Childhope Annual Review 2008

www.childhope.org.uk

Table of Contents Achieving social justice for children 03 The injustice of HIV and AIDS 04 Children affected by HIV and AIDS in South Africa 06 Reducing the incidence and impact of HIV and AIDS amongst children in Uganda 08 Achievements 10 Trustees statement 11 Patrons Helen Baxendale, Hugh Fernley-Whittingstall, Jeremy Bowen, Christine McCafferty, Lyse Doucet, Dr Sandra Scott, Trevor Eve, Timothy Spall

www.childhope.org.uk The photographs of children are not of those written about and the names of all children have been changed to ensure that their identities are protected. All the children have given their informed consent for the use of their photographs or stories. All images by ChildHope unless otherwise stated.

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I believe whole-heartedly in ChildHope's work to secure social justice for children around the world. Like ChildHope I believe every child deserves a life free from injustice and abuse. I am proud to support them

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Our new Patron, Hugh Fernley-Whittingstall

ACHIEVING SOCIAL JUSTICE FOR CHILDREN Why do societies tolerate gross injustices to children? Some believe that little can be done in countries with high levels of poverty. The media tells us about corruption, inefficiency and the failure of development. But that is not our experience. At ChildHope we see these claims being challenged daily by children, women and men, and the local organisations we work with. Long-lasting systemic change is achievable. For example, AIDS deaths among children have fallen since 2003 and we have played our part. ChildHope works in partnership with organisations in Africa, Asia and South America towards social justice for children and young people. Jointly we: a/ reduce child abuse and exploitation; b/ improve child justice and children’s participation; c/ promote the rights of children affected by HIV and/or AIDS. ChildHope’s purpose is to improve the processes of international aid and development and offer guidance to our partners on child protection, gender, and monitoring, evaluation and learning. We are focusing on HIV and AIDS in this review to attract attention to these challenges, but also because our work demonstrates what can be achieved with effective approaches. In Africa, for example, our partner organisations are pioneering highly successful community-based fostering schemes for orphans, as an alternative to institutionalising children in care homes. However, they need much more financial support to reach even more significant numbers of children. The next few years may be difficult financially for us all, but ChildHope’s clarity of purpose and the courage and commitment of our partners, inspire us to be ambitious. Our generous supporters are investing in the prevention of abuse and deaths of children and young people whose lives would otherwise be destroyed by poverty and AIDS. Emma Crewe, Executive Director

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• EVERY HOUR 31 CHILDREN DIE AS A RESULT OF AIDS • OVER 15 MILLION CHILDREN HAVE LOST ONE OR MORE PARENT TO AIDS WORLDWIDE • 15-24 YEAR OLDS ACCOUNT FOR 45% OF NEW INFECTIONS. LESS THAN 40% OF THIS AGE GROUP KNOW ABOUT HOW TO AVOID HIV TRANSMISSION • WITHOUT TREATMENT, APPROXIMATELY HALF THE BABIES WITH HIV INFECTION WILL DIE BEFORE THEY REACH THE AGE OF 2 • TEENAGE GIRLS ARE 5 TIMES MORE LIKELY TO BE INFECTED WITH HIV THAN TEENAGE BOYS • 11,000 PEOPLE WORLDWIDE BECOME INFECTED DAILY. WITHOUT TREATMENT, NEARLY ALL WILL DIE WITHIN 10 YEARS

UNAIDS Report on the Global AIDS Epidemic 2008

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THE INJUSTICE OF HIV AND

AIDS

The devastating impact of HIV and AIDS, and people’s response to it, have created various injustices: stigma and discrimination towards those affected, a misplaced focus on abstinence, appropriate treatment not getting to people who need it most, and the neglect of children orphaned by AIDS. In this review we offer examples of innovative work in Uganda and South Africa. But AIDS is not just a problem in Africa. We have also been tackling stigma and discrimination in Thailand. Every year thousands of children and young people leave village homes in search of employment in the factories and bars of the county’s capital, Bangkok. This migration creates both opportunities and hazards. It might be a chance to earn higher incomes, but it can also mean children risk abuse or contracting HIV. Both workers and employers know little about HIV and AIDS. Therefore infection is high and HIV positive workers often get sacked. Since 2004 ChildHope has been working with the Foundation for Rural Youth (FRY) in Thailand to combat the epidemic among these young employees. As a result, forty four businesses have voluntarily signed a code of conduct and young women and men have been educating each other about the dangers of contracting HIV. They have reduced discrimination, dismissals, rates of HIV and the prevalence of illnesses. It is only thanks to the long-term commitment of our loyal supporters that we have been able to achieve such enduring success.

