Acf-usa 2004 Annual Report

2004 ANNUAL REPORT

Design by: Marga Peces + Cynthia Mejías

Action Against Hunger USA, headquartered in New York, is a key member of the Action Against Hunger International Network. In 2004, Action Against Hunger helped save and improve the lives of 5 million people suffering from, or threatened by, starvation around the world. At the heart of this effort are Action Against Hunger's 4400 dedicated national and expatriate staff around the world, working to create a world without hunger. The people who make up Action Against Hunger come from 65 countries, including every country in which we work.

Action Against Hunger's vision is a world without hunger. We work toward this goal in two general ways: First, we intervene in crisis situations to treat children and their families suffering from acute malnutrition—saving the lives of people who are literally dying of starvation. Second, and equally important, we work with communities to ensure that people have sustainable, long-term sources of food and water, so that future emergency interventions will not be needed.

Working on the frontlines, Action Against Hunger's more than 4000 national staff in our 44 country programs make up the core of the organization. They are nurses who stay up all night in Therapeutic Feeding Centers to feed malnourished children every two hours, engineers who dig wells to provide clean water to villages, drivers who transport staff and supplies to field offices, and security guards and radio operators who make sure our programs and staff are safe, to name just a few of the crucial roles they play.

The best example of our emergency relief work is our network of feeding centers. Across Africa, Asia, and Latin America, the staff of Action Against Hunger's Therapeutic Feeding Centers (TFCs) nurse severely malnourished children back to health, adhering to strict protocols developed over the years. Administering F100, the high-energy milk formula pioneered by Action Against Hunger, and other treatments, we have reduced mortality from malnutrition from as high as 25 percent to as low as 5 percent. Furthermore, by treating moderately malnourished children in Supplementary Feeding Centers before they reach this potentially deadly state, and by going door to door to find children suffering from malnutrition, we reduce needless suffering.

Backing up the national staff are more than 400 expatriate staff—most from North America and Europe, but also from many developing countries. Our expatriates are experienced managers and technical experts in Action Against Hunger's program areas—nutrition, water and sanitation, food security, and health. Some started with Action Against Hunger as national staff. They usually sign on for one-year contracts, but many renew over and over, spending years in the field. Finally, the staff in our five headquarters—New York, Paris, London, Madrid, and Montréal—are the administrative backbone of the Action Against Hunger International Network. These people—several of whom have spent many years in the field themselves and who go to the field frequently—guide the field-based programs, oversee the finances, liaise with public and private donors, recruit and manage expatriate staff, and provide a public face for Action Against Hunger. Every staff member at Action Against Hunger plays a unique and crucial role in our ongoing mission to eradicate hunger and poverty around the world. Without their tireless efforts and dedication in the face of relentless suffering and poor working conditions, we would not exist. Cathy Skoula Executive Director, Action Against Hunger USA

From the President

From the Executive Director

A World Without Hunger

Longer-term strategies are typified by our food security programs. In most cases, hunger is the product of wars, natural disasters, or other crises that render people unable to depend on their traditional sources of income and food. Action Against Hunger helps people get back on their feet by providing fishing equipment or seeds and tools to start (or restart) farming. In addition to these physical requirements, we also provide training in agriculture, fishing, food conservation, nutrition, and basic business management to ensure that the beneficiaries will be able to use the tools to guarantee a consistent, reliable source of food and income. Another key aspect of Action Against Hunger's philosophy and our success is our commitment to constant innovation. In 2004, for example, we tested a new home-treatment protocol, providing PlumpyNut, a solid substitute for F100, to malnourished children, enabling them to go home after only one week in a TFC, instead of the normal 30 days. We are also studying the ways in which HIV/AIDS and malnutrition interact to ensure that we are providing the most effective treatment to people who are both malnourished and living with HIV/AIDS. This commitment to intervening to save the lives of the most vulnerable and working with communities to develop long-term solutions to hunger, relying on both dedication and scientific ingenuity, is what enables Action Against Hunger to help save the lives and restore the dignity of more than 5 million people every year. Burton K. Haimes President, Action Against Hunger USA

MISSION

For more than 25 years, Action Against Hunger has pursued its vision of a world without hunger, saving the lives of malnourished children and families. We provide relief,

OUR PROGRAMS Action Against Hunger's programs serve more than 5 million people each year. Yet with an estimated 840 million people suffering from hunger and some 1.1 billion lacking sufficient drinking water, much work remains to be done. Action Against Hunger's five-pronged approach integrates nutrition, water and sanitation, food security, health, and advocacy programs:

recovery, and rehabilitation services and specialize in emergency situations of war, conflict, and natural disaster. Action Against Hunger has established itself as a leader in the struggle to end hunger and malnutrition and we work with communities in 44 countries to develop strategies to restore dignity and self-sufficiency for the long term. Our international network—with headquarters in London, Madrid, Montréal, New York, and Paris— offers an impressive array of global surveillance, rapid response, and emergency preparedness capabilities.

Nutrition

Fo o d S e c u r i t y

Water and Sanitation

Health

Advocacy

Our Therapeutic Feeding Centers save the lives of severely malnourished children and adults who may be just hours away from death. Action Against Hunger developed, field tested, and pioneered the now widely used therapeutic milk formula F100, which has decreased the mortality rate of severely malnourished children under the age of 5 from as high as 25 percent to as low as 5 percent. We also operate Supplemental Feeding Centers, distributing nutritionally balanced food supplies to treat malnutrition before it becomes life-threatening.

Treating malnutrition is only the beginning. Action Against Hunger combines emergency relief with programs that help develop dependable sources of food and income. By providing seeds, tools, and training programs for income-generating activities such as farming, gardening, animal breeding, fishing, small–scale retailing, and food conservation, we work to help communities attain long-term self-sufficiency.

Every year, 2.2 million people, most of them children, die from diseases associated with unsafe drinking water, inadequate sanitation, and poor hygiene. Action Against Hunger provides access to safe drinking water by tapping springs, drilling wells, and installing water systems. We also teach the importance of water and sanitation in preventing disease, and train local teams to maintain water and sanitation equipment.

