Annual Report 2013

DOCTORS OF THE WORLD USA Annual Report 2013

ŠSebastien Duijndam An internally displaced persons camp in Central African Republic is now home to young and old.

www.doctorsoftheworld.org

DOCTORS OF THE WORLD USA 137 Varick Street, 8th Floor, New York, NY 10013, USA + 1 347 307 7584 www.doctorsoftheworld.org Argentina l Belgium l Canada l France l Germany l Greece l Japan l Netherlands l Portugal l Spain l Sweden l Switzerland l UK l USA

TABLE OF CONTENTS A MESSAGE FROM THE PRESIDENT

1

MISSION STATEMENT AND VALUES

2

EXECUTIVE SUMMARY

3

THE INTERNATIONAL NETWORK

4

DOCTORS OF THE WORLD USA

5

CORE AREAS OF OUR WORK

6

DOMESTIC PROGRAM

7

Treat, Connect, Restore

7

The Doctors of the World Rockaways Free Clinic Collaboration with Columbia University

8 9

INTERNATIONAL PROGRAMS Mali

10

Syria

11

Greece

12

The Philippines

13

Nepal

14

Laos

14

IN THE NEWS

15

FUNDRAISING

16

FINANCIAL SNAPSHOT

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BOARD AND STAFF

19

ACKNOWLEDGEMENTS

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ANNUAL REPORT 2013

A MES SAGE FROM THE P R E SID E N T

2013 was a difficult year for the humanitarian community and a tragic one for the many people who were rendered homeless, injured or killed by natural or man-made disasters. Typhoon Haiyan devastated the Philippines, killing over 6,000 people and ravaging the country’s infrastructure. Conflict continued for a third year in Syria where more than 150,000 people were killed and the targeting of health professionals, together with the destruction of clinics and hospitals, severely limited access to health services. Turmoil in the Central African Republic contributed to deadly epidemics of malaria and measles; and the recurrence of violence in South Sudan, the world’s newest country, was accompanied by a resurgence of cholera.

Still, there were also moments of hope, as Doctors of the World (Medecins du Monde, or MdM) and our partners responded quickly to help address the suffering of the world’s most vulnerable people. We intervened not only in these emergencies, but also wherever we found a way to help those on the margins of society, affirming through our actions our belief that access to competent healthcare is a fundamental right of all human beings.

Closer to home, 2013 was a pivotal year for Doctors of the World USA. Our team expanded from two to five full-time employees, as well as five part-time employees. As our team grew so did our activities, with three major fund-raising events and a highly successful online campaign to support MdM programs in Syria, Laos and Nepal.

But our most important achievement was the opening of our Rockaways Free Clinic, the first Doctors of the World clinic in the United States. The clinic started as an outgrowth of our response to Hurricane Sandy’s devastating impact on New York, our home base. The free clinic provides much needed health services to the uninsured and undocumented residents of one of New York City’s most neglected areas, where health needs grew just as medical providers were forced away. We stand with our neighbors, because care must begin at home. During the course of the year both our patient load and our volunteer network of health professionals grew substantially.

All of this work can only be done because of the generosity of our volunteers and benefactors. Without their unstinting donation of time and resources Doctors of the World USA would not exist. Through our supporters’ hard work and dedication, they confirm our belief that we are all Doctors of the World.

While we have grown much in 2013 there is still much to do. There are too many people both here at home and throughout the world who face exclusion, persecution, or other forms of social and economic inequity.

They subsist at times even without the basic necessities, and always without adequate access to health care. In 2014 MdM USA will strive to do as much good as possible for as many people as possible in order to redress injustice and to make the world a fairer place for everyone. I invite you to join us and to believe, as we do, in the idea that all human beings deserve the opportunity to lead a dignified and healthy life.

Dr. Ron Waldman, MD, MPH

MIS S IO N STATEMENT A N D V AL U E S

OUR MISSION Doctors of the World is an international humanitarian organization that provides emergency and long-term medical care to vulnerable populations while fighting for equal access to health care worldwide.

YIANNIS YIANNAKOPOULOS Health is not a luxury, it’s a human right.

