ADRA Cambodia 2017 Annual Report

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2017 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 E-mail: Website : Facebook : ADRA IS A SMOKE FREE ORGANIZATION

2017 Annual Report

2017 in Review During 2017, God has blessed ADRA Cambodia in fulfilling our vision to reflect 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. We are grateful to hear about and see the positive changes in the lives of our beneficiaries and as well in ourselves as Agents of Change. In 2017 ADRA staff and partners worked with over 37,000 community members in Kompong Thom, Preah Vhear, Pursat, and Oddar Meanchey 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 consumption, and overall care and concern for their children’s future. ADRA Cambodia adult education methods are built on Key Principles that ensure a focus on human development and empowerment and our child education methods come from a preventative mental perspective, ensuring a solid foundation in knowledge and behavior change for health. This year saw many of our donor development partners visiting projects from Australia, Canada, New Zealand, Czech Republic, Norway, Germany and South Korea to monitor progress. Funding support has continued and expanded from our ADRA office and government partners in Australia, Canada, New Zealand, Czech Republic, Norway, Germany, South Korea, USA and Cambodia. We hope this 2017 report reflects our commitment to positive changes taking place both externally as well as internally in fulfill our mission to bring about positive change through empowering partnerships. This past year our team is pleased to expand the partnership with ADRA Australia and ADRA International through the LiveMore Asia project with partners ADRA Thailand and ADRA Nepal. This program promotes and documents long-term sustainable changes in lifestyle behaviors that can bring about a healthier and happier life and restore hope for the future. Also strategic development of new Agro Business programing started in partnership with ADRA New Zealand. 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 2017 and continue to ask Him to guide ADRA Cambodia into the future.

Mark Schwisow Country Director

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2017 Annual Report

Table of Contents 2017 in Review ................................................ 1 Identity ............................................................ 2 Mission ............................................................ 2 Vision .............................................................. 2 Development Principles .................................. 2 Our Programs ................................................. 3 Human Development & Empowerment .......... 3 Health .............................................................. 5 Program Focus on Human Development & Empowerment 2017…………………...…...…7 Rural Livelihoods ............................................ 8 Projects 2017 .................................................. 9 Health Projects ................................................ 9 WASH ............................................................. 9 Nutrition Projects………..…………………..9 Education Projects……………………………9 Connections Groups…………………….…...10 Achievement during 2017…………..……….11 Partnerships in 2017……………………..….11 Organogram 2017……………………..….....12 Members of the Governing Body 2017……...12 Finances 2017……………………………….13

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. CORE VALUES: COMPASSION – INTEGRITY – RESPECT July 2018


2017 Annual Report

Our Programs ADRA Cambodia has been operating in Cambodia for 26 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 Oddar Meanchey, 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 (REFLECT1, 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 REFLECT and Adventure Learning are being used to expand local community members' opportunities to learn and grow from one another based on local knowledge. Key areas of learning have included maternal and child health, nutrition, WASH, family communication and parenting, noncommunicable disease, how to increase family income, avoiding the dangers of human trafficking during migration. REFLECT Methodology REgenerated Freirean Literacy through Empowering Community Techniques (REFLECT), a participatory approach to adult learning and social change, is founded on 10 key principles that 1) strengthen people’s power to communicate, 2) achieve social change and greater social justice, 3) create


REFLECT is an innovative approach to adult learning and social change, which fuses the theories of Brazilian educator Paulo Freire with participatory methodologies. Key to the Reflect approach is creating a space where people feel comfortable to meet and discuss issues relevant to them and their lives. Reflect aims to improve the meaningful participation of people in decisions that affect their lives, through strengthening their ability to communicate. It was developed in the 1990s through pilot projects in Bangladesh, Uganda and El Salvador and is now used by over 500 organisations in over 70 countries worldwide. Read more at

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2017 Annual Report a safe space where everyone’s voice is given equal weight, 4) are intensive and extensive, 5) are grounded in existing knowledge, 6) include reflection, action and are followed again by reflection, 7) use participatory tools, 8) analyzing power in relationships, 9) selfmanagement and 10) using these principles systematically. ADRA works to set up groups of community members in Reflect Circles and train local facilitators. These facilitators support Reflect Circle members in identifying and prioritizing issues to analyze, discuss and take action on over an ongoing basis. REFLECT provides an ongoing democratic space for the meetings. ADRA trains facilitators in leadership and facilitation skills to use in facilitating Reflect Circle Meetings. Staff and facilitators develop Reflect Learning Units2 from 4 to 10 key topics to guide facilitators during those Reflect Circle meetings. 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. Early Childhood Development/Learning through Play ADRA Cambodia's Early Childhood Education opportunities for children have been instrumental in giving children 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)3. The Learning through Play materials introduce new and enjoyable ways for parents to play with and nurture their children at each stage of development. Each time parents play, talk, touch and respond to their children in a loving manner, they make a significant difference and help their children learn. They promote physical growth, relationship building and understanding of the world, communication and sense of self. Additional topics covered include brain development, attachment, guiding behavior and addressing malnutrition.


