ANNUAL REPORT BELGIAN SECTION
Approach by themes
© T. DIRVEN
© A. HODALICS
© L. AERTS
© D. DELVIGNE
Responsible editor: Jan Brigou Handicap International Rue de Spa, 67 - 1000 Brussels Belgium Tel.: 0032 (0)2 280 16 01 Fax: 0032 (0)2 230 60 30 E-mail: email@example.com
www.handicap-international.be Account number: 000-0000077-77
Editors: Catherine Billiau, Aurore Van Vooren Lay-out/Design: Chiquinquirá García Printing: Nevelland Translation: ISO Translation Front page image : © L. AERTS Free publication. Contact Handicap International for extra copies. Een Nederlandstalige versie is op verzoek beschikbaar. Une version française est également disponible.
of the General Director
‘I went to the park with my wife and two children to celebrate the fifth birthday of my young son, Ahmad’, says Raed Mokaled of Lebanon. ‘When he finished his birthday cake Ahmad went off to play. Suddenly, we heard an explosion. I ran over and found my little boy covered in wounds. He was bleeding badly. We got him to hospital, but after a four-hour struggle he died. My other son, Adam, said that he had seen Ahmad pick up some kind of brightly coloured bottle, which had exploded immediately. As it turned out it was a cluster bomb! I hope — by telling my story to as many people as I can — to find a way of banning cluster munitions around the world. It is the responsibility of the politicians to protect the rights of all children.’
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I met Raed during his visit to Brussels in 2008. He is one of the ‘Ban Advocates’ - a group set up on Handicap Internationals’ initiative consisting of survivors of cluster munitions explosions. Its members travel the world, giving witness accounts and convincing nations to sign the Oslo Convention, that bans storage, production and shipment of cluster munitions and advocates help for the victims. Handicap International has worked long and hard to see this convention come into force. On 3 December 2008 almost a hundred countries signed the convention. Handicap International had always insisted that the convention include reliable guarantees to help victims. The fact that it now does is to my mind, an achievement of the highest order. Hats off to the superb research and lobbying
work of the Policy Influencing unit at Handicap International Belgium! Thanks to this team and its efforts Belgium became the first country to introduce a ban on cluster munitions, and this ultimately led to an international convention banning these weapons of death and destruction. The Ban Advocates left their mark on the overall process and created a lasting impression among the government representatives. All of a sudden, they put a face on the victims, a face that leaves no one unmoved. I too was deeply touched by the witness accounts of people like Raed. It is amazing how they have turned this drama, which has so affected their lives, into something positive. One can have nothing but the greatest of respect for them. Their determination has touched me deeply.
I also strongly admire the personnel who intervene in emergencies. The world was stunned by the force of nature on a number of occasions in 2008. In early May the cyclone Nargis raged over Myanmar. Less than two weeks later there was an earthquake in Sichuan, China, in which more than 80,000 people died and 374,000 were wounded. A few months later cyclones Gustav & Ike were ravaging Cuba. Each time, Handicap International was immediately on hand to provide assistance. We were even the first international aid organisation on the scene in China. Our units moved heaven and earth to look after the victims and administer first aid as best as they could. But there werenâ€™t only natural disasters. 2008 brought no improvement to the humanitarian situation in East Congo, where we have maintained a presence since late 2007. Even when Laurent Nkundaâ€™s rebel force broke through into the city of Goma, we stood our ground to assist the civilian
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population. We bow before these citizens who had to confront situations that were more than difficult. When we speak of emergencies, which - as we saw last year - are a significant part of our operations, there was something new to report in 2008. Never before were we present in so many places at one time. The three natural disasters and the emergency situations to which they led were all extremely different. We responded well and learned a great deal in each case. It is clear that emergencies do not stop after first aid is administered. In China for example, we estimate that more than 20,000 victims will be left with a permanent disability, which leaves them facing long-term rehabilitation. These people must be given the help they need to resume their place in society. This is a significant task for us in the long term. Our knowledge, know-how and experience can make a huge difference. In any case, we aim to continue in the same vein in 2009.
One of our development cooperation priorities for the 2008-2010 period is that of setting up and developing projects to improve the health of mothers and children. This ties in perfectly with millennium objectives 4 and 5: to reduce by two thirds the mortality rate of children under the age of five, and to reduce by three quarters (against the figures for 1990) the number of mothers who die during childbirth. Initiatives in this area are generally confined to reducing the mother and child mortality rate in developping countries. Although this is, of course, important, what is often forgotten is that in developing countries many mothers and children can be left temporarily or permanently disabled before, during or after birth. This creates a great deal of suffering, which could have been prevented in many cases. Furthermore, these disabled women and children seldom have access to quality care or guidance. Handicap International intends to do something about this.
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© I. PATEER - HANDICAP INTERNATIONAL
Over the years and due to our experience, the organisation has become expert in the prevention, early detection and treatment of disabilities. Our experience in the treatment of children with disabilities has taught us that, had we been able to take action sooner, a great many complications could have been prevented. Rehabilitation would also be much easier if disabilities were detected sooner. In 2006, in Vietnam our organisation set up the first project devoted to this theme, entitled ‘Welcome to Life’. Again in Vietnam, in 2008, we developed the ‘Congenital Differences’ project, which is designed to prevent, trace and treat congenital malformations. Additional initiatives have recently seen the light in Cambodia and Congo. In some areas Handicap International plays a pioneering role. For example, the organisation has developed a unique training programme. Thanks to these courses, health workers in the Cambodian countryside can learn to recognise the most common forms of disability and refer patients for further treatment. As always, we opted for a cross-disciplinarian approach, which relies on training, awareness raising and involving the local community and authorities. This is an essential condition for ensuring the success of our projects and providing sustainable solutions. Whilst on the right track in mother and child’s healthcare, we have no intention of stopping and in the future we plan to set up further new projects.
How does the future look? This is a question many of us have asked ourselves. For the time being the worldwide economic situation is difficult to predict. Recession has hit extremely hard in many developing countries. Now, on top of the enormous price rises of recent years, people are beginning to lose their jobs. In many of the countries in which we operate, the situation is looking dire for the local populations. The most vulnerable people, including those with disabilities, may well be the first to slip through the net. This is why it is important that we now do everything in our power to assist these people. They can continue to rely on us, despite the pressure that we, as an organisation, are experiencing as a result of the recession. In the meantime, we will need to fight our way through this crisis, but I am optimistic that we will persevere, provided we apply the right measures at the right time. Now, more than ever, we can make a huge difference in the lives of the disadvantaged. Together, we will continue to devote ourselves to this cause.
Now, more than ever, we can make a huge difference in the lives of the disadvantaged. Together, we will continue to devote ourselves to this cause.
Marc Joolen General Director, Handicap International Belgium.
‘When I saw a baby with clubfoot for the very first time during my work as a midwife, I knew what to do thanks to the training organised by Handicap International. I referred the mother to the rehabilitation centre, located 85 km from Dai Lanh, when her baby was two days old. Two months later one can hardly tell that her son was born with clubfoot, and the physiotherapist expects the boy to walk normally by the age of two’, says midwife Cuc, based in the rural Dai Lanh commune in Vietnam.
Disability prevention and Millennium Development Goals The health and survival of mothers and children, especially children under the age of 5, remain issues of critical importance in the 21st century. According to the latest figures available, over 530 000 women continue to die annually due to complications resulting from pregnancy or childbirth. 99% of these deaths occur in the developing world, with women in sub-Saharan Africa and South Asia disproportionately at risk. Unacceptable levels of children, particularly under the age of 5, are also dying at the rate of 10 million a year – 4 million of them within their first month of life. Yet a large number of these deaths could be prevented by using interventions that have proven effective, such as safe prenatal and childbirth practices, proper detection and treatment of illnesses, and adequate nutrition. Most maternal deaths are avoidable as well, primarily through access to skilled health personnel prior to and during childbirth, and to quality care when complications arise during labour.
Millennium Development Goals and maternal & child health The Millennium Development Goals (MDGs) reflect the high level of attention devoted to these priority areas. Two of these eight goals relate directly to maternal and child health: goal 4 aims to reduce the under-five childhood mortality rate by two-thirds, and goal 5 intends to reduce the maternal mortality ratio by three-quarters. ‘The MDGs have unquestionably been valuable in terms of focusing interest and resources on these key areas. However, most health and development actors are devoting themselves almost exclusively to reducing mortality in the developing world – and thus largely neglecting the reduction and prevention of impairment and disability. Yet for every mother or child who dies, many more suffer from long-term or permanent disabilities’ explains Monique Ferguson, Community Health Advisor for Handicap International. She adds: ‘Following some reports, for every woman who dies in labour, an estimated 30 others are injured or disabled.’ We also know that we will find increased rates of childhood disability in areas where there is high mortality among children under the age of 5. An estimated 7-19% of children are disabled in any given population, amounting to approximately 200 million disabled children worldwide. Finally, these disabled children and women are seldom able to receive adequate care and assistance: globally, only 2% of disabled people have access to appropriate rehabilitation and other basic services. Recognizing the importance in addressing these issues, our organisation is reinforcing its comprehensive approach to disability with Maternal and Child Health (MCH) projects in Southeast Asia and central Africa. But with few other international actors intervening
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directly in this arena, and fewer still with the level of expertise Handicap International has developed over the years, the association is positioning itself as a pioneer in this domain. Handicap International’s current focus is on the antenatal, perinatal, and postnatal stages of pregnancy and child development, which are when most impairments and disabling conditions are caused. These projects reflect the fact that many disabilities only become evident when the child starts attending school – resulting in many children suffering needlessly from disabilities that could have been treated or minimized much earlier in life.