MdM’s European advocacy

OUR PRINCIPLES Affirming access to health care as a human right 2

Providing direct access to quality health services

3

Working with local partners to ensure sustainability and effectiveness

4

Fighting for those excluded from care

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Exposing barriers to health care through data collection and testimonies

OUR VALUES Doctors of the World (Médecins du Monde, or MdM) values health care as a fundamental right and is committed to improving access to quality medical services for populations affected by poverty, disease, conflict, natural disasters, or health disparities. MdM provides medical care under all circumstances, regardless of gender, race, ethnicity, religion, age, or political beliefs. Standing out against discrimination, MdM bears witness to health inequity worldwide.

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EXEC UTIVE SUMMARY

DOCTOR WORLD S OF THE USA

Is the n ewest m ember o internatio f the Md nal netw M o rk . Since it blishmen s estat in late 2011, th tion has e organiz lent sign aificant fu support n d ra ising to the ne twork’s in program te rn a tional ming, wh ich focu key area s e s o n four s: crisis in terventio and child n; matern health; H al IV/AIDS tious dis a n d infecease; an d migran t health.

MARTIN COURCIER Niger: Malnutrition affecting children

Doctors of the World USA also works domestically, having responded to the aftermath of Hurricane Sandy and eventually opening a free clinic in one of the hardest-hit areas of the country, New York’s Rockaways neighborhood.

Throughout 2013, Doctors of the World USA continued to support local health interventions as well as the work of its colleagues overseas. This has garnered significant interest among funders as well as the news media.

MARTIN COURCIER In Niger, MdM tackles childhood malnutrition

TH E INTE RNATIONA L NE TWOR K Doctors of the World (MÊdecins du Monde, MdM) was founded by 15 doctors who believed in bearing witness and providing direct access to medical care for the world’s most vulnerable populations. MdM opened its headquarters in Paris in March, 1980. The first doctors were sent to Afghanistan, El Salvador, and Armenia - then known as the Armenian Soviet Socialist Republic - to improve health care for populations lacking medical services at a time of crisis and war. In 1986, MdM began its first health clinic in France for migrant populations excluded from health care. The following year, MdM launched a harm reduction initiative, establishing the first free, anonymous HIV testing center in Paris.

In 1989, Medicos del Mundo Spain was founded and the MdM international network was born. Today, there are 14 MdM offices throughout the world located in North and South America, Europe, and Asia. In 2013, the international network had more than 300 programs spanning 78 countries worldwide.

While domestic projects focus on the lack of medical assistance for those at the margins of the society, international projects tackle emergencies, conflict, post-conflict rehabilitation, and deficiencies in health services due to chronic poverty.

Through the support of volunteers, our network members help vulnerable populations such as undocumented migrants, the homeless, and destitute women and children to access health care. This is in compliance with international conventions which impose equal human rights standards for everyone.

In 2013, as a network we deployed emergency response units and supplies to the Philippines in the aftermath of Typhoon Haiyan.

In Greece, Spain, and Portugal we supported the national health systems which were pushed to the brink of collapse due to economic crisis. During and in the wake of severe famine in the Horn of Africa, MdM supported local communities in fighting malnutrition.

We also aided refugees and IDPs fleeing conflict in Syria, Mali, and the Central African Republic.

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DOCTORS OF THE WORLD USA IS THE LATEST ARRIVAL IN THE MDM NETWORK. FOUNDED IN 2011, ITS MISSION IS THREEFOLD: 1. TO CONTRIBUTE TO INTERNATIONAL PROGRAMS THROUGH US-BASED FUND-RAISING, RECRUITMENT, AND TECHNICAL ASSISTANCE; 2. TO REPRESENT MDM IN US AND INTERNATIONAL FORA AS A PARTICIPATING THOUGHT LEADER IN THE HUMANITARIAN SECTOR; AND 3. TO PROGRAM DOMESTICALLY, PROVIDING ACCESS TO HEALTH CARE FOR VULNERABLE COMMUNITIES IN THE US.

