Medair in 2014

WHEN WE LOOK BACK ON A YEAR GONE BY, IT REMINDS US HOW QUICKLY THINGS CAN CHANGE.

When I refl ect on 2014, I think of one major disaster after another: civil war in South Sudan, the escalating Syrian refugee crisis, brutal attacks and mass displacement in Iraq, and the Ebola outbreak in West Africa.

Medair adapted to these changing global crises and responded to each of them, along with many others. Such a volatile year reinforced the need for Medair to continually change in order to be responsive to unpredictable events. We need to take advantage of bene� cial new technologies and collaborate with like-minded partners while retaining our core identity.

The speed of modern change can be dizzying, yet change is not something to be feared. In fact, change is at the core of our work. Medair saves lives, relieves su� ering, and restores hope; at its best, our work changes lives for the better.

In November, I visited Haiti and saw the life-changing impact of our work. I saw � rst-hand the di� erence that thousands of disaster-resilient homes have made in the lives of vulnerable families. Over and over again, I received tears of joy, smiles, and words of thankfulness—the sights and sounds of lives changed and hope renewed.

As you’ll read in these pages, Medair reached more than 1.5 million people in 12 countries with life-saving and life-sustaining aid in 2014. Our work was made possible because of our amazing teams around the world and generous supporters like you. Thank you!

MESSAGE FROM JIM INGRAM, MEDAIR CEO

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Photo: Jim and relief worker Jerome Antoine visit a Medair house and rainwater cistern in La Montagne, Haiti.

THE BLESSING OF NEW LIFE

In 2014, Medair provided regular training and hands-on supervision to upgrade the skills of Somalian health workers like Khadija. “I have seen many women die, along

with their babies, through very preventable causes like infections,” said Khadija, a midwife.

“These trainings have helped me a lot. They have improved the quality of care that I can

give to mothers and their babies. We are giving them a much better chance of survival.”

Photo: Khadija holds a newborn baby at a Medair-supported clinic.

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Read the offi cial 2014 Medair Annual and Financial Report at medair.org/annualreport

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HAITI

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D.R. CONGO

SOMALIA

MADAGASCAR

AFGHANISTANIR AQ

SOUTHSUDAN

ZIMBABWE

HAITI

PHILIPPINES

JORDAN

LEBANON

SYRIAN CRISIS

SIERRA LEONE

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Shelter and Infrastructure

224,675people received

shelter

129,185people benefi ted from

new infrastructure (clinics, bridges, roads)

26,064people received

livelihood support through work projects

Water, Sanitation, and Hygiene

125,331people have a new or improved latrine or bathing facility

296,549people taught

about life-saving hygiene practices

286,821people gained

improved access to safe drinking water

Medair in 2014

Health and Nutrition

90,418people vaccinated

against deadly diseasess

567,576people taught about life-saving health and

nutrition practices

676,071 health consultations at Medair-supported

clinics

total direct benefi ciaries1,542,966

139internationally recruited staff

in the fi eld

805nationally recruited staff

32number of countries Medair worked in from 1988-2014

1international headquarters

in Switzerland, 85 staff (83 full-time equivalents)

5affi liate offi ces in Europe

and North America

12countries of operation

E M E R G E N C Y R E L I E F A N D R E C O V E R Y S E R V I C E S

DIGNITY AND RESPECT

Izzidein and his wife, Nasura, are treated as outcasts in their community in Jordan. They both have physical disabilities and are unable to work. “I’m in this condition because of a car accident several years ago,” says Izzidein. “I was a paramedic before. My wife of that time left me because I couldn’t provide for her and now I can’t even see my daughter.”

Medair gave the couple a shelter kit to help keep their apartment warm through the winter. “Medair was the � rst charity that gave us hope. People with disabilities are not always treated equally. You treated us with dignity and respect.”

MIRACLE IN THE MIDST OF DISASTERWhen Typhoon Haiyan hit the Philippines, Rodalyn was in the middle of giving birth. “I did not expect to survive,” she says. Her sister Erica, four months pregnant herself, stayed by Rodalyn’s side as the storm raged. “My father and I held up the roof and protected her from the parts of the house that were falling down,” says Erica.

Erica and Rodalyn survived their ordeal, but lost their home. In 2014, Medair built Erica’s family a new home that will withstand strong winds and last for years. “It is a huge help for us, and my children love it,” says Erica. “We have a place we can call home.”

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DIRECT BENEFICIARIES: 17,740

In 2014, Medair launched an emergency response to help thousands of Iraqi families who had fl ed from the violence.