Axes of intervention Our MCH projects follow several strategic axes of intervention. First, they seek to build and strengthen the capacity of the health system, to prevent, detect, and treat disability. We accomplish this primarily by training health personnel and equipping health facilities, and by ensuring continuous care: from detection, to initial treatment, to referral for longer-term specialized services when needed. Secondly, we work with community and health workers on the ground to raise awareness among families regarding the risk factors, causes, and signs of disability, educating them about preventive measures they can take and therapeutic options available in their communities. Finally, we work with government representatives, in particular with ministry of health officials, to increase their commitment in addressing disability issues. We do this through research that highlights the extent to which the population is affected, sustained advocacy efforts, and by proposing models on how governments can integrate this priority into their national health plans. A certain number of actions that address maternal and child mortality can be adapted or expanded so they include a focus on disability. Many of the causes that lie at the heart of high death rates (amongst others malnutrition, low levels of access and use of quality health services) are responsible for high rates of disability as well. So Handicap International’s support for improved antenatal care results not only in reduced mortality rates, but in reduced childhood disability rates.
Technical notes : Our MCH projects include primary and secondary prevention interventions. Primary prevention refers to actions that reduce or prevent the causes of disability â€“ they address the conditions before they become disabling. An example is a woman taking folic acid prior to getting pregnant in order to prevent foetal neural tube defects. Secondary prevention refers to actions that address the disabling condition immediately, once it becomes apparent. An example is the surgery done to correct cleft palate in a newborn.
Some institutions estimate that 20 million women a year suffer from a disabling condition following pregnancy or birth.
Major categories of childhood disability: cognitive/intellectual (learning disabilities) visual and hearing impairment motor (cerebral palsy) epilepsy/seizure speech/language behavioural/developmental and others (autism). Major causes of disability: genetic conditions (Down syndrome, etc.) problems during pregnancy (a woman who drinks alcohol during pregnancy or gets an infection such as rubella may result in a baby being born with an intellectual disability) problems at birth (not getting enough oxygen during labour can lead to intellectual disability) health problems like meningitis, measles, or extreme malnutrition exposure to environmental pollutants like lead or mercury
Working at community level Handicap International is also breaking new ground. For instance, there is no internationally validated tool for screening developmental and congenital disabilities among children under the age of two. Our project teams identify these deficiencies and address them. Our pilot MCH project in Kinshasa developped a new born impairment screening tool for nurse-midwives. We are designing a complete training programme to enable health staff in villages to detect the main forms of childhood disability in rural Cambodia and refer them to other centres. Our success in this field rests not only on targeted interventions such as these, but on the adoption of a multi-disciplinary approach focused on education and awareness-raising, heightened involvement of the communities with whom we work, and a long-term commitment by governments and civil society partners in developing necessary skills and resources. Our maternal and child health projects form an essential part of Handicap Internationalâ€™s all-inclusive approach to disability. These projects, for instance, are frequently associated with CommunityBased Rehabilitation (CBR) projects in the same geographic zones. These CBR projects pick up where the maternal and child health projects leave off, by focusing on the integration of disabled children and adults within their communities, promoting their full participation in society, and enabling the development of a supportive environment for disabled individuals and their families. Worldwide, there is an increasing understanding that reaching the MDGs will require tackling disability on all fronts â€“ from impairment prevention when possible to rehabilitation and finally to the inclusion of disabled individuals as active, full-fledged members of society.
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Congenital/prenatal factors Transmittable diseases Non-transmittable somatic or mental conditions Trauma/injury
Information sources: UNFPA World Health Organisation 2008 Repport on Millenium Development Goals UNICEF
15-20 % 20 % 40 % 15 %
On 3 and 4 December 2008, 94 states signed the Convention on Cluster Munitions. This treaty prohibits the use, stockpiling, manufacture and transfer of cluster munitions and includes groundbreaking provisions to assist victims. Handicap International actively participated in drafting this treaty and for several years campaigned to prohibit these weapons together with partners from the Cluster Munition Coalition, a network that includes about 300 NGOs. In the last two years, the process has accelerated. Stan Brabant, Head of the Policy Unit at Handicap International, talks about the background of the treaty.
Cluster bombs finally prohibited!
Years of lobbying have resulted in a historical treaty signed in Oslo
What triggered this project? Stan Brabant : When Belgium became the first country to ban cluster munitions in February 2006, after a year of very intensive advocacy efforts, many disarmament actors turned to us. Suddenly, people realized that banning cluster munitions had become possible. We received enthusiastic reactions from NGOs all over the world, and from some governments as well. We began to hope. We had already acquired substantial advocacy experience with the landmine campaign, which resulted in the Ottawa Treaty. Since then, government representatives had realized that we were serious. In summer 2006, the war in Lebanon also drew attention to the problem of cluster munitions. Diplomatic pressure intensified but traditional diplomacy failed to address cluster munitions. Norway, a country with a long tradition in peace diplomacy, seized the opportunity and launched what was to become the Oslo process. In February 2007, 46 states met for the first time and at the end of 2008 cluster munitions were banned forever. How did you convince government representatives to sign the treaty? SB : First of all, we published two reports that drew attention to the human impact of cluster munitions, not exclusively based on figures, but also showing the dramatic situations caused by the use of these weapons. Then we set up a group of victims of cluster munitions, the Ban Advocates that gradually took on a major role in the process. Thanks to the interventions of this group, government representatives were
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directly confronted with the suffering caused by these weapons and we can thank the Ban Advocates for several signatures at the bottom of the treaty, by states that were initially reluctant to do so. This is notably the case with Afghanistan who decided - after a conversation on the eve of the signature conference with Soraj Ghulam Habib, one of the Ban Advocates to sign the treaty. Our strength comes from working with these people within a network. Compared to other diplomatic processes, everything went very quickly Has the treaty been signed by a sufficient number of countries to have a real influence? SB : To create a new standard, we had to generate a critical mass supporting the treaty. With 98 signatures to date we can say that this figure was reached. In the future, if a country that has not signed the Convention on Cluster Munitions uses this weapon, it will be criticized all over the world. In a few years, we have managed to make the use of cluster munitions unacceptable. The treaty will come into effect once it has been ratified by 30 states. The most important thing is to stop the use of this weapon, to destroy stocks and - this is crucial - to ensure that victims receive the assistance to which they are entitled. Speaking of that, does the treaty provide guarantees for victims? SB : We did indeed advocate for solid guarantees for victims. And we see a significant success in the fact that these guarantees were integrated. The concept of
a â€˜victimâ€™ is defined broadly: it also includes the families and communities that are affected. The Oslo Treaty obliges signatory states to provide medical aid, physical rehabilitation, socio-economic and psychological support for victims of cluster munitions, and to collect data on these victims. The text of the treaty also includes a detailed list of very concrete measures that states are required to take when providing support to victims. What challenges are still to come? SB : We still need to convince certain states to adhere to the treaty. We also need to ascertain that the treaty does not remain wishful thinking. Victims must benefit from real support; the guarantees contained in the treaty must be put into practice. The daily life of cluster munition survivors and their families is what really counts. Consequently, we will monitor the evolution of the situation in all countries, we will collect information on government action (or inaction) and, obviously, we will continue to put pressure on governments. What do you think was the greatest moment in this process? SB : The signature ceremony in Oslo. The atmosphere was fantastic. At the end of the ceremony, the entire Ban Advocates team came up on stage. One of them, Behiru Mesele from Ethiopia, took the floor to thank everyone who had been involved in the process. After his speech, the entire audience stood up in thundering applause. I had never seen that at an international conference. It was unbelievable.
Landmarks in the Oslo process 2005 2 February: All sections of Handicap International agreed to call for a ban on cluster munitions. 9 March: Handicap International invited the Belgian Senate to work toward a ban on cluster munitions. 7 April: Handicap International, Human Rights Watch, Netwerk Vlaanderen and the Norwegian Petroleum Fund organized a joint press conference in Brussels on the theme: ‘Cluster bombs: worse than antipersonnel mines’ 14 April: A Belgian Senator tabled a bill to ban ‘fragmentation bombs’. 28 June: The Senate Defense and Foreign Affairs Committee organized a debate on the bill. Handicap International was invited to present its point of view. The bill was amended to ban cluster munitions. On 7 July, the Senate Plenary Meeting unanimously adopted the amended bill, which was then transmitted to the House of Representatives.
2006 19 January: The European Parliament launched an appeal for the ‘eradication’ of cluster munitions.
16 February: Despite strong opposition from the weapons industry and some international pressure, the Belgian Federal Parliament adopted a law banning cluster munitions. A second law detailed the definition of the weapon. 2 November: Handicap International launched Fatal Footprint, the first global report on the human impact of cluster munitions. 17 November: Following the failure of discussions on cluster munitions in the context of the Convention on Conventional Weapons, Norway launched an alternative process as Canada had done for antipersonnel mines.
2007 22-23 February: Norway organized an international conference on cluster munitions. In the Oslo Declaration, 46 states agreed to sign a treaty before the end of 2008, banning cluster munitions and providing a framework for the assistance to affected communities. 23-25 May: 67 states took part in the Lima Conference (Peru) on cluster munitions. Among the participants, 27 countries were participating in the Oslo process for the first time. The treaty began to take shape.
2008 18-22 February: A new draft text of the treaty was discussed at the Wellington Conference (New Zealand). After a week of tension between supporters of a complete ban and supporters of exceptions, participating states accepted to negotiate and agreed on the rules of these negotiations. March and April: During the various regional conferences in Africa, South East Asia and Latin America, the positions of governments gradually came together on the draft text of the treaty. 19-30 May: After two weeks of negotiations, 107 states participating in the Dublin Conference adopted the text of the Convention on Cluster Munitions. 27 November : Opening of the open-air Fatal Footprint exhibition in Brussels. Photographs taken by Belgian photographers showed the suffering of survivors of antipersonnel mines, cluster munitions and other unexploded ordnance. In 2009, this exhibition will also travel to other Belgian and foreign towns. 3-4 December: At the Signing Conference in Oslo, 94 states signed the Convention on Cluster Munitions.