DON WRIGHT MdM teams provide emergency reproductive healthcare in the in the Philippines after typhoon Haiyan

During its first two years, Doctors of the World USA has mobilized funding support for international programs including Mali, Syria, Greece, the Philippines, Nepal, and Laos. In the aftermath of Hurricane Sandy in 2012, we led emergency response in the hardest-hit section of New York City, coordinating medical home visits at local residences in the Rockaways. In the post-emergency phase, Doctors of the World USA conducted needs assessments in neighborhoods affected by the storm.

In October of 2013, we launched our first domestic program: the Rockaways Free Clinic.

A historical note: Doctors of the World USA is a new organization with ambitious goals. An earlier version of Doctors of the World was, however, founded in 1990 and focused strongly on issues related to asylum seekers and human rights. Diverging priorities ultimately led it to part amicably with the MdM network, and in 2009, it was renamed HealthRight International. Today the two organizations do not have any formal affiliation.

SACHA PETRYSZYN A Syrian girl carries water from the well in the refugee camp she calls home

CORE AREAS OF OUR WORK CONFLICT & CRISIS In times of conflict and crisis, barriers to accessing health care become exacerbated. Local healthcare infrastructures are disrupted and populations, living in fear and violence, are often forced to flee their homes and communities, leaving their familial network and resources behind. As a result, displaced populations have reduced access to primary healthcare services, emergency care, and medicine. Women and children are particularly vulnerable and risk increased rates of infection and disease. MdM responds quickly to emergenMARTIN COURCIER Mom has her child vaccinated against infectious diseases

cies by sending doctors and nurses into the field to improve access to health care for local populations. Mobile teams are deployed to treat and provide medicine for hard-to-reach populations. MdM remains long after emergencies are resolved to ensure sustainability, eventually handing over projects to the local health authorities.

MATERNAL & CHILD HEALTH Women and children living in developing countries often lack access to obstetric healthcare services, resulting in high rates of morbidity and mortality. Most maternal and infant deaths are caused by infections that could have been prevented with increased family planning and pre-natal healthcare. MdM works to combat high rates of maternal and infant mortality by improving access to basic healthcare services in areas where women and children have no means of receiving care. Many of MdM’s women and child health programs are based in rural areas, where affordable pre- and post-natal health services are unavailable.

HIV/AIDS & INFECTIOUS DISEASE Infectious diseases like HIV/AIDS, hepatitis C, malaria, and tuberculosis are preventable and treatable, but continue to threaten the developing world. Sex workers, drug users, and other at-risk groups confront stigmatization and barriers to accessing health care that increase the risk of transmission. MdM works with these vulnerable populations by delivering essential healthcare services that save lives. Focusing on prevention, MdM provides testing services, counseling, and education on safe practices.

EWELINE GASIOROWSKA In Ethiopia, drought has severely affected the health of local populations

WHAT WE DO provide medical care to vulnerable populations

MIGRANT POPULATIONS Many migrant and refugee populations travel long distances with limited supplies of food and water. Along their journeys, they confront disease, violence, and trauma. These vulnerable populations face marginalization and exclusion from national health services. MdM believes that access to health care is a human right, regardless of nationality, race, ethnicity, gender, or legal status.

MdM works with migrant and refugee populations to improve access to health care, providing primary care and psychological support.

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DOMESTIC PROGRAM TREAT, CONNECT, RESTORE

In the immediate aftermath of Superstorm Sandy in November 2012, Doctors of the World USA launched an initiative known as Treat, Connect, Restore, in the Rockaways section of Queens, New York. This effort continued through June, 2013, assessing the medical needs of affected and displaced residents of the area; connecting those with unmet health needs to life-saving services; and supporting a locally-driven response to restore the health and well-being of the Rockaways community.

Doctors of the World USA conducted this work with assistance from various stakeholders including the New York City Department of Health and Mental Hygiene, Mount Sinai Medical Center, Beth Israel Hospital and NYU Langone Medical Center.