From August to November, Medair provided critical supplies to more than 8,500 displaced people. “These mattresses and pillows are great things for us,” said Adar, mother of � ve. “We will use the plastic sheets and rope to make ourselves a tent and for drying our clothes. We will never forget you.”

Medair’s staff was strengthened by the presence of skilled personnel who had themselves f led the attacks. “From the first day I started with Medair, I realised you were here to help my people,” said Khalid, an engineer who escaped with his family.

In December, Medair opened a primary health clinic in a camp that housed 24,000 people; in the first month, we saw up to 700 people per day. “I am never exhausted because I am doing the best thing I have ever done in my life,” said Jaddan, Medair staff at the clinic.

As winter approached, families sought to keep warm, especially those living in unfinished buildings on construction sites. Medair instituted a voucher programme that provided 450 families with the means to purchase insulation materials, thick blankets, winter clothes, and stoves.

“We are so thankful to Medair for their blankets and the things they gave us,” said Adar. “Without them we would be freezing now in this cold weather!”

Keser was baking bread for her children when her husband burst through the door with the news that changed their lives: “‘Everyone in the city is � eeing!’ he said. We left right away. We didn’t bring food or water or anything. I even left the oven on.”

They fled to Mount Sinjar with thousands of Yazidis and were attacked along the way. She tells gut-wrenching stories of 12 relatives captured, children dying, hardships too horrific to recount.

After four days without food on the mountain and a terrifying journey to safety, Keser and her family made it to Zakho. They took refuge with other families in a construction site, where they slept on concrete � oors.

Medair met with Keser and asked her what she needed most. “When organisations like yours come here, I feel ashamed,” she said. “Before, I looked at people like those in

Syria, and I felt so sad for them. But now I realise that I have become like them.”

We provided Keser and her family with mattresses, blankets, plastic sheeting, buckets, rope, and soap. “Before, we were sleeping on the ground, so these things will help us so much,” said Keser. “Yesterday we were so sad, not knowing whether someone was coming to help us or not. Today we are thankful.”

“We hope in our children,” she continued, “that they will be able to forget this situation. It is only our children who make us alive.”

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Kirkuk

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SAUDI ARABIA

Sulaymaniya

ZakhoDuhok

TURKEY

Mosul Erbil

More than two million Iraqis fl ed from brutal attacks in 2014, and nearly half of them sought shelter in the Kurdistan Region of Iraq.

IR AQ

WARMTH IN A CRUEL YEAR

OUR CHILDREN MAKE US ALIVE

  MEDAIR.ORG/IR AQ

Photos, left: Families load mattresses onto a truck to transport them to their shelters.above: Keser and her children received crucial supplies from Medair.

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DIRECT BENEFICIARIES: 202,761  |  LEBANON: 72,400  |  JORDAN: 130,361   MEDAIR.ORG/SYRIAN-CRISIS

When Syrian families arrived in the Bekaa Valley in 2014, Medair gave them essential household supplies and shelter kits to help them set up sturdy, weather-resistant tents.

We also provided materials to improve the insulation of their shelters. “Our settlement was so thankful and continues to mention the many kits they have received,” said Foda, mother of two. “With Medair, things became much easier. We are happy now, since we feel safe and have a place to sleep.”

To protect against � oods and � res, we distributed emergency � ooding kits and gave 9,000 people � re-prevention training and extinguishers. We transformed 30 settlements into safer places, laying gravel, clearing refuse, and improving drainage.

In total, Medair provided relief to more than 70,000 people in the Bekaa Valley. We rehabilitated and supported four health clinics, providing a� ordable health care to more than 14,000 vulnerable Syrians and Lebanese.

Medair was the lead agency using GIS technology to map informal tented settlements in Bekaa Valley. “The GIS Mapping project has become a crucial source of information for all humanitarian agencies who are working to bring relief to Syrian refugees in Lebanon,” said Reine, Medair relief worker. “It means that the children and their families who escaped out of Syria are no longer being forgotten.”

In the desert near the Syrian border, Medair provided more than 9,000 refugees with shelter materials and supplies to protect them from the elements.

“Before, we slept on the mat we sit and eat on,” said Majida, 12. “Our tents are much better now. They are ready to face the wind and the rain.”

Medair also provided refugees with clean water kits including � lters and storage tanks. “Medair was the only organisation who came to help us,” said Mohammed, 13. “A lot of the kids could have ended up in hospitals because we did not have access to good water.”

