2. 2 INDEPENDENT ADVERTISING INSERT FINANCIALS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG
THINGS YOU SHOULD KNOW ABOUT
DIRECT RELIEF INTERNATIONAL’S FINANCES
TOP RANKED
IN EFFICIENCY, 1. Leading Efficiency Among All U.S. Nonprofits: The November/December 2003 issue of Consumers Digest ranks
ACCOUNTABILITY, the "Program Spending Efficiency" of Leading U.S. Charities. Direct Relief is one of only five charitable organizations nationwide
that received a 99 percent or better rating. Forbes magazine cited Direct Relief as one of only four U.S. charities with 100 percent
AND LEADERSHIP BY: efficiency ratings in its December 2003 review. Worth magazine named Direct Relief one of “America’s Best 100 Charities” for
efficiency and quality of work in its December 2001/January 2002 edition. Charity Navigator gives Direct Relief its highest rating
of four stars (see www.charitynavigator.org).
2. Strict Board Oversight and Governance: Direct Relief's operations are conducted in conformance with an annual
operating budget that is vetted and approved by its 29-member Board of Directors, which includes: several former and current
CEOs/COOs or top executives of leading U.S. and international companies, MBAs from schools including Harvard and Stanford,
executives with over 150 collective years in the investment business, and three accomplished attorneys. All Board members
are unpaid and sign conflict-of-interest agreements.The Executive and Finance Committees meet monthly to review financial
activities, investments, and overall programmatic performance.
3. Transparency: Direct Relief pioneered open Shareholders’ Meetings for all its investors (every person who has
contributed money, material, or time to Direct Relief) to brief them on how their investment was spent. Direct Relief’s audited
financial statements, voluntarily certified by the CEO and Controller, and its IRS Form 990 (tax return) are published on
Direct Relief’s website: www.directrelief.org.
4. Accountability: The Better Business Bureau’s Wise Giving Alliance certified Direct Relief as being in compliance with
the “Standards for Charitable Accountability” – a rigorous 20-point program covering board governance and oversight, program
effectiveness, compliance with generally accepted accounting principles (GAAP), and fundraising techniques (see www.give.org).
5. Independent Audit: The Executive and Finance Committees retain and meet with an independent public accounting
firm that conducts the annual audit.They also meet with the auditor, independent of any staff including the CEO and Controller,
to discuss findings. Direct Relief’s Controller is a Certified Public Accountant with over 15 years of professional experience,
including significant work in the fields of nonprofit accounting and financial management.
6. Adherence to Nationwide Standards: Direct Relief is registered with the appropriate authority in every U.S. state that
requires a registration for soliciting support or conducting operations. Direct Relief believes this is important as people increasingly
research organizations on the web and make online charitable donations.
7. Staff Compensation: The compensation of all Direct Relief staff members is benchmarked each year against a survey of
nonprofit compensation levels throughout Southern California, similar nonprofit organizations nationwide, and compensation data
available from the Bureau of Labor Statistics. All staff salaries, including that of the CEO, are consistent with those of the regional
nonprofit sector for similar positions.The CEO’s performance and compensation is reviewed annually by the Board of Director’s
compensation committee.
8. Expanding Assistance and Increasing Productivity: From 1998 through 2003, Direct Relief has expanded its
material assistance program by 236 percent (from $27.8 million to $93.6 million) while maintaining strict cost controls. In 1998,
each dollar spent generated $14.30 in aid; in 2003 each dollar spent generated $30.92 in aid.
9. Board Leadership — Personal Financial Investment: In 2003, the volunteer Board of Directors and International
Advisory Board contributed $800,000, enough to cover the vast majority of fundraising and administrative costs of the
organization. Every member of the Board made a personal financial contribution to the organization.
10. Board Leadership — Strategic Planning: The Strategic Planning Committee of the Board prepares three-year
plans containing measurable goals and objectives, which serve as the basis for the annual operating budget, staffing levels, and
capital investments.
11. Board Leadership — Future Financial Security: The Board has created a Board-designated Reserve Fund to
ensure future financial security. With a goal of obtaining and maintaining two years’ operating expenses, the Fund is intended to
balance current and future needs, provide annual support for operations, but not permanently restrict funds that may be required
to provide humanitarian assistance.
12. Trusted by Leading Corporations: In 2004, product donations during the period January 1 to October 31 have
increased 33 percent compared to 2003 levels from the same period – $81.4 million in 2003 vs. $108.2 million in 2004.
13. The Importance of Year-End Donations! Direct Relief typically receives more than one-third of its total
contributions in the final eight weeks of the calendar year. Operating at a deficit for 50 weeks a year, the organization relies
heavily on year-end contributions to meet annual operating expenses.
3. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 NEWS INDEPENDENT ADVERTISING INSERT 3
New Partnership
November 2004
with Bristol-Myers
Thank you for taking a moment to learn about Direct Relief International.
Squibb
These pages explain how and where we perform our work, why we do it, the effects it Direct Relief International and Bristol-
has on peoples’ lives, and what it costs. Also listed, with enormous gratitude, are the Myers Squibb recently launched the
names of our Board of Directors, Advisory Board, and the many generous people Medical Mission Box Program, which
supports traveling United States physicians
whose contributions paid for not only the printing of this newsletter but everything
on overseas medical trips. The program
described in it.
provides doctors with Bristol-Myers Squibb
products for their work in underserved areas
We all know the intrinsic value of health in our own lives and in those of the people throughout the world.
we love. However, figuring out how to pay for health services is a vexing challenge
that even we Americans, living in the richest country on earth, still struggle with Direct Relief’s Chief Medical Officer and
as a society. Pharmacist, in consultation with Bristol-
Myers Squibb, selected the contents of the
For individuals and communities, poverty and poor health reinforce each other. box, including a range of antibiotics, analgesics, and anti-fungals,
Comprehensive international studies have confirmed what you probably already which can be applied to a diverse population.