List of countries that signed the Convention on Cluster Munitions in December 2008: Afghanistan, Albania, Angola, Australia, Austria, Belgium, Benin, Bolivia, Bosnia-Herzegovina, Botswana, Bulgaria, Burkina Faso, Burundi, Canada, Cap Verde, Central African Republic, Chad, Chile, Colombia, Comoros, Congo (Republic of ), Cook Islands, Costa Rica, Croatia, Czech Republic, Denmark, Ecuador, Fiji Islands, France, Gambia, Germany, Ghana, Guatemala, Guinea, Guinea-Bissau, Holy See, Honduras, Hungary, Iceland, Indonesia, Ireland, Italy, Ivory Coast, Japan, Kenya, Laos (People's Republic of ), Lebanon, Lesotho, Liberia, Liechtenstein, Lithuania, Luxembourg, FRY Macedonia, Madagascar, Malawi, Mali, Malta, Mexico, Moldavia, Monaco, Montenegro, Mozambique, Namibia, Nauru, Netherlands, New Zealand, Nicaragua, Niger, Norway, Palau, Panama, Paraguay, Peru, Philippines, Portugal, Rwanda, Saint-Marin, Salvador, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Slovenia, Somalia, South Africa, Spain, Sweden, Switzerland, Tanzania, Togo, Uganda, United Kingdom, Uruguay and Zambia.
5-7 December: 138 states took part in the Vienna conference (Austria) on cluster munitions.
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© N. DEPIERPONT - HANDICAP INTERNATIONAL
‘We have a commitment, a humanitarian mandate, and we do not take sides. It doesn’t matter who is in power. We are here to help those who need it most, and that is what we will continue to do. Handicap International will not forsake the population.’ These were the words of Eyal Reinich, coordinator of Handicap International’s mission in Goma during the clashes in North Kivu in late October 2008.
Handicap International and emergency situations: new impetus
In a few words, Eyal has just summarized the philosophy that inspired Handicap International to re-invest in emergency situations: not forsaking those who need it. For Handicap International, one essential action is to provide aid for children, women and men who are hit harder still in a crisis.
Similarly, in the post-emergency phase after a natural disaster, reconstruction must be planned following the supply of initial aid. From our standpoint, this includes building more accessible housing and an environment enabling people with disabilities to return to active life.
The organisation is returning to a field of action in which it had already been engaged in the past. After all, Handicap International has its roots in the camps where Cambodians fleeing the Red Khmer regime took refuge in Thailand. Subsequently, Handicap International intervened in many crisis situations, particularly in the Tanzanian camps of refugees from Burundi in 1995, and in Albania in 1999. In 1996, its action in favour of refugees brought it the Nansen award from the United Nations High Commission for Refugees.
2007 marked the beginning of a new approach in emergency situations, and 2008 was an opportunity to materialize it in many contexts. Thus, we have developed our projects in North Kivu, a region that has been ravaged by internal conflicts for years, with two projects in particular, one for respiratory physiotherapy and the other for physiotherapy in hospitals. We also intervened in China after the earthquake that struck Sichuan, to prevent and limit the appearance of disabilities due to the earthquake.
Responding to the needs of disabled people in crisis situations is part of our mandate, which clearly indicates an obligation to assist people with disabilities in humanitarian crises triggered by armed conflicts or natural disasters. We know that people with disabilities are particularly vulnerable, and their needs are often poorly perceived by humanitarian players intervening in emergency situations. For example, in the camps around Goma we often saw that people with disabilities were not correctly registered. Are they on their own, or accompanied, what disability do they suffer from? All this information makes it easier in very practical situations to take their needs into account; how do wheelchair bound people get to the toilet or go to the food distribution counter when paths are in poor condition or nonexistent. But the problem goes further than simple accessibility: Handicap International endeavours to improve the awareness of humanitarian players in charge of organizing life in camps to act in favour of people with disabilities who are living there as well.
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So Handicap International has made a clear choice to launch emergency projects in a field that the organisation knows well, physiotherapy. This choice means that we can act quickly, with little equipment, ensure a cost-effective on victims of crisis situations. These projects can at times be transformed into development projects, like in China. Beneficiaries of a project that began in a crisis situation may need medium or long-term treatment. In that case, we leave the field of emergency aid to move into that of long-term projects helping develop the capacity of our partners to provide care for people with disabilities. Handicap International provides real added value. All in all, there are few humanitarian players with experience in caring for people with disabilities or who have sufficient expertise in treating certain types of injuries. This observation was particularly poignant in our intervention in Sichuan. From the very outset, hospitals were calling for specialists in the field of spinal injuries, amputations and concussions – the kind of injuries that our teams are used to treating in centres for para- and tetraplegics in Vietnam for example.
Our objective in 2008 has been to respond to emergency situations where we feel we have real expertise to contribute to the victims’ welfare. These actions continue in 2009.
Victims of broken bones need physical therapists but the principle of physiotherapy – which has techniques that are indispensable to prevent permanent disabilities – is relatively unknown and little used in China. The respiratory therapy administered to children suffering from malnutrition in Goma has proven its effectiveness. These children are very weak and their organisms offer little resistance to respiratory diseases. Often, they are not able to evacuate the secretions that fill their lungs. Respiratory physiotherapy helps them recover faster. Many also show signs of delayed motor development that the physical therapists try to improve by means of simple exercises. Handicap International does not necessarily intervene alone. This was the case in China, but we often work with other organisations. In Rutshuru, in North Kivu, we are working in a hospital backed by Doctors without Borders that asked us to set up a hospital physiotherapy project. In Myanmar, the project was led jointly with Handicap International France. The French section took charge of rehabilitation treatment and psychological support for disabled people, while the Belgian section took charge of income-generating projects (for example, helping people with disabilities meet their families' needs by keeping a shop, raising pigs...) and actions related to accessibility (putting in a ramp to reach the animal pens, or to gain access to the village). Material emergency aid supplied to Cuba after hurricanes Ike and Gustav was coordinated by a few humanitarian players present in Cuba.
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Sometimes we also need to intervene in a slightly different field of action, due to the lack of humanitarian staff. This was the case in Cuba where we supplied goods for basic necessities (mattresses, blankets, etc.) and material to reconstruct schools. Few organisations are working in the country and first and foremost, the beneficiaries of our development projects needed to recover decent living conditions after the enormous damage done by the two hurricanes in 2008. According to Irène Manterola – head of Handicap International in Cuba – visited a town that had been struck by hurricane Gustav, she declared: ‘The only thing the population wants is to find acceptable housing and recover basic living conditions (…) they have nothing left! In villages that had 24 or 25 houses, only one or two are still standing – the shops have been destroyed, the fields devastated, the electricity poles swept away… ’. Our objective in 2008 has been to respond to emergency situations where we feel we have real expertise to contribute to the victims’ welfare. These actions continue in 2009. Although we don’t know exactly where we will intervene tomorrow – that is the rule for emergency action – we are certain that we will continue to be active in this kind of context, both to prevent and care for disabilities, and above all to see that people with disabilities are no longer rejected in emergency situations. We were at their side in 2008, and we will be there in the years to come.
01 Angola Handicap International has been working in Angola since 1995. This country has been deeply scarred by more than thirty years war of and by the impact of landmines. Handicap International has developed various types of projects there. The physical rehabilitation centres were taken over by the National Rehabilitation Programme in 2005, but Handicap International continues its actions particularly with projects for education on the risks of mines, social-economic integration, promotion of the rights of people with disabilities and community-based rehabilitation (CBR). IN FIGURES International staff: 6 National staff: 61 Budget: 1.551.693 €
In 2008, teams for the CBR project – which covers the provinces of Benguela, Huila, Namibe and Huambo – have provided moral support and advice to people with disabilities and their families. In addition, the project also referred many of them to existing medical or physical rehabilitation services, directly helping them obtain wheelchairs, crutches, medicines, to benefit from surgical operations, or aid their return to active life (vocational training or professional integration) and gain access to school. In the same year, the project Support to Associations was in a start-up phase in several municipal districts in Benguela, Huambo and Lubango Provinces. This project aims to strengthen organisations of people with disabilities in claiming their rights. With the social-economic and social integration project, Handicap International has reinforced and supported teams of two partner associations in Huambo Province. At the same time, the organisation began to sensitise public administrations, micro-
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credit agencies and private companies; these steps culminated in the signature of partnership contracts to promote employment of people with disabilities. In 2009, Handicap International will continue to support the development of professional projects and train partner associations in the promotion of the right of employment for people with disabilities.
Principal donors: Belgian Directorate General for Cooperation and Development (DGCD), Canadian Auto Workers’ Union (CAWCanada), Canadian Inter Development Agency (CIDA), Dutch Ministry of Foreign Affairs, Embassy of France in Angola, Embassy of Japan in Angola, European Commission (EuropeAid), Ministry of Foreign Affairs of Ireland (Irish Aid).
But 2008, was also the end of the mine risk education project (MRE). For financial and strategic reasons, Handicap International has decided to close its activities in this field by the end of the year. In 2009, the organisation will focus on how to increase its impact on people benefiting from its projects, while limiting geographic dispersion. Handicap International will also focus on defending and promoting the rights of people with disabilities, on the one hand in the implementation of concrete projects and, on the other, in a more global way, by reinforcing the associations of disabled persons in their capacity to claim their rights.