In Jordan, most Syrian refugees rent apartments, so Medair identifi ed the most vulnerable families and paid their rent. We also provided unconditional monthly cash transfers, assisting more than 2,600 refugees. In addition, Medair repaired nearly 300 substandard apartments for both Jordanians and Syrians.

“A door of hope was opened when Medair knocked on our door,” said Ibrahim, father of seven. “You have preserved our dignity and given us hope through this dark tunnel.”

Medair supported six health clinics and provided nearly 26,000 children with nutritional supplements. “I wish that children around the world would never face a crisis like this because I do not wish for any child to live in these circumstances,” said Majida. “We want to be reunited with our friends and family.”

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Tyre

HalabAl-Qamishli

HamahDayraz-Zawr

MEDITERRANEANSEA

IRAQ

SAUDI ARABIA

ISRAEL

EGYP

T

Damascus

As-Suwayda

Amman

Al-Karak

TURKEY

JORDAN

LEBANON

BeirutBy the end of 2014, more than 3.7 million Syrians were living as refugees in neighbouring countries like Lebanon and Jordan, with no way to earn income.

SYRIAN CRISIS

LEBANON JORDAN

Photo: Medair unloads shelter materials for Syrian refugees in Lebanon.

A Syrian child takes refuge in an apartment in Jordan paid for by Medair's cash-for-rent programme.

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Photo: A Jordanian mother receives nutritious food for her malnourished daughter.

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DIRECT BENEFICIARIES: 10,101 DIRECT BENEFICIARIES: 163,059   MEDAIR.ORG/HAITI   MEDAIR.ORG/SOMALIA

On rainy nights, Edith and her children used to sleep under their kitchen table to stay dry. A hurricane had damaged their house, but the family could not a� ord to repair it. “Life is so di� cult,” said Edith. “My most urgent need is for a better house. I feel hopeless.”

In 2014, Medair provided families with disaster-resilient homes and rainwater harvesting systems in isolated Côtes-de-Fer, where families walk for hours every day to gather water.

“My life and my family’s life have improved in many ways,” said Edith. “We have a safe, dry home to live in. I now hope that it rains, because I will use that water to grow my vegetable garden. Thank you for your help, which has brought hope to my family’s future.”

Medair also provided shelter and built or repaired more than 300 rainwater systems in the rural communities of La Montagne and Bas Cap Rouge. “I am so happy that I have no words to express my joy,” said Abel, who received a new house. “I have peace of mind because I have a safe, dry place to raise my children.”

In 2014, Medair focused on training more homeowners and local builders about disaster-resilient construction techniques. “I was pleased to participate in the training on techniques to build houses that can withstand earthquakes and hurricanes,” said Gusmann, a mason in La Montagne. “With the good job that Medair and these engineers are doing in the area, Haiti will be beautiful with safe houses.”

South-central Somalia is among the world’s most challenging places to provide humanitarian aid. Insecurity limits access to the most vulnerable populations, while roadblocks make it difficult to transport aid.

Since 2013, Medair has been working in close partnership with two trusted local NGOs to deliver a wide range of life-saving services in south-central Somalia. “We are willing to take risks while working for Medair because we are saving lives,” said a Medair relief worker. “I might risk my life, but I am saving 300 lives along the way.”

In 2014, Medair’s partnership model proved to be a huge success. We reached more than 160,000 people with life-saving aid, while building the capacity of local health care providers and partner agencies. We supported three health facilities and upgraded two clinics, better equipping them to serve patients.

Medair also opened a 24-hour obstetric clinic to improve the quantity and quality of deliveries assisted by skilled birth attendants. The impact was immediate: The number of deliveries at

Medair-supported facilities increased from 17 in April 2013 to an average of 500 per month from March 2014 onward!

“Pregnant women used to die due to a lack of services,” said a local Medair partner. “Our health centres are now providing better services than the hospitals.”

CARIBBEAN SEA

CARIBBEAN SEA

ATLANTIC OCEAN

GOLFE DE LA GONÂVE HAITI

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CUBA

DOMINICANREPUBLIC

Jacmel

Port-au-Prince

BainetCôtes-de-Fer

Haitians contend with frequent natural disasters and a scarcity of opportunities that make it diffi cult for vulnerable families to improve their lives.

HAITI

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ETHIOPIA

INDIAN OCEAN

GULF OF ADEN

KENYA

DJI.

SOMALIA

SOMALILAND

Somalia’s internal conflicts have displaced more than one million people, while chronic drought and acute malnutrition are taking a deadly toll.

