2015 Annual Report
Healing Children, Healing Asia
Message from our Founder
2015 was the year of another dream come true for me. Friends Without A Border opened a new hospital in a new country…Lao Friends Hospital for Children (LFHC)! I am happy to report that LFHC is not only open, but off to an amazing and successful start. As 2015 came to a close, LFHC has successfully opened its Inpatient and Outpatient Departments, Pharmacy, Laboratory, Radiology, and its aroundthe-clock Emergency Department. In addition, works are in progress for Outreach, including Homecare and HIV programs so that we can bring compassionate and international-standard of primary healthcare to children throughout Northern Laos. The critical need for our hospital has also been confirmed by a consistently increasing number of children being treated at LFHC on a daily basis. The lives of many children have been saved. The challenges faced in successfully opening LFHC are simply too numerous to mention. It is important
for me to identify and thank the selfless and dedicated team that continues to make this success possible. I begin by naming and thanking our primary partner in Laos, the Lao Ministry of Health and Health Department of Luang Prabang. As most of you know, our model for LFHC is different from the model we used in Cambodia for Angkor Hospital for Children. LFHC is a freestanding and independent children’s hospital built on the campus of the Luang Prabang Provincial Hospital (LPPH). LFHC has essentially become the Pediatric Department for LPPH. We have designed LFHC not only as a center of compassion and international medical excellence, but as a children’s hospital that will be locally sustainable. Our plan is to successfully integrate LFHC within 10 years to be managed by LPPH. The success of this fundamental goal requires close coordination and cooperation with LPPH and the Lao Ministry of Health, and I wish to thank the leadership at these institutions for the important role they have played in the opening of LFHC.
I would also like to thank the board of directors and staff of Friends Without A Border New York and Friends Japan, who worked tirelessly alongside the staff of LFHC. We are fortunate to have such highly-qualified and dedicated leadership that contribute experience from working in pediatric hospitals and clinics from around the world. Under the leadership of our Executive Director Dr. Cheri Nijssen-Jordan, the expat leadership staff has exceeded our expectations. Our Laotian staff is also quite impressive. The amount of work put in by these young doctors, nurses, technicians, and support staff is something to be seen. Not only are they learning to provide compassionate and international-standard care to the children, but they spend many hours beyond their duty to learn advanced medicine and nursing together with learning English. I can already see them growing into the leaders of the future Lao healthcare system, inheriting the spirit of Friends Without A Border.
Needless to mention, there are many people responsible for the initial success of LFHC. But one important part of the team remains, and it consists of the generous donors listed at the end of this Annual Report. Not only have you given generously to create Lao Friends Hospital for Children, but you have trusted us to invest those donations efficiently and effectively. We appreciate the trust, and we hope you can see through this Annual Report that your trust has been well placed. We are always so excited and gratified when our donors make the long trip to Luang Prabang to visit our hospital. Many of you attended our Grand Opening in early 2015, and others visited throughout the year. Please know that you are always welcome to see our staff treating every child as if their own child at LFHC. Lao Friends Hospital for Children could not be there without you. Kenro Izu Founder and Honorary President
Message from our Chair 2015 was another busy and productive year for Friends Without A Border. We continued our financial support for Angkor Hospital for Children (AHC) and The Lake Clinic (TLC) while opening and growing Lao Friends Hospital for Children (LFHC). Over the course of the year, LFHC grew from an outpatient only facility to a 24-hour facility that included Inpatient and Emergency Departments. We strengthened our relationships with the local community and Lao government by developing a reputation for high-quality medical service and continuing to share information and best practices.
As we approach the 20th anniversary of Friends Without A Border, there is much to celebrate. With the support of thousands of donors, medical professionals, staff members, volunteers and strategic partners, we have delivered compassionate care to millions of children in the Mekong Region and high-quality training to thousands of medical professionals. As Chair of the Board of Directors of Friends Without A Border, I would like to express our heartfelt thanks to everyone who has made this possible. The last year has also reminded us that there remains much work to be done. With families traveling up to eight hours to receive care at LFHC and children arriving with advanced and previously undiagnosed serious medical conditions, we are more aware than ever of the need for our services. We look forward to the continued support of old friends and to engaging with new friends as we fulfill our mission of delivering the highest quality and most compassionate care to the children of Cambodia and Laos.
In the coming year, we look forward to building our Surgery and Neonatal Departments, as well as implementing partnerships with local medical schools to provide pediatric training for the next generation of Lao doctors, nurses and physician assistants. These education initiatives combined with the expansion of our Outreach Programs will ensure that Friends Without A Border will be able to help even those children and families unable to travel to LFHC.
Matthew Magenheim Chair of the Board of Directors
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Friends Without a Border • 2015 Annual Report
Message from the Executive Director of LFHC Lao Friends Hospital for Children is now a reality. This Annual Report shares some of the successes and challenges of the first year of operations. As the management team reviewed the goals that Friends Without A Border aspired to when designing the hospital, the full LFHC team took a great deal of pride in bringing such a special concept to life. LFHC is now delivering care, free of charge, to any child in Northern Laos who needs it.
record system. This system will allow not only clinical documentation, but will assist in monitoring and evaluation for research and operational management. Additional site commissioning will continue in 2016 with Operating Theatre preparation for the surgical program as well as opening a newborn unit to expand inpatient care to include infants under 28 days of life. The ultimate plan of integration of our children’s hospital into the fabric of the Lao Ministry of Health has been taken very seriously by the team. Every decision was made using a lens of sustainability in the Lao environment of future and vetted with our Lao Ministry of Health partners. The collaboration has been very successful!
