dayas’ and mothers: To better understand the enduring preference of poor urban mothers for deliveries with traditional birth attendants (“dayas’), MAR and ADEW surveyed almost 400 mothers and 26 dayas in two of Cairo’s largest slums. The survey showed these women face unique challenges to accessing quality facility-based deliveries and that targeted interventions will be necessary to improve the quality and patient care at facility-based deliveries and to promote the uptake of these services by poor urban women are needed. MAR and ADEW will be working on developing programs along two mutually reinforcing lines of action: a) to promote new, officially-sanctioned roles for the dayas in community health promotion and in advocacy for institutional deliveries. b) to promote an increase in institutional deliveries in the slums by ensuring better access to skilled care for deliveries, including through enhanced quality care at hospital deliveries. Again, thank you for your interest, your passion, and your belief in our work; this kind of partnership is what keeps us going & managing our way through the challenges we face. You’re not just partners in this program, but an inspiring developmental institution that we’re so fortunate to be working with on equal grounds – Sarah Hani, representative of MAR local partner in Egypt, ADEW, 2014
  • 16. 16 HAITI Location: Hinche, Haiti MAR Thematic Area: Maternal health Total grant: 19,534 Euros Local Partner: Midwives for Haiti Haiti is the poorest country in the Western Hemisphere and has the highest maternal mortality rate in the region, at 300 deaths for every 100,000 live births. Due to a lack of resources, and workforce attrition, Haiti has a severe shortage of skilled healthcare providers. Only 26 percent of births are attended by skilled healthcare professionals. To make matter worse, the devastating 2010 earthquake damaged many healthcare facilities. Most births take place at home assisted by non-qualified persons unable to help in the event of complications. Haiti also has the highest rates of infant and under-five mortality (89 for every 1,000 live births) in the Western Hemisphere. A quarter of all newborns have low birth weight and hundreds of thousands of children suffer from chronic malnutrition. Better access to skilled care during pregnancy and delivery is desperately needed in order to ensure healthy pregnancies and healthy babies.
  • 17. 17 OUR WORK IN HAITI Our Local Partner Midwives for Haiti is a small US-based organization founded in 2005. Its core mission is to enable access to maternal and infant care in remote areas in Haiti. The organization works with the Ministry of Health to provide obstetrics training to Haitian auxiliary nurses so they can attend births and provide prenatal care to rural women that otherwise have limited access to medical care during pregnancy. Our Contribution One way to expand access to prenatal care in hard-to-reach or underserved areas is through mobile health clinics. Mothers at Risk sponsors midwives who travel with Midwives for Haiti’s prenatal mobile clinic in the remote Central Plateau Region in Haiti. The mobile clinic reaches 16 villages monthly and provides prenatal care to hundreds of women. Prenatal care ensures that any problems are detected and addressed in time, and helps the mother take care of her health and that of her unborn baby. We’re so glad that you’re supporting Magdala and Marie Denise! You are making an impact on more than just these two midwives. You are helping their families and the hundreds of women in Haiti’s central plateau who benefit from their experience and compassion. Thanks again for your amazing support! – Emily Davis Midwives for Haiti 2014
  • 18. 18 NICARAGUA Location: Jinotega and Ocotal, Nicaragua MAR Thematic Area: Maternal health Total Grant: 14,924 Euros Local Partners: Casas Maternas Mery Barreda and Cihuatlampa Nicaragua is, after Haiti, the poorest country in the region and has one of the highest rates of maternal mortality in Latin America, at over 90 per 100,000 live births. Although the number of women dying in childbirth has decreased over the past 25 years, maternal mortality remains especially high among women in rural areas due to lower prenatal care coverage and lower rates of deliveries attended by skilled personnel. While nationally 74 percent of births are attended by skilled health professionals, this figure drops to just over 50 % in rural areas. Nicaragua also has one of the highest adolescent fertility rates in the world with over a quarter of girls aged 15- 19 already having had a baby. Research shows that the consequences of adolescent childbearing include higher risk of complications during pregnancy and maternal mortality. Teenage pregnancies are also correlated with increased rates of infant mortality and malnutrition, lower levels of education for the mother and their children, and increased risk of poverty.
