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Action Against Hunger ACF International 2009 Annual Report


Comprised of five independent, non-profit organizations with headquarters in London, Madrid, Montréal, New York, and Paris, ACF International saves the lives of malnourished children while providing families with access to safe water and sustainable solutions to hunger. ACF bridges emergency relief with longer-term interventions in emergency situations of conflict, natural disaster, and chronic food insecurity. Our 4,600+ field staff—seasoned professionals and technical experts in nutrition, water and sanitation, public health, and food security—carry out life-saving programs in more than 40 countries. These programs reach nearly five million people a year, restoring dignity, self-sufficiency, and independence to vulnerable populations around the world.

ACF-USA Chairman: Raymond Debbane Executive Director: Nan Dale ACF-France President: Denis Metzger Executive Director: François Danel ACF-Spain President: José Luis Leal Maldonado Executive Director: Olivier Longué ACF-UK Chairman: Paul Wilson Executive Director: Jean-Michel Grand ACF-Canada President: Diane Bussandri Executive Director: Richard Veenstra Reflects the leadership of each ACF headquarters as of December 31, 2009

Cover photo: photos:ACF-Sudan, ACF-Afghanistan, courtesycourtesy J. Seagle, I. Eshragi/Agence Counterpart Images VU; ACF-Sri Lanka, courtesy J. Lapegue

Action Against Hunger Core Principles The ACF International Charter affirms six core principles that all staff members worldwide pledge to uphold in carrying out their work.

For 30 years, Action Against Hunger | ACF International has been fighting what is now an old and well-known enemy: Hunger. Today, an epidemic of childhood malnutrition devastates communities in

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nations throughout sub-Saharan Africa like the Democratic Republic of Congo, Niger, Chad, and Mali. And in countries as diverse as Guatemala, Afghanistan, and Bangladesh, millions of people are, more than ever, in need of food. Malnutrition has become an insidious disease spreading


into the poorest populations. Among the nearly three billion inhabitants of




But hunger is not a question of shortages; largely, it is the result of neglect

Free and Direct Access to Victims Professionalism Transparency

our planet surviving on less than two dollars a day, one billion suffer from

and poor policy decisions. At the dawn of the 21st century, we have the tools and the knowledge to end hunger, but we lack the political will to do it. While $4 to $9 billion a year would be enough to eradicate severe acute malnutrition—the deadliest form of hunger—the wealthiest nations give away $1 billion every day to subside their farmers, and large corporations spend billions more on executive compensation and bonuses. Faced with these stark realities, ACF is waging a battle against hunger on three fronts. First, we save lives threatened by acute malnutrition and provide communities with the tools to get back on their feet after a crisis. Second, we bring our contribution to the fight against selfishness and complacency through testimony and advocacy. Finally, we take leadership in a growing movement to convince the wealthiest countries to consume differently and help the world’s poorest nations produce more efficiently. Our life-saving humanitarian work is three-fold: treatment for those most severely affected by acute malnutrition—infants, young children, pregnant women, and nursing mothers—with Ready-to-Use Foods like Plumpy’nut and other supplementary products; vital programs in water, sanitation, and hygiene; and support for families to access food through the distribution of seeds and tools, training in agricultural techniques, and a range of income-generating activities. As a leader in our field, we are more committed than ever to confronting one of the most serious challenges of our time: the injustice of hunger. On behalf of the International Chairmen’s Council, I am proud to present this

ON THE COVER Our comprehensive approach to global hunger delivers a range of community-centered solutions to populations in crisis, like this woman’s community in southern Sudan.


report highlighting some of ACF’s key accomplishments in 2009.

Denis Metzger

Chairman, International Chairman’s Council



For almost 30 years, Action Against Hunger has led the way in defining the idea of global partnership.