Hunger and disease are inextricably linked. Action Against Hunger’s staff includes experts on the medical aspects of malnutrition, tailoring our treatment to ensure that malnourished children and their families receive not only the food they need to regain their health but also medical treatment for diseases associated with malnutrition. We also integrate health initiatives into all of our other programs, and are on the cutting edge of research on the links between HIV/AIDS and hunger.

Action Against Hunger continually analyzes the fundamental causes of hunger and publicizes our findings to government officials, international organizations, and the public. Our advocacy and public awareness efforts aim to effect institutional and cultural changes to help create a world without hunger.

200 4 OV E RV I EW

Innovations in Home Treatment

New Mission Opened in Chad

In February, Action Against Hunger launched an alternative to its Therapeutic Feeding Centers for the treatment of severe acute malnutrition. Home treatment requires ailing children to stay in the Center for only 10 days rather than 30, which eases the strain on families. Our trial program in Uganda proved to be as successful at treating severe acute malnutrition as our traditional 30-day regimen, so later in the year we introduced home treatment in southern Sudan and Kenya as well.

In January, we carried out an evaluation in Chad of more than 135,000 refugees from neighboring Darfur, Sudan. We found that water and sanitation were of highest concern. By June, independent nutritional surveys found extremely high rates of malnutrition (35 to 39 percent) among the refugees as well as among the host population. Following this report, when the refugee count had climbed to 187,000, the United Nations High Commission for Refugees asked Action Against Hunger to intervene. As a result, in September, we opened a mission to oversee nutrition in the camps.

H I G H L I G H T S Indonesia. We were able provide relief assistance to 132,825 beneficiaries in the affected areas, and prevent further outbreaks of disease and malnutrition through our water and sanitation programs. In the United States, Fox News interviewed our Communications Manager, John W. Sauer, who outlined rescue and rehabilitation procedures and explained how viewers could assist in addressing the crisis.

In 2004, Action Against Hunger again helped more than 5 million beneficiaries worldwide. The year began and ended with a similar challenge—responding to a crisis caused by an earthquake in Asia. On December 24, 2003, an earthquake devastated Bam, Iran, and on December 26, 2004, a tsunami crippled Southeast Asia. Throughout the year we responded to a myriad of challenges and heart-breaking

H I V / AI D S Research

Nelson Mandela Honored a t Wo r l d Fo o d D ay G a l a

situations occurring across the rest of the world. We are pleased to report that we are making progress in this ongoing battle. The following paragraphs highlight some of our successes and achievements during 2004.

In June, we began supporting a humanitarian organization in Zambia that focuses on assisting children infected with HIV/AIDS. This disease poses a unique challenge for nutritional rescue. Children with the disease recover more slowly from malnutrition and die at higher rates than children who are free of HIV. To learn why, we've begun a research project at Therapeutic Feeding Centers in Malawi, where one-third of the children carry HIV, to learn how our nutritional rescue protocols should be modified for beneficiaries with the disease.

Effective Response to Tsunami in Asia On December 26, a new earthquake in Asia sent a devastating tsunami across the Indian Ocean, ravaging the shores of southern Asia and east Africa while traveling as far as 1.5 miles inland. More than 283,100 people were killed, 14,100 were listed as missing, and 1,126,900 were displaced in ten countries. Action Against Hunger responded within hours, concentrating mainly on Sri Lanka and

On October 5, Action Against Hunger's annual World Food Day Gala at New York's Metropolitan Club honored Nelson Mandela, the Nobel Prize-winning anti-Apartheid crusader; Dr. Yvonne Grellety, who helped create the F100 therapeutic formula that slashed mortality rates caused by severe acute malnutrition from 25 percent to 5 percent; and Martin Franklin, Chair and CEO of Jarden Corporation. The event was a resounding success, raising more than $600,000 to assist in the development and implementation of our global programs.

Restaurants Against Hunger Success On October 19, we held our third annual Restaurants Against Hunger program, also in

honor of World Food Day. Over 115 restaurants in Boston, Chicago, Los Angeles, New York, San Francisco, and Washington, D.C., donated as much as 20 percent of the day's revenues in support of this cause, generating over $35,000 in donations and increasing awareness of the problem of world hunger.

Vo l u n t e e r / Corporate Support Action Against Hunger USA wishes to emphasize that we could never accomplish our goals—while maintaining a uniquely low overhead that sends more than 90 cents of every contributed dollar directly to programs in the field—without the efforts of nearly 200 committed volunteers. They perform a broad array of tasks essential to our achievements, ranging from lending us their professional design and marketing skills to stuffing envelopes. Action Against Hunger is similarly grateful for the pro bono support of for-profit businesses that assisted in a whole range of business functions including creating marketing collateral, generating PR, and creating online design templates to name a few.

OU R STORI E S contain one common thread—helping vulnerable populations regain self-sufficiency and long-term sustainability.

T S U N Ai nMI n Id o nRe sEi a La nIdES rFi L a n k a Disaster hit on December 26, 2004. An unpre-

ensure that the populations with whom we work in

Due to the support of tens of thousands of

cedented earthquake hit off the coast of Indone-

Jaffna, Colombo, and all along the eastern shore

donors, Action Against Hunger was able to

sia, sending out a massive tsunami across South

in Sri Lanka are empowered by our aid.

respond quickly, and we have the financial and

and Southeast Asia, destroying villages and people

human capacity and resources to carry out our

in its path. Few directly hit survived, but for those

In Indonesia, Action Against Hunger has been

mid-term target programs. Ultimately our plan

who did, an even greater challenge awaited them:

working on the west coast of Aceh Province,

will help rebuild the destroyed areas.

how to rebuild what they had lost. Action Against

including the capital, Banda Aceh. The tsunami

In administering our aid, we have made every

Hunger was ready to respond immediately.

devastated the infrastructure in this area, making

effort to ensure that we avoid the sometimes

Bolstered by an exceptional response by the media

it almost impossible to reach the hardest-hit rural

dangerous consequence of humanitarian aid:

and donors, we put in place a solid, long-term plan

communities.

dependency. Whenever possible we have

to help the areas recover from the tsunami.

purchased our supplies from the local market, Yet Action Against Hunger attacked these logistical

bolstering the economy while saving people’s lives.