  • 19. 19 OUR WORK IN NICARAGUA Our Partners Casas Maternas (maternal waiting homes) form an integral part of the national strategy to curb pre-natal, maternal and neonatal mortality by sheltering expectant mothers from isolated rural communities with high obstetric risk during the weeks before delivery. At the Casas Maternas they are monitored by health professionals, and deliver in nearby hospitals or medical centers with skilled care rather than at home. MAR has supported the Casa Materna Cihuatlampa in the region of Jinotega, and the Casa Materna Mary Barreda in Ocotal, Nueva Segovia, which each shelter an average of 300 mothers yearly, a quarter of which are adolescents. Our Contribution MAR has supported a year-long community outreach program to promote maternal, sexual and reproductive health awareness in Jinotega and surrounding villages. This program aimed to ensure that adolescents who are already pregnant receive proper prenatal care and are attended in delivery by skilled personnel; and to help reduce the number of unwanted adolescent pregnancies through information and awareness-raising. Under the project, fifty health community promoters and youth leaders were trained in maternal, sexual and reproductive health issues and in community outreach techniques, including peer-to-peer education. Once trained, they went into the communities to raise awareness through workshops, focus groups, visits to schools and presentations in communities and in the Casa Materna. MAR also designed and funded an organizational and needs assessment of the Casa Materna Ocotal to identify urgent and long-term needs of the maternal home. This resulted in a plan to strengthen the Casa Materna across different areas including: o Infrastructure repairs and basic equipment o Running costs (including food, staff, utilities, etc) o Promoting community and institutional partnerships to support the Casa o Improving administrative and financial management processes o Strengthening the program of educational activities for sheltered mothers o Supporting training for the Casa’s staff o Identifying funding sources According to the local school professor Mrs. Afrania, with the implementation of the Mothers at Risk program, teenage pregnancies have been decreasing at the high school at a noticeable rate compared to previous years. – Report by local project manager Rina, Jinotega Nicaragua, 2013
  • 20. 20 MOROCCO Location: Tangier, Morocco MAR Thematic Area: Education and livelihoods Total Grant: 27,152 Euros Local Partner: 100% Oumahat Pregnancy out of wedlock carries a heavy social stigma in Morocco. Despite an important reform to Morocco’s family code, the Moudawana, in 2004 the unwed mother and her baby have few rights under current law. It is considered a great dishonor to the family, and the pregnant woman is often shunned or pressured to abandon her baby. Most of these abandoned babies are institutionalized and face life-long discrimination.
  • 21. 21 OUR WORK IN MOROCCO Our Local Partner 100% Oumahat (‘100% Mothers’) shelters single pregnant women during pregnancy, the birth of their babies and until the mothers secure employment. The shelter offers emergency accommodation and a comprehensive support program: psychological, social, health-related, legal and logistical. The goals are to encourage a safe and healthy pregnancy, a positive mother-child relationship and to promote the mothers’ self-sufficiency. 100% Oumahat also raises awareness to improve the social integration of the mothers, and advocates for legal recognition of the status of single mothers and their children. It is the only shelter of its kind in the north of the country. Our Contribution Our support for 100% Oumahat has covered the following initiatives: o VOCATIONAL TRAINING SCHOLARSHIPS. MAR has sponsored vocational training scholarships for mothers, most of whom are illiterate and have had limited education or training. The goal of the trainings is to help mothers secure a job placement after they leave the shelter so they can become self- sufficient and can support themselves and their children. The trainings also help mothers build self confidence, familiarity with work-related attitudes and behaviors, and improved communications skills. o JOB PLACEMENT STAFF. MAR funds the salary of a job-placement officer as a contribution to a comprehensive 3-year capacity-building program for the shelter to scale up substantially is vocational training and job-placement capabilities. o SHELTER UPGRADING. MAR has financed a much-needed refurbishment of the shelter’s sleeping quarters, the children’s ‘crèche’, the kitchen, the living room and the laundry room. o SHELTERS EXCHANGE PROGRAM. MAR is coordinating an exchange program between 100% Oumahat and the Belgian shelter for mothers Chevrefeuille for the two shelters to exchange best practices, knowledge and information. It is also very important to me to communicate as we do with each other, to share our challenges and progress. Our close relationship comforts us, despite the geographical distance. Thank you so much for the trust you continue to have!!! It is great support !! – Claire Trichot, President, MAR local partner in Morocco 100% Oumahat
