MÊdecins Sans Frontières Australia Annual Report 2009
Contents Part A Médecins Sans Frontières – Charter
2
Message from the President
3
2009 – Year in Review
5
Map – Médecins Sans Frontières projects funded by Australian donors
7
Médecins Sans Frontières Australia International Field Staff in 2009 Summary Activity Charts
8 11
Médecins Sans Frontières worldwide 2008 Extract from International Activity Report 2008
12
Part B Médecins Sans Frontières Australia Financial Report 2009
COVER: Australian nurse Devi Lalloo examining a child during a nutritional assessment in August 2009 in Djibouti. Médecins Sans Frontières opened a project to treat malnutrition in Djibouti, situated in the Horn of Africa, at the beginning of 2009. © Jean-François Herrera/MSF
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Médecins Sans Frontières Charter Médecins Sans Frontières is a private international organisation. Most of its members are doctors and health workers, but many other support professions contribute to Médecins Sans Frontières’ smooth functioning. All of them agree to honour the following principles:
Médecins Sans Frontières offers assistance to populations in distress, to victims of natural or man-made disasters and to victims of armed conflict, without discrimination and irrespective of race, religion, creed or political affiliation.
Médecins Sans Frontières observes neutrality and impartiality in the name of universal medical ethics and the right to humanitarian assistance and demands full and unhindered freedom in the exercise of its functions.
Médecins Sans Frontières’ volunteers undertake to respect their professional code of ethics and to maintain complete independence from all political, economic and religious powers.
As volunteers, members are aware of the risks and dangers of the mission they undertake, and have no right to compensation for themselves or their beneficiaries other than that which Médecins Sans Frontières is able to afford them.
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Message from the President The past year has been one of challenges and opportunities for Médecins Sans Frontières. The challenges have involved the blocking of our assistance to trapped populations; and the further erosion of respect for neutral humanitarian action. Moreover attacks on our workers in the field persisted in 2009; and the ongoing state of inattention for people suffering from neglected tropical diseases also continued to challenge us.
mobile clinics, hospital programs, vaccination campaigns, cholera treatment programs, and relief item distributions. But in the North Kivu region, civilians were cruelly targeted in what can only be described as a deliberate breach of International Humanitarian Law, when people gathering for a vaccination campaign being conducted by our teams came under attack during a Congolese army offensive against the Forces Démocratiques de Libération du Rwanda (FDLR). The attack threatened to severely undermine the trust necessary to carry out independent medical humanitarian work in conflict settings.
The opportunities come from the ongoing tremendous work of all our field workers in over 60 countries around the world, without which millions of people would not have benefited from the medical treatment that we could provide.
In Pakistan, it was again civilians who were severely affected by intense fighting, with tens of thousands fleeing and unable to access food, water, and medical care, and with hospitals struck by mortar fire. In the Swat Valley two Médecins Sans Frontières workers were killed while driving in a marked ambulance on their way to retrieve civilians injured during fighting in the town of Charbagh. In a region where western powers involved in counterinsurgency operations are also major aid donors, the provision of humanitarian aid has largely been perceived as being linked with political objectives. In Pakistan, Médecins Sans Frontières refused funding from any government, relying solely on private donations from the general public for our operations. In 2009 our teams continued to provide emergency medical and relief services in more than a dozen sites in the North West Frontier Province, in the Federally Administered Tribal Areas and in Balochistan Province.
Civilians were again victims in many of the conflicts in which Médecins Sans Frontières worked in 2009, and in some instances we saw they were completely cut off from lifesaving medical assistance. The long, brutal conflict in Somalia continued, with hundreds of thousands more people displaced from Mogadishu and aid workers increasingly under threat. Regrettably two Médecins Sans Frontières staff were abducted (and thankfully later released) and another was tragically killed in an explosion in which 30 others died. Late in 2009, some of those who could have become our colleagues in medical work were killed when a medical graduation ceremony was bombed in Mogadishu, killing 23 and wounding many more. The graduates were only the second class in two decades to earn a medical degree in Somalia. Despite the escalating violence, thanks to our committed Somali staff, supported by a team in Nairobi, we have been able to continue to run ten projects across eight regions of Somalia, providing emergency obstetric care, treatment to malnourished children and medical care to victims of violence.