THANK YOU FOR ALL YOUR SUPPORT.

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Why, tell me why so I could understand. Why? Are you doing this to us. A nine year old girl sitting at home, washing, cooking and cleaning……watching her friends go by as they go to school. Asking herself, WHY, WHY am I here ? When will I break free. Children have the right to an education. Ngithi, ngiya kubaba ubaba uyababa. Ngithi kumalume, umalume uyaluma. Where will I go. Senzeni kodwa thina senzeni. Somebody tell me so I could understand WHY? THEMBI GWALA – 13 YEARS. South Africa.

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Since 2006, ChildHope and partners in South Africa have been working to ensure that children affected by HIV and/or AIDS access the support and services they need

CHILDREN AFFECTED BY HIV AND/OR AIDS IN

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SOUTH AFRICA South Africa has the worst and fastest-growing AIDS epidemic in the world; over 15% of 15-24 year old young women are living with HIV. In KwaZulu-Natal (KZN), where ChildHope has been working, 39% of women visiting antenatal clinics are HIV positive and by 2010 it is estimated there will be 50,000 children orphaned by AIDS. The disease has placed a huge burden on children. In 2006 we began working with four local organisations: Children in Distress Network, Lawyers for Human Rights, Built Environment Support Group and Pietermaritzburg Child Welfare. It was only by working through partnerships that we managed to improve the health, housing and welfare of

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children affected by HIV and/or AIDS. We harnessed the expertise of each organisation and worked intensively with those affected in their communities. By identifying barriers to accessing services, and addressing these with local and national government, the coalition has brought about lasting change for children: • 145 girls and 139 boys back into education • 530 children received training on how to protect themselves and where to go for support in cases of abuse • 234 teachers trained on how to identify and respond appropriately to cases of child abuse

Allen. Age 13. South Africa. My mum got very sick and died when I was 10, and my dad left us, so my sister and me went to live with my gogo (grandma). My gogo is very old and she worked hard to look after us and although I helped her with work it was not enough and some days we did not have any food and we could not go to school because we had no money. But things changed when a lovely lady knocked on our door and told my gogo that there was help available. Since then things are so much better, my gogo is so proud because she was helped to get the support we need, and the project spoke to the school and now my sister and I go everyday. I am even helping with the project's food garden and I take home fresh vegetables that I grew. In school my teacher says I am top of the class but what makes me really happy is seeing my sister and gogo smiling again.

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ChildHope and partners in Uganda are helping children to learn about how they can protect themselves from HIV and other sexually transmitted infections

REDUCING THE INCIDENCE AND IMPACT OF HIV AND/OR AIDS AMONGST CHILDREN IN

UGANDA Uganda has been fighting the HIV epidemic since the first case was identified in 1982. Despite attempts to curb the spread of the virus, HIV rates in Uganda are rising for children and young people. In partnership with The Uganda Youth Anti AIDS Association (UYAAS) and Uganda Reproductive Health Bureau (URHB) ChildHope works in 196 schools in 7 districts to teach students about ways they can avoid contracting the virus and how to protect themselves from abuse. These children have also learnt how to pass this information to other students. Teachers have also been closely involved in this work, passing on key prevention messages to pupils, and also to other teachers. Without such commitment it is unlikely that issues such as child rights and HIV would be discussed in school at all.

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In addition we work with volunteers from each local community who are specially trained to reach those children who are not currently in school. These volunteers provide information to children and make referrals for those in need of health services. We have trained over 200 volunteers in the 7 districts, and provided them with bicycles so they can reach out of school children in other villages and towns beyond their own homes. Although focused specifically on the needs of children, the project works to engage the whole community and has had a wide reaching impact: • 8,820 children educated in issues including HIV and AIDS and child abuse across 196 schools • 2,000 teachers involved in the project • 200 community volunteers trained on health issues

Masani. Age 18. Uganda. My mother died when I was 7 leaving my father to take care of me. We had very little money. I became sick when I was 8. It was hard for me because the school was a long way to walk every day. I was very sad because the children in my school were very mean to me because I felt so sick every day and so tired. Then my father died and I felt so alone. One of my teachers arranged for me to have an HIV test. It was then that I learnt what was making me feel this way. I was HIV positive. The staff at the project where I was tested arranged for me to have counselling and gave me the drugs I needed to stay well and gave me some money to take care of myself. It was at this time that I started talking to other young people with AIDS who I met at the centre. I began working there offering advice and talking to young people like me. It changed my life. For the first time in many years I felt hopeful about my life and my health became much better. I made many friends. Now I want to train to be a nurse so I can help others like me. I feel so lucky. Without help from the project I think I would be very sick and lonely with no hope for my future.