SOMALIA

BEAUTIFUL WITH SAFE HOUSES REACHING THE HARDEST TO REACH

Photo: A pregnant woman is examined by a midwife at a clinic in Somalia.

Photo: Iphenia and her children can’t stop smiling about their new home.

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DIRECT BENEFICIARIES: 56,719   MEDAIR.ORG/PHILIPPINES

In 2014, Medair met many families living under tarps or in homes rebuilt with weak materials that were vulnerable to future disasters.

We consulted with local communities to design a long-lasting shelter that resembled a traditional home but was built to maximise strength and durability. We then hired and trained local carpenters to build 600 disaster-resilient homes for the most vulnerable families in Dulag and 148 homes in neighbouring Julita.

All the homes have a strong wooden frame, concrete foundation, concealed hurricane straps, and other design elements that enable them to withstand winds of up to 200 km/hour. “I feel hope because of our new home,” said Needa, a grandmother.

On top of that, we reconstructed three damaged health clinics and distributed roof kits to families. To prepare people for future disasters, Medair trained more than 1,100 people on disaster risk reduction. “I learned how to build a stronger house that is better prepared for typhoons,” said Mary Ann. “I didn’t know how to prepare for a typhoon before, as no one else had told us. Now I do.”

Our work was put to the test in early December, when a powerful typhoon struck. Thankfully, all of Medair’s homes withstood the typhoon without damage, a demonstration of their disaster-resilience and the heightened level of preparedness in the community.

Dulag

Julita

La Paz

LEYTEISLAND

Tacloban City

Cebu City

BOHOL ISLAND

CEBU ISLAND

PHILIPPINES

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The Philippines is hit by multiple destructive storms each year; in November 2013, Typhoon Haiyan left more than four million people displaced.

THE PHILIPPINES

REBUILDING HOPE

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DIRECT BENEFICIARIES: 455,155   MEDAIR.ORG/SOUTH-SUDAN

Before the fighting began, James was a Member of Parliament. Within days, he lost everything. “My heart is broken,” he said. When a measles outbreak struck his camp, Medair vaccinated more than 6,000 children. “It’s so good that the measles outbreak is being stopped from spreading further,” said James. “Medair saves lives. I’m really thankful, and I want Medair to do more.”

Medair also vaccinated 21,000 people against cholera, which made a massive life-saving di� erence when a deadly outbreak started outside the camps a month later.

Severe food scarcity pushed South Sudan to the brink of famine, as Medair-supported clinics treated more than 10,000 people for acute malnutrition. “We are working night and day,” said Peter, a South Sudanese medic. “People are starving, and families sometimes have to choose who gets food and who doesn’t.”

Ongoing insecurity led to restricted movements, staff relocations, and logistical challenges. Conflict engulfed Renk Country, an area where Medair was one of the few agencies delivering health,

nutrition, and WASH. As tens of thousands f led, we moved our emergency clinics to reach them, saving many lives.

Despite the year’s turmoil, Medair’s sta� adapted well to the country’s rapidly changing environment. Our team saved lives and lifted the spirits of thousands of people clinging to signs of hope. “I would like to thank everyone who has given help,” said Peter. “It gives us hope.”

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Juba

Maban

MalakalBentiu

Bor

Violence erupted in Juba in December 2013 and escalated in 2014. Close to 1.9 million people fl ed, and nearly four million faced critical food insecurity.

SOUTH SUDAN

CLINGING TO SIGNS OF HOPE

Photo: A Medair nutritionist provides nourishing food to Buar, a severely malnourished child in Panyijar County.

Photo: Medair carpenters work on a new house in Dulag, Leyte Island.

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DIRECT BENEFICIARIES: 68,039 DIRECT BENEFICIARIES: 822   MEDAIR.ORG/MADAGASCAR   MEDAIR.ORG/SIERR A-LEONE

In the isolated villages of northeast Madagascar, Medair is committed to bringing thousands of families a steady source of safe water that will enable them to live healthier lives.

In 2014, Medair teams installed 52 drilled wells with hand pumps in remote villages, providing safe water to more than 6,000 people. The impact on health was dramatic: “Since we’ve been using the pump, I have seen no cases of diarrhoea in our neighbourhood,” said Louisette, mother of three. “We used to have to send children to the health post every week!”

Medair used creative methods like puppet shows and open-air cinema to teach large crowds about the benefi ts of hygiene and sanitation. We also trained 445 village volunteers about correct latrine use and good hygiene practices. These volunteers made regular door-to-door visits, reaching thousands of people and helping them make informed health choices. “They are benefactors to our village, just like doctors,” said one mother.

