2015 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: email@example.com www.adracambodia.org
2015 Annual Report 2015 in Review 2015 has come and gone and I am greatful for the opportunities we have had as an ADRA team to work with all of our partners in local communities as well as around the world. We are grateful to hear about and see the positive changes in the lives of our beneficiaries and as well in our self as an Agent of Change. In 2015 ADRA staff and partners worked with over 40,000 community members in Kompong Thom, Preah Vhear, Pursat and Siem Reap provinces through holistic empowerment programs. While most of these had a focus on improving maternal and child nutrition, we saw so many families make real changes in their broader family sanitation practices, nutritious food production, and overall care and concern for their childrenâ€™s future. This year saw many of our donor development partners visiting projects from Australia, Canada, New Zealand, Czech Republic, Norway 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, Czech Republic, USA and Cambodia. This 2015 report is focused on the changes that have been made and reminds us of the changes that are taking place both externally as well as internally as the Adventist Development and Relief Agency Cambodia seeks to fulfill its agency calling. In addition to improved behaviours in maternal and child health behaviours, ADRA Cambodia has initiated awareness and behavior change programing in response to the increase in concern over longer term lifestyle health issues including the increase in diabetes, hypertension, arteriosclerosis, strokes, and other long term problems that impact the quality of life. ADRA hopes to raise awareness and long term sustainable changes in lifestyle behaviours that can bring about a healthier and happier life. As we are working to bring about even more positive changes, we are seeking more partners to participate in and support the process. We thank God for His many blessings in 2015 and continue to ask Him to guide ADRA Cambodia into the future.
Mark Schwisow Country Director August 28, 2016
2015 Annual Report
Table of Contents 2015 in Review ............................................................. 1 Identity .......................................................................... 2 Mission ........................................................................... 2 Vision ............................................................................. 2 Development Principles ................................................. 2 Our Programs ............................................................... 3 Human Development & Empowerment ......................... 3 Health ............................................................................. 5 Rural Livelihoods ........................................................... 7 Health Projects ............................................................... 8 WASH ............................................................................ 8 Food Security Projects.................................................... 8 Education Projects.......................................................... 8 Connections Groups 2015 .............................................. 9 Achievements during 2015 ......................................... 9 Partnerships in 2015 .................................................. 10 Organogram 2015 ...................................................... 11 Members of the Governing Body 2015 ................... 11 Finances 2015.............................................................. 12
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 longterm 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 December 2015
2015 Annual Report
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 24 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. ADRA Cambodia has a diverse portfolio of projects across several sectors, with the following three priority sectors identified: Human Development & Empowerment (REFLECT, Early Childhood Development) Health - (Nutrition, Water Sanitation & Hygiene, Non-Communicable Diseases) Rural Livelihoods - (Food Security) 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. 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.
2015 Annual Report 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 preschool 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.
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 childâ€™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 December 2015
2015 Annual Report 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. 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/our-programs/education/jombok-hoas/ 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 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.
2015 Annual Report
Nutrition programs in 2015: PROVINCE/ PROGRAM GOAL Preah Vihear/ Reduced mortality of mothers and children under five
Siem Reap/ Improved nutrition and food security, particularly WRA and children under-5
Pursat/ To improve child nutrition and wellbeing through increased protective care and sustainable livelihoods in poor and vulnerable households
Kompong Thom/ Improved nutrition for 22,000 household members, particularly WRA and girls and boys < 2
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
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. 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 do not have sanitary latrines 50% of family members with no access to potable water Stunting rate 45% 44% mothers and 65.3% children with mild or severe anemia Over 75% of households do not have sanitary latrines
TARGET POPULATION 35,891
INTERVENTIONS IN HEALTH & LIVELIHOODS Health Systems Learning sessions with families o Growth monitoring o Nutrition, education, rehabilitation program (NERP) o Fortified foods WASH Agriculture Learning sessions with families o Growth monitoring o NERP WASH Agriculture
PART-NERSHIPS Madai Reakreah, Kone Reakreah, Hincks Dellcrest, Ministry of Health (MOH)
MOH WatSan suppliers Farmer Associations
Learning sessions with families o Growth monitoring o NERP Agriculture Vocational skills Livelihood skills WASH
Learning sessions with families o Growth monitoring o NERP WASH
MOH WatSan suppliers
2015 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 8,000 open ring and bored wells, 6,557 water collection tanks and pumps, and several community dams and ponds. Improved sanitation has resulted in the construction of over 8,400 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 10,000 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 December 2015
2015 Annual Report
programs for many years and is committed to improving 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.
