TWHA_ annual report 2015

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Annual report 2015



TWHA is an NGO furthering the right to health and sovereign development. Content Introduction 2 Partners in the South


Campaigns 12 Movement-building 16 Volunteers and Fundraising


Financial results


Our organization


Graphic design: Responsible editor: Wim De Ceukelaire, ChaussÊe de Haecht 53, 1210 Brussels – May 2016

A working day at THWA can be a roller coaster of emotions. In the morning, one is incensed at the injustices in the world, which is sometimes so closeby given our day-to-day work with partners from all over the world. Then in the afternoon one can look back on the small successes and victories in the field. Yet another tiny step.

Overall the year follows the same roller coaster pattern but on a larger scale. In 2015, we have felt very angry and at times very sad. There was the moment when we learned that Daoud had been arrested again. Daoud, who is a young Palestinian like no other. He coordinates the youth programme of Health Work Committees, one of our local partners. His integrity is beyond reproach. First he got expelled from Jerusalem. After that, he was denied entry to the Palestinian territories. Finally he was put behind bars, like so many other

3 Introduction

Wim De Ceukelaire Director

young Palestinian activists who stand up for their rights, and who are active in their communities. It is on such occasions that we’ll pound our fist on the table in frustration, alongside the odd profanity. Fortunately, those moments are interspersed with joy and pride. Pride at having managed to get a living legend like Vandana Shiva to Belgium. This courageous Indian lady has convinced many a sceptics by means of her passionate pleas for the right to health and a healthy

environment. We cannot but rejoice at the growing campaign against TTIP, the great free trade agreement currently being negotiated between the European Union and the United States, that is bound to tip the scale of worldwide trade relations to the benefit of multinationals. Thanks to this campaign, to which we’ve contributed, the agreement has become a lot less likely. However we derive most of our pleasure from the successes of our partners in the South. Thousands of people have marched

in the streets for water in Kinshasa, Goma and Lubumbashi! The Orthopedic Hospital of Manila has not been privatized after a months-long struggle! Hundreds of Palestinian youths have rolled up their sleeves to improve their neighbourhoods... Those are the stories that give us strength and energy. With this report we want to take you along on that roller coaster. It’s our way of thanking you for your support and to motivate you to do more.


Partners in the South

Democratic Republic of Congo

Goma – The purchased truck with a water tank provides water for everyone.

Water is life In Kinshasa, Goma and Lubumbashi, over 15,000 members of health committees campaigned for access to water and a healthy environment. Our partners Etoile du Sud and CODIC supported these committees with advice and assistance surveying the public to identify their needs. The highlight of the year was a big meeting on health where over 300 prominent Congolese exchanged knowledge and experience on health issues. The result was a collection of demands, containing the most important questions of the population directed at policy makers. During a march for the right to health more than 3,000 activists in Goma once more voiced their demands in a demonstration.


Democratic Republic of Congo

Goma – ‘Water is life’ march mobilises over 3,000 activists.

“The youth in the district have become aware that they had better organise to find solutions to their problems.” Dr. Jaco, a member of the mobile clinic of Étoile du Sud

Partners Étoile du Sud (EDS), is an NGO that oversees an entire network of health committees in several Congolese provinces. Collectif de Développement integré au Congo (CODIC), (Integrated Development Collective in Congo) is a platform used by development organisations to share experiences. It is a network of 750 organisations active in five provinces in Congo.

Budget for partners in 2015: €211,700 For our Congo operations in 2015, we were able to count on the financial support from, among others: the Belgian Development Cooperation, the Flemish Partnership Water for Development and the cities of Lommel and Ypres.


Partners in the South

Philippines For several years, our partners are campaigning to halt the privatisation of health care. Thousands of Filipinos played an active role in these campaigns. In 2015, the Philippine government planned to privatise the only public orthopedic hospital in Manila. Health workers, activists from popular organisations, even the hospital director mobilised to put a halt to this. And they succeeded!

The struggle for accessible healthcare bears fruit


Manilla – Social movements and patients campaign against the privatisation of the hospital. Š


Partners in the South

“I am proud that our leaders have managed to make the people’s voices heard,”


Aurora Gabriel, coordinator of Advocates for Community Health in Mindoro.