  • 22. 22 TANZANIA Tanzania continues to have one of the highest maternal mortality rates in Africa and the world at 454 deaths for every 100,000 live births. And Tanzania is one of the ten countries in the world where two-thirds of all babies’ deaths globally occur. The scarcity of trained health professionals and the difficulties for women in reaching hospital for pre-natal check-ups and delivery, due to dispersed health centers and hospitals in rural areas, are key challenges. In addition, there is a critical lack of health service professionals who are skilled in providing comprehensive emergency obstetric and newborn care, and few health facilities equipped for this standard of care. Disease (including but not limited to malaria and HIV/AIDS), early pregnancies and a paucity of family planning services all contribute as well towards the present situation, particularly in rural areas. The Mara region is among the three worse performing regions in the country for skilled birth attendance during delivery, with only one in three births taking place in a health facility (compared to the national average, which is 50%). Location: Mara Region, Tanzania MAR Thematic Area: Maternal health Total Grant: 12,697 Euros Local Partners: Diocese of Musoma
  • 23. 23 OUR WORK IN TANZANIA Our Local Partner Established in May 1975, the Roman Catholic Diocese of Musoma undertakes pastoral and development activities in the Mara Region. The Diocese is particularly concerned with health care and it focuses on reducing infant and maternal mortality and morbidity in the area. Annually, over 17,000 patients benefit from prenatal care and 732 deliver in the Diocese’s twelve health facilities. Eight of the health facilities owned by the Diocese are equipped to provide comprehensive emergency obstetric and new born care. Our Contribution MAR sponsors training workshops on basic emergency obstetric care (EOC) and antenatal care (ANC) for scores of service providers (nurse midwives, nursing officers, public health nurses, clinical officers) working within the health care facilities managed by the Diocese of Musoma. This training is based on the national curriculum and is lead by expert facilitators from the Ministry of Health and Social Welfare. Maintaining these health care workers’ skills and knowledge up-to-date is essential to saving the lives of the mothers and babies they attend to. MAR also sponsors ongoing oversight and supervision of this staff to ensure consistent quality and standards and to identify gaps in performance. MAR and the Diocese’s efforts are fully aligned with the priorities of the recently-adopted Mara Region Strategic Plan for the Accelerated Reduction of Maternal and Newborn Deaths 2013-2016. We present our sincere thanks for the good support we receive from Mothers at Risk. This workshop enlightens our mind and capabilities to provide quality care to reduce maternal and child mortality rates. May almighty God bless you all, guide you all and protect you all. – Anastasia, Diocesan Health Secretary, Musoma, Tanzania
  • 24. 24 BELGIUM Across European cities, urban poverty and inequality persist. Poor urban women, and particularly new immigrants, deal with a complex range of challenges including unemployment and low income, low levels of education and skills, dysfunctional family situations, domestic violence and a lack of social and family support networks. Motherhood in this context is particularly difficult and has the potential to increase their vulnerability. Location: Brussels, Belgium MAR Thematic Area: Education and livelihoods Total grant: 5000 Euros Local Partner: Chevrefeuille
  • 25. 25 OUR WORK IN BELGIUM Our Partner “Chevrefeuille” is a shelter for vulnerable mothers with over 40 years of experience. Since it opened its doors, it has sheltered over 2000 pregnant women and new mothers of both Belgian and immigrant origin. It enjoys an outstanding reputation for its multi-dimensional support of mothers covering their social, administrative, educational, emotional and practical needs. Chevrefeuille’s goal is to help women become self sufficient, develop strong bonds with their baby and access housing and employment in order to be able to sustain themselves and their children independently. Our Contribution In partnership with the Belgian literacy federation ‘Lire et Ecrire’, MAR and Chevrefeuille have developed a literacy program for illiterate immigrant mothers, which was selected by the Literacy Fund of the Belgian Post (bPost) for a start-up grant. In this program Chevrefeuille provides scholarships to immigrant mothers and supports them over several years as they progress through various stages of literacy, become more self-sufficient and contribute to their children’s own literacy and schooling. MAR has also developed and exchange program between Chevrefeuille and the shelter for mothers ‘100% Oumahat’ in Tangier, Morocco to promote and facilitate the exchange of best practices, knowledge and information between these two shelters. This