During the first few days in Sri Lanka, where we

problems with all of its available resources, and

We have implemented cash-for-work programs,

have had programs (managed by ACF-France)

within the first week had begun distributing aid,

and helped people acquire the supplies to begin

since 1996, our staff concentrated on collecting

supplying clean water, and maintaining basic

fishing and farming again. Our efforts have

dead bodies, supplying clean drinking water, and

sanitation. Our long-term plan focuses on resettle-

benefited more than 130,000 people; however,

restoring basic sanitation to the displaced popula-

ment and revival: rebuilding destroyed homes and

there is still a long way to go. But thanks to

tions. Once the immediate danger was over, Action

agricultural and economic infrastructure.

generous donors and Action Against Hunger's

Against Hunger continued to provide assistance,

Elsewhere in Indonesia, we are also establishing

expertise, the people hit by the tsunami are

building latrines, maintaining a supply of clean

a disaster-preparedness program in the poor

already on their way to recovery.

water, and shifting towards rehabilitation

neighborhoods of Jakarta, to reduce the vulne-

programs. Our rehabilitation and food security

rability of populations to future crises.

programs restore long-term self-sufficiency to

N U TI nRn oIv aTt i oInOi nNt r e a t m e n t

Action Against Hunger launched a new

employee also visits children in their

and innovative home-treatment program

homes once a week.

in 2004 to cure children afflicted with

F Restoring O O D self-sufficiency S E C U RinI T Y southern Sudan

severe acute malnutrition. Traditionally,

In February, our trial program in Uganda

we have required these patients and their

proved to be as successful at treating

mothers to remain for 30 days in our

severe acute malnutrition in some cases

Civilians living in war zones suffer not only when they

Therapeutic Feeding Centers, where we

as our 30-day regimen at Therapeutic

are caught in active fighting, but also after they find

cure them with a dietary regimen

Feeding Centers. So later in the year, we

relative physical safety. The destruction and

of F100 therapeutic milk. Dr. Michael

introduced home treatment in southern

displacement caused by wars frequently disrupt a

Golden and the members of our Scien-

Sudan and Kenya among other sites.

population's economy and food supply, threatening

tific Committee developed the F100

their ability to feed themselves. This was the case in

formula, and the protocols for its use

Home treatment now complements our

southern Sudan, where a civil war raged from 1983

that we pioneered in the field are now

other time-tested programs of nutritional

until 2005. There, many people were driven from their

standard operating procedure for

rescue:

homes by fighting between northern and southern

humanitarian organizations worldwide.

• We distribute food directly to desper-

Sudanese forces. They were unable to support them-

ately hungry victims of natural disasters

selves because of their displacement, their poverty,

But maternal absences lasting 30 days

and political conflicts, ensuring that aid

or the battle damage to their property.

can put serious strains on families, and

is not diverted.

Action Against Hunger's food security programs seek

the need for constant monitoring of

• We open feeding centers where saving

to help people to regain the ability to support them-

children in our intensive program limits

the life of a severely malnourished child

selves after such disruptions caused by wars, natural

the number of children our teams can

sometimes requires us to act within

disasters, or other causes. Food security means that

treat. Under our new home-treatment

hours. The protocols at our centers have

people have sustainable access to sufficient quantities

program, we choose the least sick

slashed the mortality rate of severely

of nutritious food to maintain healthy lives. We see

children at a Therapeutic Feeding Center,

malnourished children younger than five

our mission as much larger than merely feeding

feed them therapeutic F100 milk for only

from 25 percent to 5 percent.

desperately hungry beneficiaries. Our job

10 days, then send them home. For the

• Our child-growth monitoring in vulner-

is not finished until they have not only achieved

next 20 days, the children are fed ready-

able communities successfully forestalls

nutritional health but also established food security

to-eat food at home—either PlumpyNut, a

malnutrition.

for themselves, requiring no further intervention

This helps families achieve their own food security

expect thousands of refugees to return to their

peanut butter-like substance, or BP100

• Our nutrition surveys similarly help

on our part.

as well as transform local economies and

homes. After so many years of war and displace-

biscuits, each of which supplies the same

avert famines by alerting us to problem

establish food security for entire communities.

ment, though, they will not be able to support

nutritional value as F100 milk. The

areas.

To accomplish this, we distribute seeds, farming tools,

In southern Sudan in 2004, we distributed seeds,

themselves immediately. Action Against Hunger will

home-treatment program requires

• Finally, we prevent malnutrition by

nets, and other fishing gear; we lend breeding

farming tools, and fishing equipment to help

help the returnees with food security programs

mothers to bring their children to a

educating entire communities in healthy

animals; and we conduct training programs in

90,000 beneficiaries, enabling recipients and their

aimed at reestablishing their traditional lifestyles

center weekly so recovery can be moni-

nutrition.

income-generating activities such as farming, garden-

families to support themselves. Early in 2005,

and means of food production. Helping such

ing, animal husbandry, food conservation, and small

the government of Sudan and the southern rebels

beneficiaries achieve food security is one of Action

business management.

signed a peace agreement, and as a result, we

Against Hunger's chief goals worldwide.

tored, and an Action Against Hunger

Civil war between government forces and

We provide camps and communities with

the opposition Lord's Resistance Army in

access to safe drinking water by renovating

northern Uganda has forced hundreds of

existing sources, drilling new wells,

thousands of Ugandan civilians to flee

tapping springs, and installing new systems.

their homes. At the same time, conflicts

Furthermore, we teach communities

in neighboring countries—the Democratic

the vital importance of clean water and

Republic of Congo, Rwanda, and

proper sanitation.

Sudan—have sent refugees across the

H EALTH H IV/AI DS and hunger in Malawi HIV/AIDS and malnutrition are two of the biggest

In close cooperation with the ministry of health,

killers in the world today. But while they often

which provides ARVs, we are testing children

borders. As a result, nearly 2 million

We also instruct communities in the ways

affect the same people—particularly in sub-

admitted to the centers for HIV. For those children

internally displaced people and refugees

they can be self-sufficient. Our water-and-

Saharan Africa—there has been very little

who are HIV-positive, we administer HIV therapy

sanitation programs train local teams called

research on the effects of HIV/AIDS on severely

with ARVs and malnutrition treatment with F100.