know – people who get sick tend to get poor, and people who are poor tend to get
sick. With 40 percent of all people worldwide trying to live on less than two dollars Dr. Richard O’Connor from Grand Rapids, Michigan recently participated in the program
a day, this dynamic is widespread, and it is tragic. and returned from his trip to Swaziland with the following words, “The antibiotics you provided
were utterly phenomenal! We ran this clinic last year with out the MMB you provided, and we had
At Direct Relief, we are working to break this vicious cycle. We equip and provide great difficulty achieving adequacy of treatment. Thank you! You made a huge difference in the lives
medicines to trained, committed, and ethical healthcare leaders in developing of many real people.”
countries. This enables them to stay engaged in their own countries and care for
To date, 53 physicians on medical trips to 25 different countries have participated in the program,
people who otherwise will go without. Since January of this year, we have supplied
providing over $1 million wholesale value worth of aid to patients, most of whom would otherwise
enough specifically requested medical provisions to provide care for more than
have never received treatment. Direct Relief is honored to have the opportunity to work with
13 million people.
Bristol-Myers Squibb to equip volunteer U.S. physicians with resources for people in need.
Our international partners, in addition to providing much-needed clinical care, also If you are a physician interested in participating in the program, please contact Damon Taugher at
are leaders in their own countries in the essential areas of public health education, dtaugher@directrelief.org, or visit our website at www.directrelief.org.
disease prevention, and maternal and child heath. Direct Relief’s material support
allows them to direct whatever scarce resources they have to these high-impact
programs that address the causes of poor health, not just treat the symptoms. We
also are stepping up our work here at home, as described on page 4.
Although we are a nonprofit corporation, we are deeply committed to managing our
financial resources in the most efficient manner possible so we can help more people
realize better health – that’s our version of “profit,” and it’s a terrific incentive for us.
For those who invest in our work, our ability to be more productive and help more
people in a qualitatively better way is how we can increase the “shareholder value”
of each dollar they contribute.
Direct Relief was recently ranked by the Chronicle of Philanthropy and the Nonprofit
Times (NPT) as the largest international nonprofit organization in California and
by the NPT as the 100th largest of all nonprofits in the entire United States. Our
growth has been possible because we have worked hard to spend our resources more
efficiently, not just to collect more money. Indeed, the majority of groups on the Top
100 list spend more on fundraising alone than Direct Relief’s entire annual operating
budget, about $3.1 million this year. Consumers Digest, Forbes, and Charity Navigator
rate Direct Relief as among the most efficient of all charitable organizations in the
United States. Our website provides more extensive financial information, including
our tax returns and audited financial statements for the last three years.
The financial and business aspects of our organization are not our sole focus – helping DR. WILLIAMSON WITH CHILDREN AT DIRECT RELIEF’S
people is. But we want you to understand how we think about and spend any resource RIO BENI PROJECT IN BOLIVIA
that is entrusted to us. The compassionate instincts of people are enormous and won-
derful, which we are privileged to see every day. Our goal is to honor that compassion Direct Relief thanks Dr. Tuwanda Williamson for her two years of service
and generosity by making them count in the most pragmatic and meaningful way on leading Direct Relief’s Rio Beni Health Project in Bolivia. A University of
behalf of those who expressed them.
Michigan-trained physician fluent in Spanish, Dr. Williamson was inspired
Your support makes a genuine difference in the lives of real people who face enormous to extend her initial six-month assignment into a two-year commitment.
challenges and hardship. Please make a financial contribution if you can. Dr. Williamson and the Rio Beni team she led provided health services for
40,000 isolated villagers and trained two dozen health promoters,
building upon the legacy of Dr. Lou Netzer, who began the program.
Under challenging conditions and through countless river and 4-wheel
drive trips to conduct clinics, Dr. Williamson displayed an inspiring
Thomas Tighe commitment, tremendous dedication, and boundless compassion.
President & CEO Congratulations Tuwanda, and our deepest heartfelt thanks!
4. 4 INDEPENDENT ADVERTISING INSERT PROGRAM HIGHLIGHTS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG
THINGS YOU SHOULD KNOW
ABOUT DIRECT RELIEF
INTERNATIONAL’S MEDICAL
Here Free and Community Clinics
Supporting
at Home:
ASSISTANCE PROGRAMS
1. Our Approach: Direct Relief is nonsectarian and privately financed.
S ince its founding in 1948, Direct Relief International has focused, as its name suggests,
on assistance to medically underserved areas internationally. Domestically, Direct Relief
has played a consistent supporting role to fill in gaps that arise in connection with natural disasters
Our medical assistance programs equip health professionals working in or exist among programs serving low-income persons. The organization’s strong working relation-
resource-poor communities to better meet the challenges of diagnosing, ships with dozens of healthcare companies’ philanthropic initiatives, its status as a licensed
pharmacy wholesaler, extensive medical inventories, and experience responding to natural
treating, and caring for people, without regard to politics, religion, gender, disasters abroad led to its participating in emergency planning and mitigation efforts in its home
race, or ability to pay. community of Santa Barbara and, in turn, statewide planning exercises.
2. Our Partners: Direct Relief’s network of partners includes more than Over the past year, Direct Relief’s core strengths as an organization became more relevant to
500 healthcare facilities and organizations located in over 65 countries. specific health challenges that developed or worsened in our home community of Santa Barbara
Partner facilities range from small rural outposts to large hospitals and throughout the State of California. In response, Direct Relief has stepped up its efforts.
serving thousands each day. Local chapters of international service clubs,
The six million people in California who lack health insurance account for approximately
including Rotary International and Lions Clubs International, often are
13 percent of the estimated 45 million medically uninsured persons in the United States.
key partners in providing financial support, references, and in-country Direct Relief’s home community of Santa Barbara County was found to have the highest rate
logistical help. of uninsured persons of any county in California in an extensive UCLA study released last year.