“Medair’s projects succeeded in 2014 thanks to the trust of our donors and the remarkable e� orts of our sta� who provided high-quality

service despite working in extremely hard-to-reach areas,” said Dr David Sauter, Head of Country Programme. “No one else is doing what Medair is doing in these areas. Our work remains absolutely essential.”

In November, Medair sent an emergency team to Sierra Leone to join the fight against Ebola. The risks were well-known: Seven of every 10 patients had died, including many health workers. “The greatest risk is to do nothing,” said Medair’s Dr Trina Helderman. “Without humanitarian assistance, the outbreak could spread to other countries and thousands more could die.”

We united with a local partner, Lifeline Nehemiah Projects, to launch a response in Kuntorloh, an Ebola hotspot east of Freetown. “The local authorities had quarantined households with con� rmed cases of Ebola to protect the public,” said Trina, “but it was equally important that quarantined households not become death traps or a breeding ground for the disease.”

We trained 60 health workers to support 670 quarantined people with daily visits, providing food supplements, safe water, infection-prevention items, and other supplies. The team provided psychosocial support and education about Ebola prevention, symptoms, and treatment.

With help from partner agencies, Medair started an Ebola Treatment Centre. By the end of 2014, we had trained 92 health sta� , including survivors like Elizabeth, a nursing student who lost � ve of her family to Ebola. Instead of hiding away in grief, Elizabeth chose to work in the centre and save lives: “We have to stop all the people from dying like this.”

MOZAMBIQUECHANNEL

INDIANOCEAN

Antananarivo

Toamasina

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Maroantsetra

Northeast Madagascar is dotted with communities that can only be reached on foot or by boat, and most families lack safe drinking water.

MADAGA SC AR

LIBERIA

GUINEA

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SIERRA LEONE

KuntorlohFreetown

In 2014, an Ebola outbreak in West Africa became one of the greatest public health emergencies of our time, killing more than 6,000 people.

SIERR A LEONE

NO MATTER HOW REMOTE THE GREATEST RISK IS TO DO NOTHING

Photo: A Medair health worker wears protective equipment at the Ebola Treatment Centre.

Photo: Louisette has seen major health improvements in her village since Medair installed a new source of safe water.

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DIRECT BENEFICIARIES: 81,040

In the drought-aff ected Central Highlands, Medair ran an ambitious project to improve long-term food security. We trained more than 2,000 farmers on increasing crop yields and gave them tools, fertiliser, and seeds. We also taught more than 1,600 women to grow and preserve their own vegetables. “This is very good for us,” said Sakina, mother of three. “Our children are not malnourished!”

At the same time, we paid 1,440 farmers to to build dams and trenches to reduce � ood damage and improve water in� ltration into the soil. “This money will help cover some of my losses and will help my family this winter,” said Sadiqi, father of four. “We are poor and we are remote, but you have improved life for us in this village.”

Medair improved access to safe drinking water for more than 6,500 people and provided latrines and hygiene training. “The results from the safe water and hygiene training are good,” con� rmed Dr Saiafullah, a physician in the region. “Compared to last year, the number of diarrhoea cases has gone down by 80 to 90 percent.”

We also expanded into southern Afghanistan, a confl ict-ridden region where few other NGOs work. We ran eight mobile nutrition clinics in response to high rates of acute malnutrition, screening more than 10,000 children and treating nearly 1,700 of them. “I am happy and thankful to have Medair’s clinic in my area,” said a community leader. “Children are improving, gaining weight, and thriving so well.”

Laila and her family live in a remote village halfway up the side of a mountain. In their house is a half-empty sack of � our that won’t last more than a month. That’s all the food they have for winter. Laila missed weeks of school to earn that � our by working with her mother in the � elds.

“I want to go to school, but I must work so my family has food,” said Laila, age nine. “I miss learning and playing with my friends.”

Winters in the Central Highlands are unforgiving and unrelenting; they last nearly half the year. Families spend the short growing season trying to store enough food for winter, but f looding and drought have eroded soil and damaged fields, leading to poor crops and widespread food scarcity. More than half of the children in this region suffer from chronic malnutrition.

“We need food,” said Gultamam, Laila’s mother. “I have nothing but flour for my children and it is almost finished. My children always say, ‘Why are you only giving us tea with bread?’”

In 2014, Medair worked in dozens of Afghan communities to make the impact of winter less severe. We identified vulnerable families in need of urgent assistance and gave them cash to cover the costs of food for the winter. “I will use the money to buy my children food, and fuel to heat this house,” said Gultamam. “We would have nothing without this money.”