Water Source and Sanitation Committees,

malnourished people or of malnutrition on

By carefully analyzing the results we hope to

Among the most pressing needs for

as well as local authorities and entire

HIV/AIDS. In 2004, Action Against Hunger set out

finally find the answers to these critical

residents of the camps is clean water.

communities, to maintain the water

to find answers to these questions through a

questions. The study will continue for two years,

Our primary goal, of course, is taking

sources, sanitary facilities, and equipment

study in Malawi.

examining not only the overall effectiveness of

action against hunger. But water and

necessary to keep clean water in

sanitation are pivotal in accomplishing

adequate supply.

now live in camps in northern Uganda.

the two kinds of treatment but also which Specifically, we are trying to learn how the

aspects of the treatments may need to be

this goal. Clean water and adequate

treatments for HIV/AIDS and for malnutrition

changed to meet the specific needs of people

sanitation prevent the spread of diseases

We help initiate regular financial contribu-

affect each other. F100, the therapeutic milk

suffering from both malnutrition and HIV/AIDS.

that cause, complicate, and aggravate

tions from communities, which will support

formula pioneered by Action Against Hunger, is

malnutrition.

local maintenance staff after we depart.

clearly effective in treating malnourished

At the same time, we are working to prevent the

In addition, we monitor local sanitary

children, reducing mortality from as high as 25

spread of HIV/AIDS and mitigate its effects

Action Against Hunger is addressing the

conditions both before we begin work and

percent to as low as 5 percent. But we do not

among the people we work with. For example, we

needs of these camp residents. During

before we leave to ensure that our lessons

know if it has the same effect on people with the

actively promote voluntary counseling and testing

2004 in Uganda's Gulu and Lira Districts,

have been absorbed. Overall, our water-

HIV virus. Similarly, we know that antiretroviral

for HIV, either at Action Against Hunger clinics or

for example, we drilled 27 new boreholes

and-sanitation programs empower

drugs (ARVs), the class of drugs developed in the

by referring beneficiaries to other nearby organi-

and rehabilitated another 53 to provide

communities to maintain clean water

1990s, drastically reduce the number of deaths

zations. This is particularly important for

clean water for 370,000 beneficiaries,

sources and hygiene without dependence

from HIV/AIDS, but we do not know if ARVs—

pregnant women, because a one-time large dose

increasing the daily amount of clean water

on external aid agencies.

or other treatments for HIV and associated

of ARV therapy can enormously reduce the risk

infections—are equally effective in people who

of transmitting the virus to an unborn child.

are also severely malnourished.

We also work with the World Food Program to

available per person by nearly 20 percent.

War and displacement in Uganda

WAT E R AN D SAN I TAT I O N

distribute extra rations to families with an Action Against Hunger's field office in Malawi

HIV-positive family member. And we are

(managed by ACF-Spain) has started to answer

expanding our health education programs and

these questions, with a research project in two

creating dedicated HIV-education programs to

Therapeutic Feeding Centers.

help prevent the spread of the disease.

ADVOCACY Land reform in Tajikistan

Violence often compounds the effects of

animals to maintain their health and

hunger and malnutrition. In Colombia,

nurture them when they are sick. They learn

where a bloody civil war has raged for over

the value of sharing responsibilities and

30 years and left an estimated 2.5 million

communal living, and receive psychological

people displaced, violence is one of the key

attention to help them deal with the trauma

factors affecting the population. Over 70

they have lived through.

percent of displaced people do not have access to drinking water and 86 percent do

But perhaps most importantly, these

not have basic sanitary services. Schools

schools and communities provide a sense

are destroyed, and children are often

of hope. Many of the programs focus on

recruited by paramilitary and guerilla

helping populations regain economic

groups. With the conflict raging its way

viability. Children and families have a refuge

through the countryside, Action Against

from the conflict so that their lives are not

Hunger needed to create a safe haven where

consumed by daily violence. Through

families could work to recapture their

education, Action Against Hunger hopes to

livelihoods. That safe haven came in the

deter the cycle of violence plaguing the

form of Schools for Peace.

country. By providing a safe haven, Action

Advocacy is Action Against Hunger's fifth pillar,

plantations in return for little more than in-kind

what they will grow); the assumption of farmers'

complementing our programs in nutrition, health,

payments in cooking fuel. The result is less time for

debts by the government and international donors;

water and sanitation, and food security. But unlike

tending subsistence gardens and no disposable

access to credit in the form of money; and further

Schools for Peace began in 2000, when

our relief programs, the target for change in humani-

income for food or medicine. The rural Tajik popula-

monitoring of the land reform process.

Action Against Hunger (managed by

tarian advocacy is not the individual, but the policies,

tion also faces heavy constraints in the amount of

practices, ideologies, and institutions that influence

land that they can cultivate. The system consistently

Without our field-level leadership, land reform in

a population's survival.

produces high rates of chronic malnutrition and

Tajikistan might have stagnated. As Janice Setser,

widespread underdevelopment. Action Against

our former food security program manager, recently

An example of the importance of Action Against

Hunger's successes in fighting malnutrition are only

remarked: “Within the past year, an Action Against

Hunger's advocacy efforts is our work in Tajikistan.

temporary until the structural issue of land reform is

Hunger consultant did a study on the current status

In an attempt to address one of the principal causes

addressed.

of Tajikistan's land reform, on paper and in practice,

of chronic hunger in Tajikistan, Action Against

Against Hunger hopes to restore livelihoods, and hopefully sow the seeds for peace.