Ten years of war in Burundi have left their mark on this country where refugees make up more than 10% of the population. Since 1992, Handicap International has been in Burundi, where it tries to improve the autonomy and the dignity of people with disabilities. A cross-cutting approach is taken by the projects in Burundi, aiming at bringing a global change on disability in the country.
IN FIGURES International staff: 4 National staff: 25 Budget: 852.249 â‚Ź
Principal donors: Belgian Directorate General for Cooperation and Development (DGCD), European Commission (EuropeAid), United Nations Development Program (UNDP).
Many new projects began in 2008. One of them is implemented in the Ruyigi province. This community-based rehabilitation project started in April. Surveys identified more than 4,000 people with disabilities in the province. The project team also participated in a series of training sessions optimally prepare future actions. A project to support the associations of people with disabilities was also launched, aiming at supporting the Burundi associations of people with disabilities in their role of service to and advocacy in favour of people with disabilities. To reach this goal, Handicap International supported the creation of a network of associations to reinforce their capacities to organise and conduct projects and to promote the respect of the rights of people with disabilities. In 2009, Handicap International will pursue its efforts in the area of physical rehabilitation by supporting the implementation of a network of 12 rehabilitation centres, five of which are already supported by the organisation, with a view towards effective autonomy of these centres by 2012. Its CBR activities will be extended to two other provinces that Handicap International knows well, through its prior actions in mine risk education.
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IN FIGURES International staff: 3 National staff: 23 Budget: 453.078 €
Principal donors: Ministry of Foreign Affairs of Belgium (emergency aid).
Despite several evacuations over the years of the expatriate teams following the political instability of the country, Handicap International was able to pursue its efforts thanks to its partners. However, these years of armed conflict greatly weakened the general health of the population and contributed to the deterioration of medical infrastructures. Thus, Handicap International put in place several hospital physiotherapy projects: first in Bouaké, then in Man and Danané. Indeed, physiotherapy is an efficient means to prevent and reduce the disabling after-effects for hospitalised patients. Some cases treated (after-effects of meningitis, cerebral malaria, HIV-AIDS) by the three teams of physiotherapists demonstrate the extent to which the indirect effects of the internal conflicts still affect the population, particularly due to a decrease in the number of children
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Handicap International launched its first project in the Ivory Coast in 1996. At the time, the organisation supported physical rehabilitation centres and trained national staff. Such training did not exist in the Ivory Coast, a country that was in dire need of specialised physiotherapists and technical experts to make prostheses and orthoses. Handicap International has always been careful to conduct its actions in collaboration with local partners who would be capable of taking over the projects in the long run and could supply the necessary services for people with disabilities following the departure of our organisation.
vaccinated and problems in the implementation of primary prevention programmes (malaria, HIV-AIDS). The other patients treated, suffering from bedsores, after-effects of burns, amputations, respiratory problems or muscular weaknesses… demonstrate that physiotherapy is an integral part of the global care of patients and contributes to an improved and more cost-effective quality of hospital care, particularly with shorter hospital stays and a quicker functional recuperation of the patient.
In 2008, after Abidjan's physical rehabilitation centre ‘Vivre Debout’ was officially handed over to the local partner at the beginning of the year, the hospital physiotherapy projects of Bouaké, Man and Danané reached their conclusion. The process of handing over the activities in the hospitals of Bouaké, Man and Danané ended in late February 2009, when Handicap International withdrew from the Ivory Coast, leaving the management to the partner hospitals.
Democratic Republic of the Congo
Handicap International has worked in the Congo since 1995. Up until now, the organisation has developed activities in Kinshasa and Kisangani. In Kinshasa, Handicap International’s action is structured around prevention, insertion, and rehabilitation. In Kisangani and the neighbouring provinces, our objective is to reduce the risks linked to unexploded ordnances. In parallel to the long-term development projects, Handicap International participates in emergency humanitarian aid that is brought to the populations of the eastern part of the country, who are particularly affected by the conflicts that have shaken the region. In Kinshasa, the CBR project took a new direction in 2008. The objective of this project, which will run through 2008-2010, is to strengthen capitalization to reinforce the training of the players involved in the Community Rehabilitation Committees, in charge of CBR activities and their empowerment. Still in Kinshasa, the organisation continued its project of inclusive education, and launched a new maternal and child health project mid 2008. Handicap International wants to reinforce the staff competencies in several health and motherhood centres in the area of prevention of disability at birth. In 2008, Handicap International led a project supporting six rehabilitation centres located in the regions of South Kivu, North Kivu and Maniema in eastern DRC in partnership with the ACHAC (Association des Centres de Handicapés d’Afrique Centrale). These six centres, working in a context of war and isolation, needed equipment and consumables to respond to the demands and needs of people with disabilities. In Kisangani, the teams working on the project of reducing the risks linked to mines and unexploded ordnances (UXO) broadened their field of action beyond the borders of the province. One last - albeit very important - part of this project was conducted in North Kivu and some districts of the Eastern Province. Handicap
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International conducted surveys on social and economic impact together with local organisations. These surveys allowed for the drawing of precise table on problems with mines and UXO and allowed for the re-appropriation of lands that were suspected to be contaminated.
IN FIGURES International staff: 11 National staff: 120 Budget: 3.078.615 € (Emergency projects included) Principal donors: Belgian Directorate General for Cooperation and Development (DGCD), Dutch Ministry of Foreign Affairs, European Commission (EuropeAid), Embassy of France in D.R. Congo, Ministry of Foreign Affairs of Belgium (Conflict Prevention), Survey Action Center (SAC), United Nations Development Program (UNDP).
Goma RWANDA BURUNDI
In 2009, Handicap International will pursue its work in the area of CBR in Kinshasa but will focus even more on reinforcing partnerships with the civilian society and defending the respect of people with disabilities. Regarding the mother and child health services projects, it will be somewhat adapted to more adjusted to the health context of the capital. An exploratory mission will also take place in the province of Central Congo, in both rural and urban areas, in view of launching a project in 2010-2011. In Kisangani, Handicap International will continue its ongoing activities focusing on our efforts to reinforce the local capabilities in view of a transfer of the project to the Congolese organisations in 2011.
05 Colombia Since 1997, Handicap International has intervened in Colombia, first by supporting a Colombian organisation specialised in the rehabilitation of persons with disabilities in Cartagena, then by developing partnerships and activities with different kinds of institutions in various parts of the country. In 2008, from our Medellin and Cartagena offices, we intervened in five areas: Antioquia, Bolívar, Sucre, Santander and North Santander.
IN FIGURES The work of Handicap International is based around three main axes: to facilitate the access of persons with disabilities to basic services and ensure that their rights are being respected; to support the processes of assistance to civilian casualties of the armed conflict and specifically victims of landmines and to promote the participation of persons with disabilities in the social and economic life of society through the reinforcement of associations of persons with disabilities. There are in fact two parts to the project ‘Assistance for the victims of landmine accidents’. One branch is institutional reinforcement, aimed at improving the treatment of the victims of landmine accidents by building the capacities of the authorities and local institutions which are themselves often ill-informed about the range of possible aids for victims. The second aspect seeks to improve the living conditions of the civilian victims of mine accidents. With its Community-based rehabilitation (CBR) project, Handicap International strengthens the capacity of local communities to address disability. Local CBR committees identify the needs, conduct an analysis and consider the context and family situation
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before implementing an action strategy in collaboration with the disabled individual and his other relatives. The project for improving the living conditions of persons with disabilities was launched in its current form in 2008. Upon completion in 2010, 2,700 persons will have benefited from it. One of the new projects also launched in 2008 was dedicated to the support for associations. Ten associations for persons with disabilities will benefit from support to reinforce their structure and modes of operation so that they may claim their rights within the framework of the United Nations Convention on the Rights of Persons with Disabilities.
International staff: 2 National staff: 28 Budget: 787.411 €
Principal donors: Canadian International Development Agency (CIDA), Directorate General for Cooperation and Development (DGCD), European Commission (EuropeAid), Ministry of Foreign Affairs of Belgium (Conflict Prevention and Emergency Aid), Swiss Agency for Development and Cooperation (SDC).
In March 2009, Handicap International is set to extend its activities to five new areas of the country. The organisation will also conduct a survey on the situation and needs in the field of education on the risks of mines, and examine the feasibility and necessity of developing a project in this area. One of the key events for 2009 will be the second follow-up conference on the Ottawa Treaty (Mine Ban Treaty). This conference will be held from 30 November to 4 December in Cartagena, the centre of Handicap International’s activities in Colombia.
Handicap International first intervened in Cuba in 1998 by contributing aid for the production of prostheses. Since 2001, the organisation has geared its actions to community-based rehabilitation (CBR) programmes, to which the field of inclusive education has been added, to promote integration of the most vulnerable people in Cuban society. In 2008, the mission opened a new CBR project in HolguĂn, as well as a project to support and reinforce three associations representing people with disabilities in Cuba. The year was also marked by two particularly violent hurricanes striking the island just one week apart, leaving a fair proportion of the population in precarious living conditions in the hardest hit areas.
The community-based rehabilitation project (CBR) continued in Granma Province (West of the country) and in the eastern province of Pinar del Rio, reaching people with disabilities living in rural zones far from urban centres. These projects offer both physical rehabilitation care and psychological and social support. In 2008, the community rehabilitation project was extended to the Holguin region, neighboring Granma Province, with an approach geared more to access in the broad sense of the word (physical access to infrastructures, access to information and communication techniques, etc) for all kinds of disabilities. Handicap International also continued the project of furthering inclusion in the school system in Cuba.
catalyst for various initiatives that focus on building a more inclusive society by reinforcing existing expertise and the social structure. With this is mind the organisation will consolidate existing projects first and foremost, to capitalise on the lessons learned from the experience acquired, while focusing on certain approaches, such as accessibility for all people with disabilities. One of our objectives for the future is also to work more in the field of rehabilitation of people with a mental impairment and to improve the quality of the services offered to them.
