ADRA Cambodia Annual Report 2014

2014 Annual Report

The Adventist Development and Relief Agency Cambodia is registered with the Ministry of Foreign Affairs since 1991.

Contact Details: #4, Street 554 Khan Toul Kork Phnom Penh, Cambodia Tel: 023 880 693; Fax: 023 880 305 E-mail: info@adracambodia.org www.adracambodia.org

2014 Annual Report

2014 in Review 2014 has been a year of blessings for the Adventist Development and Relief Agency Cambodia.

During 2014 ADRA staff and partners worked with over 20,000 persons in Kompong Thom, Preah Vhear, Pursat and Siem Reap provinces in various projects, most focused on nutrition.

Donors have visited the project from Australia, Canada, New Zealand and Korea to monitor progress. Funding support has continued and expanded from our ADRA office and government partners in Australia, Canada, Korea, New Zealand, Norway, USA and Cambodia.

With a new “CHOICES” for Children project started in July, now 110 staff work in 14 projects. During 2014 8 volunteer groups also worked with ADRA’s projects in various capacities with many more planned for 2015.

The new Strategic Plan for 2014-2017 was completed which included choosing new Mission and Vision statements. In this Strategic Plan, ADRA Cambodia staff and stakeholders have worked together to voice a joint vision of happy families having healthy children. They have envisioned the need of empowering families with hope to support the true needs of their children before their birth, in their early years and through adolescence.

As we are working towards our new vision, we are seeking for more partners to participate in and support the process. We thank God for His many blessings in 2014 and continue to ask Him to guide ADRA Cambodia into the future.

Mark Schwisow Country Director December 2, 2014

Table of Contents 2014 in Review ............................................................. 1 Identity .......................................................................... 2 Mission ........................................................................... 2 Vision ............................................................................. 2 Development Principles ................................................. 2 Our Programs ............................................................... 2 Health ............................................................................. 3 Rural Livelihoods ........................................................... 5 Human Development & Empowerment ......................... 6 Projects 2014 ................................................................. 7 Health Projects ............................................................... 7 WASH ............................................................................ 7 Food Security Projects .................................................... 7 Education Projects.......................................................... 7 Connections Groups 2014 .............................................. 8 Achievements during 2014 ......................................... 8 Partnerships in 2014 .................................................... 9 Organogram 2014 ...................................................... 10 Members of the Governing Body 2014 ................... 10 Finances 2014.............................................................. 11 December 2014

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Identity Mission ADRA Cambodia is a humanitarian and development organization of the Seventhday Adventist Church that works with people in poverty and distress to create positive change through empowering partnerships and responsible action.

Vision ADRA Cambodia reflects God’s character of love for the poor and vulnerable through development and relief projects based on inclusive, trust-based community relationships that lead to improved quality of life.

Development Principles ADRA Cambodia is an organization that…  Actively supports communities through a portfolio of development activities which are planned and implemented cooperatively  Provides assistance in situations of crisis or chronic distress, and works toward the development of long-term solutions with those affected  Works through equitable partnerships with those in need to achieve positive and sustainable change in communities  Builds networks that develop indigenous capacity, appropriate technology, and skills at all levels  Develops and maintains relationships with our partners and constituents that provide effective channels for mutual growth and action  Promotes and expands the equitable and participatory involvement of women in the development process  Advocates for and assists in the increased use of communities’ capacities to care for and responsibly manage the natural resources of their environment.  Facilitates the right and ability of all children to attain their full potential, and assists in assuring the child’s survival to achieve that potential.

Our Programs ADRA Cambodia has been operating in Cambodia for 23 years. It has a diverse program across several sectors that focuses on sustainable community development and advocacy for strong community relationships and capacity.

ADRA Cambodia currently works with communities in Siem Reap, Preah Vihear, Kompong Thom, and Pursat. The focus on the central and northern areas of the country will continue, based on the ongoing partnerships with communities, and development needs in that region.

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2014 Annual Report ADRA Cambodia has a diverse portfolio of projects across several sectors, with the following three priority sectors identified:  Health - (Nutrition, Water Sanitation & Hygiene, Non-Communicable Diseases)  Rural Livelihoods - (Food Security)  Human Development & Empowerment - (Early Childhood Development, REFLECT) ADRA Cambodia has also identified Disaster Risk Reduction/Emergency Management as a sector to be mainstreamed throughout the entire community development program and has made a commitment to incorporate the community participation approach used in the REFLECT methodology wherever possible in ADRA Cambodia's community development program. ADRA Cambodia includes consideration of all cross-cutting issues in the implementation of projects, but special focus is being made on the cross-cutting issues of migration and gender-based violence.