The well-publicized state budget deficit constrains additional spending for health.
3. How We Select Partners: Partner institutions and organizations are
selected through a rigorous qualification process. The selection criteria California’s network of nonprofit free and community clinics are a critical source of health
include the extent of poverty in the region and disease burden, the services for uninsured persons. Over the past eleven months, Direct Relief has created a
knowledge and skill of the healthcare providers, and the quality of the mechanism to supply these clinics with pharmaceutical products and supplies they need to
care for uninsured persons.
services provided. Priority is given to facilities focusing on HIV/AIDs and
providing educational and preventive care to mothers and children. Since December 2003, Direct Relief has provided more than $3.4 million wholesale of
pharmaceuticals and supplies to 51 community and free clinics in California through more
4. How We Help: Direct Relief provides medicines, nutritional supple- than 75 shipments. Consistent with longstanding practice, Direct Relief provides only material
ments, medical supplies, and equipment to approved partners, matching that is specifically requested by clinics, which are first screened to ensure appropriate licensing,
donated products with items specifically requested by the facility’s reporting capacity, nonprofit status, and nondiscriminatory policies.
medical staff. In the first ten months of 2004, Direct Relief has provided
Direct Relief staff has worked closely with the consortia of nonprofit clinics and with pharmaceu-
aid to over 13.2 million people through 356 shipments. Direct Relief
tical companies to develop an efficient process to expand this type of support to serve low income,
professional staff includes a Chief Medical Officer, a Pharmacist, and a uninsured persons in the State. A high percentage of the uninsured are “working poor” – persons
Biomedical Technician who review requests from partners to ensure that who do not have insurance through their employment but whose incomes are too high to qualify
all medical donations are appropriate for the level and type of healthcare for public health insurance (through which prescription medications and treatment are available).
services being provided.
Among the challenges that a low-income (or any) uninsured person typically confronts is paying
5. Why it Matters: Health has intrinsic value for every person, but it is more to fill a prescription than would be paid by a public or private insurer that has negotiated
also essential for people to learn, work, and make a living. In developing a lower bulk rate. However, many pharmaceutical companies have programs through which
low-income, uninsured persons may obtain needed prescriptions, and Direct Relief is working
countries, financing health services is extremely difficult. Where patients to see how these programs might be streamlined.
and governments lack funds and no private health insurance exists, not
enough money is available to procure basic medical supplies and main- The clinic-support program also has provided dental instruments, general supplies, and over-the-
tain an adequately staffed health facility. The trained health professionals counter medications, for which high demand exists. In addition to the expanded clinic-support
in poor countries represent the most important part of the healthcare program, Direct Relief has coordinated free dental clinics for low-income children with severe
infrastructure. Direct Relief’s support enables them to stay productively dental problems and expanded a disaster preparedness program for homebound persons, nursing
engaged and their patients to receive needed care. homes, and others who are particularly vulnerable in the event of a disaster. By the end of this
year, Direct Relief also will provide 15,000 dental kits for low-income children and their families
and distribute over 5,000 personal care kits (containing approximately $50 worth of basic hygiene
6. Shared Investment and Self-Help: To ensure a shared stake in the supplies) to homeless and very low-income families.
assistance provided, each in-country partner is asked to assume responsi-
bility for a small portion of the transport costs, usually from port-of-entry
to in-country destination.
7. What We Do at Home: Our local and statewide programs include sup-
plying medicines and supplies to free and community clinics; providing
dental education, services, and dental kits to homeless and low-income
children and families; screening agricultural workers for communicable
diseases; and tackling disaster preparedness on several levels.
8. Disaster Relief and Emergency Assistance: The same programmatic
standards apply whether providing ongoing assistance or disaster relief –
we must know specifically what is required, who is responsible, how the
material will be used, and whether there is a secure logistics channel.
COURTESY DIRECT RELIEF INTERNATIONAL
Following these principles, in 2004, Direct Relief responded to
twenty-four small and large disasters around the globe.
9. Leading Companies Trust Us: Direct Relief works closely with the
philanthropic initiatives of dozens of healthcare companies, including
Johnson & Johnson, Merck, Pfizer, Abbott Laboratories, BD, Bristol-Myers
Squibb, GlaxoSmithKline, and MidMark Corporation. For a complete list
of our corporate partners, see page 10.
10. Our Experience and Qualifications: Direct Relief’s programmatic
approach has been refined by 57 years of experience. We are a licensed
wholesale pharmacy, and our staff has vast experience in international
health and development. Visit our website to see a complete list of our PROPER DENTAL HYGIENE IS TAUGHT IN THE HEALTHY SMILES DENTAL PROGRAM.
credentials and qualifications (www.directrelief.org).
6. 6 INDEPENDENT ADVERTISING INSERT PROGRAM HIGHLIGHTS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG
"Working as a health service provider
in Afghanistan has always been stressful,
especially considering the enormous demand
for drugs and supplies that are essential
to meet the needs of the poor people.
There has been a climate of doubt as to whether
one could achieve good results. The support
from Direct Relief with drugs, equipment,
and other materials has filled a lot of gaps and
brought about hope for the future.
There has been a dramatic improvement
KATHLEEN RAFIQ
in the quality of hospital services from which
a lot of Afghans are benefiting.”