We also relied solely on private donations for our work in Afghanistan, where we returned in 2009 following a five year absence after five of our colleagues were killed in 2004. The need there for emergency medical assistance remains acute. In eastern Kabul, we began supporting a wide range of medical services at Ahmed Shah Baba hospital in an area where the influx of returnees from Pakistan and displaced people fleeing war in the eastern provinces has nearly quadrupled the population. Despite the needs and low health care coverage, this area has so far been neglected because it is not a NATO or ‘coalition’ priority in counterinsurgency aid policies. Our teams also started working in the only public general hospital still functioning in Lashkargah, the capital of Helmand Province.
In the Democratic Republic of Congo (DRC) civilians continued to bear the brunt of fighting among various armed groups. In eastern DRC hundreds of civilians were killed, thousands of women, children and sometimes men were raped, and hundreds of thousands were displaced from their homes. Médecins Sans Frontières ran sexual violence treatment clinics,
3
Message from the President continued It remains difficult for impartial and neutral humanitarian organisations to convince all parties involved that their only objective is to provide assistance to the population. The distinction between armies, reconstruction and development activities and humanitarian aid has become confused. International coalition forces have co-opted assistance for “hearts and minds” initiatives, occupied hospitals, and arrested patients in their beds, while armed opposition groups have targeted health care workers and health structures because of the presence of international forces providing relief.
partnership with the Drugs for Neglected Diseases initiative (DNDi), our field teams recently successfully tested a new combination treatment for sleeping sickness, nifurtimoxeflornithine combination therapy (NECT). The new combination treatment is easier to administer, shorter in duration and considerably safer than the existing standard treatment, melarsoprol, which kills up to 10 percent of patients treated with it. In our region we were also confronted with three natural disasters in 2009 (Typhoon Ketsana in the Philippines, the Sumatran earthquake and a tsunami in Samoa), all in a matter of days of each other in September. Our team in Sydney was important in providing a timely human resource response in every case, including another emergency response to the cholera outbreak in Papua New Guinea that occurred in July.
Médecins Sans Frontières also faced challenges treating diseases that much of the world ignores. The success over the years of getting more and more people living with HIV/AIDS onto treatment was threatened in 2009 with several international donors announcing plans to reduce or limit funding. At a time when research is telling us that we need to get people on treatment sooner, this is particularly vexing. With only 4 million people in the developing world receiving treatment out of the 10 million people urgently needing it, this is not the time for people to be turned away from clinics because of a lack of funds. Out of those 4 million, Médecins Sans Frontières has been providing treatment for 140,000 people in 30 countries. In 2009 we called for improved access to treatment, to provide patients with the more robust and better-tolerated treatments that are widely available in wealthy countries, and to provide better adapted paediatric formulations.
Finally, I would like take this opportunity to thank Philippe Couturier and all the staff and volunteers in the Sydney office, and the other members of the Australian board for another year of solid support to the operations of Médecins Sans Frontières. The Project Unit has been instrumental in bringing medical advice to the field in 17 countries of operation around the world. The Communications Department supported operations in the Nigeria meningitis outbreak (where seven million people were vaccinated), as well as the emergency cholera outbreak in Papua New Guinea. Congratulations must also be made to all the other staff and departments involved in ensuring the steady increase of income generously provided by our supporters in Australia, without which we could not deliver emergency and humanitarian assistance to the level and quality which is always necessary. Finally thanks must go to our donors who have made possible even greater contributions to our operations in 2009 that were once again professionally supported by our Australian and New Zealand field workers.
Tropical diseases like human African trypanosomiasis (sleeping sickness), American trypanosomiasis (Chagas), and visceral leishmaniasis (kala azar) continue to be neglected. Most treatment and diagnostic tools for these diseases are old, ineffective, or non-existent. Those that are not, like liposomal amphotericin B for kala azar are effective but prohibitively expensive or difficult to transport and store in the areas where it is needed for treatment. The people who suffer from these diseases tend to be in remote or insecure areas with difficult access to health care.