Close collaboration with community leaders and advocates in the Rockaways, as well as area medical providers and pharmacies, was fundamental to providing medical relief services. These included, but were not limited to:

HENRY CHANG After hurricane Sandy, MdM USA coordinated medical care for NYC residents in need

TREATING THE MOST VULNERABLE INDIVIDUALS WITH UNMET HEALTH NEEDS BY PROVIDING SUB-ACUTE, HOME-BASED CARE AND HYGIENE KITS

CONNECTING PHARMACY SERVICES, SUCH AS PRESCRIPTION MEDICATIONS AND REFILLS, AND PRIMARY CARE PROVIDERS TO AFFECTED AND DISPLACED INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY

HELPING RESTORE THE LOCAL HEALTH SERVICE DELIVERY SYSTEM THROUGH WORK WITH LOCAL PROVIDERS, CITY HEALTH OFFICIALS, AND COMMUNITY ORGANIZATIONS.

THE DOCTORS OF THE WORLD ROCKAWAYS FREE CLINIC The Treat, Connect, Restore initiative made the deficit in the Rockaways healthcare infrastructure starkly apparent, which was exacerbated when an estimated 60% of local healthcare providers closed after Hurricane Sandy due to flooding or storm-related fires. In response to situational observation and direct community requests, Doctors of the World USA opened its first domestic project in October, 2013. The Doctors of the World Rockaways Free Clinic provides free medical care to the uninsured and undocumented residents of the area.

JOSHUA JAMES GROSS A NYC resident gets her annual physical at the Rockaways free clinic

Since Doctors of the World USA’s first day of operations in the Rockaways, its medical relief efforts have been guided by community input. In opening the clinic, intensive community consultation was conducted with high levels of support from local residents, community leaders and political officials. The clinic’s ribbon cutting and open house events were attended by State Senator Joseph P. Addabbo, Jr., State Assemblyman Phillip Goldfeder, City Councilman Eric Ulrich, Community Board President Dolores Orr, and senior representatives from State Senator James Sanders, Jr., and US Congressman Gregory W. Meeks. In addition to Medical Executive and Quality Improvement and Accountability committees, the clinic receives direct oversight from a Community Advisory Board.

The clinic operates three clinic days per week staffed by a Medical Director and a Nurse Manager. The majority of client services and administrative functions are performed by volunteer doctors, nurses, and laypeople with a focus on primary and preventive healthcare, supplemented by limited volunteer specialists.

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Case management services are provided on-site to clients in coordination with Catholic Charities Brooklyn-Queens (CCBQ). This, coupled with an Affordable Care Act Navigator from the Jewish Community Council of the Rockaway Peninsula, serves to integrate clients into the existing healthcare infrastructure, including applying for public benefits when appropriate. By helping individuals to address the full range of challenges they face, the case managers ensure a holistic approach is taken to both their medical and social needs. In addition, mental health services are provided on-site through partnership with the Visiting Nurse Service of New York’s Disaster Distress Response program which provides a free 10-week cognitive behavioral therapy treatment. Staff of this program as well as the CCBQ case managers can refer clients to higher levels of mental healthcare as needed.

The Doctors of the World Rockaways Free Clinic also serves as an access point for community-based health education, providing free supplementary programs on relevant health topics. In this way, the clinic helps empower residents to better control their health and develop community resilience.

COLLABORATION WITH COLUMBIA UNIVERSITY In November 2013, Doctors of the World USA signed a Memorandum of Understanding with Columbia University’s School of Public and International Affairs (SIPA) for a capstone project to be completed in the first half of 2014. This applied research will seek to address the fundamental lack of up-to-date data on health indicators and other pertinent demographics in the Rockaways. While the area’s large undocumented immigrant population is known to be among the city’s most under-served in terms of access to affordable primary health care, no hard numbers or in-depth analysis exist to determine the nature or extent of the problem.

The eight graduate students and their faculty adviser assigned to this study will work to fill that knowledge gap through a household survey of the Rockaways. This will focus on health indicators, access to care, and general vulnerability factors.

The survey’s results will establish an information baseline and identify benchmarks for Doctors of the World USA’s program, enabling improved monitoring and evaluation.

Resulting data also will be shared openly with other service providers, politicians, and the local community, creating a powerful advocacy tool.