– Dr. Sisawo
DR. LAILA AND CHILDREN AT THE DIRECT RELIEF-SUPPORTED MACROYAN CLINIC IN KABUL Administrator for the Bamyan Hospital
Afghanistan: After the Headlines Fade
KELLY DARNELL, Program Officer
A fghanistan’s three decades of conflict and Taliban rule
virtually destroyed its entire health system. Hospitals
and clinics were leveled, medical supplies exhausted, and
Direct Relief's focus has been on improving women’s
and children's health. According to the World Bank,
over 16,000 Afghan women die each year from
most of Afghanistan’s modest ranks of healthcare profes- pregnancy-related complications, making Afghanistan the
sionals fled the constant second-deadliest place to
insecurity and chaos. give birth in the world. The
majority of child-bearing
Since the fall of the Taliban women have no skilled
in 2001, Direct Relief has assistance during delivery,
worked to help the Afghan and two thirds of districts
people rebuild their have no maternal and
healthcare system. Today, child health services at all,
Afghanistan is reopening according to UNICEF.
hospitals, training new The World Health
health professionals, and, Organization found that
with our help, restocking about half of all Afghan
facilities with the pharma- children under five are
ceuticals, medical supplies, stunted due to malnutrition,
and equipment critical for and about 25 percent of
providing care to patients. children die before their
Direct Relief is currently fifth birthday, mostly from
LINDA CULLEN
providing ongoing support LAUGHING BROTHER AND SISTER IN KABUL KATHLEEN RAFIQ preventable illnesses.
to four Afghan-run non-gov-
ernmental organizations that collectively operate 13 health As this newsletter goes to print, three 20-foot containers
posts, 16 health centers, and two hospitals. Over the last loaded with exam tables, multivitamins, bandages,
year, we have donated 18 tons of medical goods through gauze, and other essential medical supplies from MOTHER AND CHILD AT A HEALTH CENTER IN BAMYAN
nine separate air and ocean freight shipments, with a Direct Relief are making the 7,500 mile journey
wholesale value of over $1.3 million. to Afghanistan.
“Since the opening of AIL’s clinic in Mir Bacha Kot,
AFGHANISTAN: 2004 HIGHLIGHTS the overall health of the women has improved.
In the past year, Direct Relief’s supporters have enabled us to:
The health education efforts and hygiene materials
• Improve the Health of Children in Kabul: In 2004, Direct Relief provided funds to build the Macroryan Clinic in Kabul and then
equipped the facility. The clinic provides primary care, immunizations, well-child exams, and prenatal and postnatal care free of charge distributed have been a great help and made great
to a community of over 600 orphans and 5,000 families. improvements, especially the health education for
• Make Childbirth Safer for Mothers and Children: Direct Relief has continued its ongoing support to the four maternal and child women on disease prevention and reproductive
health clinics run by the Afghan Institute for Learning (AIL). Staffed and operated by Afghan women, each AIL clinic treats
approximately 1,500 women and children and delivers over 100 babies a month. To combat the high rates of maternal mortality, AIL
health. With basic health services like these,
also coordinates a six month midwife training program for approximately 100 midwives twice a year. Direct Relief has supplied each the health of rural Afghan women
clinic with items such as delivery tables, OB/GYN delivery instruments, baby scales, infant vitamin drops, and prenatal vitamins, as well
as a midwife kit for each graduate of the midwife training program. can be improved throughout Afghanistan.”
• Reopen the Doors to Health Care in the Bamyan Province: Direct Relief restocked the Bamyan Hospital, which was looted and – Sakeena Yacoobi
closed in 1998, and this year reopened its services to the public. This nonprofit referral hospital is the primary care provider for the Director of the Afghan Institute for Learning (AIL)
400,000 people living in the Bamyan province. Over the past year, the number of patients seen at the facility has risen from 100 to 240
per day. The majority of patients are women and children seeking care for pregnancy-related trauma, acute respiratory infection, Kelly Darnell has been a Program Officer at Direct Relief
diarrheal disease, measles, malaria, car accidents, and landmine-related injuries. Direct Relief has donated hospital beds, mattresses, exam for five years. She previously served as a healthcare educator
tables, baby scales, OB/GYN delivery instruments, stethoscopes, children’s and infant’s Tylenol, pre-natal vitamins, and antibiotics. with the Peace Corps in Cote d’Ivoire, West Africa and is a
certified EMT.
7. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 PROGRAM HIGHLIGHTS INDEPENDENT ADVERTISING INSERT 7
Tanzania:
Notes from the Field
CHRISTIENNE DURBIN, Program Officer
T anzania is ranked by the U.N. as one of the poorest
countries in the world. It is a country of 35 million
people, about the same population as California in an area
roughly twice California’s size. Few resources exist to combat
AIDS, malaria, and malnutrition, which are widespread.
The current life expectancy at birth is just 44 years.
In July of 2004, I visited Direct Relief partner Karagwe
Development and Relief Services (KADERES), a Tanzanian
non-governmental organization working in the country’s
COURTESY CHRISTIENNE DURBIN
extreme northwestern corner. This area is home to coffee
and banana farmers who eke out a living barely above subsis-
tence. At the time of my visit, the rate paid by coffee brokers
for a kilo of coffee was about two U.S. cents.
KADERAS was established in 1997 to assist villagers living
in this resource-poor and isolated area. The organization
works to improve the quality and availability of healthcare
services by supporting over 30 medical facilities located
throughout the district. Its goals include reducing infant and
maternal mortality rates, decreasing the rate of HIV/AIDS PROGRAM OFFICER CHRISTIENNE DURBIN ADDRESSES THE STAFF OF KADERES IN KARAGWE, TANZANIA.
infection, providing comprehensive reproductive health
services, and immunizing all children less than one year of Direct Relief partnered with U.S.-based Global Partners for materials by Direct Relief have augmented the provision of
age in a catchment area of over 190,000 people. It also builds Development to support Nkwenda’s initiative to reduce health services in Karagwe District and have helped us in our
dispensaries in villages that lack any medical services. maternal and child mortality by equipping the facility’s fight to reduce the high maternal and child mortality rates.
newly constructed, and only, operating theatre. The nearest Bless you for what you are doing for us.”