See Reflect Learning Unit topics and sample guides here: 3 See LTP-IMOW resources information here:

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2017 Annual Report

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. 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. 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 Fast Track Road Map for Improving Nutrition 20142020. ADRA has secured projects focused in nutrition increasing ADRA’s ability to respond to these gaps in harmony with Scaling Up Nutrition (SUN) Cambodia. ADRA’s priority areas in child nutrition include rehabilitation, food fortification and behavior change on child feeding practices. ADRA uses the internationally recognized Essential Nutrition Actions in promoting improved behaviors at the household level. 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 July 2018


2017 Annual Report 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 2016 STEPS survey revealed that major risk factors for non-communicable diseases are relatively high including tobacco smoking, alcohol consumption, and increasing weight. This survey revealed that 8 in every 10 people (80.7% of the surveyed population) had one to two risk factors for developing non-communicable diseases and 11.6% have three to five risk factors. 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 Organization, government departments, the Seventh-day Adventist Church and other organizations in tobacco control and health promotion and is committed to projects that promote protective health habits and practices. “I will definitely delivery my tenth baby at the Health Center!”

Mrs. SAMOEUN, is from Morjokot commune in Choam Ksant district in Preah Vihear province. She is married to a soldier working at the border (a majority of the families living in the community are soldier families)! “I have had ten children including the one in my belly because I’m now eight months pregnant,” SAMOEUN said. “But I now only have six children including the one in my belly because my other 4 kids had passed away” she mentioned when asking about her children’s names and their ages. When asking about how they died, she told that she wasn’t sure. The babies were too young, but she said maybe because of the Measles. One was one month old when she died. And there were no health centers nearby. She continued that she never got to deliver all her babies at the Health Centers. But for this tenth child, she is planning to go to the health center to deliver her baby. SAMOEUN has been participating with EMBRACE Project for about 12 months now! She has actively joined the Mother Child Health Group discussion meetings and has learned quite a lot of knowledge, especially about nutrition and pregnant women’s care. She has visited a health center a few times already and has been taking iron tablets and eating good nutritious food to make herself and her child healthy as she has learned about through the meetings. After joining the Mother Child Health Group, SAMOEUN has hoped she would learn more and improve her family to be healthy. She is hopeful that her child would be born healthy! SAMOUEN says “I also wish ADRA and the supporter to be healthy and be successful in all they do.”

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2017 Annual Report

Program Focus on Human Development & Empowerment in 2017: PROVINCE/ PROGRAM GOAL


Preah Vihear & Kampong Thom/ Contributing to the reduction of maternal and child mortality in 168 targeted villages of Kampong Thom and Preah Vihear Provinces

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

 Kompong Thom/ Improved nutrition for 22,000 household members (11,000 females), particularly Women of Reproductive Age (WRA) and 4,000 boys and girls under-2 in the Baray-Santuk Operational District of Kompong Thom Province Oddar Meanchey/ Sustainable improvements in maternal and child nutritional health and family/community development in Cambodia.

U5 child mortality at 146 in Preah Vihear Province High levels of anaemia caused by the effects of communicable diseases and poor dietary practices


INTERVENTIONS IN HEALTH & LIVELIHOODS  Learning sessions with families o Growth monitoring o NERP o Fortified foods  Health Systems  WASH  Agriculture  Learning sessions with families o Growth monitoring o NERP  Agriculture  Vocational skills  Livelihood skills  WASH

PARTNERSHIPS Madai Reakreah, Kone Reakreah, Racha, Sick Kids, *Ministry of Health (MOH)

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




 Learning sessions with families o Growth monitoring o NERP o Fortified foods  Health Systems  WASH  Agriculture

*Ministry of Health (MOH)

85% of households (HHs) now generate significant portions of their income from agrarian work. Stunting rates for children under 5 for Oddar Meanchey with recent surveys in nearby rural villages is around 40%. Very few households have an understanding of nutrition for themselves and their child.