UZBEKISTAN

TAJIKISTAN

TURKMENISTAN

IRAN

PAKISTAN

INDIA

CHINA

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Yawan

Kabul

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Faizabad

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BehsudWaras

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Kandahar

Families are coping with degraded land, fl oods, and drought, along with insecurity in the south. Malnutrition accounts for nearly half of all child deaths.

AFGHANISTAN

FEED A CHILD, NOURISH A FAMILY, RENEW THE LAND

A DIET OF BREAD AND TEA

  MEDAIR.ORG/AFGHANISTAN

Photos, left: A boy fi lls his water container at a Medair-built water point in a mountain village.above: Laila has a meal of bread and tea beside her mother and two younger sisters.

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DIRECT BENEFICIARIES: 424,373 DIRECT BENEFICIARIES: 63,157   MEDAIR.ORG/CONGO   MEDAIR.ORG/ZIMBABWE

In conflict-torn Nord Kivu, Medair began supporting 21 health clinics so that displaced families could access critical medical care. “We had been hiding in the bush close to our fields, but came to Makayanga health post because I needed help with the birth,” said new mother Jose, 17. “The assistance of Medair gave us somewhere to go in a time of distress.”

In 2014, Medair provided more than 380,000 health consultations at clinics in remote or conflict-affected areas. We trained and supervised hundreds of health workers, vaccinated more than 10,000 children, and supported more than 13,000 safe deliveries.

We also continued a multi-year infrastructure project that is making an enormous impact in the northeast, improving humanitarian access and economic development. We rehabilitated 22 bridges and culverts, repaired a barge, and opened up access along 119 km of roads. “Things have already started to change here, more bikes are coming by, and there is more movement,” said Encoté, mother of � ve. “People are not as afraid. The whole world is bene� ting from the bridges!”

Medair hired nearly 1,800 local men and women to build the bridges, which provided the labourers with new skills and much-needed income. “For my � rst payment, I used it to buy beds for my family,” said Eka. “Working with Medair will help the future of my children.”

After more than four years of relief and recovery services, Medair concluded its humanitarian activities in Zimbabwe in May 2014.

Before closing, Medair helped complete a large WASH project as part of a consortium of implementing partners. We installed 65 water storage tanks in Bulawayo schools, improving access to safe water for more than 60,000 students and teachers. Our team also delivered health, hygiene, and life-skills training that reached more than 60,000 children.

“This project has had a profound e� ect on the lives of children and school sta� ,” said Philip Walker, Head of Country Programme.

Since 2013, the Bulawayo project has greatly improved water and sanitation access in the city’s most at-risk neighbourhoods. Medair worked with a consortium that drilled and repaired boreholes, rehabilitated the water treatment plant, installed storage tanks, improved sanitation facilities, and provided health and hygiene promotion.

“Leaving Zimbabwe is never easy,” said Philip. “This is the second time Medair has

worked here; the country and its people truly have a hold of our hearts. Yet we leave con� dent that—thanks to our generous supporters and the sheer dedication and e� ort of our sta� —we have made an immense and lasting contribution to some of the most vulnerable people of Zimbabwe.”

DEM. REP.OF CONGO

SOUTH SUDANC.A.R

CAMER.

REP.OF CONGO

GABON

ANGOLA

ZAMBIA

TANZ.

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E q u a t o r

Lua l a b aKinshasa

Kisangani

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Doruma

Bunia

Dungu

Chronic insecurity has displaced 2.6 million people, while poor roads and bridges have left entire regions isolated from outside assistance.

D.R. CONGO

BOTSWANA

ZAMBIA

SOUTH AFRICA

MOZAMBIQUE

ZIMBABWE

HarareNembudziya

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After Zimbabwe’s cholera outbreak in 2008-2009, Medair worked to improve life-threatening problems with the country’s water infrastructure.

ZIMBABWE

A TIME OF DISTRESS LEAVING ZIMBABWE

Photo: A student fills his water container from a new storage tank.

Photo: Medair supported the Makayanga health post, providing conflict-affected women a safe place to give birth.

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Funding Partners Words from Our Partners

Medair International Leadership

Organisational supporters listed alphabetically ≥ USD 15,000.

    The European Commission is very proud of the work that Medair is doing in South Sudan. We appreciate the commitment, capacity to work in tough conditions, the motivation of the teams, and the quality of the work.

The motivation of both the international as well as the national staff is excellent—that really makes a difference. The staff are very well trained and know what they are doing.