year was the first time I have taken literacy lessons. I feel like I have made a lot of progress and I have much more confidence now. I relied on others before, but now I feel like I can do a lot more on my own. When I look for a job I can express myself and ask questions. I understand the signs on the street, I can now get around on my own. I feel very motived and ready to continue learning. – JN, immigrant mother, participant in literacy program After 3 intense and fascinating days, thanks to all of you, we return to Tangier with the spirit ‘oxygenated’ and a full heart…completely energized! We have had some marvelous exchanges and we leave feeling like we have accomplished so much more than our original objectives. You cannot imagine just much we are now full of hope and certainty about our choices and our daily struggles”. – Claire Trichot, President 100% Oumahat
  • 26. 26 PERU Despite economic growth in Peru over the last years, more than half of the rural population continues to live in poverty. The maternal mortality rate at 90 deaths per 100,000 live births, although a considerable improvement from 2000 levels, is still unacceptably high. Most women who die in childbirth are poor, indigenous rural women. Much remains to be done to ensure access to adequate pre-natal, natal and post-natal care for all Peruvian women, in particular those in hard-to-reach areas. Location: Yantalo, Peru MAR Thematic Area: Maternal health Total Grant: in-kind Local Partner: The Yantalo Foundation
  • 27. 27 OUR WORK IN PERU Our Local Partner The Yantalo Foundation is a local organization working in the village of Yantalo and surrounding rural areas, in the province of San Martin, in the upper Amazon jungle. The mission of the Yantalo Foundation is to improve health and education standards in the area. The Foundation is building a 16-bed International Clinic to serve all the people of the San Martin region, regardless of their ability to pay, while also serving as a training center for Peruvian medical students and physicians. Our Contribution Mothers at Risk partnered with the Yantalo Foundation, the Tarapoto Nursing School and the Yantalo local administration to develop and implement a maternal health assessment in Yantalo. 465 mothers and pregnant women, as well as traditional birth attendants and the local health staff were interviewed to better assess the uptake of maternal health services in the area. The survey showed evidence of several challenges, including inconsistent, incomplete prenatal care; a low rate of postnatal check-ups; low awareness of sexual and reproductive health issues; high incidence of domestic violence; and high incidence of teenage pregnancies. As a result of this assessment, the Yantalo Foundation was able to develop targeted strategies to increase prenatal coverage, encourage postnatal check-ups and enhance overall reproductive health in the area.
  • 28. 28 FINANCIAL SNAPSHOTS MAR Sources of Funding Private 46% MAR mobilized more than 430,000 Euros Funds Raised (000’ of Euros) (in Euros) * Estimate More than 300,000 grants awarded for 37 projects Grants awarded (000’ of Euros) Summary of funds raised, grants awarded and available funding * preliminary figures as of September 30th 2014 Events 12% Institutional 13% Corporate 29% Total 2009-2014: 433,246 Euros 17.3 48.4 96.8 139.9 122.7 7.3 26.9 15.4 119.3 154.6 Summary 2009 2010 2011 2012 2013 2014 (*) Total MAR Fund 15,000 7,813 31,195 7,736 122,935 110,480 295,159 MAR ASBL 2,373 - 12,290 89,126 16,999 12,300 133,087 Other 5,000 5,000 Funds Raised 17,373 7,813 48,486 96,862 139,934 122,780 433,246 MAR Fund - 7,345 21,978 9,965 44,386 137,084 220,758 MAR ASBL - - - 5,440 74,930 17,560 97,930 Other - - 5,000 - - - 5,000 Grants Awarded - 7,345 26,978 15,405 119,316 154,644 323,688 MAR Fund 15,000 15,167 23,444 21,029 97,336 65,974 65,974 MAR ASBL - - 9,086 89,199 30,136 16,961 16,961 Available Funds 15,000 15,167 32,530 1,10,228 127,471 82,936 82,936
  • 29. 29 OUR PARTNERS Project Partners: Kenya: Missionary Community Saint Paul Apostle (MCSPA) Haiti: Midwives for Haiti Egypt: The Association for the Development and Enhancement of Women Nicaragua: Casa Materna Mery Barreda, Casa Materna Chihuatlampa Tanzania: The Diocese of Musoma Belgium: Chevrefeuille Peru: The Yantalo Foundation Morocco: 100% Mamans Special Thanks We want to thank the following people and organizations for their pro bono support to MAR in key areas: o The web solutions company Crystal Digit for developing and managing our website and communications o The employee gift-matching programs of Google and Colgate. o The design of our 2009-2014 Report by Ajay Singh of Chilly Factor and by Alexandra Birladianu of the Alcatel-Lucent Foundation o The law firm KS4V (Keuleneer, Storme, Vanneste, Van Varenbergh, Verhelst) for legal advice. o Katharina von Wendt of designwerkstatt (katharinawendt@gmail.com) for her design and layout of MAR printed materials. o Level 13 Europe Ltd, for donating proceeds of art and musical events o Vinos Alfonso Escubos for recurrent contributions to MAR’s fundraising events simple web solutions for your company Institutional Partners: King Baudouin Foundation The International Center for Reproductive Health The White Ribbon Alliance The Partnership for Maternal Newborn and Child Health Funders: The Alcatel-Lucent Foundation bpost Loterie Nationale, Rotary Club Hamburg-Bergedorf Elisabeth and Amelie Fund