Partners Gabriela is an umbrella organization of several women’s associations. It provides training, especially on gender and the right to health. CHD (Council for Health and Development) is an organisation working in poor communities in Manila and a few provinces. It organises the population through training on primary healthcare. IBON Foundation is an alternative documentation and research centre. Advocates for Community Health are active in the most remote areas of the Philippines, where malaria is still prevalent, providing training to farmers to help them prevent this disease and prevent it from proliferating. Budget for partners in 2015: €332,995 For our operations in the Philippines in 2015 we were able to count on the financial support from, among others: the Belgian Development Cooperation, the province of Oost-Vlaanderen (East Flanders), 11.11.11 and the municipality of Zoersel.


Artisanal miners and farmers use roadblocks to protest against big mining companies in Samar.

Victory over two major mining companies The Philippines are rich in ores and minerals. Foreign mining companies see a lot of opportunities. More often than not they can count on the support of the Philippine government. They recklessly go about their business, without respect for people or the environment. Together with local communities our partners sprang to action, organising roadblocks and demonstrations. Masada Mines and King Resource Mining Company were forced to give in to the demands of the protesters, boosting the popular movement that continues to fight against large-scale mining in the region.


Partners in the South


Resilient youths in action

Partners Health Work Committees (HWC) is one of the major health organisations in the occupied Palestinian territories. TWHA supports HWC with the creation and consolidation of a network that organises youth in Jerusalem, Hebron and Bethlehem, mobilising them for the right to health. Union of Health Work Committees (UHWC) is a sister organisation of HWC, active in Gaza. UHWC has four medical centres, a day centre and a hospital, but also organises cultural activities for youth. Partner budget in 2015: â‚Ź172,131

The youth from Tawasul are strongly committed to their community.

In Gaza, East Jerusalem, Hebron and Bethlehem, our partners support and guide a youth network of over 850 young people who are engaged in their communities. They interact with other social organisations and exchange experiences. In 2015, the youth conducted awareness-raising campaigns on drug abuse among young people and violence against women. They also do a lot of volunteer work helping to reconstruct destroyed homes, improving sidewalks or decorating their surroundings. By working together on projects in their community they feel stronger and more confident to resist the oppressive occupation and repression by Israel.

For our operations in Palestine in 2015 we were able to count on the financial support from, among others: the Belgian Development Cooperation, Wallonie-Bruxelles International (WBI), CNCD-11.11.11, the province of Antwerp, the municipalities of Lille and Peterschap Palestijnse Kinderen.


Partners in the South Palestine “Through participating in these activities I have become more aware of our circumstances, and I have developed a sense of responsibility.” a youth from the Tawasul network.

Campaign: “no to violence against women”

Daoud, tireless and optimistic, working with young people during a summer camp.

Our colleague Daoud arrested again Daoud is the coordinator of the youth programme of our Palestinian partner Health Work Committees. At the end of 2014 he was expelled from Jerusalem, the city where he lived and worked. In June 2015 he was arrested during an interrogation. After seven months of administrative detention, he was sentenced to 18 months in prison. His work in Jerusalem and tireless commitment shown to Palestinian youths as well as international delegations is clearly not to the liking of Israel.


Partners in the South

Cuba In 2015, TWHA started to collaborate with the Centro Felix Varela. This organisation has over 15 years of experience with Green mapping in the popular neighbourhoods of Havana and beyond.

Community mobilises for the environment

Green mapping is a unique method whereby the people themselves identify the wealth of their local environment. This way they get to know their environment, identify the problems and look for solutions together with local authorities.

Schoolchildren join the ‘green mapping’ action, identifying problems in their surrounding.


How do you go about measuring impact? Since 2010 TWHA and its partners have used the ‘Most Significant Change’ method . The methodology consists of the stories of people telling which experiences changed something in their life or community, indicating why that specific experience was so important. Our partners always learn a lot about the people’s motivations, commitment and feelings, but people also learn a lot from each other. The Health and Human Rights Journal, known for its studies on innovative projects, recently focussed on this method, highlighting TWHA’s work.

The Health and Human Rights Journal publishes TWHA’s experiences. w w 12/empowerment-for-the - right-to - health the - use - of-the - most-significant- change - methodology-in - monitoring/

In Manila, capital of the Philippines, members of the women’s organisation Gabriela tell how the training they received changed their lives.