GUY MCFARLAND MdM USA assesses damage from Hurricane Sandy in the Rockaways, NY

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INTERNATIONAL PROGRAMS MALI In Mali, women marry young, have closely spaced pregnancies, and often give birth at home due to lack of transportation to faraway medical facilities. Obstetric fistulas induced by long labor with no medical intervention cause chronic incontinence and the marginalization of the women who suffer from the condition. Political instability has made it even more difficult for these women to obtain surgical treatment.

There are three elements to MdM’s activities in Mali: surgical treatment for women, as well as continued training of surgeons at Mopti hospital; psychological counseling for women; and community-based awareness-raising and prevention work.

“ BRUNO FERT A young boy receives IV fluids in his in his family’s tent compound

MdM is training all those involved at four partner organizations, raising awareness and providing general information on migration and the traumatic consequences of a forced return, to help combat the discrimination that is often suffered by migrants.

One initiative includes the provision of reception, counseling, and medical guidance for migrants. MdM is also helping to develop a referral network of professionals and strengthening their expertise in supporting migrants. In Bamako, a system of referral to two healthcare centers has been established to ensure the best possible care for sick migrants. Data are collected to better understand the health problems that occur along the migration route and feed VÉRONIQUE DE VIGUERIE A man receives emergency medical care in Kidal.

into advocacy on access to healthcare for migrants.

In 2013, Doctors of the World USA raised $12,000 to support these efforts.

INTERNATIONAL PROGRAMS SYRIA The Syrian crisis has resulted in more than 100,000 casualties and the displacement of millions of natives. The intensification of fighting has generated a constant flow of displaced people and refugees into neighboring countries. These populations often find themselves with little means of survival and no access to health facilities.

To address this crisis, MdM is providing primary healthcare support in Jordan at King Abdullah Park Refugee Camp and the healthcare center in the town of Ramtha, and in the Zaatari Refugee Camp; in Lebanon at partner health centers in the valley of Bekaa; and in northern Syria, at Qah camp for displa-

SACHA PETRYSZYN

ced people. Post-operative care and rehabilitation are provi-

An elderly Syrian man receives

ded for Syrian refugees on the Turkish-Syrian border. MdM

primary care at a refugee camp

also trains Syrian psychologists in Jordan at Amman, Ramtha,

in neighboring Jordan.

and Mafraq to address mental healthcare needs.

In preparation for further humanitarian emergencies, MdM is pre-positioning medical and surgical material on the borders of Jordan, Lebanon, and Turkey and providing first-aid training in Lebanon. Further, MdM is supporting the network of Syrian doctors by sending material and medical supplies, as well as providing logistical support.

In 2013, Doctors of the World USA raised $39,600 to support these efforts.

SEBASTIEN NOGIER An infant goes in for his checkup at the MdM clinic in Jordan’s refugee camps

In 2013, Doctors of the World USA raised $39,600 to support these efforts.

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INTERNATIONAL PROGRAMS GREECE Starting in 1997, Doctors of the World has been providing an array of free medical services through our “Open Polyclinics” across Greece, including in Athens, Thessaloniki, Chania, and Perama. Doctors of the World’s clinics, staffed by volunteer doctors, nurses, psychologists, and social workers, provide health care and psychological support to 30,000 people each year, both Greeks and migrants.

Tough austerity measures and a struggling economy have given birth to the ‘new poor’, a term used to describe those suffering the impact of social exclusion and rapidly shrinking civic welfare institutions. As the economic crisis tears relentlessly at the social fabric of the country, the plunging living standards have pushed more and more Greeks into poverty.

In 2013, Doctors of the World USA raised $200,000 to support these efforts.

ALESSANDRO GRASSINI MdM Greece provides healthcare outreach to the homeless population in Athens

Today, unemployment is close to 20% and many Greeks are facing the threat of extreme poverty for the first time in their lives. Industries and companies have effectively collapsed over the past two. The homeless population, having grown significantly, lives in town squares throughout the country despite the winter chill.

During this period, Doctors of the World is witnessing an alarming increase in the number of patients seeking care, and not just from already excluded minority groups, such as migrants and Roma. In early 2010, only 6-7% of the beneficiaries were of Greek origin. By 2011, these numbers increased to 30%. Most of these beneficiaries are elderly citizens who are retired and whose pensions have substantially diminished due to financial austerity measures. Our teams continue to respond to the increase in demand for care – for example, preparations are being made to begin a mobile medical unit to address these needs.