Thank you Dr Matthew Reid President Médecins Sans Frontières Australia
Research and development of new medicines and diagnostic tools to enable better treatment is sadly underfunded. In
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2009 Year in review This year, Médecins Sans Frontières Australia has focused on four key objectives, enabling us to contribute effectively to the international organisation’s medical humanitarian activities. Our first objective was to focus on maintaining the quality of our international field staff, who remain integral to our achievements both here and abroad. Secondly, we concentrated on boosting our medical support to our field programs including the organisation’s emergency response capacity in the AsiaPacific region. Our third aim was to further develop our communications efforts for our field activities. Finally, we strived to increase our financial support, particularly from private donors, for the benefit of our patients, who otherwise may not have been able to access the medical care they needed.
Days provide future field workers with the opportunity to familiarise themselves with Médecins Sans Frontières as well as be exposed to the often challenging professional, cultural and security situations that they will face. The Field Human Resources Department also provides new and experienced field workers with the opportunity to participate in specific international training courses developed or recommended by Médecins Sans Frontières. These courses are offered to further our field workers’ professional skills and expertise. In 2009, 20 Australians and New Zealanders participated in courses ranging from refugee health, logistics, management and French language. Our field workers are also supported by the Project Unit here in the Sydney office – a team consisting of three medical doctors and one midwife. In close collaboration with the Field Human Resources Department, the Project Unit prepares departing field workers with medical briefings and technical training, helping to ensure an optimum level of preparation for their work in the field.
I am pleased to be able to say that we have been successful in all these endeavours. We have identified, trained and deployed qualified field workers to various projects; we have provided medical and operational support to programs with women’s health, paediatric and HIV/AIDS and tuberculosis components; we have effectively communicated about our activities; and we have significantly increased our financial support to our field programs.
The core of the Project Unit’s work formed Médecins Sans Frontières Australia’s second key objective for 2009: to enhance the provision of medical support to projects in 17 countries. Focusing on their areas of expertise: paediatrics, paediatric HIV/AIDS and tuberculosis, and women’s health; members of the team spent a total of 140 days in the field last year. They provided direct medical and operational support to our field teams in Malawi, Democratic Republic of Congo, South Sudan, Iran, Nigeria, Central African Republic, the Palestinian Territories and India.
In 2009, despite experiencing a slight decrease of our overall operational activity as can be explained by the various challenges in the President’s Message, the total number of departures of medical doctors, nurses, midwives and non-medical international field staff remained high. No less than 118 field positions were filled by Australians and New Zealanders who responded to the medical and humanitarian needs of people in more than 30 countries. Forty-three of them were deployed for the first time while 22 out of 77 experienced field workers took on increased responsibilities at field and coordination level either as Project Coordinators, Medical Coordinators or Heads of Mission.
A new and exciting development in the Project Unit in 2009 was the close collaboration with the emergency response team in Paris, who initiated a new mechanism aimed at strengthening Médecins Sans Frontières’ capacity to respond to emergencies in the Asia-Pacific region. The mechanism quickly demonstrated its potential by deploying an emergency team to carry out initial assessments during the cholera outbreak in Papua New Guinea in September. With the support of an Emergency Coordinator in Sydney, Médecins Sans Frontières Australia also played a significant role in the organisation’s emergency
The Field Human Resources department places great emphasis on ensuring our professional and dedicated teams depart for the field with a high level of preparedness for the work ahead. One of the most crucial aspects of the preparation of newly recruited field workers is the four day training course, known as Welcome Days, held in Sydney three times a year. The Welcome 5
2009 Year in review continued response to the trio of natural disasters which struck almost simultaneously in Samoa, the Philippines and Indonesia later that month.
development activities and independent humanitarian action, continues to be of significant concern to us. Demonstrating and defending our humanitarian principles of independence, neutrality and impartiality and engaging with all actors involved in humanitarian issues, is therefore a key component of our objectives.
Further development of this mechanism is planned for 2010. This will increase our capacity to respond swiftly and effectively during the crucial exploratory phase of an emergency, when our teams assess the medical and humanitarian needs of populations affected by natural or man made disasters and epidemics. Where appropriate, this will lead to the opening of an emergency intervention.