ACF-Spain) established control over eight schools in San Jorge and Córdoba with the

“In Colombia, those that have schools have to study

“My family and I were happy in our house, but when the

intention of creating a classroom away

underneath the trees.... Teachers are regularly killed, as

violence began everything changed. We had to leave

from the conflict. Here people could regain

are even boys and girls, and a large number of children

behind our corn and rice…. For me Action Against Hunger

some sense of order and focus on basic

scarcely have anything to eat during lunch. Breakfast and

is an aid for work. I think it is here to help us rebuild a

agricultural and nutritional education. By

dinner don't exist here.” Iñigo Torres, Country Director,

new life.” Ader Luis Milanes, 12 years old, resident of the

that virtually rocked the country. Things began to

2004, we had expanded to 47 schools, and

Colombia

Nueva Esperanza camp in El Banquito

Hunger has helped to move the country toward

After extensive field-level surveys and study, Action

move and shake after that and the U.N.'s Food and

integrated more programs into our work.

longer-term solutions through agrarian reforms —

Against Hunger compiled a number of recommenda-

Agriculture Organization began to organize a Land

Targeting rural areas hardest hit by

advocating changes in the Soviet-era system of land

tions for the government, international donors,

Reform Working Group from the capital. Action

violence, we rehabilitate abandoned schools

management that underlie many other economic

participating agencies and organizations, and other

Against Hunger then formed the Field Level Land

and set up small communities, providing

problems.

influential stakeholders. The recommendations

Reform Working Group.” These advocacy efforts,

basic education on nutrition, clean water,

include training for farmers on the land laws; public

along with ACF’s other programs, will help to bring

and sanitation. We run communal work and

Under the current system, Tajik citizens are

awareness campaigns on their rights; establishing

about lasting change in the communities where

kitchen programs, where families learn to

obligated to work for large communal enterprises for

mechanisms for legal redress; reconsideration of the

we work.

work and cook together, providing people

virtually no compensation—women and children are

government-dictated production plans (giving

forced to labor long hours in commercial cotton

farmers the freedom to choose for themselves

with what is often their only meal for the day. Children are taught how to care for

Schools for Peace in Colombia

REBUILDING COMMUNITIES

WH E RE WE WORK The ACF International Network Action Against Hunger USA is part of the ACF International Network, named for the original member of the network, Action contre la Faim, or ACF, founded in 1979 in Paris. Today, the network consists of five independent organizations: Action Against Hunger USA (ACF-USA) in New York; Action contre la Faim (ACF-France) in Paris; Acción contra el Hambre (ACF-Spain) in Madrid; Action Against Hunger UK (ACF-UK) in London; and Action Contre la Faim / Action Against Hunger Canada (ACF-Canada) in Montréal. The network shares an overall vision of a world without hunger, and the five member organizations collaborate closely, sharing human resources, logistics, and technical capacity. Each country program is managed by one of the five member organizations.

Nutrition

Water and Sanitation

Health

Food Security

BOARD OF DIRECTORS Burton K. Haimes, Chair Partner, Thelen Reid & Priest

Olivier Cassegrain Managing Director, Longchamp

Raymond Debbane, Vice Chair President, The Invus Group, LLC

Sabine Cassel

Joseph G. Audi President and CEO, InterAudi Bank Alexis Azria Writer Henri Barguirdjian President, Graff USA Cristina Enriquez-Bocobo President, Enriquez-Bocobo Constructs Yves-André Istel Senior Advisor, Rothschild, Inc.

Prof. Michael Golden Professor Emeritus, Aberdeen University Iman Impala Inc.–Iman Cosmetics Frank McCourt Author Achim Moeller Achim Moeller Fine Art Robert Rudzki President, KIBAN Corporation

Ketty Maisonrouge President, Ketty Maisonrouge & Company, Inc.

Edward M. Sermier Vice President, CAO and Corporate Secretary, Carnegie Corporation of New York

Daniel Py President, Medical-Instill Technologies

Rick Smilow President, The Institute of Culinary Education (ICE)

Patrick Siegler-Lathrop

Dr. Ronald Waldman Professor of Public Health, Columbia University

Cathy Skoula, Secretary (ex-oficio) Executive Director, Action Against Hunger USA

ADVISORY COUNCIL Christian Blanckaert Président, Directeur Général, Hermès Harold A. Bornstein Vice President, Charles H. Greenthal & Co.

Jessica Weber President, Jessica Weber Design Wendy C. Weiler Partner, Argosy Partners Nina S. Zagat Co-Founder and Co-Chair, Zagat Survey Tim Zagat Co-Founder, Co-Chair and CEO, Zagat Survey

STATE M E NT OF ACTIVITI E S—ACTION AGAI N ST H U NG E R U SA FOR TH E YEAR E N DE D DEC E M B E R 31, 2004

REVENUE AND SUPPORT Contributions Grants: U.S. Government Non-U.S. Government Interest Other Net assets released from donor restrictions TOTAL REVENUE AND SUPPORT

Unrestricted

Temporarily Restricted*

Total

$ 1,109,816

$ 301,587

$ 1,441,403

165,841 3,220 28,977 11,991,867

4,141,412 5,869,768 (11,991,867)

4,141,412 6,035,609 3,220 28,977 -

13,299,721

(1,679,100)

11,620,621

5,800,191 1,373,910 1,388,284 657,721 244,663 147,606 311,878 432,602 570,522 249,978 25,000

-

5,800,191 1,373,910 1,388,284 657,721 244,663 147,606 311,878 432,602 570,522 249,978 25,000

EXPENSES Program Services: Democratic Republic of Congo programs Southern Sudan programs Uganda programs Tajikistan programs Kenya programs Chad programs Angola programs Georgia programs Guinea programs Iran programs Mali programs Colombia Programs TOTAL PROGRAM SERVICES Supporting services: Management and General and Program Support Fundraising

11,202,355

11,202,355

1,097,696 309,851

-

1,097,696 309,851

TOTAL SUPPORTING SERVICES

1,407,547

-

1,407,547

TOTAL EXPENSES

12,609,902

-

12,609,902

689,819

(1,679,100)

(989,281)

(100,000) 28,062 (12,308)

285,661 (77,920)

(100,000) 313,723 (77,920)

605,573

(1,470,729)

(865,156)

1,403,505

4,011,580

5,055,085

$ 1,649,078

$ 2,540,851

$ 4,189,929

Changes in net assets before other items Provision for unanticipated losses Exchange gain (loss) De-obligated awards and funds returned to donor Changes in net assets Net assets at beginning of year

NET ASSETS AT END OF YEAR

*Funds secured in 2004 or earlier for a specific programmatic purpose and not yet spent at the end of the year.