The doors to the hospital opened on February 12th, 2015 for outpatient consultation and treatments. The numbers of visits in outpatients doubled those previously seen at the Luang Prabang Provincial Hospital (LPPH). The pace continued as the Inpatient Department opened in August followed by the Emergency Department in November. As of December 31, LFHC treated over 10,000 children from the ages of 1 day up to 15 years. These children came from every district in the province of Luang Prabang as well as 8 other provinces (out of 17) in Laos.
As a final comment to this summary of LFHC’s first year, we want to tell the story of one of our patients. A small 4-month-old baby came in looking very blue, not breathing well, and his heart was about to stop. The LFHC Lao and expatriate team provided oxygen, breathing support, thiamine, supportive medications, IV fluids, antibiotics, nursing care, cuddling, and a lot of parental counselling and teaching. The team were very proud to discharge this baby home with his smiling parents a few days later. The care provided to this small child was second to none in the world, and it was provided here at Lao Friends Hospital for Children. This story is one of many that already dot the short history of a growing, caring place with a mission statement that “every child has the right to a healthy and loving life.” A very heartfelt thanks is extending from the LFHC staff to all of our donors, partners and supporters for your help in bringing this dream to life!
The LFHC team numbered over 60 Lao staff including nurses, doctors, x-ray technicians, laboratory technicians, pharmacists, sterilization technician, physiotherapy, administrative personnel, security, Friends Visitor Center staff, and infection control & cleaning staff. They are actively engaged in providing services as well as taking English lessons and continuing their clinical curriculum. Almost 100 expat volunteers from around the world helped to provide high quality service and teaching. Both staff and volunteers alike added flavour and an enthusiasm that echoed the mission of providing compassionate quality care to the children of Northern Laos. A significant highlight for operations was the implementation of an Electronic Medical Record utilizing OpenMRS, an open source IT medical
Cheri L. D. Nijssen-Jordan, MD FRCPC FAAP MBA Executive Director, Lao Friends Hospital for Children
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Friends Without A Border Every child has the right to a healthy and loving life. We accomplish this by providing high-quality and compassionate medical care to the children of Southeast Asia; by creating community health education programs; and by training local healthcare professionals. 4
Friends Without a Border • 2015 Annual Report
Friends Events
New York Gala Our Annual Spring Gala celebrates Friends Without A Border and honors those with tremendous dedication to our work. The theme of the 2015 Gala, “Realizing the Dream,” commemorated the Grand Opening of Lao Friends Hospital for Children. The Gala runs concurrently with the Cambodian and Laotian New Year and is a festive evening dedicated to celebrating Southeast Asian culture, with delicious food, live and silent auctions, and a market of unique Asian-inspired gifts. Over 200 guests attended the 13th Annual Friends Gala in April and helped raise over $270,000 to support healthcare programs in Cambodia and Laos.
Channapha Khomvongsa, Executive Director and Founder of Legacies of War. The tireless efforts of Channapha and her team have helped raise awareness about unexploded ordinance remaining from the Vietnam War-era bombing of Laos. As a result of their work, countless lives have been saved and devastating injuries have been avoided. Friends also recognized Gregory Wakabayashi along with George and Dori-Ann Stubos for their many years of dedication and support with the Best Friend of Friends Award.
Friends Photography Auction The Annual Friends Photography Auction is the signature event of
Friends was proud to present its highest honor, the fourth Healing Asia Award, to
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Friends, symbolizing our belief that “Art Can Make a Difference,” and has raised over $2 million since 1997. The 18th Annual Friends Photography Auction was held on October 6th in New York City. Over 250 photography enthusiasts joined Friends to bid on over 150 pieces by photographers around the globe. Friends inaugurated the Best Artist of the Year Award by presenting this honor to Elliott Erwitt, a renowned Magnum photographer whose iconic images are widely recognized. With prints from artists like Annie Leibovitz, Steve McCurry, Richard Misrach, Daido Moriyama, and Hiroshi Sugimoto, the event raised over $170,000 for children’s healthcare.
Friends in the Community Friends expresses our sincere gratitude to the many supporters around the world who organized creative initiatives to support our cause and help children across Southeast Asia. Here are some of them.
Friends of Friends On October 10th, Friends of Friends (FoF) New York held their annual fundraiser for the 16th year. The Cambodian-American supporters of Friends were delighted to raise over $16,000 for Angkor Hospital for Children while having a fun-filled event
with Khmer-style dance and music. On December 9th, committee members Dr. and Mrs. Samrang Kchao visited AHC and presented a check on behalf of all the FoF supporters.
Diana’s Ice Skating Diana Cheung and the Asian Pacific American Medical Student Association (APAMSA) hosted an ice skating fundraiser for LFHC, with over 136 students from the NYIT College of Osteopathic Medicine in attendance. Diana and the group raised enough money to purchase a Continuous Positive
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Airway Pressure (CPAP) machine for Lao Friends Hospital for Children - used for premature births or babies born with breathing problems.