Since 1999, Direct Relief has been providing KADERES surgical facility is 43 kilometers away, and over the past three
medical material for use in its network of healthcare years there have been 45 maternal deaths from ruptured The most recent assistance shipment to KADERES
facilities. Over 55,000 patients have benefitted from Direct uterus and post-partum hemorrhage attributable to late contained emergency supplies for the Nkwenda Rural Health
Relief’s donations of medicines, nutritional supplements, referral due to distance and poor transportation. A Center in response to damage due to a destructive storm.
medical supplies, and medical equipment. functioning operating room will drastically reduce KADERES-supported clinics are the sole source of health
maternal and infant mortality rates. care for tens of thousands of hardworking people in
During my Tanzania, and Direct Relief plans to continue to support
stay, I visited
seven of the “The current life expectancy at birth its outstanding work. Tanzania confronts many obvious
problems in health. It is a privilege to work with one of
is just 44 years.”
Direct Relief-supported health centers and dispen-
saries. One of these facilities was the Nkwende
Rural Health Center, which serves a population of
the solutions.
Christienne Durbin served as an HIV/AIDs health educator
in Liberia with the Peace Corps and as a public health
more than 100,000 people. Each day over 100 patients, many official in the US before joining Direct Relief International.
of whom must walk over 20 kilometers, come to the Center Our Tanzanian partners were enormously gracious hosts and
She is one of two program officers for Africa and also
for consultations and treatment. their commitment is inspiring. Leonard Kachebonaho, administers Direct Relief’s domestic program for
KADERES Executive Secretary explained the importance of Vulnerable Populations.
Direct Relief’s work in Tanzania: “The donations of medical
Haiti: Notes from the Field
DAN SMITH, Senior Program Officer STADA Pharmaceutical oral rehydration salts, dermatologi- Haiti is a difficult country in which to work. During these
cal agents, antiparasitic medicines, and multivitamins. disasters a temporary appointed council, assembled after the
I n September 2004, torrential rains from tropical storm
Jeanne hit Haiti and the Dominican Republic, causing vast
damage as swollen rivers flooded towns and landslides wiped
In July, I was able to follow-up on our initial emergency sup-
February collapse of the Aristide government, was function-
ing as the central government. In this situation, without gov-
port when I visited Haiti and the Dominican Republic, meet- ernment safeguards to ensure security of disaster aid, a trusted
out entire neighborhoods. In the final reckoning, the floods ing with the Social-Cultural Movement for Haitian Workers in-country partner like MOSCHTHA on the ground was
and storms killed a staggering 2,000 people and left another (MOSCTHA), our partner in this relief endeavor. Dr. Joseph critical to deliver a fast and targeted response.
300,000 homeless and without work. The damage, devastat- Cherubin, MOSCTHA’s director, and I traveled to Jimani
ing in its own right, was even in the Dominican Republic, where MOSCTHA operates a In September, Direct Relief relied on this tested partnership
more tragic considering that mobile medical van that travels across the border into Haiti. in responding to tropical storm Jeanne. Direct Relief air
the island had not even begun freighted over 100,000 tablets of antibiotics, analgesics, first
to recover from deadly floods Even then, before the more severe September storms, Haiti aid supplies, multivitamins, dermatological agents, and surgi-
three months earlier. was in a state of devastation and was receiving minimal help cal supplies to Santo Domingo, where MOSCTHA received
from the outside world. Haiti is the poorest country and Direct Relief's donation and again crossed the Haitian border
Direct Relief quickly responded has the highest rate of infant mortality in the Western in its van in order to work directly with its established
to both storms with medical hemisphere. Four of five people among Haiti’s six million Haitian partners on the ground there.
aid. In June, in response to the inhabitants live in abject poverty, and the life expectancy
first floods, Direct Relief sup- is only 46 years. We are planning more aid to Haiti in the coming months.
plied two tons of specifically Even as the news coverage of these horrific disasters fades
requested medical aid, includ- Despite the well-publicized damage to the country, there away, Direct Relief is committed to assisting the flood
ing Johnson & Johnson was little evidence of support from aid organizations, either victims in Haiti as the long-term implications of this
“disaster modules,” which
ANA FUENTES
domestic or international, in many of the towns that we visit- natural disaster continue to unfold.
contain analgesics, first aid ed. I was impressed by MOSCTHA’s response to the crisis
supplies, and personal care amidst all the need and disarray. Having worked on the Dan Smith, M.A., is Direct Relief’s Senior Program
items. The assistance also Haiti-Dominican Republic border for almost 20 years and Officer for Latin America. He has worked for
included antibiotics from being run by Haitian nationals, MOSCTHA’s knowledge the agency for seventeen years.
A HAITIAN GIRL CARRIES WATER
AT A REFUGEE CAMP IN JIMANI
Bristol-Myers Squibb and of the area and its communities was an obvious strength.
8. 8 INDEPENDENT ADVERTISING INSERT OUR PARTNERS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG
JILL REARDON
LAUGHING BOY, CAMBODIA
O U R I N T E R N AT I O N A L P A R T N E R S
In the first nine months of 2004, Direct Relief partnered with healthcare projects and facilities in 51 countries to provide
medical assistance. The total wholesale value of this support was over $59 million.