In 2013, Doctors of the World USA raised $200,000 to support these efforts.

INTERNATIONAL PROGRAMS THE PHILLIPINES On November 8, Typhoon Haiyan struck the Philippines, devastating the country and leaving 14.1 million people affected, 4.1 million people displaced, 80% of buildings damaged and 90% of the health system ineffective.

Due to MdM’s long-standing presence in the Philippines, we were one of the first humanitarian organizations to respond. Our local Filipino team was almost immediately joined by an emergency team. Additional support teams of logisticians and doctors were sent in during the days following the disaster.

SEBASTIEN DUIJNDAM Rays of sunshine in the wake of destruction after Typhoon Haiyan

In consultation with the Filipino Department of Health and after a careful assessment of basic needs, MdM decided to focus its efforts where its services and expertise were most needed: SEBASTIEN DUIJNDAM

remote areas with a high density of affected population which

MdM provides emergency pediatric care

hadn’t yet received emergency relief. All operations are present-

to Filipinos displaced by Typhoon Haiyan

ly taking place on the island of Leyte. Headquarters of emergency relief operations is in Ormoc.

DOCTORS OF THE WORLD USA RAISED $10,500 TO SUPPORT THESE EFFORTS IN 2013

The first part of operations consisted of providing primary health care to the population in the municipalities of Carigara, Albuera, Abuyog, and the district of Ipil. MdM operates mobile units to provide primary health care and maternal health care for pregnant women and children. MdM is also working to provide mental health support and nutritional assistance.

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INTERNATIONAL PROGRAMS NEPAL & LAOS NEPAL Since 2007, MdM has been working with women of childBENOIT GUENOIT A mother shoulders her infant while trekking through rural Nepal

bearing age, in remote communities in the Sindhupalchok district, to increase the use of sexual and reproductive health public services and reduce factors contributing to maternal and neonatal mortality. MdM’s project works to ensure that high quality health services are available and to improve women’s access to health care.

Enhancement of health services is accomplished through renovating and equipping health facilities, training health personnel, and establishing referral services. Access is increased by engaging women in micro-finance activities and education sessions on prevention, management of pregnancy, childbirth, and post-natal care. MdM has partnered with two national organizations to support the micro-finance

In 2013, Doctors of the World USA raised $25,000 to support these efforts.

initiative, CEDCF, which looks after operations in the Sindhupalchok district, and CMF, which provides technical support.

MdM also has forged close links with Planet Finance, which shares its expertise in micro-finance through training, evaluation and advice.

LAOS MdM is working in the southern province of Champassak,

LAM DUC HIEM

in the Soukhouma and Mounlapamok districts, to reduce

Mothers receive sexual and reproductive

maternal and infant mortality linked to childbirth and morta-

health education in Laos

lity in children under five years old. MdM has renovated health centers, provided necessary medical equipment, and trained midwives and volunteers in the villages to promote maternal health - care. MdM and Lao Red Cross have set up a system of health checks, which enable pregnant women to access free health care. The checks are conducted by village volunteers and cover antenatal and post-natal consultations, delivery (via C-section if necessary) and complications linked to pregnancy.

They also cover the cost of non-medical facilities such as transport to a medical center to give birth and a stipend for meals and transport to a specialist center in case of obstetric complications.

In 2013, Doctors of the World USA raised $29,900 to support these efforts.

IN THE NEWS THE PHILIPPINES On November 13, Al Jazeera America featured a piece on MdM’s response to Typhoon Haiyan. The following day, the network conducted an interview with Doctors of the World USA President Dr. Ron Waldman on disaster response and accountability. Further coverage or MdM’s work in the Philippines was provided by CTV and HuffPost Live.

SYRIA Coverage of MdM’s work in Syria and along its borders was provided by Thomson-Reuters, The Lancet, US News and World Report, Free Speech Radio News and C-SPAN.