Friends Without a Border • 2015 Annual Report
Berger Family’s Run Adri Berger, Luang Prabangbased videographer who creates great footage for Friends, and co-owner of the Big Tree Café, is a big advocate of LFHC in the local community. Adri took his support even further to his homeland of The Netherlands, where his extended family participated in a marathon to raise money for LFHC. More than ten members of his family visited LFHC over the summer and presented a symbolic check to the hospital.
Luang Prabang Half Marathon More than 500 participants took to the streets of Luang Prabang on October 18 in the run that has been voted among Asia’s top destination runs by CNN. An unexpected shower did not dampen the enthusiasm of the runners from 23 countries, who made their way past the Mekong and Nam Khan rivers, beautiful temples, and markets. The runners raised over $60,000 for three Lao charities: a girls’ hygiene program, a literacy organization, and Lao Friends Hospital for Children.
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Volunteers We are so grateful for the tremendous support we receive from our volunteer community. Over 150 volunteers helped us with events, mailings, office duties, and outreach in 2015. Thank you to each and every one of our amazing helpers!
Lao Friends Hospital for Children Improving children’s health and survival is a top priority in Laos. Many years of conflict and widespread poverty have stalled health care development, and poor public infrastructure combined with high mountainous terrain present a constant barrier for children and families to access high-quality health care. Among the most crucial of these challenges is a lack of health workers in Laos. 8
Friends Without a Border • 2015 Annual Report
Treatment
With 62.6% of the population under the age of 18, and an average population age of 20.7 years, children are the most vulnerable and affected population by these challenges. It is common for children to suffer from preventable and treatable diseases such as malaria, pneumonia and diarrhea. The prevalence of malnutrition is high, and rates of immunization are low. Approximately 74 out of every 1,000 children born will not live to see their fifth birthday. These astounding statistics are what brought Friends to the region. Friends remains committed to meeting these challenges and delivering evidence-based care through the successful model implemented in Cambodia: Treatment + Education + Prevention. LFHC was inaugurated on February 11.
Throughout 2015, the clinical team delivered care to increasing numbers of children with dedication, smiles, and a caring, compassionate attitude. LFHC implemented a phased opening; with provision of care starting with the Outpatient Department (OPD). 47 children were seen on opening day - since then, a range from 30 to 90 outpatients were seen each day by our Lao medical staff, alongside mentorship of our international medical volunteers. With increased training and capacity, the doctors and nurses were ready for the next milestone: the Inpatient Department (IPD). On August 11, the IPD admitted its first patient: a young girl named Yong Wa with typhoid fever requiring IV therapy. She came from a poor Hmong family with 21 children who traveled 8 hours by bus to receive treatment. On the first day there were 17 inpatients, and the department has since consistently been at capacity. LFHC has seen an increasing number of referrals from district
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hospitals, as well as other hospitals in the city and from other provinces. The opening of the Emergency Department (ED) in November marked the start of 24/7 care for all children, including newborns, medical, surgical, and trauma victims. An average of 10 emergency patients per day are treated for a variety of illnesses, with infectious diseases accounting for over 80% of patient presenting illness. Diagnoses also included seasonal illnesses such as typhoid and dengue fever; as well as malnutrition, Thalassemia, and nephrotic syndrome (kidney diseases). The most commonly prescribed medications dispensed by the pharmacy included Vitamin B1, folic acid, multivitamins, zinc, and Tylenol.
The Laboratory focused on simple tests like a CBC (hemoglobin test) and rapid tests to treat frequently seen diseases such as malaria, HIV, streptococcus, dengue, and typhoid. These tests provided immediate results and helped direct care in the appropriate way. The staff became more proficient in reading blood smears, gram stains and malaria tests, and also completed the training for HIV testing. In total, 2,609 laboratory tests were completed, with 13% leading to a diagnosis of dengue fever and 4% diagnosed with malaria.
The Diagnostic Imaging Department opened in May, with help from RAD-AID International, who sent a radiologist, an ultrasound technician, and a radiology technician to LFHC. They were able to set up the digital radiology machine as well as teach in both ultrasound and x-ray modalities to the new Lao x-ray technician. The teaching from RAD-AID volunteers was instrumental to the ability to provide high quality diagnostics. An additional highlight for the year was the installation of PACS
Meet Sith, a 14-month-old boy from Xayaboury Province in northern Laos. Sith is the youngest of five siblings and the son of rice farmers. Brought into LFHC by his parents, he was tired, weak, and irritable. A blood test showed that his hemoglobin level, a measure of red blood cells, was dangerously low—less than 1/3 the level that is usually considered “low.” Sith suffers from Thalassemia, a genetic red blood cell disorder extremely common in Laos. Children with Thalassemia require routine blood transfusions, frequently as often as every month. Sith received a blood transfusion and food supplementation to bring him back to health, and was sent home in a few days time with renewed energy. He will need to make the 3 hour journey from his home to LFHC every few months to make sure that he maintains a healthy red blood cell count. We look forward to seeing him back! Patient Story
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(patient archiving system) which allowed images to be uploaded and stored rather than needing to print films. This technology enabled reading of the information anywhere over the hospital’s network, plus easy transmission to outside consultants. LFHC was awarded the TEAM Grant (Training, Economic Empowerment, Assistive Technology, Medical Rehabilitation) as a sub grant from USAID. The grant allowed LFHC to develop its Therapy Program and employ a local Lao education professional. The play therapist will be instrumental in creating a neurodevelopmental screening tool and measuring cognitive stimulation and gross motor development.