- Inma Vazquez, European Commission, South Sudan (centre of photo)

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International Board of TrusteesChristina Bregy, PresidentChris Lukkien, Vice PresidentTorsten de Santos, TreasurerArno IJmker, SecretaryEleanor Dougoud Jacques Demaurex Klaas van MillNigel Harris

International DirectorsJim Ingram, Chief Executive O� cerGregory Pasche, Marketing & Relationships DirectorJames Jackson, Executive O� ce DirectorMark Screeton, International DirectorMartin Baumann, Finance DirectorPeter Holloway, Human Resources Director

As of 31 December 2014

UNITED NATIONS, INTERGOVERNMENTAL, AND GOVERNMENTAL PARTNERSCommon Humanitarian Fund Department for International Development (UK)EC-Directorate General for Humanitarian Aid and Civil ProtectionEC-Directorate General for International Cooperation and DevelopmentPooled Fund (CD)Swiss Agency for Development and CooperationUN Children’s Fund

UN Development ProgrammeUN Offi ce for the Coordination of Humanitarian Aff airsUN High Commissioner for RefugeesUN Human Settlements ProgrammeUS Agency for International DevelopmentUS Department of StateWorld Food Programme

INSTITUTIONAL AND NON-GOVERNMENTAL ORGANISATIONAL PARTNERSDisasters Emergency Committee (UK)EO Metterdaad (NL)ERIKS Development Partner (SE)Läkarmissionen (SE)Mennonite Central Committee with Canadian Foodgrains Bank (CA)Mission Aviation Fellowship (SE)

Mission Alliance (NO)Swiss SolidarityTEAR (AU)Tearfund (BE) Transform Aid (AU) World Concern (US)

OTHER CORPORATE, PUBLIC, AND PRIVATE ORGANISATIONAL PARTNERSAgence de l’eau Rhône Méditerranée Corse (FR)Aligro (CH)All We Can (UK)Capital Group, Geneva (CH)Clemens Family Corporation (US) COFRA Foundation (CH) COLIVER Foundation (CH)Cornwell Mann Foundation (US) Däster-Schild Foundation (CH)Divesa Foundation, Assura Group (CH)Emeraude Solidaire (FR)Ernest Matthey Foundation (CH)Fondation du judaisme français (FR)Fondation du protestantisme (FR)Gebauer Foundation (CH)Generations Foundation (UK)Genossenschaft HILFE (CH)Gertrude Hirzel Foundation (CH)

GvC Chile Hegi (CH)HLLP Beheer — Louis Reyners BV (NL)ICF Bern Celebration (CH)ICF Mittelland/Lovewins (CH)Leopold Bachmann Foundation (CH)Lotteriefonds Kt. Zürich (CH)Maurice and Hilda Laing Charitable Trust (UK)Medicor Foundation (LI)Pictet Group Charitable Foundation (CH)Pierre Demaurex Foundation (CH)Qlik (US)Région Rhône Alpes (FR)Resurgens Foundation (CH) Souter Charitable Trust (UK)Stanley Thomas Johnson Foundation (CH)Stichting Draagt Elkanders Lasten (NL)Trade Aid (UK)Zürich Zoo (CH)

GIFTS-IN-KIND PARTNERSCarpmaels & Ransford Doctors Without BordersGoogle International Organisation for Migration Mayer Brown

UN Children’s FundUN High Commissioner for Refugees World Food ProgrammeWorld Health Organization

Financial Review

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Be Christian, Medair staff in Madagascar, shows off his new EcoSan latrine.

BENEFICIARY EXPENSE BY SECTOR 2014

OPERATING INCOME 2014

0.62  % OTHER INCOME

17.09  % OTHER INSTITUTIONAL DONORS

60.09  % GOVERNMENTS, EU, UN

1.43  % GIFTS-IN-KIND

20.76  % PRIVATE DONATIONS

OPERATING EXPENSE 2014

PROGRAMME INCOME AND EXPENSE 2014 (USD)

7.24  % HUMANITARIAN EXPENSE (INDIRECT)

5.84  % GENERAL MANAGEMENT

4.53  % FUNDRAISING

82.40  % HUMANITARIAN EXPENSE (DIRECT)

7.90  % NUTRITION

3.68  % OTHER

21.02  % WATER, SANITATION, AND HYGIENE

1.04  % FOOD SECURITY

39.60  % SHELTER AND INFRASTRUCTURE

21.30  % HEALTH

5.46  % DISASTER RISK REDUCTION

Afghanistan D.R. Congo Haiti Iraq Madagascar Philippines Sierra Leone Somalia South Sudan Syrian Crisis Zimbabwe