D O N O R S

D O N O R S

INSTITUTIONAL DONORS Department for International Development (U.K.) European Commission Humanitarian Aid Office European Commission Office of U.S. Foreign Disaster Assistance United Nations Children’s Fund United States Agency for International Development United Nations High Commission for Refugees World Food Programme

CONTRIBUTORS $25,000 or more Mr. Ian Ashken Mr. and Mrs. Joseph and Claude Audi Mr. and Mrs. René-Pierre and Alexis Azria Mr. Henri Barguirdjian CIBC World Markets Corp. Citigroup Global Markets Inc. Mr. Raymond Debbane Apollo Management, LP Mr. Jeffrey R. Gural Mr. Burton K. Haimes J. P. Morgan Chase Foundation Mrs. Ketty Pucci-Sisti Maisonrouge Pepper Hamilton, LLP School Board of St. Lucie County, Florida Thelen, Reid and Priest Warburg Pincus LLC Mr. Cody J Smith Weil, Gotshal and Manges LLP

$10,000–24,999 Mr. and Mrs. Mahyar and Fran Amirsaleh Combined Federal Campaign Debevoise and Plimpton Ms. Cristina Enriquez-Bocobo Mr. and Mrs. Leonard C. and Mildred F. Ferguson Michael Golden Golden Temple Inc. Mr. Aaron Gural Mr. Yves-André Istel Mr. and Mrs. Hisashi and Kuniko Juba Mr. and Mrs. Kernan and M. Christine King Mr. Edwin H. Klink Transformation Trust, Inc. Mr. and Mrs. John D.B. and Laura V. Lewis Donald and Shelly Meltzer Mr. and Mrs. Prakash and Anjali Melwani Mr. Jean-Marc Moriani Newmark and Company Real Estate, Inc. Robert de Rothschild Mr. and Mrs. Edward and Barbara Shapiro Greg Shunick Sikh Dharma The Skolnick Foundation Dr. H. Matt Smith Ms. Connie Stults Gordon Swobe Ms. Fran Taylor The Taylor Family Charitable Foundation Sandra and Stephen Waters Foundation Mr. Paul A. Zrimsek

$5,000–9,999 Mr. Scott Adelsberg Mark Auckerman Joel E. Smilow Charitable Trust

Ms. Cristina E. Callan Mr. Charles Calomiris Ms. Anne Cox Chambers Evelyn Sharp Foundation Hester Diamond Mr. and Mrs. John and Melissa Eydenberg Ms. Sabina Fila Ms. Ann Freedman Mr. Eliot Glazer Mr. Frederick S. Green Mr. and Mrs. Geoffrey and Sarah Gund Mr. William T. Hyde Mr. Thomas J. Igoe Ananth Krishnamurty and Mary Inagami Kathy Lafreniere Mr. Robert L. Lawrence Phillip G. Lookadoo Ms. Diane Molleson Carlton Hill Family Foundation Ms. Ellen J. Odoner The Orentreich Family Foundation Marcy Pfeiffer Kovan Pillai Ms. Marilyn Ramirez Farzad and Neda Rastegar Mr. and Mrs. Bartolomeo and Aileen Getty Ruspoli Mr. and Mrs. Steven and Meryl Sitver Mr. Carter Smith Mr. and Mrs. Christopher and Patrice Sobecki Mr. James C. Sturdevant Ms. Angela Urban The Vasicek Foundation Vermeil Family Fund WeightWatchers.com, Inc. Ms. Isabelle S. Wilcox

$1,000–4,999 Jonathan Abrams and Sandra Jean-Louis Mr. Peter Aird Mr. Robert W. Albrecht Michael Allen Philippe Amouyal Mr. Rand Angelicola Aramark Mr. Wayne Archambo ASAP Personnel Services, Inc. Mr. Joseph Bachman Back Office Support Systems, Inc. Mr. and Mrs. Richard and Beverly Bailey Bakersfield Christian High School Mr. Khalil Barrage Mr. Tom Bartlett Capt. and Mrs. Ray and Nina Beatty Anne Bebear Mr. Guillaume Bebear Mrs. Marianne (Markogianis) Belardi Anthony Berardo Jonathan Berget Mr. and Mrs. Stuart and Andrea Bernstein Mr. Michael Billett Mr. Tom Birchard Joan Blanchard Thomas Boldman Boston Copley Place Marriott Mr. David I. Bower Mr. and Ms. Sean and Nancy Boylan Ms. J. Elizabeth Bradham Douglas Bragdon Ms. Melanie Branca Barbara Bremmer William Brown

Ms. Martha A. Brumfield Michael Allen Barbara Burke Tiffany Caldwell Mr. C. Kevin Campbell Bridget Campomanes Carlson Family Foundation Ms. Deborah Carmichael Richard Carroll Ms. Carolina Casperson Mr. Dominic Castriota Kenneth Ceradsky Cheng-Chang Chang Grace Chang Danita Charity Mr. Howard Chatzinoff Chemcentral Mr. and Mrs. Rick and Laura Cioppa Citizens Vote, Inc. Mr. Stephen Clemons Mr. David D. Cockcroft Mr. Farnaz Cohen Mr. Adam Cohen Alan D Cohen Noel and Barbara Commins Community Foundation of New Jersey Mr. James Cook Kristen Copham Tom Corboy Emmett Covello Joseph Crain The Cunningham-Wright Family Fund Martha Daiello Ms. Judy Enright Daylily Mr. Peter J. Davies