Friends Without a Border • 2015 Annual Report
The Baseline Medical Survey (BMS) conducted by Dr. Jeff Measelle, started in 2014 and continued research and analysis throughout 2015. The BMS is among the most comprehensive child health studies conducted in Luang Prabang. A total of 630 households were surveyed, producing health data on more than 900 children ages 0-to-5 years. The BMS focused on developing an accurate picture of children’s health in the Province, in particular children’s physical growth rates, immunization status, general health status, rates of communicable and non-communicable disease, oral health, nutritional status, familial reproductive health practices, and maternal perinatal health status. The collection of both biological and survey data has helped to prioritize medical services at LFHC, and will provide a baseline from which to gage the impact of LFHC going forward. The BMS also provides LFHC staff the opportunity to collaborate on health research and to develop grant proposals with government and NGO partners.
LFHC Patients Age 30% Under 1 year old
18% 27% 1-2 years 2-5 years old old
25% Over 5 years old
Gender 46% Male
54% Female
Ethnicity 67% Lao
17% Khmu
16% Hmong
Districts 74% Luang Prabang
7% Chomphet 6% Pak Ou 4% Xiengngeun 9% Other
Common Diagnoses
54% Infectious Diesease
35% Other 5% Malnutrition 3% Thalassemia/anemia 1% Epilepsy 1% Renal conditions 1% Injury
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In preparation for the opening of the Operating Theatre in 2016, LFHC welcomed various international medical professionals, including teams from Germany and Singapore, as well as U.S. Board Member, Dr. Tim Weiner. The surgeons worked hard to increase the capacity of the Lao staff through training and education on everything from anesthesia, operations, and pre- and post-operative care. Our collaboration with the Luang Prabang Provincial Hospital (LPPH) was essential, as LFHC began to take on the post-operative care for surgical patients from LPPH. In addition, two of our Lao nurses underwent a 5-month training at Angkor Hospital for Children on anesthesiology. We couldn’t be any happier to see our two hospitals working together!
Education LFHC’s education pillar focuses on patient education, medical education, English-language education, and community health education. The primary emphasis was with patients and their family members, and ensuring that educators considered family dynamics, housing environments, village resources, and other influential factors. Patient education is given daily to patients’ families including nutrition, vaccinations, breastfeeding support, oral health, family planning, and diseasespecific information. Ongoing medical education for Lao staff included a sevenmodule program following World Health Organization (WHO) guidelines. There were four opportunities for staff to attend continuing education workshops, including a Capacity Building and Health Education
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Workshop at Angkor Hospital for Children. Nurses were trained on combining clinical information with the essentials of pediatric care, and also completed an Emergency Triage Assessment and Treatment (ETAT) course in preparation for the inpatient and emergency department openings. Rather than delivering care according to an arbitrary set of calculations, the medical team was encouraged to think of the patient holistically, and to understand the disease for which they were giving medication. These ideas were warmly welcomed and helped genuinely foster a sense of compassionate care in the hospital. The team also undertook English-language classes taught by an ESL-certified and native English speaker. Our medical library continued to grow, allowing the staff to consistently learn new skills and further develop their English. Improving the language skills of our doctors and nurses is a component of our capacity-building and sustainable approach to medical care: it allows each and every practitioner to become international medical professionals.
LFHC 2015 by the Numbers
10,800
Patients admitted
805
2,609
X-rays and ultrasounds performed
21
Lao nurses
over 50
252
Total patient visits
Lab tests performed
Post-operative patients
67,806
Total medications dispensed
less than 1day to 61 days Length of stay
13
115
Homecare patients
11
Lao doctors
Prevention Our Outreach Program is designed to care for children who may not have access to medical services, and to teach preventative health to local Lao communities. The LFHC Outreach Program has three components: a Homecare project; HIV/AIDS care, and a Model Village project. Homecare focused on regularly visiting chronically ill patients, and provided services to 116 children and their families in 9 districts across Luang Prabang Province. Care was designed
to involve a holistic approach to support autonomy and independence of both patients and families, while providing needed medical care for children diagnosed with illnesses such as cerebral palsy, developmental delays, and congenital heart disease.
launch an “Integrated Pediatric HIV/AIDS Care Program” at LFHC. Four clinical staff trained as HIV counselors, and the team conducted homecare visits for 4 HIV positive patients. Project activities support improved quality of life as well as prolongation of life.
The HIV Project aimed to integrate all HIV-related care into one pediatric facility with pre- and post-test counseling, treatment, homecare visits, and prevention education. The team worked closely with the Center for HIV/AIDS and STIs in Vientiane, as well as Luang Prabang Provincial Hospital’s HIV clinic to
The Model Village project is designed as a community approach to providing health care, with a major emphasis on prevention and education. Three “Health Promotion Days” in the village provided needed immunizations and health education, covering hand washing, nutrition, food hygiene, personal hygiene, head lice, and growth and development. The Model Village is led by LFHC’s overarching goal to promote empowerment and autonomy, rather than complacency.