AFGHANISTAN TOTAL SUPPORT: $1,299,529 CONGO, D.R. TOTAL SUPPORT: $7,777 GUATEMALA TOTAL SUPPORT: $7,901,701
Partners: Afghan Coordination of Humanitarian Assistance Partner: Boma Ophthalmic Hospital – Boma Partners: Adonai International Ministries – Canilla, A
– Farah Province, Afghan Health and Development Services Tomorrow for Children Foundation/ Unidad Nacional de
– Kandahar Province, Afghan Humanitarian Goals CUBA TOTAL SUPPORT: $3,515 Oncologia Pediatrica – Guatemala City, Caritas Arquidio
Association – Kabul, Afghan Institute for Learning – Partner: Martin Luther King Center – Havana Cesana – Guatemala City, DOCARE International Mission
Kabul/Jalalabad/Herat, Bamyan Province Referral Hospital – – San Andres Itzapa, Llano Verde Clinic – Guatemala City,
Bamyan, Jamaludin Wardak Clinic – Onkai Village, DOMINICAN REPUBLIC TOTAL SUPPORT: $710,235 Order Of Malta – Guatemala City, Santa Rosa Medical
Macroryan Medical Clinic – Kabul Partners: Batey Relief Alliance – Santo Domingo, Global Clinic – Guatemala City, Xela Aid – Quetzaltenango
Links – Santo Domingo, Health Care Education Partnership
ARMENIA TOTAL SUPPORT: $439,797 – Santo Domingo, Movimiento Socio Cultural Para Los GUYANA TOTAL SUPPORT: $1,392,654
Partners: Angioneurology Clinic & Research Center – Trabajadores Hatianos – Jimani, Patronato Benefico Partners: Bartica Hospital – Bartica, Berbice River
Yerevan, Health Ministry of Armenia – Yerevan Oriental, Inc. – La Romana Healthcare Project – Georgetown, Davis Memorial Hospital
– Georgetown, Linden Hospital – Linden, Mahaicony
BANGLADESH TOTAL SUPPORT: $511,839 EL SALVADOR TOTAL SUPPORT: $4,876,138 District Hospital – Mahaicony, New Amsterdam Hospital –
Partner: Shidhulai Swanirvar Sangstha – Dhaka Partners: Clinica Maria Madre de los Pobres – San Salvador, New Amsterdam, Port Mourant Hospital – Port Mourant,
Committee for the Reconstruction of Communities – St. Joseph's Mercy Hospital – Georgetown
BOLIVIA TOTAL SUPPORT: $474,321 Suchitoto, Fundacion Nuevos Horizontes Para Los Pobres –
Partners: Organizacion Panamericana de Salud – La Paz, Ciudad Delgado, Fundacion Salvadorena (FUSAL) – San HAITI TOTAL SUPPORT: $1,245,201
Proyecto de Salud del Rio Beni – Rurrenabaque Salvador, Secretaria Nacional de la Familia / FUDEM – San Partners: Arcachon Hospital/ Food for the Poor – Port-Au-
Salvador Prince, Christian Aid Ministries – Titanyen, New Hope
CAMBODIA TOTAL SUPPORT: $848,115 Ministries – Cap Haitien, Project Haiti – Cap-Haitien, St.
Partners: Angkor Hospital for Children – Siem Reap, ESTONIA TOTAL SUPPORT: $186,770 Ignatius Medical Mission – Beaumont
Mongkul Borei Hospital – Mongkul Borei, Sihanouk Partner: Nursing Home Consortium – Parnu
Hospital Center – Phnom Penh HONDURAS TOTAL SUPPORT: $105,919
ETHIOPIA TOTAL SUPPORT: $635,531 Partners: Brigada de Salud / Honduras Relief Effort –
CAMEROON TOTAL SUPPORT: $681,000 Partners: Addis Ababa Fistula Hospital – Addis Ababa, Tegucigalpa, Escuela Agricola Panamericana Zamorano –
Partners: Fraternity Medical Center – Buea, Mamfe General AlShaday Children's Village – Mekelle, Free Methodist Tegucigalpa, Hacienda Cristo Salva – Santa Barbara
Hospital – Mamfe, Quality Healthcare Unit – Yaounde World Mission Health Center – Addis Ababa
INDIA TOTAL SUPPORT: $358,221
CHINA TOTAL SUPPORT: $19,731 FIJI TOTAL SUPPORT: $33,982 Partners: Hyderabad Eye Institute – Hyderabad, Pasam Trust
Partners: Love without Borders – Shanton, Shangye Charity Partner: Loloma Foundation – Beqa Island – Kodaikanal, Society for Service to Voluntary Agencies –
Hospital – Ganzi County, Tibetan Healing Fund – Kumbum Mumbai, Wanless Hospital – Miraj
GHANA TOTAL SUPPORT: $273,061
COLOMBIA TOTAL SUPPORT: $52,638 Partner: Jehovah Rapha Health Care Foundation Motoka INDONESIA TOTAL SUPPORT: $241,617
Partner: Club Rotario de Medellin – Medellin Clinic – Accra, Korle-Bu Teaching Hospital – Accra, Partners: Hobawawi Medical Clinic – Desa Rua, Rumah
Maranatha Maternity and Clinic – Kumasi Sakit Moripa, RSD and Karitas Hospitals – Sumba Barat,
Yayasan Bumi Setat Birthing Center – Bali
9. WWW.DIRECTRELIEF.ORG NOVEMBER 25, 2004 OUR PARTNERS INDEPENDENT ADVERTISING INSERT 9
JONATHAN ALEPYRIE
FRANK BOTT
A YOUNG GIRL IN THE DEMOCRATIC REPUBLIC OF CONGO A NURSE PERFORMS A WELL-BABY EXAM IN EL SALVADOR.