 Learning sessions with families o Growth monitoring o NERP o Fortified foods  Health Systems  WASH  Agriculture

*Ministry of Health (MOH) *Ministry of Agriculture (MoAg)

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2017 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 above 8,400 open ring and bored wells, 6,600 water collection tanks and pumps, 1,900 family ponds and 15 community dams and ponds. Improved sanitation has resulted in the construction of over 9,000 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 13,500 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 health habits and best practice. 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 using permaculture principles. 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 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.

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2017 Annual Report


Projects 2017 Education Projects Name of Project Adventure Training Program Jombok Hoas (JBH)

Location Preah Vihear

OPERATING DATES Start End 1/1/2018 31/12/2018

Pursat Child Sponsorship





Prasat Model Preschool

Kompong Thom Pursat







PAPSDA Tuol Thmea

BUDGET US$ 70,553

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

Health Projects OPERATING DATES Name of Project Enhance Mother/Newborn/Child Health in Remote Areas Through Health Care and Community Engagement (EMBRACE) Project Live More Asia (REFLECTing on CHIP in Cambodia)


Location Preah Vihear and Kampong Thom

Start 31/3/2016

End 31/3/2020

US$ 2,532,700





Donor Global Affairs Canada, ADRA Canada

ADRA International and ADRA Australia

Nutrition Projects OPERATING DATES


Name of Project Baray-Santuk Nutrition for Under-2s and Mothers Project (BSNUM)

Location Kampong Thom

Start 1/3/2015

End 30/4/2019

US$ 1,000,000

"CHOICES" for Children: Child Health Outcomes Improved through Community Empowered Solutions Food Security and Nutrition for All Project (FSNFA)





Oddar Meanchey




Donor CFGB, the government of Czech Republic, ADRA Canada, and ADRA Czech Republic DFAT, ADRA Australia

BMZ and ADRA Germany

WASH Project OPERATING DATES Name of Project Bakan WAter and Sanitation for Health (BWASH)

Location Pursat

Start 21/8/2013

End 20/2/2017

BUDGET US$ 570,348

Donor MFAT, ADRA New Zealand, ADRA Norway

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2017 Annual Report


Connections Groups 2017 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 that fundraising for their own projects. Activities that the groups have participated in during 2017 include:      

Learning through play building child shelters, latrines, water tanks and playgrounds Teacher trainings, supporting schools and presechools setting up recycling Leadership and Team building Nutrition workshops, conducting kids clubs, and cooking demonstrations Sewing training

A big thank you to Families group, Sanitarium Executive, and SEEDS group from Australia, Kindercare, PAPSDA and Westmount Schools from New Zealand, and Honam and Chung Cheong group from Korea! You bring positive change, hope and joy!!

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2017 Annual Report

Achievements during 2017  Facilitated more than 1,600 Reflect Circles meeting in Kompong Thom, Preah Vihear, Pursat and Oddar Meanchey provinces. Over 43,000 women, men and children have been learning about nutrition, parenting, gardening, health, water and sanitation topics.  On May 9-11, 2017, through our Live More Cambodia project, ADRA Cambodia supported and worked together with the Cambodia Adventist Mission to conduct their very first Health Summit with participation from Pastors, Health Professionals, Church planters and interested members.  Expanded the Complete Health Improvement Program (CHIP) with the funded LiveMore Asia project in Pursat province.  2017 saw special support from HELP International to construct three government health centers with delivery and waiting rooms.  Our Concept note about ProMarket Agriculture Business was approved and was working in preparation for the full proposal plan in a design phase period, which was also funded by the New Zealand government through ADRA New Zealand  Conducted a country wide staff learning and growth retreat to reflect, shine and share.  Hosted donors, visitors and volunteers group from different ADRA partner offices from Australia, Canada, New Zealand, Czech Republic, South Korea, and United States and ADRA Asia Regional Office!

Partnerships in 2017 CCC * NEP * Vissot * Chab Dai * PAPSDA * Kindercare * Sick Kids * MRKR * Racha

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2017 Annual Report

Organogram 2017

Members of the Governing Body 2017 Lim Pheng-Chairman, Mark Schwisow-Secretary, Seak Chai Kaing, Hang Dara, Horng Sopheap, Sharyn Davis, Se Kim Seng, Tim Maddocks, Hang Sarim, Chun Savoeun, Ann Stickle (non-voting member).

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2017 Annual Report

Finances 2017 Education 10%

WatSan 4%

Health 46% Nutrition 40%

2017 Expenses by Sector 2017 Funding by Donor Country 1,400,000

TOTAL: 2,524,000 USD






428,000 400,000

246,000 253,000 200,000









Australia Germany Cambodia

New Zealand




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