NEW YORK The Treat, Connect, Restore initiative received coverage from the Huffington Post, The Epoch Times, WNBC-NY, The Examiner, NY Daily News, Sino Radio AM 1380 and Sino TV, The Wall Street Journal and Crain’s New York Business.

The Doctors of the World Rockaways Free Clinic received a large response from local and national media. The announcement that a lease had been signed for the clinic and its pending opening received coverage from NY1, amNY, The Queens Courier NPR’s Morning Edition and All Things Considered and The Wave of Long Island. News of the clinic’s opening was covered by Agence France-Presse, Al Jazeera America, Boston.com, Metro NY, CBS New York, FOX NY, Le Parisien, Medi1 Radio, NY Daily News, NY1, NY1 Noticias, RTL.fr, The Wave of Long Island, Times Ledger, Verizon Fios1, WLNY, WNYC, The Wall Street Journal and Yahoo! News.

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FUNDRAISING

Selma Hayek personally sponsored our Syria Program

©MdM MdM USA teams up with Jacadi to raise money for Syrian refugee children

Chime for Change is a global campaign founded by luxury retailer Gucci (Kering Group) in March 2013 to promote Education, Health, and Justice for girls and women everywhere. Three MdM programs were profiled by the campaign: Syria, Laos, and Nepal, each with a fundraising goal of $25,000. Salma Hayek, the celebrity face of the campaign, personally sponsored our Syria program. At the campaign’s conclusion Doctors of the World USA was able to raise the total amount for these three programs to $74,066.

In March, we hosted a private fundraising cocktail party in the Flatiron district of Manhattan called Rockaways Fashion Cocktail. Our guests donated high-end clothing sold that night in a silent auction. This event raised $43,310 to support the Doctors of the World Rockaways Free Clinic.

In October, we held a fundraising cocktail at French Institute/Alliance Francaise of New York. French children’s clothing designer Jacadi donated 700 pieces of new children’s clothing that were sold at discount to support children affected by the Syrian crisis. Jacadi sponsored this event which raised a total of $14,891.

In December, high-end jewelry maker Mauboussin hosted a fundraising cocktail event at its Manhattan showroom to promote the Doctors of the World Rockaways Free Clinic. Mauboussin donated 15% of all purchases made by our guests and in-store during the month of December. Additionally, Air France donated two round-trip business class tickets from New York to Paris as a raffle at the event for anyone who made a donation. We raised $21,042 at this event.

FINANCIAL SNAPSHOT Founded in 2011, Doctors of the World USA is in its startup phase. In 2013, we operated with seed funding provided by MdM France, as well as monies we raised in our fundraising activities. In this early stage of our development, we cannot yet adhere to our desired management/program ratio of 25:75, although we are working towards that goal.

Our financial snapshot is based on our audited financial statements. They reflect the significant upfront investments required in preparing and launching the Doctors of the World Rockaways Free Clinic, a much-needed health intervention in an area where many residents have poor health outcomes and face significant barriers to obtaining care. The upfront investments were enabled by a flexible funding arrangement with MdM France, and will not be required again in future years.

2013

Assets Cash and Cash equivalents Contributions receivable Due from related parties Prepaid expenses Equipment Security deposit

$192,104 $2,500 $23,806 $9,219 $4,545 $2,500

Total Assets

$234,674

Liabilities and net assets(deficit) Current liabilities Accounts payable and accrued liabilities Due to related party Total current liabilities Net assets (deficit) Unrestricted Temporarily restricted Total net assets (deficit) Liabilities and net assets (deficit)

$29,283 $374,992 $404,275 ( $335,920 ) $166,319 ( $169,601 ) $234,674

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FINANCIAL SNAPSHOT Revenue Contributions Interest/dividend income Contributed services and materials Other Net assets released from donor restrictions Total revenue

Unrestricted

Temporarily Restricted

Total

$604,517 $79 $169,094 $500 $368,743

$525,062 -

$1,129,579 $79

($368,743)

$500 -

$1,142,933

$156,319

$1,299,252

Expenses Program Services: International Programs National Programs

$219,043 $218,873

-

$291,043 $374,992

Total program services

$509,916

-

$509,916

Supporting Services: Fundraising General and Administrative

$482,466 $459,289

-

$482,446 $459,289

Total supporting services

$941,735

-

$941,735

$1,451,651

-

$1,451,651

Total expenses Changes in net assets (deficit) Net assets (deficit) at beginning of year Net assets (deficit) at end of year