Bapphavadee was admitted to LFHC with a severe case of typhoid fever. Typhoid fever is spread through contaminated water, and most often affects children from rural villages with poor sanitation systems. It is one of the many infectious diseases we deal with at LFHC that are rarely, if ever, seen in the developed world. Patients with dengue fever, malaria, hepatitis, and parasitic worms are unfortunately common sights at LFHC. Bapphavadee received a heavy dosage of antibiotics and supportive care to bring down her fever and treat her headache and diarrhea. After nearly a week in the Inpatient Department, she started feeling better and was sent home within a few days. Patient Story
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Our Partners Through the support of our generous partners, we received life-saving medicine and equipment that allowed us to continue expanding LFHC to care for more children in Laos. Our partners included Direct Relief International, Vitamin Angels, Rotary Club Australia, RAD-AID
Friends Without a Border • 2015 Annual Report
LFHC Volunteers
International, and the United States Agency for International Development (USAID). In addition, a partnership with the local branch of the Swiss Red Cross (SRC) was initiated at the start of Outreach programming. Other coordination on HIV/AIDS care, homecare nursing visits, and the Model Village project was held with a variety of governmental and non-governmental organizations, including Korean International Cooperation Agency (KOICA), Save the Children, the Luang Prabang Provincial Health Department, the Luang Prabang District Hospital, and local health centers.
Establishing a sound volunteer program at LFHC was a fundamental part of the hospital’s success. In 2015, we welcomed medical and non-medical volunteers from across the world that were essential in helping lay the groundwork for the future success of LFHC. 85 volunteers came from 4 continents and 8 countries, including Australia, Canada, Germany, India, Japan, Myanmar, the United Kingdom, and the United States. Each and every volunteer brought with them a strong commitment to teaching our Lao staff and building LFHC’s capacity. They came from professions such as nurses, doctors, surgeons, pharmacists, physical therapists, radiologists, English teachers, and biomedical
Europe
North America
9
48
Asia
17
U.K. Germany
2015 Volunteers at LFHC
Canada U.S.A. Australia India Japan Myanmar New Zealand
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and IT Technicians. We extend our sincere gratitude to every volunteer for donating their time, talent, and knowledge to Lao Friends Hospital for Children.
Friends Visitor Center The Friends Visitor Center (FVC) opened in September 2014 in downtown Luang Prabang as a way to spread awareness of LFHC and the health care situation in Laos among tourists and the general public. The first floor contains information on our programs, souvenirs, and an informative film about our project; while the second floor houses photography and art related to Lao culture - all available for donation with proceeds going toward patient care at LFHC. FVC also plays an integral role in community engagement. The third floor is open to the local community for various events, such as yoga classes, while the rooftop provides an incredible view of Luang Prabang for receptions or special occasions. The FVC staff also works to increase outreach by visiting hotels and businesses to introduce LFHC to international tourists or Luang Prabang locals.
Angkor Hospital for Children 16
Friends Without a Border • 2015 Annual Report
tensive Care Unit was renovated to provide more patient privacy and reduce in-hospital infections. AHC is one of only a few hospitals with a standardised Intensive Care Unit, and the only hospital in Cambodia with a Neonatal Intensive Care Unit. Opened in 1999 with just an Outpatient Department, Angkor Hospital for Children (AHC) has developed into an internationally recognized pediatric teaching hospital. As the Cambodian staff continues to elevate the standard of pediatric care in Cambodia, the Outpatient Department has gone from seeing 20,000 patients a year to 132,000 in 2015. AHC now provides Outpatient, Inpatient, Emergency/ Intensive Care, Cardiac and other surgical services, Physiotherapy, Social Work, HIV, Eye Cancer, and Neonatal Care, in addition to ancillary services including an on-site laboratory and a wide variety of medical educational programs. In 2014, the Outpatient Department was renovated to accommodate the increase in patients, and in early 2015 the Emergency Room/In-
AHC aims to provide high quality, compassionate care to all Cambodian children regardless of their ability to pay. For patients who cannot afford to pay, AHC provides free healthcare, as well as food support, round-trip transportation reimbursement and a safe space for their families to stay during treatment. Through their strong network of referral partners, AHC is able to refer patients to other facilities should they be more convenient or should they require services that AHC does not provide, such as routine vaccinations, which are provided at no cost by the Cambodian government. AHC became independent in 2013 and is now staffed by 98 percent Cambodians.
AHC 2015 by the numbers
132,133
Outpatient Department
3,411
Inpatient Department
27,035
Emergency Room
880
Intensive Care Unit
27,190
Satellite Clinic
>186,000 Total Treatments
Top Diagnoses: Lower respiratory infection, upper respiratory infection, sepsis, and gastroenteritis.