Our comprehensive solutions to global hunger are needsbased, context-specific, and customized through direct community participation. While the programs we run may vary from one country to the next, they all share this defining set of characteristics: Comprehensive: Action Against Hunger integrates activities in nutrition, food security & livelihoods, water, sanitation & hygiene, and advocacy. To tackle the underlying causes of hunger, we address the social, organizational, technical, and resource concerns essential to a community’s well-being. Lasting Solutions: Action Against Hunger works to ensure our programs can be sustained without us. By integrating our programs with local and national health systems, we transform effective, short-term interventions into sustainable, long-term solutions. Community-Centered: A community-centered approach is key to building local capacity for the management and maintenance of our programs. Through training, workshops, technical support, and mentoring, Action Against Hunger builds local capacity and cultivates community know-how for the long-run. Independent & Impartial: As a nongovernmental humanitarian agency, ACF is apolitical. But when it comes to human suffering, we are not neutral: We do our utmost to deliver effective assistance whenever and wherever it’s most needed. Full Accountability & Transparency: Action Against Hunger directly implements and oversees all of its programs, requiring full access to communities targeted for assistance. Committed to transparency and full disclosure, ACF ensures key financial information is publicly available and that its programs undergo external evaluation to assess their impact.


ACF-Guatemala, courtesy J. Salamanca

NutritioN: Nutrition programs aim at assessing, preventing and treating acute malnutrition among the most vulnerable populations, especially young children and pregnant or lactating women. Health programs consist of fighting diseases linked with malnutrition.

WATER, SANITATION & HYGIENE: These programs aim at guaranteeing access to drinking water and good sanitary conditions (by providing wells, water distribution networks, latrines, hygiene education sessions, etc.).

FOOD SECURITY & Livelihoods: Action Against Hunger’s food security programs include both emergency programs—such as emergency food distributions—as well as longterm interventions. These programs aim at boosting agricultural and/ or economic activity, providing populations with sufficient access to food of a satisfactory quality and improving self-sufficiency.

ADVOCACY: Action Against Hunger seeks to alert and influence the international community when fundamental rights such as access to water or food are violated. Action Against Hunger’s advocacy efforts aim at affecting institutional and policy changes to help create a world without hunger.

ACF’s programs provide immediate assistance and long-term relief to malnourished children and their families.

Our food security & livelihoods programs offer a broad range of solutions for generating income and food production.

ACF ensures effective assistance by working directly with communities to customize lasting solutions to hunger.

(From left): ACF-Mali; ACF-Uganda, courtesy T. Frank; ACF-Uganda, courtesy T. Frank


Today, a billion people suffer from hunger and lack access to clean drinking water. Through an integrated approach incorporating Nutrition, Food Security & Livelihoods, Water, Sanitation & Hygiene, and Advocacy, Action Against Hunger responds efficiently and effectively to help vulnerable populations around the world.

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The breadth of Action Against Hunger’s international expertise goes beyond the scope of our current programs. Additionally, we have worked in many other countries, including Bosnia-Herzegovina, Cambodia, Cameroon, North Korea, Mozambique, Macedonia, Rwanda, and Tanzania. This map reflects the reach of ACF International as of December 31, 2009.













(From left): ACF-Sudan, courtesy J. Seagle, Counterpart Imges; ACF-Sudan, courtesy J. Seagle, Counterpart Images; ACF-Georgia; ACF-Indonesia; ACF-Sudan, courtesy J. Seagle, Counterpart Images


SELECT PROGRAMS Sudan In Darfur, Sudan, where some 2.5 million people depend on humanitarian assistance for survival after conflict forced them from their homes, Action Against Hunger conducted one of its largest relief efforts to-date. From treating children with acute malnutrition, to distributing seeds and tools to families, to constructing and rehabilitating safe water points, ACF provided emergency relief for hundreds of thousands who had nowhere else to turn. On March 4, 2009, after the International Criminal Court issued an arrest warrant for Sudanese President Omar Hassan al-Bashir, authorities ordered ACF to leave northern Sudan along with 15 other humanitarian aid organizations. With its registrations revoked, ACF’s offices in Khartoum, Darfur and Bentiu were sealed off and the organization’s programs brought to a halt. ACF deplores this decision and continues to seek opportunities to resume its relief efforts. Meanwhile, in southern Sudan, ACF responded to the growing food deficit brought on by high staple food prices, poor stocks from last year’s crop yields, and an extended dry spell that delayed the planting season. In communities struggling to rebuild their lives after two decades of brutal conflict, ACF scaled up its life-saving nutrition programs; distributed seeds and tools to vulnerable families; and worked with communities to diversify their crops, increase their yields, and generate income.