Karl De Jonge Javier de Leon Mr. Blaine Degruise Ms. Cobie Delespinasse Mr. and Mrs. Jeffery and Harriet Dennis Mr. and Mrs. Jerome and Elinor Deutsch Rory Deutsch Dr. Layla Diba Mr. Howard Dicker Mr. Dennis C. Dobbs Mr. and Mrs. Harry and Chant DolmanDussouchaud Melissa Dunkerley Keith Duryea Mrs. Tana Dye Mr. and Mrs. Jeffrey and Gale Wild-Ebers Christopher Ecker Thomas Emeigh Equus Real Estate Management Inc. Joseph R. Evans Falcone and Truman Ms. Kathleen F. Fina Gabe Finke Patricia Finlayson Ms. Laura S. Fisher Randall Fisher and Linda Lafontaine Mr. and Mrs. Adam and Olivia Flatto Ms. Marta Florin Messrs. Robert and David Fluet Mr. Richard Bailey Fordham James Foster Frontera Grill Fribourg Family Foundation Mr. Bart Friedman Mr. and Mrs. Patrizia and Elliott Friman

D O N O R S

D O N O R S

Mr. Burt Fujishima Shawna Gage Susan Gallo Mr. Adam Garcia Miss Elisa Gatti Wendy Gelbart Mr. Raymond Gietz Clarice Giles Mr. and Mrs. Tom and Beverly Gillett Ms. Tracy Girth Ms. Dolores Gluck Fred Godwin Mr. Ronald E. Goldberger Keith Hemmerle and Barbara Gollust Jean Grant and Francis Minskoff-Grant Mr. Nicholas Groombridge Mr. and Mrs. Erik and Christiane Grotness George Gund and Iara Lee Christine Haas Ms. Irene Habernickel Mr. and Mrs. Thomas and Diana Hall Robert Hall David L. Hamilton Ms. Mary Hamilton John Hamilton Jefferey Hammann Mr. and Mrs. Rob and Stacey Hammerling Beverlin Hammett Mr. Robert S. Harrison Dr. and Mrs. William and Aline Haynes Mr. Russell D. Hemenway Mr. David Henderson Allyson Henry Mrs. Catherine Herkovic Mr. David Alexander Hickerson

Mr. Douglas G. Hickey Daniel Hildebrandt Joy Wok Express Ms. Evelyn Hofman HOPE Sudbury James C. Hormel and Timothy C. Wu Mr. and Mrs. Ching and Karen Huang Mrs. Linda Huett Pastor Verenander L. Hughes Mr. Edwin Huston Alice Hyman Mr. and Mrs. Gianfranco and Rita Iavarone IBM Employee Services Center I Do Foundation Il Buco Indian Students Association University of Texas at Austin Barbara Jacobs Jennifer L. Schiff Charitable Trust Jim Boyd Construction, Inc. Roberta Kanter Kimberly Kargman Mrs. Nona Kerr Jason Kessler Mr. Anthony J. Khuri Mrs. Sandra Kirchhoff Radford Klotz and Shahnaz Batmanghelidj Bruce Kraus Krinos Foods, Inc. Ms. Daniele Kulera Mr. and Mrs. Michael and Janice Lally Kenneth A. Lattman Foundation Le Bernardin, Inc. Alain LeCoque Mr. and Mrs. Stephen S. and Julie Dien Ledoux

Ms. Nancy Leeds Denise Legenzoff Mr. Yves Leperlier Ms. Stephanie L. Levaughn Mr. and Mrs. Philicia and David Levinson Mark Lewis Peter Ley Ms. Judith Lidsky Kristin Lile Mr. Chun Ta Lin Mr. Steve Lincoln Emily Lizcano L'Olivier Floral Atelier Mr.and Mrs. Michel J. and Odile Longchampt Ms. Lisa Loveday J. Harry Lynch Mrs. Gina Giumarra MacArthur Mr. John MacArthur and Ms. Renee Khatami Bart MacDonald Ms. Mitzi MacDonald-Laws Mahalaxmi Inn Corporation Mike Mai Mr. Stephen B. Maiman Ms. Marita Makinen Mr. and Mrs. Charles-Henri and Marguerite Mangin Mr. Bennet Manning Mr. and Mrs. Michael and Anne Marx Mr. and Mrs. Stephen and Patricia Masceri Mr. Andrew Maunder Ms. Jane McDonald Mr. John McDermott and Ms. Victoria McManus Courtney McMahan The Melinda and William J. Vanden Heuvel Foundation, Inc.

Gary Melman Mr. Charles Merrill Microsoft Giving Campaign Ms. Laurie A. Miller Mary Frances Miller Marie Mintz Miracle Bar and Grill Miracle Grill Gerd Mittmann Thomas Mohrhauser Ms. Rebecca Morey Mrs. Margaret S. Moyers Lisa Mueggenborg Mulago Foundation Bedri Munsuz Mr. Toby Myerson Dave Nape The Seth Neiman and Lauren Speeth Foundation Dr. Yale R. Nemerson Nemet Motors Lobsang Nepali Julie Netser Network for Good The News Corporation Foundation Peaceful Nguyen Ms. Janet Nolan Raya Novak Kelly Oh Ms. Carole Oliver David Oppenheimer Stephen Paris Kara Parker Hasmukh and Bhanuben Patel Mukeshkumar and Lataben Patel James and Gloria Paul

Pepsico Mr. Richard Perdue Perelson Weiner, LLP Mr. Thomas H. Peterson Guy Phillips PMK Group Sydney Poitier Darcy Pollack Poncelet Family Fund Lester Price Ms. Mandakini Puri Mr. Dan Purnell Vinh Quach Mr. and Mrs. Frederic and Maria Ragucci Rebold Family Fund Ms. Serena Richardson Daniel Riess Rimerman Family Foundation Mr. Stephen A. Rishton Riverdale-Yonkers Society for Ethical Cultture Roan Universal Foundation Robert J. Hurst Foundation Jordan Roberts Mr. and Mrs. Thomas and Mary Alice Roberts Douglas Robinson Samir and Manpreet Rohatgi Mr. Charles J Rose Jeffrey Roseman Mr. and Mrs. James and Alice H. Ross Stuart Ross Mr. Greg Roth Timothy Rothwell Ms. Sharon G Russell William Ryan Gabriel and Nada Sara