  • 30. 30 OUR TEAM: MOTHERS AT RISK BOARD DIANA PEREZ BUCK (Board, Executive Team) A former Fulbright scholar, and a graduate of the Fletcher School of Law and Diplomacy, in Boston, Diana worked for the UN Volunteers Program (UNDP) for seven years and helped the US non-profit Vital Voices Global Partnership develop a capacity-building program for Afghan women parliamentarians. She currently serves on the Board of the shelter for disadvantaged mothers ‘Chevrefeuille’ in Brussels. OLIVIA LOEWE (Board, Executive Team) earned degrees in law and business administration at the Universidad Pontificia de Comillas (ICADE) in Madrid and, as a Deutscher Akademischer Austausch Dienst Scholar, a Master of Law at the Ruprecht- Karls- University in Heidelberg. She has practiced business law in Madrid, and has worked as Director in the banking sector in Frankfurt, Madrid and Milan. Before joining Mothers at Risk she was active with an anti-poverty nonprofit in Bogotá, Colombia. BECCA NASRALLAH (Board, Executive Team) is a dental surgeon by training. She obtained a degree at the United Medical and Dental School of Guys and St Thomas, London University, and had a private practice in Lebanon. KATHLEEN BECKMANN is an expert at the German Ministry for Development Cooperation (BMZ) and was most recently the BMZ’s Nicaragua Country Director DANA STRUPOVA is a lawyer by training, she has practiced law in the U.S., Germany and the Czech Republic, has been a Director at the professional services firm PricewaterhouseCoopers and is now General Counsel for the award-wining Dialogue Social Enterprise. RACHEL HAMMONDS currently works as legal adviser for a research project on global health and human rights at the Institute of Tropical Medicine in Antwerp, Belgium. She was previously a consultant with Medecins Sans Frontieres and researcher at Harvard University’s François-Xavier Bagnoud (FXB) Center for Health and Human Rights. DR. MARIE DIANE BUCK’s field is Education and Organizational Leadership. Diane has taught extensively at the university level, and has served for most of her career as Director of intercultural programs as well as government programs to enhance opportunities for the elderly and for physically and intellectually-challenged persons.
  • 31. 31 CRISTINA SAMITIER Director (Operations). Cristina has degrees in Business and Accounting from Argentina and an MBA from the INSEAD Business School in Fontainebleau / Singapore. She worked in Mergers and Acquisitions in Argentina for 8 years and was most recently a Management Consultant at Bain & Company Belgium. TERESA POPPELWELL Director (Programs). Teresa is a planning consultant with more than fourteen years of policy, program and management experience with the United Nations and international NGOs. Teresa has a MA in Planning from the University of British Columbia (1997) and an MSt in Forced Migration and Refugee Studies from the University of Oxford (2002). Teresa has used her professional training and experience to conduct sector assessments, develop poverty reduction strategies, and design programs and projects in a number of countries including Afghanistan, Iran, Burma, Maldives, Pakistan, Philippines, and Indonesia. MIRIAM CACERES Fundraising Coordinator. Miriam obtained a degree in Business Administration in Peru and an MBA in International Marketing in Germany and has sales and marketing experience in the medical and pharmaceutical industries. LETICIA DE ALVEAR Volunteer Coordinator. Leticia is a lawyer by training and a sworn translator PAULINE CAMACHO FIELDING Events Coordinator. Pauline is Director of Level 13 Europe, a boutique EU policy consultancy. Pauline is a conference interpreter at the European Union institutions (from English, French, Portuguese and Spanish into German), and is a trained psychotherapist MOTHERS AT RISK EXECUTIVE TEAM
  • 32. 32 MANAGEMENT COMMITTEE, MAR FUND, KING BAUDOUIN FOUNDATION To manage our funds with the utmost rigor we have created the Mothers at Risk Fund at the King Baudouin Foundation in Brussels, a public institution involved in social and economic development in Belgium and abroad. The Mothers at Risk Fund is lead by a Management Committee chaired by an expert in the field of maternal health, and composed of donors and philanthropy advisers. PROF. DR.ALAINVOKAER Professor Emeritus of Obstetrics and Director Emeritus of the Mother and Child Clinic at the Brugmann University Hospital in Brussels. DR. GEORG FROWEIN Partner, Hengeler Mueller, Frankfurt, Germany. DR. EDURNE NAVARRO VARONA Partner, Uría Menéndez, Brussels, Belgium. MR. GEORGE A. NAZI Senior Advisor, Network Services Strategy Lead, Accenture, Brussels, Belgium DR. FRANCOISE PISSART Francoise Pissart, Director, Fondation Roi Baudouin DR. SVENVÖLCKER Partner, Latham & Watkins, Brussels, Belgium.