Mindful of this in key contexts such as Pakistan and Afghanistan, it was also our objective to increase our financial and direct private support for the benefit of our patients. In 2009, the Australian community generously donated over AUD$43.5 million to Médecins Sans Frontières Australia and has contributed tremendously to the financial independence of Médecins Sans Frontières.
Our third objective for the year was realised in the efforts of our Communications Department, specifically to raise awareness of and engage the Australian community on the plight of the patients we treat. The team in Sydney reported on our activities and the challenges we face, not only to our donors here in Australia but also to the wider public in the region. They generated wide media coverage in a variety of media in Australia and New Zealand, highlighting crises such as the devastating cholera outbreaks in Zimbabwe and Papua New Guinea, and the conflicts that persisted in Democratic Republic of Congo, Sudan, the Palestinian Territories and Sri Lanka. Media coverage was also achieved in some key areas of the organisation’s medical expertise such as HIV/AIDS and malnutrition.
The commitment of over 70,000 members of the community who support us as Field Partners, contributing a small gift to our work each month, cannot go unacknowledged. The solid income stream provided by Field Partners allows us to plan and budget so much more effectively and for that we are so grateful. The support of another 40,000 Australians who have responded to a request for a donation throughout the year is also sincerely appreciated. Our thanks also go out to various trusts, foundations, and corporations, including sponsors of Refugee Camp in Your City and those who contribute to our work through their workplace. Finally, myself, the Board of Directors and all of our office and field staff acknowledge and thank those who have provided for Médecins Sans Frontières in their wills. Your commitment to our work is an inspiration to us all.
Members of the communications team were also deployed to the field throughout the year to provide support to operations. This was especially critical during the meningitis epidemic and resulting massive vaccination campaign in West Africa (Nigeria) and the cholera outbreak in Papua New Guinea. In its second year in Australia, our event Refugee Camp in Your City toured again with more than 7,500 people visiting the replica refugee camp in Adelaide and Melbourne. Guided by experienced international field staff, members of the public were given the opportunity to connect with the organisation and learn of the living conditions faced by the millions of refugees and internally displaced people (IDPs) around the world.
My thanks also go to all of the Sydney staff for their hard work and commitment, and the office volunteers for their extraordinary support which helps keep our office running costs as low as possible. Finally, I wish to extend my thanks to all of the returned field workers for their great support to the different events we have organised throughout the year. Philippe Couturier Executive Director
As highlighted by Dr Matthew Reid in his message, the confusion between the role of military forces involved in reconstruction and
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Médecins Sans Frontières field projects are run by five operational centres (France, Switzerland, Spain, Holland and Belgium). The Australian section is an offical partner of the French operational centre, and Australian donors fund projects run by both the French and the Swiss operational centres. When needed, Médecins Sans Frontières Australia also provides human resources and medical support to all operational centres’ projects.
MEDECINS SANS FRONTIERES PROJECTS FUNDED BY AUSTRALIAN DONORS 75
Country 1. 2. 3. 4.
Burkina Faso Cambodia Cameroon Central African Republic
5. Chad 6. China 7. Democratic Rep. of Congo
8. 9. 10. 11. 12. 13. 14. 15. 16. 17.
Iraq Iran Kenya Kyrgyzstan Laos Malawi Mozambique Myanmar Niger Nigeria
A$ MSF France 760,000 1,500,000
600,000 480,000 690,000
1,826,915 2,000,000 1,300,000
180,000
540,768 125,000 2,200,000 1,400,000 740,000 590,000 700,000 1,000,000 300,000
20. Phillipines 21. Somalia
1,900,000
Sudan Sri Lanka Swaziland Thailand Uganda Yemen
750,000
1,100,000 2,960,000
18. Pakistan 19. Palestinian Territories
22. 23. 24. 25. 26. 27.