IN FIGURES International staff: 2 National staff: 3, financed by our partners to support Handicap International, plus the project teams, in all 87 people (financed by our local partners). Budget: 591.826 â‚Ź (Emergency projects included)
Principal donors: Belgian Directorate General for Cooperation and Development (DGCD), Flemish Ministry of Education (Belgium), Luxembourg Ministry of Foreign Affairs.
Havana PINAR DEL RIO
Another new project was set up early 2008 to reinforce associations representing people with disabilities, particularly in their management capacities. An important part of the project targets improving access of people with disabilities to various vocational training courses. This means that Handicap International has worked on vocational training with members of three associations for the disabled active in Cuba, and, more generally, the organisation has equipped adult vocational training centres to make them more accessible to people with disabilities and worked on diversification of training courses offered in vocational and special education schools. Handicap International will also be supporting these three associations so they can organise awareness campaigns in favour of inclusion. The objective of Handicap International in Cuba in 2009 continues to be to act as a
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IN FIGURES International staff: 9 National staff: 139 Budget: 1.506.380 €
Principal donors: Australian Agency for International Development, Cambodian Ministry of Social Affairs, Directorate General for Cooperation and Development (DGCD), European Commission (EuropAid), Global Road Safety Partnership, Handicap International Luxembourg, Japan International Cooperation Agency, Luxembourg Ministry of Foreign Affairs, Ministry of Foreign Affairs of Belgium (Conflict Prevention), Ministry of Foreign Affairs of Finland, Nippon Foundation, UNICEF.
The approach developed by Handicap International in Cambodia has evolved considerably, leading us into a more participatory approach based on the respect and promotion of rights. People with disabilities and their associations are more than ever equal partners, working with us on programmes from their conception to their final evaluation.
Handicap International has continued its road safety programme. In 2008, focus was directed to the issue of wearing a helmet, which therefore increased from 27% in June 2008 to 52% in December. This year the organisation also prepared the resumption of the RTAVIS project (data collection concerning road accidents) by the national associations. Finally, we supported the Ministry of Health in the establishment of a global service for the study of accidents, no longer limited only to road accidents. In the area of the prevention of mine and unexploded ordnance accidents, Handicap International has progressed in prevention activity by informing the public about the prohibition against the sale of such devices. The transfer of information has also improved in order to speed up demining operations. These new projects have already delivered their first results: a reduction of 45% in the number of accidents in the area concerned, far greater than in the rest of the country.
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Siem Reap Battambang
Phnom Penh Takeo
Handicap International continues to be active in the physical readaptation centres of Siem Reap and Takeo. Linked to these centres, the ‘Happy Child’ project in 2008 allowed us to offer training in the early detection of disability in very young children, both by the personnel in treatment centres and by traditional midwives, and to improve the quality and efficacy of the treatment in the centres. The ‘Rights and Inclusion’ programme started in 2008. This approach aims to reinforce the Cambodian Disabled People’s Organi-sation (CDPO). At the village level, Handicap International has supported the creation of local disabled people’s associations. This part of the programme currently operates in 24 villages. Finally, the ‘Sport for all’ programme has just been revised. Twelve sports clubs have been created in primary schools, integrating ablebodied and disabled children, aiming to alter the attitude of the children and the community towards disability.
In 2009, the transfer of competences will be the key word in the orientation of our future rehabilitation activities. Indeed, the process of handing over the physical readapation centres has already been launched by the concerned NGOs and the Ministry of Social Affairs, Veterans and Youth. Also, by the end of 2009, the CMVIS programme for the collection of information about mine accidents should be entirely taken over by the Cambodian Red Cross. The programme for the prevention of mine risks will be extended to five provinces.
China Despite a growth rate of 9% in 2008, there are still many inequalities in China, and people with disabilities are the first victims. Indeed, people with disabilities hardly benefit from the countryâ€™s growth. The action that Handicap International has conducted since 1997 to improve the care of these people is thus still justified. Since that date, Handicap International has developed projects in the area of prevention, rehabilitation and insertion, also conducting advocacy actions these past few years in an aim of raising the awareness of the population to the issues people with disabilities are facing. We concentrated our interventions to areas in the Sichuan province and in the autonomous regions of Guangxi and Tibet. 2008 was marked by the earthquake that ravaged Sichuan. Handicap International was amongst the first to intervene.
08 IN FIGURES International staff: 5 National staff: 43 Budget: 1.367.412 â‚Ź (Emergency projects included)
In 2008, projects for the early detection, prevention and intervention of disabilities in young children were launched in Sichuan, in the Yuexi County and in Tibet, in the prefecture of Lhassa. One of the main lines of this project is the training of healthcare professionals to the causes of disabilities during pregnancy and at birth, to prevent and identify disabilities in infants and young children and ensure better care if necessary. Awareness campaigns aimed at the population also took place.
At the same time, Handicap International will work on a capitalisation document in the area of community-based rehabilitation. This work will also lead to the organisation of an international seminar on communitybased rehabilitation hosted in Beijing in September.
Principal donors: Belgian Directorate General for Cooperation and Development (DGCD), Canadian Embassy in China, European Commission (EuropeAid), Grivat Foundation, Hirzel Foundation, Luxembourg Ministry of Foreign Affairs, State Department for International Development of United Kingdom (DFID).
Handicap International pursued its rehabilitation projects in Tibet, as well as communitybased rehabilitation projects in Sichuan, Guangxi and Tibet through the development of two new lines, in the area of education and social insertion. Throughout the year, the organisation pursued its actions supporting associations of disabled people, amongst which its partnership with the Tibetan association of deaf people and associations in Beijing and Nanning (Guangxi).
Late 2008, the training project for healthcare staff in orphanages came to an end. In the long term, this project should benefit some 570,000 orphans and 200,000 healthcare staff in orphanages. 2009 will see the launch of a communitybased rehabilitation project in Sichuan in the area struck by the earthquake. This will mark the passage to the next stage of an emergency project. This new project for helping the victims of the seism should spread over two years.
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The first Handicap International projects in the Maldives began after the tsunami of 26 December 2004. Since that time, the organisation has provided technical support to the Red Cross to improve access to buildings and services for people with disabilities. It also supports the public authorities develop a national strategy in favour of people with disabilities. Handicap International has thus facilitated the process of the integration into national law of the United Nations Convention on the Rights of Persons with Disabilities. A community-based rehabilitation project has been set up as well.
IN FIGURES International staff: 4 National staff: 3 Budget: 303.188 € Support to Tsunami projects implemented by Handicap International France in Sri Lanka and Indonesia: 592.609 €
Principal donors: Consortium 1212.
For 2008, one of the main objectives was to conceive and carry out a national survey on the situation of people with disabilities to get a census of this population and its needs. In collaboration with government authorities and community actors Handicap International has developed a functional limitations screening process that enables the assessment of school-age children and adults, and is followed by referral to appropriate services. On Thinadhoo and Hithadhoo Islands, Handicap International has already done the survey. People with disabilities have been identified and their situations have been recorded. Subsequently, they are put in contact with social workers.
During 2008, Handicap International also supported the creation of organisations of people with disabilities. The organisation for the deaf and hard of hearing ‘Maldives Deaf Association’ (MDA) has been officially registered, along with the association of parents of children with disabilities, ‘The Association for Disability and Development’. These associations are now active in a series of projects and awareness-raising. Thanks to the project implemented by Handicap International in cooperation with the MDA and the Ministry of Education, five teachers have received training in sign language. Today, these individuals are leading training courses for teachers in special education. The Maldives sign language dictionary is now complete and will be distributed to each school and to the families whose members include a least one deaf person. At the end of 2009, the Handicap International projects in Maldives will be finalized and the organisation will withdraw from the country. In this last year, we are emphasizing research, advocacy and government capacity building.
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Pyong Yang Weonsan
IN FIGURES International staff: 3 National staff: 7 provided by our Korean partners. Budget: 791.784 € Principal donors: Agency of the Federal Republic of Germany in Pyongyang, Belgian Directorate General for Cooperation and Development (DGCD), European Commission (ECHO, EuropeAid), Swedish International Development Cooperation Agency (SIDA).
Democratic People’s Republic of Korea At the end of the Korean War in 1953, the Korean peninsula was divided into two parts: the Democratic People’s Republic of Korea (DPRK or North Korea) and the Republic of Korea (ROK or South Korea). North Korea has more than 23 million inhabitants. Handicap International has carried out interventions in North Korea since 1999 at the request of the Korean Federation for the Protection of the Disabled (KFPD). The objective was and still remains to provide the federation with technical support, to strengthen it and to enable the improvement of support offered to people with a disability. In 2005, the North Korean government announced the end of humanitarian aid in the country and demanded the departure of non-governmental organisations. The former programmes were resumed within a support structure divided into seven units. European experts implement the projects. Since then, Handicap International’s projects have continued as part of ‘unit seven’ which focuses on healthcare.
In 2008, we continued our support for orthopaedic services. A sanatorium for elderly and disabled people has also benefited from redevelopment work, technical support and the distribution of walking aids. Four years ago, a unique special education project was started at the school for the deaf and hard of hearing in Wonsan. Handicap International also provides support for the special schools in Hamhung, and there are now plans to merge the two establishments to increase capacities and to improve the services provided by these schools. All of the projects in the DPR of Korea are carried out in close partnership with the KFPD. The strengthening of the Federation
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for the Protection of the Disabled aims to enable it to effectively carry out advocacy initiatives concerning the application of rights people with disabilities. Training sessions, seminars and material to raise awareness have been developed for this purpose. In addition to pursuing the initiatives undertaken in 2008, in 2009 we will continue to provide support for the KFPD with the prospect of carrying out a national survey on disability and the structures for the disabled, the setting-up of a funding system to allow potential donors to provide the federation with direct support. We will also provide the KFPD with support concerning the process of revising the law on the protection of disabled people.