IRAN TOTAL SUPPORT: $400,100 NEPAL TOTAL SUPPORT: $5,226 SOUTH AFRICA TOTAL SUPPORT: $13,963
Partners: Red Crescent Society of Mazandaran Province– Partner: Tibetan Refugee Reception Center – Kathmandu Partner: Tshisimane Healing Center – Soutpansberg
Bam/Chaloos
NICARAGUA TOTAL SUPPORT: $7,271,193 SOUTH KOREA TOTAL SUPPORT: $9,691
IRAQ TOTAL SUPPORT: $6,232,643 Partners: American Nicaraguan Foundation/MINSA – Partner: St. John of God Clinic – Kwang-Ju
Partners: Army/ AF Medics – Balad, Freedom and Peace Managua, Caritas de Nicaragua – Managua, Nicaraguan
Trust / Iraq MH – Nazirieh Children's Fund – Puerto Cabezas, Wisconsin/Nicaragua TANZANIA TOTAL SUPPORT: $539,017
Partners of the Americas – Managua Partners: Health Department/ KADERES – Karagwe -
JAMAICA TOTAL SUPPORT: $11,821,702 Kagera, Sumbawanga Regional Hospital –Sumbawanga
Partners: Falmouth Hospital – Falmouth, Food for the Poor NIGERIA TOTAL SUPPORT: $174,801
– Spanish Town, Jamaica Humanitarian Dental Mission –St. Partners: Antof Rural Resource Center – Oron, St. Gerard's TOGO TOTAL SUPPORT: $1,664
James, Missionaries of the Poor – Kingston Catholic Hospital – Kaduna Partner: Baptist Hospital of Togo – Tsico
KENYA TOTAL SUPPORT: $532,585 PAKISTAN TOTAL SUPPORT: $171,362 UGANDA TOTAL SUPPORT: $223,132
Partners: Alice Nursing Home – Nairobi, Crescent Medical Partner: Bethania Hospital – Sialkot Partners: East Africa Medical Mission – Kampala, St. Mary's
Aid – Nairobi, Kapkoi Mission Health Center – Eldoret, Clinic Solidale – Kabale
Waso Medical Services –Isiolo PERU TOTAL SUPPORT: $1,340,959
Partners: Arzobispado de Lima – Lima, Carcel San Juan de UKRAINE TOTAL SUPPORT: $112,409
LAOS TOTAL SUPPORT: $1,157 Lurigancho – Lima, Hospital Cayetano Heredia – Piura, Partner: Rohatyn Central District Hospital – Rohatyn
Partners: Mahosot Hospital – Vientiane, Muang Sing Hospital de Apoyo Puquio – Puquio, Hospital Regional de
Hospital –Muang Sing Ayacucho – Ayacucho, ISPTR – Iquitos VENEZUELA TOTAL SUPPORT: $25,843
Partner: Turimiquire Foundation – Cumana
LIBERIA TOTAL SUPPORT: $765,961 PHILIPPINES TOTAL SUPPORT: $2,694
Partners: Christian Aid Ministries – Monrovia, ELWA Partners: Dr. Jose Locsin Memorial Hospital – Silay City WEST BANK/GAZA TOTAL SUPPORT: $360,860
Hospital – Monrovia Partners: American Near East Refugee Aid – Jerusalem, St.
ROMANIA TOTAL SUPPORT: $1,110,899 John Eye Hospital – Jerusalem, West Bank & Gaza Health
MALAWI TOTAL SUPPORT: $341,285 Partner: Christian Aid Ministries Romania – Floresti Facilities – West Bank/Gaza
Partners: Montfort Hospital – Nchalo, Queen Elizabeth
Central Hospital – Blantyre, Trinity Hospital – Limbe SENEGAL TOTAL SUPPORT: $250,966 ZAMBIA TOTAL SUPPORT: $557,080
Partners: Clinique Seydina Issa Rouhou Laye – Dakar, Partner: St. Francis Katete Hospital – Katete
MEXICO TOTAL SUPPORT: $219,473 USAID Senegal/Partner Health Centers – Countrywide
Partners: AeroMedicos of Santa Barbara – Cadeje, Centro de ZIMBABWE TOTAL SUPPORT: $528,719
Salud Rural Bucerias – Bucerias, Centro de Salud Todos SIERRA LEONE TOTAL SUPPORT: $2,500 Partner: J.F. Kapnek Charitable Trust – Avondale
Santos – Todos Santos, Juarez Eye Center – Ciudad Juarez, Partner: Ndegbormei Development Organization – Freetown
Potter's Clay –Ensenada
10. 10 INDEPENDENT ADVERTISING INSERT OUR INVESTORS NOVEMBER 25, 2004 WWW.DIRECTRELIEF.ORG
OUR FINANCIAL INVESTORS:
OUR CORPORATE PARTNERS Ambassador of Health Consul General
Direct Relief depends on the generosity of many corporations to provide ($100,000 +) ($50,000+)
the medical product we send around the world. We would like to thank the Anonymous The Antioch Company
following companies that supported us during the first three quarters of 2004: Babette L. Roth Irrevocable Trust Mrs. Sheila Johnson Brutsch
3M Pharmaceuticals Lane Instrument Corp. Santa Barbara Vintners' Foundation Bush Hospital Foundation
Abbott Laboratories Lombart Instrument Mr. and Mrs. Jon B. Lovelace
Accutome, Inc. LW Scientific, Inc. Mr. and Mrs. C. William Schlosser
Advanced Medical Optics McKesson Medical-Surgical
Alcon Laboratories, Inc. McNeil Consumer & Specialty Global Emissaries:
Allergan, Inc. Medical Innovations, Inc. ($25,000+)
American Society for Microbiology Medline Industries, Inc.
Ansell Healthcare Incorporated Mentor Corporation Anonymous (2) Hy Cite Corporation
Antioch Company Merck & Company, Inc. Capital Group Co. Charitable Fnd. Pfizer, Inc.