A$ MSF Switzerland
605,768 2,500,000
600,000 3,000 1,050,000 400,000 1,300,000 500,000
Other countries * can include measles, meningitis, cholera, malaria
140,000
Activity type nutrition, malaria, HIV/AIDS, tuberculosis HIV/AIDS, tuberculosis Buruli ulcer, primary healthcare, nutrition paediatrics, surgery, obstetrics, primary healthcare, nutrition, HIV/AIDS, tuberculosis primary healthcare, gynaecology/obstetrics, response to epidemics*, vesico-vaginal fistula HIV/AIDS primary healthcare, surgery, cholera, emergency healthcare, sexual violence, obstetrics, paediatrics, in-patient hospital care, burns unit, response to epidemics* surgery, burns unit, emergency healthcare mother and child healthcare, primary healthcare HIV/AIDS, tuberculosis, nutrition tuberculosis HIV/AIDS HIV/AIDS, tuberculosis HIV/AIDS HIV/AIDS, tuberculosis, primary healthcare paediatrics vesico-vaginal fistula, obstetrics, emergency healthcare, nutrition, response to epidemics* primary healthcare, cholera, nutrition emergency health care, surgery, post-operative care, mental health, paediatrics primary healthcare primary healthcare, emergency healthcare, surgery, obstetrics, tuberculosis obstetrics, paediatrics, nutrition emergency health care, surgery, obstetrics, mental health HIV/AIDS, tuberculosis HIV/AIDS, tuberculosis HIV/AIDS, tuberculosis, nutrition, response to epidemics* emergency health care, surgery, nutrition, mother and child healthcare
74 66
11 8
19
6
9 18
16 1
2
5
17
27
22 4
3 9
7
15 12 25 2
26 10 21 13
24
14
23
20
International Field Staff in 2009 Médecins Sans Frontières Australia
Australian medical doctor Heidi Spillane examines a patient in Nanning, China. Médecins Sans Frontières has been providing treatment to HIV-infected patients in Nanning since 2003. Photo: Jonathan Browning, courtesy of GPRA.
Armenia
Cambodia
Lynette Huang
administration-
Democratic Republic
financial coordinator
of Congo
Franck Boulay
logistician
Carol Nagy
field coordinator
Anthony Flynn
field coordinator
Brent Skippen
medical doctor
Shella Hall
medical coordinator
Lainie Grummitt
field administrator
Louise Johnston
nurse
Stephanie Johnston
pharmacist
Alan Scott
medical doctor
Emmanuel Lavieuville
head of mission
Ruth McKeown
medical doctor
Ethiopia
Anne Taylor
head of mission
Brett Adamson
nurse
Genevieve Walls
medical doctor
Matthew J Ball
medical doctor
Chad
Cassandra Arnold
medical doctor
Sushila Desai
field administrator
China
Kaye Bentley
administration-
Malcolm Hugo
psychologist
financial coordinator
Victoria Mowat
nurse
Djibouti
Heidi Spillane
medical doctor
Ruth Dabell
nurse
Sarah Clemons
nurse
Georgia
Cath Deacon
field coordinator
Devi Lalloo
nurse
Serene Hu
medical doctor
continued over...