The Democratic Republic of Congo Active in the Democratic Republic of Congo since 1996, Action Against Hunger recently found some of the highest rates of acute malnutrition it had ever seen while carrying out surveys in the country’s remote southern reaches. In this region suffering from the collapse of the mining industry, farmers struggled without appropriate skills and access to seeds and tools, and a contagious disease destroyed staple food crops. ACF responded by establishing emergency nutrition programs in areas where life-threatening malnutrition was rampant among young children. In 2009, the humanitarian organization treated nearly 30,000 severely malnourished children throughout the country by combining direct intervention on behalf of affected children with technical and logistical support for local actors working in the region. In eastern D.R. Congo, where ongoing violence has terrorized civilians and forced thousands from their homes, ACF continued its emergency programs in the area, bringing clean water to affected communities; promoting sanitation and hygiene to control outbreaks of deadly waterborne disease; treating acute malnutrition; and providing access to seeds, tools, and training in agricultural techniques. Indonesia In September 2009, two earthquakes shook the Indonesian island of Sumatra within days of each other, leveling buildings, and causing thousands of residents to abandon their homes. ACF’s teams in Indonesia were well prepared for this type of ca-

(From left) ACF-Guatemala, courtesy B. Grignet; ACF-D.R.Congo, courtesy Burger/Phanie; ACF-Cambodia, ACF-Afghanistan courtesy J. Lapegue

The Philippines In the Philippines since 2000, Action Against Hunger rushed to provide immediate assistance to the victims of Typhoon Ketsana, which hit the country in late September 2009. Massive flooding caused by the typhoon killed an untold number and forced hundreds of thousands from their homes and into temporary relief centers in the capital city of Manila and surrounding provinces. In the immediate aftermath of the disaster, ACF mobilized emergency

South Ossetia A year after the Russia-Georgia conflict over South Ossetia formally ended, some 30,000 people displaced during the fighting were still unable to return home because of continued unrest, the looting and burning of villages, and the destruction of crops and livelihoods. Residing in settlements and temporary shelters like schools and churches, they found it increasingly difficult to support themselves.

of disease, and distributed food, clean water, and hygiene kits in centers for the internally displaced. In response to chronic poverty and high levels of unemployment, ACF also supported a variety of income-generating projects, including agricultural cooperatives and cattle rearing. With the goal of ensuring the sustainability of its programs, ACF offered technical training and skill development courses to local farmers and service providers. Burkina Faso Action Against Hunger mounted an emergency response in the fall of 2009 after the heaviest rainfall in almost a century destroyed major parts of Ouagadougou, the capital of Burkina Faso. Left homeless by the flooding, tens of thousands of people sought refuge in dozens of make-shift shelters throughout the city.

Action Against Hunger responded by helping generate income and providing needed services. ACF built and restored water and sanitation facilities in shelters to help prevent outbreaks

In Bogodogo, one of the poorest areas of the capital where most of the houses were destroyed by the flooding, Action Against Hunger ensured 7,500 people had access to

We work directly with local populations to identify existing coping mechanisms and develop appropriate solutions.

ACF’s expertise draws on 30 years of humanitarian action in a wide range of countries and cultural contexts.