Doctors of the World USA is in its startup phase

(308,718) (27,202) (335,920)

$156,319 $10,000 $166,319

(152,399) (17,202) (169,601)

ŠGETTY IMAGES The Rockaways Free Clinic opened its doors to NYC residents in October, 2013

BOARD AND STAFF STAFF MEMBERS Henry Chang, Executive Director Lori Evans, Director of Development Anne-Sophie Jaume, Director of Corporate Engagement and Events Noah A. Barth, Program Coordinator Rebecca Stein-Lobovits, Communications Coordinator Claire Caldwell, Communications and Executive Assistant Amber Featherstone, Clinic Medical Director Merlyn Dorsainvil, Nurse Manager Rehana Cale, Clinic Manager Chloe Hwang, Development Assistant

LAHCENE ABIB Reparations are still on-going one year after the devastating earthquake in Haiti

BOARD OF DIRECTORS Dr. Ron Waldman, President MD, MPH, Professor of Global Health, George Washington University

Andrea Greeven Douzet Publisher, Manhattan and Beach Magazines (Modern Luxury)

Alexandra Stanton, Vice President CEO, Empire Global Ventures, LLC

Monique El-Faizy Author and Journalist, Freelance

Abby Stoddard, Treasurer PhD, Humanitarian Policy Analyst/Consultant; Partner at Humanitarian Outcomes; Senior Program Advisor at Center on International Cooperation (CIC)

Ceci Kurzman President and Founder, Nexus Management

Claire Boulanger, Secretary Consultant, Fondation de France, Groupe Intervention et Innovation, Maison de l'Emploi Lisa Anastos Founder and CEO, ARThood

Dr. Jemilah Mahmood Fellow, Royal College of Obstetricians and Gynecologists, United Kingdom; Senior Fellow, Khazanah Nasional Berhad in Malaysia’s Khazanah Research and Investment Strategy Division; Senior Visiting Research Fellow, Humanitarian Futures Programme, Kings College, London

Dr. Patrick David Physician, Cardiac Surgery Unit, Reims University Hospital; Physician, Maternity, Gien Hospital

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ACKNOWLEDGEMENTS We would like to acknowledge the generous support of the following individuals and groups who donated their time and services to Doctors of the World USA in 2013. As an organization built on a model of volunteerism, our work would not be possible without their help.

Kelli Aibel, Air France, Nafea Ali, MD, Ashby Andrews, Teenaz Bamji, The Barmans Fund, Marissa Bernowitz, Jennifer Blair, Andi Broffman, Leni Calas, Catholic Charities Brooklyn-Queens, City Winery, Jessica Cook-Mack, MD, D’Artagnan Gourmet Food, Far Rockaway Watch Dogs, Feddy Emmanuel, NP, Gina Etah, French Institute / Alliance Francaise, Bryn Gay, Roberta Gettinger, Joshua James Gross, Bemen Habashi, Greg Horwich, Gerlie Ilag, FNP, Elena A. Ivanina, MD, Jacadi, Labor and Industry for Education , The Ladders, Linda Licato, Chaplain Nigel Loncke, Sal Lopizzo, Mauboussin, Jackie Mendelson, Anna Mercier, Nastaran Mohit, Medina J. Napier, Occupy Sandy, Deborah L. Ottenheimer, MD, Queens Community Board 14, Quest Diagnostics, Richard Penzer, Melissa Prieskorn, Project HOPE, Blanche Puglisi, Sheldon Peters, Restore the Rock, The Rockaways Free Flea Market, Rockaway United, Jessica Roff, RotaCares, Gary Sastow, esq, Aleksander Shalshin, MD, Shlomo Adam Roth, Sidley Austin, LLP, Neema Tamang, Tamara Thorpe, Melissa Trentadue, YANA Services, Matt Yust

SÉBASTIEN DUIJNDAM MdM's volunteers deliver healthcare every hour of every day, all over the world