Health ADRA Cambodia's health program has helped rebuild health clinics and train rural health providers. Projects have also trained community members in rural villages as primary health care promoters building the capacity of many to become Reflect facilitators. Special attention continues to be given to supporting Mother and Child health, including nutrition education and rehabilitation, and safe pregnancy and childbirth awareness. ADRA Cambodia employs a holistic approach to health issues, working with communities to discuss health from the perspective of nutrition, access to clean water, sanitation and hygiene practice, and health behavior that prevents problems by building awareness. One key area within a focus on lifestyle health includes raising awareness of the negative effects of tobacco and alcohol use. An area of key success for ADRA Cambodia is to use rural program results to advocate with key lawmakers to legislate tobacco control regulations to support those efforts.

Nutrition Education ADRA’s integrated program on nutrition uses facilitation as a key for higher involvement and motivation. It involves parents, children, community leaders, health care providers and law makers for the greatest impact on nutrition. It includes prevention action on related disease and provides options for improved livelihoods that can help behavior change for nutrition to be more sustainable.

The Royal Government of Cambodia has recently identified gaps in providing adequate nutrition for children. This is highlighted in the 2014 release of its Fast Track Road Map for Improving Nutrition 2014-2020. ADRA has secured projects focused in nutrition increasing ADRA’s ability to respond to these gaps. ADRA’s priority areas in child nutrition include rehabilitation, food fortification and behavior change on child feeding practices.

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Nutrition programs in 2014: PROVINCE/ PROGRAM GOAL Preah Vihear/ Reduced mortality of mothers and children under five

CONTEXT

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Siem Reap/ Improved nutrition and food security, particularly WRA and children under-5

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Pursat/ To improve child nutrition and wellbeing through increased protective care and sustainable livelihoods in poor and vulnerable households

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Kompong Thom/ To increase improved agriculture livelihood production methods

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U5 child mortality at 146 in Preah Vihear Province 94% of deliveries take place at home.

High levels of anaemia caused by the effects of communicable diseases and poor dietary practices

TARGET POPULATION 35,891

Stunting rate 50% for Siem Reap Province and underweight children 35% High levels of anaemia (60% for children in the province) Limited dry season livelihood diversification leading to high rates of absentee migrant parents.

21,600

Child malnutrition rate is 44.8% in Pursat 29% of households live below or near the poverty line in Bakan district Over 75% of households in Bakan do not have sanitary latrines 50% of family members with no access to potable water 85% of rice farming totally dependent on natural rainfall with frequent floods and droughts causing significant damage Low average output of 1.7 tons of rice per hectare

12,400

5,900

INTERVENTIONS IN HEALTH & LIVELIHOODS  Health Systems  Learning sessions with families o Growth monitoring o NERP o Fortified foods  WASH  Agriculture  Learning sessions with families o Growth monitoring o Nutrition, education, rehabilitation program (NERP)  WASH  Agriculture  Learning sessions with families o Growth monitoring o NERP  Agriculture  Vocational skills  Livelihood skills  WASH

PARTNERSHIPS Madai Reakreah, Kone Reakreah, Hincks Dellcrest, *Ministry of Health (MOH)

 Learning sessions with families  Agriculture  Vocational skills

Ministry of Agriculture (MOAg)

*MOH WatSan suppliers *Farmer Association s

MOH MOAg

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2014 Annual Report Water, Sanitation and Hygiene (WASH) ADRA builds capacity of community partners in technical construction and hygiene promotion methods with a focus on sustainable change and investment. Technology and behavior change strategies have been improved through supporting households to install over 7700 open ring and bored wells, 5000 water collection tanks and pumps, and several community dams. Improved sanitation has resulted in the construction of over 7500 quality water sealed latrines, and has complimented families learning the importance of hygiene and being able to access clean water for drinking and washing including assisting over 9,000 families to obtain ceramic water filters.

As a leader in the WASH sector in Cambodia, ADRA is committed to ongoing learning and development in this sector to further improve best practice.

Non Communicable Diseases Cambodia, like many developing countries, is facing the threat of emerging obesity and noncommunicable diseases (NCD) while still struggling with malnutrition, endemic and infectious diseases epidemic. The country has therefore to deal with this 'double burden' of diseases that has a long term economic risk for Cambodia. Although the prevalence of diabetes and hypertension are found to be relatively low in comparison with many countries in the region, the first large survey in 2010 revealed that major risk factors for noncommunicable diseases are relatively high including tobacco smoking, alcohol consumption, and increasing weight. This survey revealed that 8 in every 10 people (82.4% of the surveyed population) had one to two risk factors for developing non-communicable diseases.

Currently Cambodians struggling with poverty spend a large part of their income on health costs. ADRA Cambodia has a long history of working with World Health Organisation, government departments and other organisations in tobacco control and health promotion.