Lao People’s Democratic Republic For the past ten years, the country has experienced significant changes: population increase but also a greater gap between the rich and the poor, expansion of the road network and infrastructures linking Laos to its neighbours. In 1996, the organisation was selected by Laotian authorities to conduct a national survey on the impact of unexploded ordnances (UXO). After this, Handicap International focused its activities on bomb clearance and the awareness of the risks of mines before extending its actions to road safety and the insertion of people with disabilities within the community.
11 IN FIGURES In 2008, in addition to the activities in the area of road accident prevention and the reduction of the threat of unexploded ordnance (demining, accident prevention), a number of projects were undertaken or developed further. This was the case with the community-based rehabilitation project (CBR), implemented first in 2006 in the province of Savannakhet. 2008 marks a new approach with planned visits in the villages. These meetings gather the inhabitants of several villages to offer them healthcare advice, consultations with a medical team – doctors and nurses – and orthopaedic technicians and physiotherapists. People immediately benefit from the necessary care. If a direct intervention is not possible, measurements are taken down for fitting patients with a prosthesis and are then sent on to a specialized department in Savannakhet. In late 2008, Handicap International launched a maternal and child health project. The organisation also developed an awareness programme aimed at parents and healthcare professionals to raise their understanding of the specific needs of children with disabilities. A network of volunteer health workers active in the villages was trained to offer direct support at home.
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Also in 2008, Handicap International supports the Lao Disabled People Association (LDPA) to promote the economic rights of people with disabilities. Handicap International conducted a survey and an analysis to gather the information on the employment sector in Vientiane, the capital city, and to explore the employment opportunities for people with a disability. The great majority of our projects are implemented in Savannakhet Province. In 2008, Handicap International conducted a first task to evaluate the way in which the different projects could be brought nearer together in an aim of working in close collaboration. For example, community-based rehabilitation and mother and child health projects will work in the same districts, in an integrated manner. Handicap International will launch more concretely the project for the employment of people with disabilities and will work following an approach based on the rights of people with a disability. Also in 2009, the organisation will work to reinforce the capacities of the government and local partners. Handicap International will encourage its partners so that, in the long term, these partners will be capable of taking over these projects when Handicap International will leave.
International staff: 6 National staff: 88 Budget: 849.290 € Principal donors: Australian Agency for International Development (Ausaid), Belgian Directorate General for Cooperation and Development (DGCD), European Commission (EuropAid), Georg Kraus Foundation, United Nations Children’s Fund (UNICEF), United States Agency for International Development (USAID).
Vietnam is a country enjoying strong growth. A positive evolution, but it is crucial to ensure that people with disabilities are not marginalised or excluded from this overall improvement of the situation. Since 2001, Handicap International has been involved in Vietnam in the implementation of projects for prevention of disabilities and rehabilitation of people with disabilities due to war, accidents, and congenital or incapacitating diseases. Each project is implemented with a view to turning it over to local authorities so that the actions can continue in the long term and benefit as many people as possible.
12 At the end of 2007, Handicap International set up in Hanoi to develop a project similar to that of the Bach Mai Hospital in Ho Chi Minh City. In 2008, 58 patients were registered. They suffer from spinal injuries (para and tetraplegia) as a result of traffic accidents, accidents at work or falls. From 2010 to 2012, Handicap International will support the Vietnamese authorities in decentralizing the centre, by opening up satellite centres in six of the poorest provinces in northern Vietnam. Handicap International has continued in 2008 to develop its maternal and infant health projects. Early 2008, a new project began in Hue. It targets developing a model for prevention, early intervention and monitoring of children suffering from a congenital disability. The organisation also continued its project ‘Welcome to Life’, which aims at preventing deaths and disabilities before and during birth. This project was developed in Khanh Hoa Province. Handicap International supports two hospitals, one in Hue and the other in Khanh Hoa, to enable them to provide better treatment of hydro-cephalus, offering training and equipment.
Ho Chi Minh
IN FIGURES International staff: 4 National staff: 20 Budget: 923.323 €
The projects carried out in 2008 will continue in 2009. The ‘Welcome to life’ project will be moving into the centralization phase with a view to reaching an evergrowing number of beneficiaries. Two studies will also be done in 2009 to set up new projects. One will deal with social-economic integration of people with disabilities, and the other with people with disabilities in ethnic minorities.
Principal donors: ANOVA, Association of the French in Vietnam, BBGV, Belgian Directorate General for Cooperation and Development (DGCD), Belgian National Lottery, Children for a better World foundation, European Commission (EuropeAid), Luxembourg Ministry of Foreign Affairs, Province of Limburg (Belgium).
Finally, in 2008, the organisation has continued its road safety actions. Handicap International launched a road safety project in a rural environment in 2008 in Dong Nai Province where the number of accidents is growing dramatically. Providing equipment, donating ambulances, creating 25 basic healthcare stations and training volunteers in a partnership with the local Red Cross, awareness work and education of younger children to road safety – these are also important aspects of this programme.
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13 Iraqi Kurdistan
IN FIGURES Staff employed by KORD: 61 Budget: 151.047 â‚Ź
Handicap International started its activities in Iraqi Kurdistan in 1991, with the creation of a Physical Rehabilitation Centre (PRC) in the town of Suleymaniyah. Seven years later, a second centre opened in Halabja, where more than 5,000 Kurds died and 12,000 were wounded in 1998, following attacks by Saddam Hussein's troops. Today, the victims of this tragedy are still treated at the Halabja centre. In 2001 and 2002, two satellite units were opened in the border cities of Penjwin and Kalar. A third unit in Raniya opened its doors in 2005: all these cities are in severely mined areas. The centres and satellite units are situated in the governorate of Suleymaniyah, Northwest Iraq.
Principal donors: Cordaid, Dutch Ministry of Foreign Affairs, Luxembourg Ministry of Foreign Affairs.
In 2005, after more than 12 years in the region, Handicap International decided to support the creation of a local NGO that would take over its activities. This effort has continued over the past few years through the remote support of KORD, the newly-formed national NGO. This remote support continued in 2008 through a new partnership agreement covering the period 2008-2011 and grew further thanks to the collaboration of Handicap International Luxembourg. The key elements of our partnership are assistance with financial management and participation in the development and the implementation of their strategic plan. On behalf of KORD, Handicap International has thus obtained financing, thanks to the Dutch cooperation, for the period covering 2008-2011 and new financing thanks to the Luxembourg cooperation (via Handicap International Luxembourg). Furthermore, short-term missions were carried out to
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help KORD staff better prepare and implement their awareness and lobbying activities with the Iraqi government. In 2008, KORDâ€™s main activities remain the supply of lower limb prostheses and lower and upper limb orthoses. KORD has also continued to develop its revenuegenerating activities to help the victims of antipersonnel mines care for their families, as well as activities to raise awareness of disability. Finally, the Iraqi organisation prepared the ground for lobbying activity with the Iraqi government. This activity will mainly focus on the training and networking of organisations that are composed of people with disabilities. Obviously, in view of the chronic instability of Iraq since 2003, choosing a self-running local organisation with a quasi-national influence proved to be a wining option. Indeed, it would have been very difficult, even dangerous, to maintain teams made
up of expatriate staff. Furthermore, Handicap International has always felt that it is essential to prioritise its activities on the development of a local structure to avoid an over-dependency in international aid, while lending greater legitimacy to a project entirely run by Iraqi civil society.
Europe Belgium The work conducted by Handicap International in Belgium targets two specific objectives. One part, with an international vocation, is the policy work as described in ‘Themes’ section (pages 7 and 8). However, the organisation also works on the awareness of the public on the issues of disability and unexploded ordnances. In schools, festivals or through the means of exhibitions and the ‘bricoleur du coeur’ contest, projects of awareness and education in development were reinforced in 2008 to reach an ever-growing public.
Disability and international solidarity In 2008, an important part of the education in development project started, aiming at bringing awareness to the Belgian public on the issue of disability in countries of the South. This theme is essential in view of the important link between disability and poverty, causes of exclusion that mutually reinforce each other. In schools, upper primary to end of secondary classes participated in activities and reflected about this thematic. At the same time, pedagogical supports were made available to teachers within the framework of the ‘Handigosolidaires’ international project. Handicap International also orga-nised animations on the themes of ‘decent work’ at the Esperanzah! music festival, and gave some conferences in university circles, essentially to introduce physio-therapy students to the specificities of their profession in the South.
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North/South Associations of people with disabilities – both in the South and in Belgium – develop an experience and competences that would be worth sharing. Handicap International noted this and wanted to serve as a link. Thus, the association implemented the North/South project with the aim of improving the exchanges between these various different associations. In 2008, a first project allowed a meeting in China of Woonheim Thaleia, a De Pinte non-profit organisation, with local associations of disabled people.
In photos In 2008, the Blue Laces exhib hit five Belgian towns. The exhibition showed the interpretation by different Belgian artists of the Blue Laces, Handicap International’s symbol.
IN FIGURES Staff: 19 Budget: 757.634 €
Principal donors: European Commission, Directorate General for Cooperation and Development (DGCD), General Commissioner of International Relations of the French community of Belgium, German Ministry of Foreign Affairs, ICBL, Ministry of Foreign Affairs of Norway, Municipality of Waterloo (Belgium).