8
International Field Staff in 2009 Médecins Sans Frontières Australia continued Georgia
June Mitchell
nurse
Nigeria
Liz Bannister
medical doctor
Elise Page
nurse
Margaret Bell
midwife
Janthi Price
field coordinator
Gareth P Brown
field administrator
Tracy Zordan
nurse
Rebecca Caporn
nurse
Haiti
Brian Moller
head of mission
Rachal Davis
medical scientist
India
Lisa Errol
nurse
Jacinta Droste
nurse
Indonesia
Kevin Baker
anaesthetist
Fiona Gillett
midwife
Marco Antonio Osti Avila
anaesthetist
Sonia Girle
nurse
Natasha Martin
pharmacist
Katrina Harper
medical doctor
Naomi McLean
field administrator
Abi Kamara
logistician
Peter Wigg
psychiatrist
Tonia Marquardt
field coordinator
Iraq
Kenya
Matthew Apostola
logistician
Rachel Marsden
operating theatre nurse
Daniel A’Vard
logistician
Sunaina Miranda
medical doctor
Helen Boland
medical doctor
Marco Antonio Osti Avila
anaesthetist
Debra-Lee Holman
field coordinator
Helle Poulsen-Dobbyns
field coordinator
Damien Moloney
logistician
Robert A Simpson
medical doctor
Helen Parker
nurse
Vicki Slinko
epidemiologist
Sally Thomas
logistician
Adam Stone
Peter Wallis
medical doctor
Laos
Sean Healy
head of mission
Rachel Tullet
medical doctor
Liberia
Melanie Pountney
medical doctor
Graeme Washer
surgeon
Karin Rautenbacher
medical scientist
Bill Wilson
Paras Valeh
epidemiologist
Malawi Mozambique
Myanmar Nepal Niger
logistician/ administrator
logistician/ administrator
Robert Atkinson
medical scientist
Kevin Baker
anaesthetist
Rupa Kanapathipillai
medical doctor
Pakistan
Kaye Cussen
medical doctor
Ellen Kamara
administration-
Marilyn Keane
nurse-midwife
financial coordinator
Sue Petrie
psychologist
Barbara Telfer
epidemiologist
Siobhan Reddel
medical doctor
Deanna Beaumont
logistician
Michael Rowell
administration-
Devika Tharumaratnam
medical doctor
Christina Ambrose
medical coordinator
financial coordinator
Heather Harris
nurse-midwife
Cassandra Arnold
medical doctor
Brett Stathis
psychologist
Sarah Clemons
nurse
Raewyn Turner
operating theatre nurse
Debra-Lee Holman
nurse
Colin Watson
nurse
David Walkley Palestinian Territories Helle Poulsen-Dobbyns
Papua New Guinea Margie Barclay
logistician field coordinator
Louise Johnston
nurse
Warren Keen
logistician
Vanessa Cramond
medical coordinator
nurse
Devi Lalloo
nurse
Veronique De Clerck
medical coordinator
continued over...
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International Field Staff in 2009 MÊdecins Sans Frontières Australia continued Papua New Guinea Catherine Georgeson
Philippines
Samoa
Sudan
nurse-midwife
Kate Hardie
paediatrician
Shella Hall
medical team leader
Katrina Harper
medical doctor
Vance Painter
logistician (water-
Janine Issa
midwife
sanitation)
Abi Kamara
logistician
Sally Stevenson
head of mission
Shannon Lo Ricco
logistics coordinator
Mattias Armstrong
logistics coordinator
Laura Margison
nurse
Warren Keen
logistician
Victoria Mowat
nurse
Richard Smith
medical doctor
Uma Naguleswaran
medical doctor
Lisa Trigger-Hay
medical doctor
David Nash
logistician
Veronique De Clerck
head of mission
Linda Pearson
field coordinator
Kate Ferguson
logistician (water-
Michael Rowell
administrationfinancial coordinator
sanitation) Somalia
South Africa Sri Lanka
Sudan
Sue Mitchell
psychologist
Anne Taylor
head of mission
Debra Blackmore
medical doctor
Nicole Trim
nurse
Amy Radford
nurse-midwife
Murray Trubshaw
medical doctor
Shelagh Woods
head of mission
Raewyn Turner
operating theatre nurse
Helen Cox
epidemiologist
Richard Urmonas
logistician
Shelagh Woods
deputy head of mission
Swaziland
Robert Gardner
administration-
Uganda
Deanna Beaumont
Liz Bannister
medical doctor
Philippa Boulle
medical doctor
Roslyn Brooks
medical doctor
Angela Cropley
medical doctor
Judith Forbes
anaesthetist
Judy Coram
nurse
Eu-Gin Lim
anaesthetist
Jonathan Ng
medical doctor
Kirryn Lowe
medical doctor
Kelly Wilcox
nurse
Jayne Martin
field coordinator
Thomas Wong
pharmacist
Michael O'Brien
nurse
Joanne Oo
medical doctor
Amanda Stack
nurse
Peter Wigg
psychiatrist
Kelly Wilcox
nurse
Matthew Apostola
logistician
financial coordinator
Yemen
logistician
Haydar Alwash
surgeon
Matthew Merrington
logistician/ administrator
Zimbabwe
Sunaina Miranda
medical doctor
Ahmose Abrahim
logistician (watersanitation)
Vanessa Cramond
medical team leader
Eugene Athan
epidemiologist
Kelly Drew
midwife
Kate Ferguson
logistician (water-
Eileen Goersdorf
operating theatre nurse
Hamish Graham
medical doctor
Carolyn Merry
deputy head of mission
Lainie Grummitt
field administrator
Vidthiya Rajasundaram
medical doctor
sanitation)
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Summary Activity Charts 2009 Highlights • • • • •
In 2009, there were 118 field positions filled by Australians and New Zealanders in more than 30 countries. Thirty six percent of these were Field Staff on their first mission. Funding spend on social mission increased 16% to $36.7 million in 2009 from $31.7 million in 2008. Income from fundraising for the year ended 2009 increased to $43.7 million in 2009 from $40.3 million in 2008. At the same time, the total cost of fundraising decreased from 17% in 2008 to 16% in 2009. The number of people supporting the work of Médecins Sans Frontières Australia grew from 104,600 to 116,300.