The promotion of a healthy lifestyle is also historical key focus for the Seventh-day Adventist Church, the parent organisation of Community Key Messages ADRA Cambodia.

ADRA Cambodia is committed to projects that promote protective health habits and practices.

Smoke Free Cambodia

about 2nd hand smoke

Community Smoke Free Night Shows National Smoke Free Area Advocacy

Rural Livelihoods A primary focus over the years has been to ensure families have basic food security along with water, health and other basic needs. Starting with support for rice production and water supply, families are supported with access to high quality seeds and introduced to methods of farming that provide greater yields. Through these programs families learn to grow better vegetable gardens, make money from fruit trees, and fish farms, and learn how to raise livestock. ADRA programs acknowledge the need to address a broad range of key factors leading to families gaining sustainable ownership of their own food security. These include integration of adult literacy, technical agriculture skills, small business management, small loans, community cooperative groups, and access to resources such as water supplies.

ADRA Cambodia has integrated livelihood training into programs for many years and is committed to improving December 2014

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2014 Annual Report the linkages between beneficiaries livelihood training and access to capital and credit, and on diversifying livelihood training provided through extended value chain analysis and identification of new opportunities.

Human Development & Empowerment ADRA Cambodia has dedicated itself to developing projects that ensure that adults and young people have opportunity to gain skills that allow them to adapt as economic and social times change. Participatory methods such as Adventure Learning and REFLECT have been used to expand local community members' opportunities to learn and grow from one another based on local knowledge. Key areas of learning have included functional literacy, family communication and planning, health, how to increase family income, avoiding the dangers of human trafficking, and developing good parenting skills.

Early Childhood Development/Learning through Play ADRA Cambodia's Early Childhood Education opportunities for children have been instrumental in giving children in the communities basic life skills, and ensure that families actively participate in their child’s early development and education. Additional positive impact has been seen in reduction of domestic violence, improved nutrition and income security.

A key methodology in the Early Childhood Development (ECD) program is Learning through Play In My Own Way (LTP-IMOW).

ADRA Cambodia is committed to strengthening internal linkages between projects to allow more communities access to the methodologies, seeking to formalize support for the curriculum with the Ministry of Education, improved social inclusion through targeting activities for children with disabilities, and strengthening the quality of the nutrition education provided through the program.

REFLECT Methodology REgenerated Freirean Literacy through Empowering Community Techniques (REFLECT) is a participatory approach to adult learning that combines the philosophy of Brazilian educator Paulo Freire with Participatory Rural Appraisal methods. It focuses on linking adult literacy with empowerment.

REFLECT provides an ongoing democratic space for people to be supported by a local facilitator to meet and discuss issues relevant to them, according to their own priorities Early Childhood Education has been integrated with adult learning using the REFLECT methodology. Child Reflect Circles aim to provide a rich learning environment for pre-school children. While parents meet in adult REFLECT Circles to learn key parenting skills, including child health and development, trained facilitators lead the children in a variety of activities, songs, games, stories and physical activities. Parents learn these activities and are encouraged to continue them at home. ADRA Cambodia is utilizing the skills developed in using this methodology across the community development program.

Adventure Learning ADRA Cambodia’s Jombok Hoas Adventure Learning programs are designed to create positive and lasting changes. Thousands of youth and adults have participated in its programs focused on nurturing leadership and team building skills in addition to personal growth and self-confidence.

http://adracambodia.org/projects/adventure.htm December 2014

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Projects 2014 Health Projects OPERATING DATES Name of Project Saving Mothers' and Infants' Lives with Equity (SMILE) "CHOICES" for Children: Child Health Outcomes Improved through Community Empowered Solutions Varin Integrated Nutrition for All Cambodians Opposing Risky Environments for Tobacco or Health (CORE TOH) Family Nutrition: Better Lives Through Social Enterprise

Location Preah Vihear

Start 10/1/2011

End 30/9/2015

BUDGET US$ 2,532,700

Donor DFATD, ADRA Canada

Pursat

1/7/2014

30/6/2019

2,324,545

DFAT, ADRA Australia

Siem Reap

1/11/2012

31/10/2016

970,000

CFGB, ADRA Canada

National

1/10/2011

31/3/2014

112,000

ADRA Canada, ADRA Australia, SED Funds

Preah Vihear

1/5/2012

30/4/2014

130,000

ADRA Australia, Sanitarium

WASH OPERATING DATES Name of Project Chieb Household Initiative for Empowerment Building (CHIEB) Bakan WAter and Sanitation for Health (BWASH)

Location Preah Vihear

Start 1/9/2010

End 31/6/2014

BUDGET US$ 476,766

Pursat

21/8/2013

20/2/2017

570,348

Donor ADRA Australia Private Donors, Community Contributions MFAT, ADRA New Zealand, ADRA Norway