© Mathilde Largepret



Save the climate, stop free trade Summer festivals In 2015 TWHA and intal took their climate campaign to various summer festivals like LaSemo, Esperenzah and ManiFiesta. Festivalgoers were able to design their own ‘Sac’tiviste’ activist tote design with snappy slogans on free trade and climate change, and write a personal postcard to the Belgian climate conference delegation.

Under pressure from industry lobbies, the European Union promotes a deregulated market, signing free trade accords with other countries, favouring European multinationals. These agreements provide multinational companies with easier access to markets in the South. However few of these companies take into account the impact of their activities on the environment and on the health of the local population. Regarding deforestation, large-scale agriculture, groundwater depletion or mining, few binding rules exist for multinational companies. This is not only bad for the environment, but also renders the population in the South ever more vulnerable to the effects of climate change. Therefore TWHA together with the solidarity movement intal and other organisations, campaigns for a different European trade policy that puts people and the environment at the centre.

Postcard petition

Festival-goers design a ‘Sac’tiviste’ at the TWHA booth. .

On November 25th, 2015, we handed over 500 postcards with our demands at the office of Marie-Christine Marghem, Federal Minister for Energy, Environment and Sustainable Development, prior to her departure to the international climate summit in Paris. 500 postcards were presented to the Minister in Brussels prior to her departure to the climate summit.


Campaigns Paper: Incoherent European Union Trade and climate policy The paper criticizes the effects of free trade agreements as promoted by the EU. They have negative effects on the environment and are contrary to the actions of the European Union to combat climate change.

Vandana Shiva At ManiFiesta TWHA invited Vandana Shiva to participate in a debate on food security and climate change. Vandana is an Indian activist who has written over 20 books. She advocates for biodiversity, local communities, democracy, women’s rights, and much more. At the international climate summit in Paris, she said: “The people must not fail, because it is about our lives and the life of our planet.” An inspiring lady, indeed!

Wim, director of TWHA with Vandana Shiva at ManiFiesta.

Over 14,000 Belgians defend the climate in Ostend Together with other Belgian and international groups, TWHA took part in preparing the mobilisation for the international climate summit in Paris. With the Climate Express, we took on the challenge to bring 10,000 Belgians to Paris for the world climate. These plans however had to be cancelled due to the terrorist attacks in Paris. On 6 December however, a whopping 14,000 Belgians came to Ostend on the ‘Climate Express’ for an alternative action. An unmistakable signal was sent to our policy makers to conclude a climate agreement that respects the limits of our planet.



Social protection for all Without social protection, life is a lottery. At the slightest setback, people can face serious financial difficulties when they have no access to adequate social protection. Medical costs are unaffordable, or children are forced to work to support their families. Therefore, together with 11.11.11 and 18 other NGOs in 2015 and 2016 we campaign for social protection for all. This campaign goes beyond the traditional North-South dichotomy. We demand for example that Belgium and Europe strengthen their social protection systems. Today we see how Europe has started questioning the principle of unconditional access to social security and basic services.

Linda, South African health activist, on tour in Belgium As part of the campaign TWHA invited the South African health activist Linda Mashingaidze for a series of meetings with Belgian organisations. Linda is a regional coordinator of the People’s Health Movement in Africa, and has an impressive experience mobilizing communities.

Linda Mashingaidze visiting Doctors for the People (Médecine pour le Peuple) in Hoboken for a fascinating exchange.

“We note that in situations where people are well informed, they are better able to enforce their rights. It’s simple: if you know you are entitled to medication, you can pressure your government to fulfil its duty to provide them at affordable prices.” Linda Mashingaidze



Stop the Killings: Human Rights award in the name of climate activists In 2015, the Human Rights prize of of the campaign platform ‘Stop the Killings’ went to the Philippine Lumad organisations in Mindanao in recognition of their sustained struggle against large-scale mining and agricultural activities that pollute their environment. The Lumads were nominated by Solidagro, TWHA and 11.11.11. ‘Stop the Killings’ is an action platform of trade unions and social organisations. Through actions and the spreading of information they want to oppose the repression of trade unionists and activists in the South.

The Lumads oppose large-scale mining and agricultural activities.

Percenita “Daday” Sanchez received the award on behalf of the Lumads.



Solidarity trips in the South

Interactive training weekend with a tug of war, simulating power relations. Might is right?