(From left): ACF-Liberia, courtesy L. Grosjean; ACF-Burkina Faso; ACF-Sudan, courtesy G. Korganov u Rapho


ACF’s therapeutic programs target children under five as the most vulnerable to malnutrition.

distributions of food, drinking water, hygiene kits, portable latrines, blankets, mattresses, sheets and cooking utensils for thousands of families displaced by the floods. The organization also launched a public awareness campaign in local schools to train vulnerable children, as well as their families, in best sanitation and hygiene practices during emergencies.

action against hunger

tastrophe; they distributed stockpiles of emergency supplies—including first aid and hygiene kits, buckets, shovels, blankets, and drinking water containers—to 12,000 residents in rural areas affected by the disaster. Since the quakes destroyed water and sanitation infrastructure throughout the region, ACF worked with local authorities to set up 15 high-capacity water points across the hard-hit city of Padang to provide 120,000 people with access to safe water.


SELECT PROGRAMS clean drinking water, latrines, washing areas, and hygiene kits to help control disease outbreaks—a main cause of malnutrition. ACF worked in close collaboration with government health authorities to prevent and treat acute malnutrition in the eastern region of Tapoa through a variety of food security initiatives and support to community-based therapeutic and supplementary nutrition programs. Guatemala In the Corredor Seco, an arid region on the border of Guatemala and Honduras, severe food insecurity and high childhood malnutrition rates surfaced in 2009 as a result of unusually low rainfall and the effects of the global economic recession. In some areas, more than half of the corn harvest, and 70 percent of the bean crops, were lost due to insufficient rainfall. According to Action Against Hunger’s assessments, 40 percent of families were skipping at least one meal a day, and 90 percent had

Poverty, deprivation, and hunger are all too common, but ACF’s programs help restore dignity, health, and self-sufficiency.


stopped consuming one of the basic food groups. In Guatemala since 1998, ACF intervened on an emergency and long-term basis, treating children with severe acute malnutrition and providing nutrition, food security, and water and sanitation programs in the area. ACF launched cash-forwork and agro-forestry programs, constructed wells, and offered instruction in nutrition and improved agricultural techniques.

Action Against Hunger, in Mali since 1996, responded by ramping up its therapeutic nutrition programs to ensure sufficient supplies of readyto-use foods for 1,600 children with life-threatening malnutrition. The organization also launched a series of programs aimed at diversifying agricultural production and improving household income, including seed and tool distributions, technical skills trainings, and support for women’s economic cooperatives and other micro-enterprises.

Mali A protracted drought in eastern Mali destroyed crops, decimated cattle, and caused an alarming increase in the number of children with moderate and severe acute malnutrition. The drought prolonged the dry season by two months, forcing farmers to delay planting and harvesting crops, which in turn set off a dramatic rise in the price of basic foods. In some areas, the rice harvest was down 75 percent, a major blow to people dependent on this staple food.

Liberia Actively involved in Liberia’s reconstruction and development efforts since the civil war ended in 2003, Action Against Hunger worked alongside local partners with the aim of ensuring that life-saving services in nutrition, clean water, and sanitation continue to meet the needs of vulnerable populations well into the future.

Our 4,600+ staff are seasoned professionals and technical experts in water and sanitation, food security, public health, and nutrition.

Our emergency interventions ensure access to clean water, a first line of defense in mitigating a natural disaster.

Since 2006, ACF has worked with Aid for the Needy Development Program (ANDP), the only local non-

(From left): ACF-Liberia, courtesy V.(From Burger;left) ACF-Georgia; ACF-Uganda, courtesy T. Frank ACF-Guatemala, courtesy B. Grignet; ACF-D.R.Congo, courtesy Burger/Phanie; ACF-Cambodia, courtesy J. Lapegue