Projects 2015 Health Projects OPERATING DATES Name of Project Saving Mothers' and Infants' Lives with Equity (SMILE) Baray Santuk Nutrition for Under-5s and Mothers Project
Location Preah Vihear
BUDGET US$ 2,532,700
"CHOICES" for Children: Child Health Outcomes Improved through Community Empowered Solutions Varin Integrated Nutrition for All Live More Cambodia
Phnom Penh & Pursat
Donor DFATD, ADRA Canada CFGB, ADRA Canada, ADRA Australia, Czech Government, ADRA Czech DFAT, ADRA Australia
CFGB, ADRA Canada ADRA Australia
WASH OPERATING DATES Name of Project Bakan WAter and Sanitation for Health (BWASH)
BUDGET US$ 570,348
Donor MFAT, ADRA New Zealand, ADRA Norway
Food Security Projects OPERATING DATES Name of Project ENabling Households to Apply Necessary Cultivation for Economic Development (ENHANCED) Keep Girls Safe Livelihoods for Life Varin Food Security for All
Location Kompong Thom
BUDGET US$ 275,300
Kompong Thom Kompong Thom Siem Reap
MCIC, ADRA Canada
CFGB, ADRA Canada
OPERATING DATES Start End 1/1/2006 On going
BUDGET US$ 372,021
Donor DFAT/ ADRA Australia Private Funds, SED Funds
Education Projects Name of Project Adventure Training Program Jombok Hoas (JBH)
Location Preah Vihear
Pursat Child Sponsorship I & II Prasat Model Preschool
Pursat Kompong Thom Pursat
PAPSDA Tuol Thmea
Donor User contributions, Avondale College, ADRA Australia, ADRA International ADRA Korea Kindercare, ADRA New Zealand PAPSDA, ADRA New Zealand
2015 Annual Report
Connections Groups 2015 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 2015 include:
Building a delivery room with a mother’s waiting and recovery area at a health center. Conducting health assessments. Building a community preschool and play area Setting up a school library and painting murals. Building a Child Learning Area with a shelter, play area, latrine and clean water supply Constructing and installing latrines, water tanks and fences around ponds. Constructing chicken coops Conducting hygiene, health and education activities with kids and communities. Conducting sewing and engine livelihoods training
A big thank you to Kindercare, PAPSDA, Manurewa, Donor, Victoria, Lismore and Korean VOLUNTEER GROUPS! You are bringing positive change, hope and joy!
Achievements during 2015
Facilitated more than 2,500 Reflect Circles meeting in Pursat, Siem Reap, Preah Vihear and Kompong Thom provinces. Over 40,000 women, men and children have been learning about nutrition, parenting, gardening, health, water and sanitation and other topics. Hosted an Australia Reflect workshop in Pursat province including visits to Reflect Circles. Participants came from Australia, Cambodia, Canada, Fiji, Laos, Malawi, Myanmar, Nepal, Norway, Papua New Guinea, Solomon Islands, Vanuatu, Vietnam, Zimbabwe. The core of Reflect methodologies were reviewed and tested, new methods were compared and participants were inspired to adapt and learn from each other. Adopted the Complete Health Improvement lifestyle Program (CHIP) through Live More Cambodia (LMC) project Conducted gender training with BSNUM, BWASH and CHOICES project teams Facilitated a Staff Retreat where staff reviewed Strategic issues and core values. Independent consultants evaluated the SMILE project and presented results at a lessons learned workshop. Completed additional project surveys and participatory evaluations. Held awareness events on World Health Organization World No Tobacco Day. Constructed 1 health center delivery room with a mother’s waiting and recovery area Constructed 1 primary school and 1 model preschool building
2015 Annual Report
Actively participated in CCC, Chab Dai, MEDiCAM, NEP, CCFIN – collaborative organizations for NGOs working in Cambodia including health, education, anti-trafficking and microfinance sectors. Several volunteers assisted ADRA in documenting the Adventure Learning activities and the Positive Deviant nutrition Hearth program as well as reviewing finance and operations procedures. Hosted different donors and volunteers group from different ADRA partner offices from Australia, Canada, New Zealand, Czech Republic, Korea, and United States!
Partnerships in 2015 CCC * CHAB DAI * MEDiCAM * NEP * CCFIN * Vissot * LMC * Sanitarium * PAPSDA * Kindercare * Hincks Dellcrest * MRKR * Avondale My Garden My Life Deap Tharch is a widow who lives in Kampong Thom Province. She has two children and is living with the youngest daughter who got married last year. Now her daughter is pregnant and divorced. Tharch says, “My family has been living in poverty, we didn’t have any jobs. When we had a chance to work, it was hot physical work under the sun and rain. Because we were poor, we were very busy trying to earn a living. We had no family time, no freedom and still we had debts which never ended.” Tharch’s family has a small plot of land which has yielded only a small amount of rice that could not last for a whole year. She decided to set up the vegetable garden behind the house. Tharch started with small sized garden and found that the garden could produce crops that could be sold daily to support her family. However, there was little yield and often crops failed due to destroying insects and disease. Soon after this, local Facilitators were recruited and they formed Reflect Circles in her village. Reflect Circle members interested in growing vegetables were formed into an interest group. Tharch says, “I was very interested and registered. As i got involved in the interest group I have been able to learn some new techniques and experiences from other farmers and especially ADRA staff. After the meeting, I tried to follow the ideas coming from the discussions and realize that my garden production has started to gradually improve. I have received some vegetables seeds and learned modern techniques. I enlarged my garden using new modern techniques. With the income from selling my vegetables, I was able to buy one new water pump to help me watering such a large garden. I earn at least 20,000 Riels ($5.00) per day. With this income, I was able to pay back the loans that I had in the past and now am completely free from debts. I am so happy with this change as my household finances have improved.
2015 Annual Report
Members of the Governing Body 2015 Deane Jackson-Chairman, Mark Schwisow-Secretary, Lim Pheng, Seak Chai Kaing, Hang Dara, Horng Sopheap, Sharyn Davis, Se Kim Seng, Tim Maddocks, Hang Sarim, Chun Savoeun, Ann Stickle (non-voting member).
2015 Annual Report
Finances 2015 Agriculture 12% WatSan 13%
Education 9% Nutrition 42%
2015 Expenses by Sector 2015 Expenses by Funding Country 1,200,000 1,087,000 1,000,000
600,000 471,000 400,000 219,000