  • 33. 33 MAR ADVISORS Dr. Ramiz Alakbarov (Azerbaijan) is United Nations Population Fund (UNFPA) Representative in Haiti. He has been Head of Office for UNFPA in South Sudan and the UNFPA Regional Desk Adviser for Arab States in New York. Dr. Alakbarov has worked for over 15 years for the United Nations, including in Central Asia, Eastern Europe, Turkey, Iraq, Sudan and the Democratic Republic of Congo. His published research covers, among other topics, reproductive health matters and humanitarian response. Dr. Sarah Sabry (Egypt), Guest Lecturer/Research Associate, University of Zurich, Switzerland. Dr. Sabry’s research is focused on urban poverty, informal areas, civil society and socialpolicyinEgypt.ShehasextensivefieldworkexperienceinEgypt’sinformalareas.Shehas been a consultant for various organizations including the Ford Foundation, the International Institute for Environment and Development (IIED), the International Development Research Centre (IDRC) and the Arab Human Rights Fund. Past positions include chairing the board of a local Egyptian NGO working on poverty reduction, supporting the establishment of the Community Service program at the American University in Cairo and teaching Political Economy of Development at SOAS. Dr. Eleanor O’Gorman (Ireland) is Senior Associate with the Centre for Gender Studies and Research Associate with POLIS at the University of Cambridge in the UK. Eleanor runs a private consulting practice on international conflict and development including issues of gender, peacebuilding and aid strategy. Her clients include the United Nations, the European Union, the UK Government and GIZ (Germany). Her field experience includes Nepal, Sri Lanka, Pakistan, Democratic Republic of Congo, Liberia, and Zimbabwe. Eleanor previously served as a Senior Adviser with the United Nations in New York and Brussels. She is the author of 2011 book titled Conflict and Development with Zed Books, London. Dr. Jean Evrard (Belgium) is Head of Neonatology and Pediatrics at the Namur Regional Hospital in Namur, Belgium. A neonatologist by specialization, he has served as the Head of the neonatal intensive care unit for over 20 years. Dr. Evrard has volunteered in Senegal for several development projects, including the construction of a maternity, and has led pediatric projects in the Ghoussous slums north of Cairo for the Belgian organization FACE Charity. Stefanie von Westarp (Canada) just completed three years in Haiti as Deputy Head of Aid, for Canada’s Department of Foreign Affairs, Trade and Development (formerly CIDA). Prior to this Stefanie has worked in South Sudan, Honduras and Madagascar in various aspects of development, including public health. Dr. Angelika Wolfrum (Germany) is Assistant Medical Director at the Department of Obstetrics and Gynecology, Marienkrankenhaus Schwerte, Germany. Prof. Dr. Alain Vokaer (Belgium) recently retired as Head of the Mother and Child Clinic at Brugmann University Hospital in Brussels, and as Professor of Obstetrics at the Université Libre de Bruxelles. He is a long-time practitioner specializing in pregnancies with complications. Edmund Bengtsson (Denmark) is the former Head of the Evaluation Unit and currently Knowledge Manager at the United Nations Volunteers Program (UNV), part of the United Nations Development Program (UNDP) at UNV Headquarters in Bonn, Germany. He has worked for UNDP for over 25 years, both in African country offices and in Europe serving most recently as Head of Evaluation and Policy. Dr. Renee Herfs (Germany) is a Gynecologist-Obstetrician in private practice in Grünwald-Munich, Germany Catherine Adams (US) is Supervising Attorney specializing in gender and domestic violence at Legal Aid, West Virginia