For more information, visit
www.angkorhospital.org
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The Lake Clinic 18
Founded in 2007 by former Executive Director of AHC, Jon Morgan, The Lake Clinic (TLC) provides medical care and health education to families living in remote and isolated areas on the Tonle Sap Lake and its tributaries in Cambodia. TLC is the only sustained hope of medical care for these families; other medical care centers are over 70 miles by boat. TLC has continued to grow and now includes 5 floating clinics (in 5 of 9 villages) and a small “fleet” of boats providing transport and support for two clinical teams. Each team, composed of an all Cambodian staff, makes rounds every single day, providing medicine and education, and creating strong bonds in the local community. In 2015, TLC focused on the idea that “nutrition is key,” and village health volunteers visited local schools to encourage these ideas among local school children. In the village of Pek Chikrey, children learned the basics of nutrition by describing food as either “body building food,” “body maintenance food,” or “body energy food.” When asked to prioritize their food tastes between fish,
meat, vegetables and rice, the children ranked vegetables the highest—they learn quickly!— with fish at the bottom. To bring these lessons home, TLC started a “bottle garden” project with the school children,
initiated by one of TLC’s cooks, Si Sathya, an avid home gardener. From just a couple of bottles filled with local soil, she expanded the idea from just basil and chili, to local spinach and green onions along with mint and even tomatoes.
TLC 2015 by the numbers
4,843
Pediatric patients treated
7,152
General medicine provided
488
Antenatal care patients
705
Dental patients
211
Eye care patients
1,951
Immunizations provided
55
Home care visits
44
Referrals
120
Birth spacing
1,172
Visual acuity exams for school children
For more information, visit www.lakeclinic.org
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Health Statistics *All data from World Bank, 2013-2015
LAOS
CAMBODIA
U.S.
TOTAL POPULATION
6,689,300
15,328,136
318,857,056
POPULATION 0-14 YEARS
35%
32%
19%
GNI Per Capita (current US$) ATLAS METHOD
$1,600
$1,020
$55,200
Under 5 Mortality Rate
67/1,000births
29/1,000births
7/1,000births
Maternal Mortality Ratio
197/100,000births
161/100,000births
14/100,000births
Births Attended by skilled MEDICAL staff
42%
74%
99%
Health Expenditure Per Capita (current US$)
$32
$76
$9,146
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Friends Without a Border • 2015 Annual Report
Statement of Activities and Changes in Net Assets for 2015 (Unaudited) Unrestricted
Temporarily restricted
2015 Total
2014 Total
Contributions Government contract grants Special events Less: direct expenses Patient income, fees etc. Sales Collection boxes Investment income Other income Net assets released from restrictions
$ 1,760,291 $ 703,268 – 594,955 (222,311) – 37,488 4,131 1,477 2,284 451,011 (451,011)
2,463,559 – 594,955 (222,311) – 37,488 4,131 1,477 2,284 –
1,697,643 – 456,215 (187,097) – 4,482 1,024 1,602 92 5 –
Total revenue
2,629,326
2,881,583
1,974,794
REVENUE
252,257
EXPENSES
Program services AHC & TLC support LFHC Program development
364,392 1,232,897 17,209
364,392 1,232,897 17,209
350,402 492,270 4,500
Total program services
1,614,498
–
1,614,498
847,172
Supporting services Fundraising Management and general
217,389 177,863
217,389 177,863
202,928 162,232
Total supporting services
395,252
–
395,252
365,160
Total expenses Change in net assets Net assets at beginning of year
2,009,750 619,576 1,552,166
– 252,257 248,228
2,009,750 871,833 1,800,394
1,212,332 762,462 1,037,932
Net asset at end of year
2,171,742
500,485
2,672,227
1,800,394
9% Management & General
2% Other Income 13% Special Events
11% Fundraising
85% Grants & Contributions
62% LFHC Program
18% AHC & TLC Programs
Sources of Revenue in 2015
How Resources Were Spent in 2015
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Supporters The work of Friends Without A Border would not be possible without our generous donors. From all of us at Friends, we would like to extend our deep gratitude to all our caring supporters all over the world. We apologize for any omissions or errors as we acknowledge the following individuals and organizations that made significant contributions in 2015. 22
Friends Without a Border • 2015 Annual Report
$100,000+ Simon Franks Hartmut & Ayako Giesecke Edward Stone Andrew Wolff Mija Yang
Marily Mearns Microsoft Matching Gifts Program Dany & Mark Ramsay Muhit Rahman Stamos Capital Partners Ungar Foundation
$50,000+
$5,000+
Build Cambodia (Ed & Laurie Bachrach) Nina & John Cassils
Carlos Belmonte Roberto Camacho Barry & Naomi Cohen Jeff & Carla Cole Foundation, Inc. Darryl Goveas & Valerie Chow Foto Care RJ Hutton Charitable Trust George Kanas David Kronn Philip Lajaunie Bernard Liberman Celia Morrissette Susan Rafte Nirit Resnick The Shelley & Donald Rubin Foundation Jake & Ewi Shafran Traloun Song Jane Tjian Ayako H. Weissman