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ACF-Liberia, courtesy L. Grosjean

another local organization, Ground Water Exploration Incorporated, which brought safe drinking water to some of the hardest to reach rural communities in the country. Afghanistan In 1979, Action Against Hunger launched its first emergency humanitarian intervention in Afghanistan and continues to run programs that help people provide for their families in the face of changing environmental and security conditions. While years of drought and desertification have taken a significant toll on the Afghan population, plunging them into severe

food insecurity, the resurgence of violence since 2008 has made access to vulnerable communities increasingly difficult. In the provinces of Kabul, Day Kundi, Ghor, Samangan and Parwan, ACF provided lifesaving assistance to families, organizing major distributions of food and seeds for the harvest season and ensuring sustainable access to clean drinking water in hard-to-reach areas. ACF INTERNATIONAL

governmental organization specializing in the detection, prevention and treatment of malnutrition in greater Monrovia, where many clinics and hospitals were damaged or destroyed during years of conflict. After gradually increasing their capacity, ANDP assumed responsibility for directly implementing all aspects of the nutrition programs in the capital, with ACF playing only a supporting role by providing advice and guidance. And, as poor access to safe drinking water and lack of sanitation facilities is a major cause of illness and malnutrition in Liberia, ACF provided training and operational support to


ACF INTERNATIONAL STRATEGIC PLAN Driven by the Needs of the Most Vulnerable

In 2009, ACF International finalized a six year strategic plan that looked forward to 2015 and set ambitious goals designed, in part, to help meet the UN’s Millennium Development Goals. The ACF International Strategic Plan was developed over a 22 month period divided into three discrete phases. We began with an investigation of major trends affecting our work, including the recent food and financial crises and the impact of emerging new threats such as climate change. Our analysis included a careful look at the current and projected state of world hunger, an examination of the progress—and obstacles to progress—that has been made to address acute malnutrition, the impact of such related causes as violent conflict and natural disasters, along with major contributing factors like the lack of accessible clean water, sanitation or food security. During the initial diagnostic phase, Bain & Company provided pro bono support to examine and clarify our core business, benchmark ACF’s reputation as perceived by a wide range of stakeholders, and review strategies to improve our impact. In the next phase of the planning process, technical teams were charged with developing strategic frameworks by sector, while early drafts of strategic priorities were developed with extensive input from staff at all levels. The final phase included review and validation from board leadership, along with the development of metrics and a monitoring plan to measure progress. The ACF International Strategic Plan set the intention for the network. Each HQ then developed its own Strategic Plan tailored to the needs and resources of that office with the international plan providing common goals and serving as the basic framework for planning.


(From left) ACF-Guatemala, courtesy B. Grignet; ACF-D.R.Congo, courtesy Burger/Phanie; ACF-Cambodia, ACF-Uganda, courtesy T. Frank courtesy J. Lapegue

Preventing and Treating Malnutrition Serving as a Lead Resource on Global Hunger Driven by a vision of a world without hunger, the ACF Strategic Plan builds on three decades of field-tested experience. The 2015 plan provides international leadership in the fight against hunger through five component goals: further develop partnerships with local, national, and international stakeholders to increase the number of beneficiaries and promote sustainability Improve ACF’s impact on acute malnutrition by increasing the numbers of beneficiaries served by partner organizations. Develop partnerships to empower national and local organizations, promote program sustainability, and build the capacities of both ACF and its partner organizations.

respond to humanitarian crises, restore livelihoods of vulnerable populations and reinforce longer term population resilience to food, water and nutrition crises Improve ACF’s capability to respond rapidly to crises. Increase support to help the most vulnerable populations, especially women, achieve or regain self sufficiency in the areas of nutrition, food security and livelihoods, and water and sanitation. Build long term resilience in those populations most vulnerable to natural disasters.

build acf’s capacity to ensure effective and efficient response to global food and nutrition crises Develop greater financial independence and sufficient revenue to increase ACF’s impact on the eradication of hunger and malnutrition. Enhance human resources to ensure that ACF has the manpower and talent needed. Enhance ACF’s logistics systems to ensure adequate support for nutrition, food, water and sanitation programs. Address the deterioration of security conditions for expatriate and national staff. Invest in research and development.


become preeminent as an advocate and reference source on hunger and malnutrition Develop a more reliable, timely and comprehensive information system for operational and external communications. Increase ACF’s voice in international policy and funding forums focused on eradicating acute malnutrition.


increase impact on acute malnutrition, curatively and preventively, especially for young children Treat or prevent acute malnutrition for at least 1.5 million children annually. Address the underlying causes of acute malnutrition, reduce risk and prevent deteriorating nutritional situations in pregnant/nursing women and other vulnerable groups. Engage stakeholders and enhance the capacity of local and national government entities to take concrete steps to eradicate acute malnutrition and develop early warning systems.