Handicap International also sent Belgian photographers to Cambodia, Laos, Colombia and Ethiopia, where they encountered actual witnesses of the consequences of such weapons as mines and cluster bombs. The result of their work is an exhibit, ‘Fatal Footprint’, which was shown in Brussels throughout December to celebrate the treaty banning cluster bombs that had just been signed in Oslo.
Bricoleur du cœur Each year, Handicap International celebrates the people who – by implementing their clever ideas – make the daily lives of disabled people easier and more autonomous. The ‘Bricoleur du Cœur’ competition gives awards for the best conversions and adaptations but also allows for these ideas to be distributed.
Projects in crisis situations
China Sichuan earthquake Budget: 103.079 € Principal donors: Chaine du Bonheur, City of Paris, Handicap International Germany, Reuters Foundation AIDfund, Sanofi Aventis, Brussels-Capital Region. On 12 May 2008, one of the most violent earthquakes in recent history struck the Chinese province of Sichuan. More than 80,000 people were killed, 370,000 injured and 5 million lost their homes. Among the injured, an estimated 50,000 suffer from disabilities, of which 20,000 will be disabled for life.
Cuba Two hurricanes ravage the Cuban coast Budget: 119.583 € Principal donors: City of Paris, Ministry of Foreign Affairs of Belgium (Emergency Aid). In September 2008, two hurricanes swept over Cuba with winds of more than 300 km/h. Material damage was enormous, and the economy, based to a large extent on tobacco production, nickel mining and tourism, was hard hit. The three provinces where Handicap International is working were struck by both hurricanes, Gustav and Ike. The Handicap International projects for people with disabilities had to be put on hold for emergency actions.
The day following the earthquake, Handicap International’s teams were already on the spot to back up the two main hospitals in Chengdu, the capital of Sichuan, providing rehabilitation services, training hospital personnel in active methods for rehabilitation and providing basic equipment. Six months after the earthquake, most of the injured who received basic care in referral hospitals in the province have returned to their villages or their towns, or have gone back to temporary camps. These camps will house the victims for 2 to 3 years while the villages and towns which were destroyed are being reconstructed.
In a first phase, Handicap International provided a response to direct material needs after an assessment mission. Further to this assessment, Handicap International ordered necessities like mattresses, sheets, blankets and towels, all articles that were no longer available for purchase nor produced in Cuba since the storms.
In 2009, this project will move into a post-crisis phase. Handicap International has assessed the situation in the hardest hit regions and has identified a crying need for training in physical rehabilitation techniques for the personnel in smaller hospitals, plus the need to set up monitoring services for home patients. Handicap International will be working in Mianzhu County (500,000 inhabitants), located about 80 km north of Chengdu in one of the hardest hit zones with more than 50,000 seriously injured.
In Cuba, Handicap International leads community-based rehabilitation and inclusive education projects in close collaboration with local partners, who distributed 3000 mattresses, sheets and blankets. The distributions continued early 2009 with roof-repair material (corrugated iron and fixing equipment) to 250 families in Pinar, and 750 families in Banes, Holguin. In the four schools where we conduct inclusive education projects, we assumed the cost of repairing doors and windows.
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Democratic Republic of Congo Humanitarian crisis in Kivu
Budget: 329.717 â‚Ź Principal donors: Luxembourg Ministry of Foreign Affairs, Ministry of Foreign Affairs of Belgium (Emergency Aid).
Myanmar Help for the victims of Nargis
The eastern region in the Democratic Republic of the Congo has been unsettled for many years by a latent conflict. The local population is the first victim of this crisis. Currently, estimates count roughly one million displaced persons. Budget: 47.017 â‚Ź Principal donors: Ministry of Foreign Affairs of Belgium (Emergency Aid).
In 2008, Handicap International worked at various levels to limit the emergence or the consequences of disabilities, first in a hospital physiotherapy project for patients hospitalised in Virunga Hospital in Goma, then, with respiratory physiotherapy projects for malnourished children in a nutritional centre (CNT) and in camps for displaced persons, complemented by physiotherapy for those suffering from motor impairments. Handicap International also identifies children from 0 to 10 years old with disabilities living in camps to ensure that they get all the aid they need. This includes referral to other structures for treatment. In this action the organisation back its partners working in the camps, agents and community networks that are in a better position to identify children with disabilities and to send them to Handicap International for the necessary aid. Finally, the organisation has opened a hospital physiotherapy project in Rutshuru, in a hospital managed by MSF (Doctors without Borders) France. In 2009, the organisation will also focus on taking into account the special needs of persons with disabilities and will work in this field with agencies organising life in the camps. We will also look into the possibility of developing actions geared to the health of mothers and infants in camps of displaced persons, as childbirth conditions have been identified as a major cause of disability.
ANNUAL REPORT 2008
Hurricane Nargis struck Myanmar on 2 May 2008, devastating a large part of the Irrawaddy Delta. In June, Handicap International got authorisation to do a needs assessment mission. The project developed subsequent to this assessment anticipated malnutrition problems predicted by most of the players working in Myanmar, and planned for respiratory physiotherapy along the same model as the project set up in Goma.
In September, when the project was about to be implemented, Handicap International realised that it had to be re-orientated since the anticipated famine fortunately did not take place. The Belgian and French sections decided to collaborate on a new project conducted in a partnership with the PMI association. The Belgian section of Handicap International gave physiotherapy training courses to the PMI physical therapists, and the French section took charge of the physiotherapy and psycho-social support. Handicap International Belgium also helped transform the living area of people with disabilities to improve the accessibility of houses and paths, for example. We also supported income-generating activities for people with disabilities and their families.
Financial report 2008
2006 and 2007 closed with a major deficit, but encouraging elements in 2007 showed that the financial recovery of Handicap International was on the right track. This recovery was confirmed in 2008 with a deficit of â‚Ź 172,654 after allocation of provisions, charged to the organisation's own resources.
Financial results for 2008 show a clear improvement over previous years, resulting from the stabilization of costs at headquarters despite three wage indexations and an increase in operating costs due to the rise in the cost of energy (gas, electricity, â€Ś). Again on the subject of cost control, an effective job was done to control certain financial risks for which provisions were allocated in 2007. Some of these provisions were taken back, which has had a positive effect on the results for 2008. Among the positive points for the past year, we should also note an improvement in the results expected for private fundraising. On the one hand, this is due to a reduction in the cost of producing mailings and on the other hand, from income coming in from other sections of Handicap International. These occasional external incomes compensate a drop in funds collected by means of direct mailing. This drop has been particularly significant since the financial crisis broke out in September 2008.
Programme realisation Communication and Fundraising Operating costs Lobbying and Education
76 % 12 % 8% 4%
The total budget of the organisation consists of 31.6 % of own resources and of 68.4% from funds supplied by institutional donors in the broad sense of the word (international bodies, ministries, foundations ...). Our institutional funds are rising and support the bigger 2008 budget, related to the expansion of programmes in keeping with the organisation's operational strategy: consolidation of programmes around certain development themes (rehabilitation, inclusive education, social and professional integration, road safety, maternal and child health, ... ) and an increase in emergency response programmes. Nevertheless, we were forced to allocate new provisions to certain risks in 2008. One of the essential characteristics of the financial structure of the Belgian section of Handicap International is that it is closely related to institutional funding. However this requires complying with very strict rules for eligibility of expenditures, conclusion of contracts and other criteria for the validity of invoices. In recent years, controls have been reinforced, in the sense of very strict compliance with administrative rules that not always take into account the constraints of the contexts in which we work. Consequently, we must foresee the possibility of adjustments and continuously improve our tools and monitoring procedures so that they remain as close as possible to this evolution. This improvement is now moving forward, but it means that we must charge costs to 2008 for risks that have potential consequences for the future. In this difficult context, Handicap International must recover its financial balance, budgetted for 2009, and that should continue in subsequent years. We will be pay particular attention to risks related to the world economic crisis affecting our private donors and also potentially influencing the budgets of institutional donors.
ANNUAL REPORT 2008
Self-funding Belgian cooperation European Union National cooperation
31 % 26 % 17 % 13 %
EU (outside Belgium)
National cooperation outside EU
Expenditures (in â‚Ź)
12 850 901,98 11 234 300,41 2 491,89 1 115 315,57 1 673 513,35 423 393,52 47 041,87 5 297 717,23 987 558,04 830 484,18 205 559,59 597 609,17 53 616,00 1 616 601,57 852 654,54 763 947,03
13 845 036,39 12 226 580,47 0,00 1 171 858,13 1 922 678,08 528 457,82 97 218,59 5 972 385,37 888 663,68 864 637,67 155 346,44 592 609,00 32 725,69 1 618 455,92 743 005,79 875 450,13
2 155 866,81 1 848 266,00 307 600,81
2 157 063,04 1 811 103,86 345 959,18
528 395,69 141 132,13 294 245,90
678 202,12 517 050,42 336 923,68
16 534 559,81
18 291 909,89
10 098 098,02 2 805 406,46 1 843 025,90 962 380,56 7 292 691,56 3 915 837,75 991 000,71 2 093 586,17 292 266,93
11 510 039,76 3 571 009,30 3 078 759,23 492 250,07 7 939 030,46 3 657 736,31 1 072 756,65 2 297 006,95 911 530,55
1 010 394,06
4 609 424,34 3 225 026,11 416 376,26 72 645,46 31 983,00 863 393,51
4 913 748,08 3 670 282,84 232 880,7 25 265,17 14 800 970 519,37
Other operating income Subsidies Costs billable to third parties Other income
145 916,50 37 247,30 28 797,39 79 871,81
169 967,43 38 868,21 16 914,77 114 184,45
Financial resources Financial income Effect of exchange rate changes
261 034,96 105 271,64 155 763,32
273 559,68 80 592,82 192 966,86
16 161 161,58
18 119 255,15
Programme realisation Programme implementation Exploratory missions Equipment and investments Transportation, communication and operating costs Materials and consumables Transport Local and expatriate staff Training, prevention and local education Support to partners, individuals Programme monitoring and evaluation Support actions Handicap International France (tsunami) Other programme costs Technical support Programme management Specialised services Lobbying and Education Fundraising Appeal and management of donations and sponsorship Communication & events General services Exceptional charges Financial charges Total expenditures
Income (in â‚Ź) Public financing International organisations European Union United Nations National organisations DGCD (Action Plan) Belgian Cooperation and others Within the European Union Outside of the European Union Private Financing Self-funding Fundraising Legacies and inheritances Sales and service provisions Sponsoring Others (Consortium)
Exceptional resources Total receipts RESULT
Expenditures by theme
We are particularly careful to ensure good management of the funds made available to us. All the accounts of the association are subject to external audits carried out by an auditor appointed by the General Meeting, the Bureau Bossaert, Moreau, Saman sprl, corporate auditors. In addition, expenditures for our projects are regularly verified in specific audits ordered by our institutional donors. The accounts were approved by the General Meeting of July 8, 2009. These various controls, reinforced by an internal audit and strict procedures, guarantee the optimal management of the resources put at our disposal.