$25,000+ Asia Brokers Asset Managers Charity Ltd. The Shemesh Joester Foundation David & Joan Pritchard Pua Foundation World of Children Award
$10,000+ Avenue Capital The Big Wood Foundation (Marjorie & Michael Stern) Caroline & Jorge CamuĂąas David & Tamana Chang Gary Cornell The Derfner Foundation Robert Ellis & Jane Bernstein Seiichi & Maho Fukuyama Estate of Lino Gobbi Corey S. Goodman & Marcia Barinaga Greater Houston Community Foundation Kurt Forrest Foundation Monica Rich & Rod Kosann Willy & Eileen Ma Michael & Carolyn Rossip Malcolm The Marshall Family Foundation Inc
$1,000+ Ronald & Judith Ablow John Andresen Marsha Askins Michael Astendig Ben Baccash Tony & Gay Barclay Susan Barrett Hazel Bercholz Terry Best Stephana Bottom
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Jean A. Briggs Sheri Brooks Steve & Suzanne Brown Alexis & Steven Burakoff Kristen Campana Paul & Helaine Cantor Willie & Mika Chang Nieves B. & Alex S. Chanthasoto Charities Aid Foundation Nerou N. Cheng Diana Cheung Jae Chun Dan & Sally Connolly Ellen & Richard Cook William Cottingham Jeffrey Cunard & Mariko Ikehara Pushpak Damodar & Salina Maharaj Malcolm Daniel Aaron Day Ellen Dodge Walter & Caroline Dueger Tom Finke Andrea Franchini Michael Freeborn Friendship With Cambodia Juliana Gamino Michael Gilmore Lucy Goldman Marty & Kathy Goossen Howard & Ellen Greenberg Don & Joy Haley Lee & Mary Hamilton Omar Hansrod Patrick Hogan Steven Holl & Solance Fabiao The Honickman Foundation Horizon Kinetics International Society for Children with Cancer
Helen Jessup Melissa Jones Brice Karsh Phonesouda Khamvongsa David Kistenbroker Gera-Lind Kolarik David Krestin Varun Kumar Hal Kussick Ken & Rosalind Landis Lang Foundation Trust Corina Larkin Jennie Lebowitz Veronique Lee David & Pia Ledy William & Stephanie Lemke Olivier Letessier Brian Li Matthew H. Magenheim Steven B. Malkenson Patrick Maloney Barbara & Fred Marcus Andrew Massat George McClintock Siobhan McNally & Mark Liponis John Meditz Bruno Mejean Kendall Messick & Paulette Wilson Edward Messikian Nippon Steel U.S.A., Inc. Chris O’Connell Gary O’Connor Michael O’Connor & Susan Leon Nouanenith & Bob Paiva David Park Robert Pascoe Scott Pearson Rebecca Perrin & Michael Gulas Tatiana Pouschine
Elizabeth Pritchard Matthew & Elizabeth Quigley Joseph Rokacz William Rogers Travis & Julie Rushing Kathryn Salisbury Sidney & Janet Sass Aileen Brody Schiro Kylie Schuyler Karen & Douglas Seidman Bob Shaye Allan Silverstein Francoise Simon David & Kathryn Snell Diane Steiner St. Thomas Aquinas Parish, St. John Church & Student Center Jayashree Srinivasan Jasmine & Mark Swope Harumi Tai Daisuke Takahashi David & Sylvia Teitelbaum Fund Inc. Miwako Tezuka Craig Tooman & Jillian Crawford Francois Turner & Marie-Michele Desfosses Julian Tyacke & Kristiane Traffa Wing Tsan & Mieko Wong Paul & Sylvie Vaccari Kathy Valko & Alexander Cook Louis & Kimiko Vigden Gregory & Teresa Wakabayashi Jeffrey Waltcher & Timely Rain Atsuko Watanabe Audrey Weaver & Michael Vogan Barbara & Frank Weiner Jack Weiner Timothy M. Weiner Steven Williamson
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Won Chong Trading Inc. Asaf Yogev Beverley Zabriskie
Local Supporters Amantaka Apsara Hotel Belmond La Residence Phou Vao Luang Prabang International Airport Luang Prabang View Hotel Ma Te Sai Sala Prabang Hotel Sofitel Luang Prabang Sonphao Japanese Restaurant Trails of Indochina Company Xiengthong Victoria Hotel (Palace) 3 Nagas by M Gallery
In-Kind Donors ($1,000+) William Abranowicz Alberta Health Services Mariette P. Allen Altour International Avenue Capital Management II, LP Rachel Barlow Robyn Beeche Adri Berger Big Brother Mouse Phil Borges Campbelltown Hospital, Sydney Canadian Society of Registered Orthopeadic Technologists (Calgary Chapter) William Carter Paul and Gabriel Chaleff Alisa Eva Chazani Nerou N. Cheng Commerce Graphics Ellie Davies Margo Davis
Friends Without a Border • 2015 Annual Report
Dominic DeFrancis Monica Denevan Deonne Dersch-Mills Direct Relief International Celine Drean Steve Dunning Edgewood College Ashley Emmerton Brian English Elliott Erwitt Estate of James Karales Millie Falcaro Tom Finke Frank Fournier Daniel Glico Howard Greenberg Hakujyuji Co.,ltd Rose Hartman Herb Ritts Foundation Eikoh Hosoe Kenro & Yumiko Izu Stephen Joester Bill Kane Michael Kenna Laura Labelle and Aimee DeLeon Michael Lang Philippe E. Laumont Le Sen Boutique Hotel Annie Leibovitz Saul Leiter Foundation Elaine Ling Liverpool Hospital, Sydney Christophe Lunn Jenny Lynn Ellen Kaplowitz Rob Kinmonth KunSik Masatomo Kuriya Michael Maher