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President Nelson Mandela “Action Against Hunger is in war-torn countries that many fear to tread. They are technical people…that forgo the comforts of modern life to assist local populations and refugees at the most fundamental level in the most dangerous locales. They provide nutrition, healthcare, sanitation, and food sustainability. They train populations to be self-sufficient. Although these dedicated men and women want to eliminate the need for their services, humanity is not willing and forces them to witness the most heinous actions.”

Archbishop Desmond Tutu “Action Against Hunger—the title speaks for itself. This is a remarkable organization with a staff of energetic, enthusiastic and deeply committed people who are determined to make a difference to the lives of thousands of people. There are millions who do not have access to clean water, food, health services or education. They are condemned to a grinding life of poverty with no choices. Action Against Hunger is changing this. Their training programmes are improving the quality of life and health and, above all, bringing hope to thousands in underdeveloped countries. I commend them for their outstanding work and welcome the opportunity to express my support.”

Anderson Cooper “I’ve been covering humanitarian crises since the early 1990s and have often been impressed by the work of Action Against Hunger. They are among the first to respond when tragedies unfold, and they work to ensure that communities have a fighting chance to get back on their feet. In addition to the life-saving work CNN viewers have seen covered in Darfur, Action Against Hunger also has teams working in communities all around the globe.”

(Top): ACF-Sudan, courtesy J. Seagle, Counterpart Images. (Bottom): ACF-Sudan, courtesy J. Seagle, Counterpart Images

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Increasing Funds to Expand Global Effectiveness Over the past five years, the financial resources of ACF International has increased by nearly €40 million. This steady growth of close to 11% annually has allowed ACF to implement strategies that prevent and treat acute malnutrition and help restore communities to self-sufficiency, while still having the capacity to respond rapidly and effectively to nutritional crises whenever and wherever they occur.

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The chart below presents a five year history of the growth in ACF International’s annual operating budget. While the revenues received in any given year include dollars (in some cases both US and Canadian), euros, and pounds, the totals have been converted into a single currency for the purposes of comparison. The conversion rates used in this table reflect the historical average rates of exchange for the year in question. Please note that the 2009 numbers are preliminary figures pending a final audit. €140M €120M €100M €80M €60M €104.75













ACF INTERNATIONAL ALLOCATION OF EXPENSES: Committed to Direct Field Services In 2009, over 84% of all funds directly supported our field programs in nutrition, water, sanitation & hygiene, and food security & livelihoods. The balance covered the general management and administration costs of the five headquarter offices, along with expenses related to fundraising, press relations, and public outreach. As above, these figures reflect preliminary, pre-audited totals. 4.3% €105,100,000 Fundraising & Communications

€14,149,000 84.4%

Management & Administration


(From left) ACF-Guatemala, courtesy B. Grignet; ACF-D.R.Congo, courtesy Burger/Phanie; ACF-Cambodia, courtesy J. ACF-Sudan, courtesy J. Seagle, Counterpart Images Lapegue


Programs & Services to Field


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ACF-USA 247 West 37th Street 10th Floor New York, NY 10018 Tel. +1 212.967.7800


ACF-France 4, rue Nièpce 75662 Paris Cedex 14 Tel : +33

ACF-Spain C/Caracas, 6, 1º 28010 Madrid Tel.: +34 91.391.53.00

ACF-UK First Floor, Rear Premises 161-163 Greenwich High Road London SE10 8JA Tel: +44 20.8293.6190

ACF-Canada 7105 rue St-Hubert Bureau 105 Montréal, QC H2S 2N1 Tel: +1 514.279.4876

2009 ACF International Annual Report  
2009 ACF International Annual Report  

The 2009 ACF International Annual Report