2009 Income Field Partners (62.4%) Bequests (3.8%) Other private donations (26.9%) Income from other MSF sections (5.2%) Other income (1.4%)
Project Funds by Region
Gifts in kind (0.3%)
Africa (64%)
Field Human Resources by type
Asia (15%) Middle East (21%)
Medical (36%) Paramedical (39%) Non medical support staff (25%)
Summary Financial Results
Donation Income Total Income Social Mission Costs Total Costs Surplus/(deficit) Reserves 11
$m 2009
$m 2008
$43.7 $46.8 $36.7 $45.9 $0.9 $6.7
$40.3 $43.5 $31.7 $40.5 $2.9 $5.8
Médecins Sans Frontières worldwide 2008: Extract from International Activity Report 2008 The figures presented here describe Médecins Sans Frontières’ finances on a combined international level. The 2008 combined international figures have been set up in accordance with Médecins Sans Frontières international accounting standards that comply with most of the International Financial Reporting Standards. The figures have been jointly audited by the accounting firms KPMG and Ernst & Young in accordance with international auditing standards. A copy of the full 2008 financial report may be obtained upon request. The figures presented here are for the 2008 calendar year. All amounts are in millions of Euros.
Income
In M€
In %
Private Public International Other
587.4 67.7 20.3
86.9% 10.0% 3.0%
Total Income
675.4
100.0%
How was the money spent?
In M€
In %
Operations* Témoignage Other humanitarian activities Total social mission Fundraising Management, general & administration
494.8 24.7 7.2 526.8 81.2 40.2
76.3% 3.8% 1.1% 81.2% 12.6% 6.2%
Total expenditure Net exchange gains & losses (realised and unrealised) Surplus/deficit
648.2
100.0%
-4.7 22.5
* Programmes & HQ programme support costs
Balance sheet
In M€
(end-year financial position) Non-current assets Current assets Cash & equivalents
37.0 73.3 375.6
Total assets Permanently restricted funds Unrestricted funds Other retained earnings Total retained earnings and equities Non-current liabilities Current liabilities Unspent donor-restricted funds
485.9 2.5 423.8 -13.9 412.4 4.6 66.6 2.3
Total liabilities and retained funds
485.9
HR Statistics
In M€
In %
International departures (full year): Medical pool Nurses & paramedical pool Non-medical pool
4,617 1,052 1,452 2,113
100% 23% 31% 46%
First time departures (full year):
1,142
25%
25,973 2,029 23,944
100% 8% 92%
* in % of total international departures
Field positions International staff National staff
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MÊdecins Sans Frontières Australia ABN 74 068 758 654
Part B Financial Report for the Financial Year ended 31 December 2009
Médecins Sans Frontières Australia ABN 74 068 758 654 PO Box 847, Broadway NSW 2007, Australia Tel: +61 2 8570 2600 1300 136 061 Fax: +61 2 9552 6539 Email: office@sydney.msf.org www.msf.org.au © 2010 Médecins Sans Frontières Australia