Ms. Ann Sardini Ms. Joan Saunders Michael Saunders Mr. Fuad Sawaya Ms. Julie Schaffer Jill Schreiner Jamie Schulke Jane Schwartz Foundation Seguros Express Inc Ms. Stephanie J. Seligman Kenneth G. Prior Foundation Mr. Michael J. Sherman Simon and Eve Colin Foundation, Inc. Anna Sinclair Frances Singery Lai Shan Siu Rich Skalbania Slanted Door Mr. Rick Smilow Mr. and Mrs. Raymond W. and Phyllis Smith Ms. Lindsay Leigh Smith Jeffrey Smith Mr. and Mrs. Garrett and Jeannine Snipes Michael Snyder Ron and Annette Soufrine Mr. David Speedie Ms. Ashley Spicer Robert Spring and James Huddle Mrs. Jill Stansky Hossein Amirsaleh Foundation Mr. Brian Steinwurtzel Mr. Ronald W. Stevens Bruce R Stone Ms. Elizabeth Stribling Ursula and Paul Striker

D O N O R S

D O N O R S Mr. and Mrs. Eric and Patricia Sugden Ms. Suzanne Sutter Mutaz Tabbaa Mr. and Mrs. Jeffrey and Karen Tanenbaum Joel Tauber Mary Taylor Christina Tempelaar-Lietz Craig and Robyn Thompson Daniel Thompson Loren Tibbitts Ms. Carole Tillman Towery Homes, Inc. Ms. Judith T. Tran United Directories Deborah van der Heyden Mr. and Mrs. Alexander and Ashley Von Perfall Henry and Margaret Vosswinkel Joe Wagner Mr. Willie Wallace Yichun Wang Robert Weaver Ms. Wendy Weiler Weingart Family Fund Mr. Stephan Wessels Laura West Mr. Don E. Whitson April Williams Christopher and Janice Williams Teresa Williams Brett Williamson Robyn Wittleder Mr. Barry M. Wolf Mr. Wingson Wong Mr. and Mrs. Robert L. and Angelia Wood Ms. Jamie Woolley Whispering Bells Foundation

Mr. P. Garrett Wyckoff Michael Yancey Myrth York Mr. and Mrs. Robert and Jeanne Zabelle Mr. Walter Zalenski Ms. Sabine Zerarka Zodiac Pioneer Aerospace Corporation Mike Zoi

In-Kind Contributions of Goods or Services

World Food Day Gala Epicurean Committee

AFD Furniture Ain's List amNew York Avenue A Black Book Brandwebsite.com The Bravo Group Institute of Culinary Education InterAudi Bank Jessica Weber Design, Inc. L'Olivier Floral Atelier Lalique Longchamp Monsieur Touton Selections New York Press Remy Martin Reuters Design Team Ruder Finn Smashing Ideas StarChefs.com Taranto Gallery The Reuters Sign Thelen, Reid & Priest, LLC Ventana Productions Viacom Village Voice Virginie Sommet Zagat.com

Acquolina Aquavit Babbo Bice Blue Hill Blue Smoke / Jazz Standard Bouley Bakery / Danube Café Boulud Café Joul Chanterelle D’Artagnan Dawat Eleven Madison Park ICE il Buco Jean-Georges Jojo Landmarc Restaurant Le Bernardin Mercer Kitchen Miracle Bar and Grill Oceana Post House Remi Riingo 66

World Food Day Gala Supporters Alès Group USA amNewYork Artscounselinc.com Avenue A Benjamin Hudgins Berrymatch.com BlackBook Magazine Body Shop Brandwebsite.com CHANEL, Inc. Château Latour Château Mouton Rothschild Chloé Christian Dior, Inc. Cornelia Fifth Avenue Emelise Alpacas EuroAmerican Communications Firmenich G3 Architecture Interiors Health Supportive Chef Hermès de Paris, Inc. Hotel Plaza Athénée Ilka IMAN Cosmetics IMG / 7th on Sixth Jessica Weber Design, Inc. John Hardy Jewlery Judith Nelson, New York Philharmonic Orchestra Lalique North America Lillian Lincoln Foundation Longchamp Ambassador Raymond Loretan L’Olivier Downtown Loyola Phoenix

Michael C. Fina Monsieur Touton Selections, Ltd. New York Press Paris Gourmet Pedro Aleman Catering Rémy Martin Reuters Ruder Finn Ruth C. Schwartz & Co. Special Events and Public Relations SeamlessWeb Smashing Ideas Inc. Starchefs.com Susan Ciminelli Day Spa at Bergdorf The Lowell Hotel The Yale Club Tom Weidlinger, Moira Productions Weight Watchers International, Inc. Zagat Survey

ACF H EADQUARTE RS

ACTION AGAINST HUNGER USA 247 West 37th Street Suite 1201 New York, NY 10018 Tel: +1 212 967 7800 Fax: +1 212 967 5480 [email protected] www.actionagainsthunger.org President: Burton K. Haimes Director: Cathy Skoula ACTION CONTRE LA FAIM 4 rue Niepce 75662 Paris Cedex 14 Tel: +33 1 43 35 88 88 Fax: +33 1 43 35 88 00 [email protected] www.actioncontrelafaim.org President: Dr. Jean-Christophe Rufin Director: Benoît Miribel

ACCIÓN CONTRA EL HAMBRE C/Caracas, 6, 1° 28010 Madrid Tel: +34 91 391 53 00 Fax: +34 91 391 53 01 [email protected] www.accioncontraelhambre.org President: José Luis Leal Director: Olivier Longué ACTION AGAINST HUNGER UK Unit 7B Larnaca Works Grange Walk London SE1 3EW Tel: +44 207 394 63 00 Fax: +44 207 237 99 60 [email protected] www.aahuk.org President: Sir Ronald Grierson Director: Jean-Michel Grand ACTION CONTRE LA FAIM / ACTION AGAINST HUNGER CANADA 1002 Sherbrooke Street West, Suite 2300 Montreal, Québec, Canada H3A 3L6 www.actionagainsthunger.org President: Burton K. Haimes Director: Anne-Sophie Fournier

PHOTO CREDITS • • • • • • • •

Burger/Phanie Olivier Longué Devrig Velly Benoît Miribel Stephanie Bouaziz Janice Setser Jeffrey Austin James Pomerantz / World Picture News • Aaron Brent • Peter Bussian • Seth Cohen • Blazej Mikula • François Perri