Food Security Projects OPERATING DATES Name of Project Agriculture Livelihood Improvements through Village Empowerment (ALIVE) ENabling Households to Apply Necessary Cultivation for Economic Development (ENHANCED) Keep Girls Safe Livelihoods for Life

Location Pursat

Start 1/7/2011

End 30/6/2014

BUDGET US$ 462,800

Kompong Thom

1/2/2012

30/5/2015

275,300

DFAT/ ADRA Australia Private Funds, SED Funds

Kompong Thom Kompong Thom

1/6/2012 1/3/2013

31/1/2015 27/2/2016

98,433 51,074

ADRA International MCIC, ADRA Canada

Varin Food Security for All

Siem Reap

1/6/2013

31/10/2016

580,000

CFGB, ADRA Canada

Donor DFAT/ANCP, ADRA Australia

Education Projects Name of Project Adventure Training Program Jombok Hoas (JBH)

Location Preah Vihear

OPERATING DATES Start End 1/1/2006 31/12/2014

Transforming Lives in Cambodia Pursat Child Sponsorship

Preah Vihear

1/7/2013

30/6/2014

2,627

Pursat

1/7/2010

31/10/2015

175,940

Prasat Model Preschool

Kompong Thom Pursat

1/8/2013

31/7/2015

71,617

1/4/2014

1/4/2019

35,710

PAPSDA Tuol Thmea

BUDGET US$ 302,779

Donor User contributions, Avondale College, ADRA Australia, ADRA International ADRA International Gift Catalog ADRA Korea Kindercare, ADRA New Zealand PAPSDA, ADRA New Zealand

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Connections Groups 2014 Connections group trips are arranged with partner ADRA offices as small projects that support the goals and objectives of larger sustainable projects, filling gaps that the current project does not meet. Every trip has lots of opportunities for interaction between the community members and volunteers, resulting in an appreciation for each other, good memories and sometimes lasting friendships. Each group does the fundraising for their own project. Activities that the groups have participated in during 2014 include:  Constructing and installing latrines, wells and water tanks  Building trails a shelter and zip lines for a community forest  Constructing a community preschool  Constructing playgrounds  Doing artwork at schools  Conducting hygiene, health and education activities with kids and communities.  Conducting positive deviant hearth nutrition rehabilitation programs.

A big thank you to Sanitarium, Kindercare, PAPSDA, Vic Conference, Hughes and Korean VOLUNTEERS! You bring positive change, hope and joy!

Achievements during 2014  

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Conducted a Training of Trainers in Disaster Risk Reduction Completed contextualization of the Hincks Dellcrest Learning through Play – In My Own Way Calendar and Training of Trainers in 73 villages resulting in over 1,600 mothers and fathers trained in parenting skills Facilitated Positive Deviant Hearth behavior change nutrition programs with children under 5 in over 110 villages.

Held awareness events on World Health Organization World No Tobacco Day. Constructed 2 waiting and delivery rooms Worked with Vissot and Sanitarium to produce healthy porridge Completed Strategic Planning for 2014 to 2017 which 1) identified strategic program priorities for targeted strengthening over the next two years, 2) prioritized disaster risk reduction and emergency management to be mainstreamed throughout all development programs and 3) committed to address the issues of migration and genderbased violence during the next two years.

Actively participated in CCC, MEDiCAM, NEP, CCFIN – collaborative organizations for NGOs working in Cambodia including the sectors of health, education and micro-finance.

Completed project surveys, participatory evaluations and a gender audit.

Hosted fundraisers from ADRA New Zealand at the Bakan WAter Sanitition and Hygiene project who were the winners of the ADRA Charity run in New Zealand!

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Partnerships in 2014 CCC * MEDiCAM * NEP * CCFIN * AMNEP * Vissot * Sanitarium * Hincks Dellcrest * MRKR * Avondale

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2014 Annual Report

Organogram 2014

Members of the Governing Body 2014 Deane Jackson-Chairman, Mark Schwisow-Secretary, Lim Pheng, Hang Sayaneat, Sharyn Davis, Tim Maddocks, Hang Dara, Im Touch, Se Kimseng, Chhun Savoeun, Horn Sopheap, Ann Stickle (non-voting member).

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2014 Annual Report

Finances 2014 WASH 10% Education 13% Food Security 20%

Health 57%

2014 Expenses by Sector 2014 Expenses by Funding Country 1,200,000

1,087,000

1,000,000 800,000 600,000 366,000

400,000

262,000 156,000

200,000

36,000

56,000

US

Korea

25,000

Canada

Australia Cambodia

Thank You!

New Zealand

Norway

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