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ACHIEVEMENTS Significant impact and innovation During the year the lives of 14,688 girls and 16,008 boys were transformed by our work and millions more children, parents and community members benefited. We are small but to innovate and to increase our impact, we collaborate. Our network includes not only thirty-four exceptional partner organisations in Africa, Asia and South America, but the world leading research and development institute The Social Research Unit, specialising in children’s well-being. Expanding our reach We doubled our income last year and have quadrupled it since 2005. £2.35m was spent on programmes overseas, over 93% of our income. The British government now pay more attention to child protection, as a result of lobbying from ChildHope and other international NGOs. We developed the potential to reach more children through our work by improving our communications, increasing the number of programmes, with new ones in Ethiopia, India, Peru and Sierra Leone, and forming new partnerships in Bangladesh, Brazil, India, Kenya, Peru, South Africa and the UK. Our supporters’ achievements In 2008 the law firm Holman Fenwick Willan adopted ChildHope as their charity and continue to support us with funding and advice. Our fundraising events were hugely successful: for example, we had 21 runners in the Doitforcharity Santa run in Greenwich Park; the spectacular Giffords Circus donated all the tickets for one of their performances; and Neil Skinner raised an amazing £4,000 motor biking round India. We took our marketing to a new level through the design of a new website and with our first telemarketing campaign. We continued to receive generous support from private trusts and foundations, including from Esmée Fairbairn Foundation, as well as our many committed individual supporters. We received pro-bono assistance from PricewaterhouseCoopers, Advocates for International Development, Holman Fenwick Willan, The Social Research Unit and numerous non-governmental organisations.

ChildHope’s new website

www.childhope.org.uk

Trustees’ Statement The summarised financial information shows the income raised for our activities, the cost of raising the income and the amounts spent on our charitable activities. The information below is taken from the full financial statements which were approved by the Trustees on 21 April 2009. In order to gain a full understanding of the financial affairs of the charity, the full audited financial statements, Trustees’ Annual Report and auditors’ report should be consulted. Copies can be obtained from the charity. Signed on behalf of the Trustees

Richard Livesey-Haworth, Chair 22 April 2009 Analysis of Income Received 8%

Analysis of Resources Expended

1%

6%

1%

6% 14%

4%

40%

27% 81%

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Grants from institutional donors Donations from trusts, foundations & companies Donations from individuals Income for capacity development of local organisations Other income

12%

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Grants to Africa Grants to South America Grants to Asia Capacity development of local organisations Costs of Generating Income Governance

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LIST OF CHILDHOPE’S PARTNERS 2008 India CINI ASHA (CA) Butterflies www.butterflieschildrights.org Bangladesh Aparajeyo www.aparajeyo.org Ethiopia Children Aid Ethiopia (CHAD-ET) www.chad-et.org.et Kenya Pendekezo Letu (PKL) Sierra Leone Help a Needy Child in Sierra Leone (HANCi-SL) South Africa Children in Distress Network (CINDI) www.cindi.org.za Built Environment Support Group (BESG) www.besg.co.za

Development House 56-64 Leonard Street London EC2A 4LT Telephone 020 7065 0950 Fax 020 7065 0951 Email [email protected]

www.childhope.org.uk Registered charity number 328434 Company limited by guarantee 2343358 All images by ChildHope unless otherwise stated

Pietermaritzburg Child and Family Welfare Society (PCFWS) www.pmbchildwelfare.co.za Lawyers for Human Rights (LHR) www.lhr.org.za Sinani Kwazulu-Natal Programme for Survivors of Violence www.survivors.org.za Tanzania Mkombozi www.mkombozi.org Uganda Uganda Youth Anti AIDS Association (UYAAS) www.uyaas.co.ug Uganda Reproductive Health Bureau (URHB) www.urhb.org Peru Centro Proceso Social Asociación de Defensa de la Vida (ADEVI)

Amhauta - Movimiento de Promoción por los derechos humanos de las mujeres Brazil Instituto Promundo www.promundo.org.br Instituto Papai www.papai.org.br Grupo Atitude www.grupoatitude.org.br Movimento dos Trabalhadores Sem Terra (MST) www.mst.org.br Organização de Direitos Humanos Projeto Legal www.projetolegal.org.br Instituto Noos www.noos.org.br Gueto Poético