Astra Tech Microflex Mr. and Mrs. Killick Datta Mr. and Mrs. Harold Simmons
Aventis Pharmaceuticals, Inc. Midmark Corporation
Bausch & Lomb Surgical Company Nellcor World Health Envoy - ($10,000+ )
BC Group International Nexxus Products Company Anonymous Izumi Foundation
BC Medical Products Ohio State University Medical American Jewish World Service Mr. James Jackson/ The Ann Jackson
Anticouni & Associates/ Mr. Bruce Anticouni Family Foundation
BD School
The Archstone Parterships Kind World Foundation
Beiersdorf Inc. Omron Healthcare, Inc. Mr. and Mrs. Thomas J. Cusack MSST Foundation
Bristol-Myers Squibb Company Onyx Medical Eiting Foundation National Philanthropic Trust DAF
Codman & Shurtlef Ortho-McNeil Pharmaceutical, Inc. Estonian Am. Fund for Economic Edu., In. Nichols Foundation, Inc.
ConMed Owens and Minor Corp. FedEx Mr. and Mrs. Donald E. Petersen
Crosstex International Pfizer Consumer Healthcare Global Partners for Development Mr. and Mrs. Pete Schmidt-Petersen
Den-Mat Corporation Proctor & Gamble Guyana Medical Relief Mr. and Mrs. John W. Sweetland
Don Wilson Company Purdue Pharma, L.P. Dr. and Mr. Roger W. Higgins/ Higgins- Alice Tweed Tuohy Foundation
East West Associates Redwood Bio Tech Trapnell Family Foundation Mr. and Mrs. James Villanueva
Ethex Corporation Reichert Ophthalmic Instruments
President's Council - ($5,000+)
Ethicon, Inc. Respironics, Inc.
Anonymous Ms. Frances E. Kent
FedEx Shaman Botanicals
Abbott Laboratories Fund The Kingsley Foundation/
Fine Science Tools Inc. Spenco Medical Corporation Mr. and Mrs. John H. Adams Mr. and Mrs. Laurence K. Miller
Five Star Supplies Co. STADA Pharmaceuticals, Inc. Amigos Del Peru Foundation, Inc. Mr. Barry Kravitz
Forest Pharmaceuticals Sunstar Butler Aventis Pharmaceuticals, Inc. Ms. Nancy M. Lessner
FNC Medical Corporation Surgistar, Inc Mr. and Mrs. William J. Bailey Mr. and Mrs. Michael M. McCarthy
GlaxoSmithKline Tanita Corporation of America, Inc. Mr. and Mrs. Philip M. Battaglia Montecito Rotary Club
Global Brand Marketing Inc. Tea Tree Therapy Mr. and Mrs. Robert Blecker Mrs. Caroline Power Kindrish Trust
Global Medical Assistance Tempur-Pedic, Inc. Bristol-Myers Squibb Company PacifiCare Foundation
Global Partners for Development Tenet Healthcare Foundation Henry W. Bull Foundation Mr. Alan R. Porter and Ms. Brenda Blalock
Havel's Incorporated TEVA Pharmaceuticals USA Cox Communications Mr. and Mrs. Michael E. Pulitzer
Henry Schein, Inc. Textilease Medique Friends of Magic Moments Children, Inc. Mr. and Mrs. Denis Sanan
Mr. and Mrs. Joseph Hardin, Jr. Santa Barbara Foundation
Huntsville Emergency Medical The McGraw-Hill Companies
Mr. and Mrs. S. Roger Horchow Mr. and Mrs. Richard Schall
Hy Cite Corporation The National Pediculosis Mr. and Mrs. Derk Hunter Mr. and Mrs. Paul H. Turpin
Janssen Pharmaceutica, Inc. Assoc., Inc. Hutton Foundation Ukrainian Civic Center, Inc.
Johnson & Johnson Tronex International, Inc. Inamed Dr. and Mrs. Thomas A. Weber
Johnson & Johnson Consumer U. S. Surgical Corporation, Tyco Mr. and Mrs. Richard Johnson
Kendall Healthcare, Tyco Valleylab Inc., Tyco
Kimberly-Clark Corporation Vanguard Ministers of Health - ($2,500+)
King Pharmaceuticals, Inc. Vitaminerals, Inc. Anonymous Mr. Larry Koppelman and Mrs. Nancy
K.V. Pharmaceutical, Corp. Watson Pharmaceuticals, Inc. Mr. and Mrs. Stephen Adams Walker Koppelman
LabEssentials, Inc. Western Scientific Co. Mr. and Mrs. Ralph J. Begley Dr. Ralph Kuon
Mr. and Mrs. Arnold Bellowe The Marilyn & Bob Laurie Foundation, Inc.
We would also like to thank the many individuals, clinics, and hospitals Mr. and Mrs. Jerry Biggs Mr. Robert Lieff
that donated medical products to help people in need worldwide. Mr. Charles M. Blitz Mr. and Mrs. William R. Lindsay
Christian Aid Ministries Mr. and Mrs. John Macomber
Mr. and Mrs. Jim Clendenen Mr. and Mrs. Emmett McDonough
The Lillian H. & C. W. Duncan Foundation Mr. Steven McDonough
Mr. and Mrs. Christopher Eber Organon International
El Capitan Ranch, LLC/ Mr. and Mrs. Everett Pachner
Mr. and Mrs. Roger Himovitz Pacific Capital Bancorp/ Santa Barbara Bank
Please remember us in Mr. and Mrs. Brooks Firestone
Mr. and Mrs. William H. Freudenstein, III
G.I. Trucking Company
and Trust
Mr. and Mrs. Austin H. Peck, Jr.
Piatti
your will or estate plan. Mr. Erle Holm
Mrs. Alice W. Hutchins
Joseph E. & Gina Laun Jannotta Foundation
Mr. and Mrs. Daniel Randopoulos/
Metson Marine
Mr. and Mrs. David Rasmussen
Mr. John Johnson Mr. and Mrs. J. P. Roston
Joshua L. Mailman Charitable Trust Ms. Lee Thomas
Mr. Wesley H. Kelman U.S. Trust Company, N.A.
Mr. and Mrs. Ralph Kiewit, Jr. Westmont College
Mr. and Mrs. Andrew Klavan