Hiroyuki Matsuoka Steve McCurry Siobhan McNally Amanda Means Barbara Mensch Marilee Miner Daniel Mintz Richard Misrach Daido Moriyama Marvin Newman Stefano Nicolini Cheri Nijssen-Jordan Hank O’Neal Wendy Paton Ed Pfizenmaier Sue Phim José Picayo Andy Plager Robert Polidori RAD-AID International Beatrix Reinhardt Dave & Marnie Rickards Saul Robbins Sheila Rock Michael Sabo Sand & Stories Tomoko Sawada Robert Schaefer Leanne Schanzer Scheinbaum & Russek Ltd. Ken Schles Peter Serling Michael Shapiro Saschy Singh Alex Smith South Austral Pty Ltd Jonathan & Marci Spector Harvey Stein Peter Steinhauer
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Kai Stuht Hiroshi Sugimoto Jasmine Swope Eric Taubman The Children’s Hospital at Westmead, Sydney Charles Traub Brian Tseng Richard Tuschman Setthy Ung Carolyn Usher Vitamin Angels Lisa Walsh Hiroshi Watanabe William Wegman Timothy Weiner Susanne Werner Greg Wright George S. Zimbel
LFHC Co-Founders Act Against AIDS 「THE VARIETY」 Ed Bachrach & Laurie Bachrach, MD Nina & John Cassils, MD David & Tamana Chang Drs. Jay J. & B. Hyun Choi Edward E. Stone Foundation Franks Family Foundation Hartmut & Ayako Giesecke Houryuji in honor of Houmyo Saito Kenro & Yumiko Izu Yollanda Cheung & Rupert Christopher Li Nakayama Shingosho-shu Gratitude Campaign Fund
How you can help 26
Friends Without a Border • 2015 Annual Report
Every single day, children die from preventable diseases and treatable illnesses such as malnutrition, pneumonia, and diarrhea, simply because they don’t have access to medical care. Our holistic model of “Treatment + Education + Prevention” ensures that your support not only treats children in need, but promotes long-term and sustainable development.
Heal a Child, Save a Life
Give the Gift of Stock
Give a gift to support our efforts to provide international-quality and compassionate healthcare to the children of Southeast Asia. Make an instant, secure, and tax-deductible donation online by visiting www.fwab. org/donate, or give us a call at 212.691.0909, or by mail to Friends Without A Border.
Donating stock or mutual funds to Friends Without A Border is a tax-wise approach for caring for children in need. Making a gift of securities is simple and offers a number of valuable financial benefits. We encourage you to consult your personal tax advisor to evaluate your best options when making a donation of securities.
Honor a Loved One Honor someone special with a tribute gift, a donation made in someone else’s name. Your tribute gift can be in honor of, or in memory of, a friend, family member, colleague, loved one, or just someone special. Your honoree will receive a personalized letter introducing them to the children that their gift was able to impact.
Start a Fundraiser Celebrating a birthday, wedding, or other big event? We can assist in organizing community events from bake-offs to bike races. Simply start a fundraiser on Crowdrise, GoFundMe, or FirstGiving, and select Friends Without A Border as your charity of choice.
Create a Lasting Legacy Consider including Friends in your estate plans. A gift to Friends Without A Border in your will or living trust allows you to retain assets during your lifetime, minimize estate taxes, and is a lasting investment in advancing our mission and ability to respond to future challenges.
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Friends Without A Border 1123 Broadway, Suite 1210 New York, NY 10010 Tel: 212.691.0909 Fax: 212.337.8052 email: fwab@fwab.org
www.fwab.org
Board / staff 28
Goodwill Ambassador Yo-Yo Ma (2016) Board Ronald D. Ablow, MD David Chang Nerou Cheng, CPA Kenro Izu, Founder and Honorary President Stephen Joester Philippe Lajaunie Matthew Magenheim, Chair Michael Malcolm Tina Patterson David J. Pritchard Jonathan Spector, MD MPH Michael Stern Timothy M. Weiner, MD Ayako Weissman Medical Advisors David L. Pugatch, MD Charles F. Craft, DDS Young Ambassadors Diana Cheung (2016) Todd Joseph (2016)
Photo credits: Adri Berger, Diana Cheung, Shigemi Hirano, Geoff Ridenour, Paul Wager, Ellen Wallop, Bryan Watt
Friends Without A Border New York
Lao Friends Hospital for Children
Chief Operating Officer
Executive Director
Akiko Arai
Cheri L. D. Nijssen-Jordan, MD FRCPC FAAP MBA
Development & Events Manager
Medical Director
Juan Carlos Uribe Vega
Siobhan McNally, MD
Donor Relations Associate
Deputy Director
Stephanie Lowry 1123 Broadway, Suite 1210 New York, NY 10010 Tel: 212.691.0909 Fax: 212.337.8052 email: fwab@fwab.org www.fwab.org
Friends Without A Border Japan 1-7-5-203 Shimo Meguro Meguro-ku, Tokyo 153-0064 Japan Tel: 81.(0)3.6421.7903 Fax: 81.(0)3.5722.2060 www.fwab.jp
Jennifer Brown Medical Education Director
Michael Maher, MD Director of Nursing
Jessica Dwyer, RN Clinical Outreach Coordinator
Kazumi Akao, RN Director of Administration
Rodney Miller Located on the grounds of the Luang Prabang Provincial Hospital P.O. Box 873, Luang Prabang, Lao PDR Tel and Fax: 856.(0)71.254.247 email: LFHC@fwablaos.org
www.fwab.org