  • 34. 34 MAR FUNDRAISING RECITALS We wish to thank the following musicians who have generously performed pro bono in the course of 15 recitals to raise funds for Mothers at Risk projects: 1. Martine Reyners (Soprano) 2. Louisa Petais (Mezzo Soprano) 3. Patrick Heidsieck (Pianist) 4. Dmytro Sukhovienko (Pianist) 5. Rie Yamamoto (Pianist) 6. Tatiana Longuinova (Pianist) 7. Elodie Vignon (Pianist) 8. Laure Stehling (Flute) 9. Matthew Zadow (Baritone) 10. Eve Stehling (Author) 11. Peter Tomek (Pianist) 12. Hanna Selivanava (Soprano) 13. Maria Palatine (Harp and Voice) 14. Sophie de Tillese (Mezzo-Soprano) 15. Marayana Butko (Pianist) 16. Anne Sophie Maier (Backup Voice) 17. Max de beer (Pianist) 18. Estelle Goldfarb (Violinist) 19. Jasminka Derveaux (Lecturer) 20. Dimitri Sesmis (Violinist) 21. Caroline Stinson (Cellist) 22. Fabian Fiorini (Pianist) 23. Dimitra Mantzouratou (Pianist) 24. Anait Karpova (Pianist) 25. Caroline Stinson (Cellist)
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  • 36. 36 EVENTS A delegation from the International Studies Abroad program visits MAR MAR invited by US Ambassador to Belgium MAR stand at St. Anthony’s Chrismas market Speaking about MAR Speaking about MAR MAR launches the ‘CineMAR’ series MAR speaks on International Women’s Day at St. John’s International School MAR at Procter & Gamble Employee Day MAR Art Vernissage MAR featured at ‘Easy Sundays’ Fundraiser MAR at National Literacy Conference
  • 37. 37 MAR IN THE NEWS MAR mentioned in Harper’s Bazaar MAR mentioned in Procter & Gamble magazine Interview of MAR Vicepresident in Paulus Rundbrief MAR quoted in Egypt Community Times Interview of MAR President in BCT Magazine MAR mentioned in Seattle Times Interview of MAR volunteer in European Parliament
  • 38. 38 VOLUNTEERS Eva Elmet Georgina Ferrer Danielle Van de Putte Diane Mazzitelli Jola Montgelas Isabel Yglesias Engy Fahmy Gordana Popovic Eloisa de la Pena Julia Borneman Brigitte Straathof Adrian Fielding Alexandra Birladianu Antonella Vittore Catherine Chevallier Caroline BorggreveCarine Henoque Ajay Singh Louise CoganKelsey Lefebvre
  • 39. 39 Rocio Uriarte Patricia Wallis Sabine Elsayegh Nima Shahsavari Maya Bensalem Mikaela Nordenfelt Patricia D’Amico Nicole Pacheco Stephanie Castro Salome Cisnal Yulia Andreeva Samora Basil Manuela Van Voorst Margaret DennisLucila Rivera Maria Palatine Maria Roldan Marta Diez Maria Barea Maria Escubos Penelope Wyatt Mariela Nino Pineda
  • 40. 40 WORKING TOGETHER As an intern at MAR I was able to see that a small team is able to accomplish very large things with the right amount of hard work and passion. – Stephanie Castro, MAR intern
  • 41. 41 Working with you has been a real pleasure: your professionalism, the commitment of your members, the generosity of your donors, your mission to improve the conditions of each of the women and children who have benefitted from your help... – Marguerite Beaudoin, Project Manager, King Baudouin Foundation It has been a please to lend support to the great cause and work of MAR and work with such a dynamic and diverse group of talented and committed women. The professionalism and calibre of the volunteerism of MAR is unique and inspiring. – Dr. Eleanor O’Gorman, MAR adviser
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  • 44. 44 Mothers at Risk, a.s.b.l. 23 Rue Darwin 1050 Brussels, Belgium info@mothersatrisk.org Mothers at Risk Fund King Baudoin Foundation Rue Brederodestraat 21, 1000 Brussels, Belgium forrest.L@Kbs-frb.be