INCOME 3,689,290 6,260,911 2,917,856 1,896,915 1,487,401 3,826,103 232,739 1,807,650 15,916,690 11,736,190 705,694EXPENSE 3,698,696 5,816,717 2,587,430 976,045 1,288,900 3,917,871 175,354 1,553,734 15,215,178 11,410,904 729,185

16,000,00015,000,00014,000,00013,000,00012,000,00011,000,000

10,000,0009,000,0008,000,0007,000,0006,000,0005,000,0004,000,0003,000,0002,000,0001,000,000

0

2014 2013

ASSETS

CURRENT ASSETS Cash and cash equivalents 9,510,499 8,855,891 Donor receivables 7,684,517 7,136,233 Other receivables 220,183 193,883 Inventory 103,678 91,560 Prepayments 416,448 116,311 17,935,325 16,393,879

LONG-TERM ASSETS Financial assets 368,909 259,196 Capital assets 840,147 854,308 1,209,056 1,113,504TOTAL ASSETS 19,144,381 17,507,382

LIABILITIES, FUNDS AND CAPITAL

CURRENT LIABILITIES Deferred income 5,260,801 5,119,724 Donor payables 38,753 – Accounts payable 839,108 931,361 End-of-contract benefits 191,200 – Accrued liabilities 474,648 489,963 Provisions 266,022 206,526 7,070,532 6,747,574

LONG-TERM LIABILITIES Long-term debt 50,536 56,150 End-of-contract benefits 410,765 87,690 461,300 143,840

RESTRICTED FUNDS Restricted income funds 567,614 421,084 Restricted programme funds 2,663,329 2,240,468 3,230,943 2,661,552

CAPITAL / UNRESTRICTED FUNDS Unrestricted capital 1,928,245 1,803,707 Allocated capital 6,453,361 6,150,709 8,381,607 7,954,416

TOTAL LIABILITIES, FUNDS and CAPITAL 19,144,381 17,507,382

All figures shown are in USD All figures shown are in USD 2014 2013

Unrestricted Restricted Total Total

OPERATING INCOMEGrants – 41,842,934 41,842,934 34,467,979 Donations 6,487,827 4,768,677 11,256,505 9,772,822 Gifts-in-kind 61,799 715,805 777,604 782,734 Other income 85,964 251,184 337,148 254,587 6,635,591 47,578,600 54,214,191 45,278,123

OPERATING ExPENSEHumanitarian expense -47,611,640 – -47,611,640 -39,752,716Administrative expense -5,504,091 – -5,504,091 -5,671,856 -53,115,731 – -53,115,731 -45,424,572

OPERATING RESULT -46,480,141 47,578,600 1,098,460 -146,449

FINANCIAL RESULTFinancial income 66,349 12,117 78,466 12,498Financial expense -9,133 -131 -9,264 -66,483Realised gain/(loss) on exchange 262,909 2,926 265,835 173,460Unrealised gain/(loss) on exchange -328,864 11,869 -316,995 22,409 -8,739 26,781 18,042 141,884

RESULT BEFORE CHANGE IN FUNDS -46,488,879 47,605,381 1,116,502 -4,565

CHANGE IN FUNDSRelease of restriction 46,880,993 -46,880,993 – (Allocation to)/Withdrawal from restricted funds – -724,388 -724,388 604,308

ANNUAL RESULT BEFORE ALLOCATION TO CAPITAL 392,114 – 392,114 599,743

(Allocation to) Capital / unrestricted funds -392,114 – -392,114 -599,743

ANNUAL RESULT – – – –

Consolidated Balance Sheet as of 31 December 2014

Consolidated Income Statement 2014

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medair.org/donatePublished July 2015

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Photos,  front cover: A Filipino family awaits the completion of their new disaster-resilient home. © Medair / Miguel Samper.back cover: Families in a remote Afghanistan village are happy to have a new, convenient source of safe drinking water.

MEDAIR INTERNATIONALChemin du Croset 91024 EcublensSwitzerlandTel.: +41 (0) 21 694 35 35

MEDAIR UKUnit 3, Taylors Yard67 Alderbrook RoadLondon, SW12 8ADUnited KingdomTel.: +44 (0)20 8772 0100united.kingdom@medair.org

MEDAIR USPO Box 4476Wheaton, IL 60189-4476United States of AmericaToll Free in US +1 (866) 599 1795united.states@medair.org

Charity registered in England & Wales no. 1056731Limited Company registered in England & Wales no. 3213889

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