Your right to information
Community-based rehabilitation Demining Rehabilitation centres Support to associations Emergency Tsunami projects Road safety Maternal and child health Inclusive education Socio-economic integration
25 % 21 % 17 % 8% 7% 7% 6% 5% 3% 1%
Handicap International is an active member of the Association pour une Ethique dans la Récolte de Fonds (AERF) (Ethical Fund Collecting Association) and subscribes to the AERF code of good conduct which includes the right to information. Donors, friends and staff members are automatically kept informed of the use of funds. This is the purpose of the annual report. In addition, you can always ask us for additional information: ■ ■
■ ■ ■
an overview of the analytical operating accounts for costs, comments on what the organisation means by the use of cost centres, particularly for collecting funds, the auditor’s report, the wage spread (ratio of the lowest to the highest gross wages), depreciation table.
These documents are available following a simple phone call to 02/280.16.01 or on request by post or by e-mail. They can also be consulted at the head office of Handicap International, rue de Spa 67, 1000 Brussels.
Implementation of programmes Tsunami projects : 6%
Middle East : 1 %
Africa : 43 % Latin America : 10 %
Asia : 40 %
Financial results as on 31st december 2008 Assets (in â‚Ź)
29 975,13 263 940,91 239 566,24 24 374,67 60 593,24 354 509,28
9 414,36 243 962,75 213 028,66 30 934,09 67 526,12 320 903,23
Reditors Operational active debts Transitional accounts Donors Other active debts Stocks Prepayments and accrued income Cash at bank and in hand Shares Cash at bank Cash in hand Internal transfers Total current assets
2 762 040,30 482 886,41 13 357,01 2 215 824,00 49 972,88 7 631,33 384 450,57 5 877 648,87 513 944,19 5 053 963,09 298 771,87 10 969,72 9 031 771,07
2 551 446,10 34 466,18 0,00 2 381 964,67 135 015,25 6 607,92 467 658,38 3 606 583,54 114 686,60 3 103 708,81 377 370,03 10 818,10 6 632 295,94
9 386 280,35
6 953 199,17
2 579 372,96 -373 397,85 2 205 975,11
2 205 975,11 -172 654,74 2 033 320,37
10 000,00 235 666,02 24 701,90 270 367,92
0,00 238 772,00 11 500,00 250 272,00
Long term debts Short term debts Donors Fiscal and social debts Suppliers and other accounts Prepayments and accrued income Total debts
0,00 4 558 547,15 2 278 963,49 296 883,38 1 982 700,28 2 351 390,17 6 909 937,32
0,00 3 394 426,17 2 168 131,84 184 140,91 1 042 153,42 1 275 180,63 4 669 606,80
9 386 280,35
6 953 199,17
Intangible assets Tangible assets Buildings and fitting Furniture and equipment Other financial assets Total fixed assets
Liabilities (in â‚Ź) Capital and reserves Result for the financial year Total capital and reserves Provisions for charges Provisions for liabilities Provisions for argument Total provisions
ANNUAL REPORT 2008
INTERNATIONAL PUBLIC DONORS European Commission EuropeAid Co-operation Office to the European Commission Humanitarian Aid Department of the European Commission (ECHO) United Nations United Nations Children’s Fund (UNICEF) United Nations Development Program (UNDP) United Nations Office for the Coordination of Humanitarian Affairs (UNOCHA)
NATIONAL PUBLIC DONORS Belgian Directorate General for Cooperation and Development (DGCD) Ministry of Foreign Affairs of Belgium ‘Conflict Prevention’ ‘Emergency Aid and short term Rehabilitation’ National Public Donors inside the EU Agency of the Federal Republic of Germany in Pyongyang Brussels-Capital Region City of Paris Dutch Ministry of Foreign Affairs Embassy of France in Angola Embassy of France in D.R. Congo The Flemish Ministry of Education (Belgium) General Commissioner of International Relations of the French community of Belgium German Ministry of Foreign Affairs Ireland Ministry of Foreign Affairs (Irish Aid) Luxembourg Ministry of Foreign Affairs Ministry for Foreign Affairs of Finland (FINNIDA) Municipality of Waterloo Province of Limburg (Belgium) State Department for International Development of United Kingdom (DFID) Swedish International Development Cooperation Agency (SIDA)
National Public Donors outside the EU Australian Agency for International Development (Ausaid) Cambodian Ministry of Social Affairs (MOSALVY) Canadian International Development Agency (CIDA) Canadian Embassy in China (canada Fund) Japan Embassy in Angola Japan International Cooperation Agency (JICA) Ministry of Foreign Affairs from Norway Swiss Ministry of Foreign Affairs (Swiss Agency for Development and Cooperation - SDC) United States Agency for International Development (USAID)
OTHER SECTIONS OF HANDICAP INTERNATIONAL
PRIVATE DONORS (NGOS AND FOUNDATIONS)
Some projects are jointly managed with the Luxembourg section, namely:
ANOVA Association of the French in Vietnam (AFV) Belgian National Lottery Canadian Auto Workers’ Union (CAW-Canada) CORDAID (The Netherlands) Chaine du Bonheur Children for a Better World Association Georg Kraus Foundation Gertrude Hirzel Foundation Global Road Safety Partnership International Campaign to Ban Landmines (ICBL) Luce Grivat Foundation Nippon Foundation Reuters Foundation AIDfund Sanofi Aventis Survey Action Center (SAC)
For the emergency action in China after the earthquake in May, Handicap International French, German and American sections have contributed in 2008. The Swiss section of Handicap International has trasmitted some legations for our projets in Angola and in Vietnam. The French section of Handicap International has contributed to our projets in Angola, in Cambodia and in Vietnam.
Community-based rehabilitation in Cuba Capacity building of people with disability in the community in Cambodia Improving services for children with disabilities through the community in Lhasa (Tibet - China) Happy Child in Cambodia Spinal cord injuries project in Hô Chi Minh City: care and rehabilitation of spinal cord injuries, Vietnam Support to the Kurdish Organisation for the Rehabilitation of the Disabled (KORD)
Where do we work?
Africa Algeria Angola Burkina Faso Burundi Cape Verde D.R. of Congo Ethiopia Ivory Coast Liberia Kenya Mali Madagascar Morocco Mozambique Niger Rwanda Senegal Sierra Leone Somaliland Sudan Togo Tunisia
Asia Europe Middle East
Afghanistan Egypt Iraq Jordan Lebanon Pakistan Palestinian territories
© L. AERTS
Albania BosniaHerzegovina France Germany Kosovo Macedonia Montenegro Russian Federation Serbia Uzbekistan
Bangladesh Cambodia China D.P.R. Korea India Indonesia Lao P.D.R. Maldives Myanmar Nepal Philippines Sri Lanka Thailand Vietnam
© K. BOMBOY
© G. TURINE
Brazil Colombia Cuba Haïti Honduras Nicaragua
Programmes operated by the Belgian section Programmes operated by the French section * Programmes where both sections work alongside International network (sections, offices and representations)
© D. TELEMAN
© L. AERTS
Handicap International Belgium Rue de Spa 67 B-1000 Brussels Tel.: +32 (0)2 280 16 01 Fax: +32 (0)2 230 60 30 E-mail: firstname.lastname@example.org Handicap International Canada 1819, boulevard René-Lévesque Ouest Bureau 401 Montréal (Québec) C-H3H 2P5 Tel.: + 1 514 908 2813 Fax: + 1 514 937 6685 E-mail: email@example.com Handicap International France 14, avenue Berthelot F-69361 Lyon - Cedex 07 Tel.: + 33 (0)4 78 69 79 79 Fax: + 33 (0)4 78 69 79 94 E-mail: firstname.lastname@example.org
Handicap International is an international non-governmental organisation with the mandate to prevent and limit the impact of disabilities, by offering assistance to people with disabilities and those at risk of disability and supporting them in their efforts towards autonomy and social integration. Handicap International has existed for 26 years. In 1997, the organisation received, as a co-founder of the International Campaign to Ban Landmines, the Nobel Prize of Peace for its action in favour of the victims of landmines. Handicap International’s network has sections in 8 countries, including Belgium. Since its creation, the organisation has set up development projects in about 60 countries and intervened in multiple emergency situations. The Belgian section of Handicap International currently manages projects in 13 countries. This annual report summarises our activities in 2008.
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Under the patronage of Her Royal Highness Princess Mathilde