17 Belgian youths in Palestine.

In July, seventeen youths of the student organization Comac went on a solidarity trip to Palestine. They met young people, trade union representatives, community workers and many other activists. After their trip they were determined to further develop their solidarity with the Palestinian people in Belgium.

Training TWHA offers different trainings every year, but also provides training tailored to organisations. The offer includes training on our core themes such as climate change, public health, the impact of free trade policies on health, as well as workshops on group dynamics, setting up a campaign or setting up and providing interactive training. Empowerment, how does this work in practice? The annual training cycle ‘Empowerment, a strategy for the right to health’, was held in Liège for the first time. For three days, students and youths from social organisations focussed on the empowerment strategy of TWHA and its partners.



A global network of health activists

TWHA is part of the People’s Health Movement (PHM), a global network that plays an important role in the struggle for the right to health. PHM brings the voice of social movements from the South to the academic community and policy levels where it otherwise rarely penetrates. In 2015, PHM again managed to make the voice of the social movements in the South heard. In the spring of 2015, TWHA, together with different groups of PHM participated in the World Social Forum in Tunisia. Together with activists from Congo, Palestine, Egypt, Morocco, Italy, Greece and Belgium, we organised workshops on

Health Activists at the World Social Forum in Tunis.

the right to health, but we also took to the streets. In May TWHA took part in the General Assembly of the World Health Organization (WHO), where decisions are taken regarding the priorities of the organisation. We have supported the PHM team at the ‘WHO Watch’, a project aimed at ‘democratising’ global health. The team undertook critical interventions regarding the concerns and proposals of health activists around the world. One of these concerns is the privatisation of global health policies due to the increasing influence of multinational corporations and private foundations on the World Health Organization.


Volunteers and Fundraising

80 TWHA meet


20 km of Brussel 85 TWHA enthusiastic runners found sponsors for the 20 km of Brussels, raising over €18,000 for TWHA.


At the end of January more than 80 volunteers and sympathisers attended the TWHA meet. They took the opportunity to exchange thoughts, and to get a taste of what was in store for TWHA for the coming year.

€13 . 560 5.000


ManiFiesta This year’s theme for ManiFiesta was sustainability. Not an empty word. TWHA provided reusable cups for the entire festival. Over 40 volunteers helped out in the action. More than 4,000 festival-goers donated their one euro cup deposit to TWHA.

Easter campaign €13,560, is the amount volunteers raised selling more than 5,000 bags of Easter eggs during the annual Easter campaign for Cuba. The proceeds went to two Cuban sustainability projects in Havana.

Volunteers from Grimbergen and Vilvoorde promoting the Easter Campaign.


Colourfully-vested TWHA volunteers drawing looks at ManiFiesta © Salim Hellalet



Volunteers and Fundraising Allies campaign General Assembly

During a school activity in Lille, Leen talks about our Palestinian partner’s school health programme. The students organised a sponsored hike, raising €470.

In 2015, we launched the “Become a TWHA ally’ campaign. An ally is someone who cares for and supports TWHA on a monthly basis. By the end of 2015 TWHA could count on more than 500 allies.

In 2015 TWHA expanded its General Assembly with two open sessions, during which supporters were present to think about the functioning of TWHA. This yielded fascinating and rich discussions.

403 €7.445 Gifts Many people celebrated births, birthdays, or retirements, not thinking about themselves but about TWHA. Altogether they raised €7,445.

€2 .190

Taybeh-beer We sold 403 crates of delicious, Palestinian Taybeh beer, raising €2,910 for our Palestinian partner.

Nadim Kouhri brews Taybeh beer in Palestine. TWHA has a Belgian brewer brewing it under license.

Ambassadors A lot of TWHA ambassadors organised an information booth, displaying TWHA activities, proposing TWHA projects within their communities or organising information or fundraising activities.


Financial results

Total expenditure has remained almost constant at nearly €1.9 million, of which approximately €1 million went to the South, mainly to support the partners in our target countries: the Democratic Republic of Congo, the Philippines and Palestine. Support of the international network for the right to health, the People’s Health Movement takes up a significant

costs are even lower and cover personnel, operating costs (shipping, IT,...) and purchasing the Easter eggs and the Taybeh beer that we sell.

Our ‘ North’ activities include our campaigns and policy work in Belgium. The costs are mainly personnel costs. Management costs imply the funds needed to manage such programmes as follow-up missions, evaluations and so on. These costs have increased due to several external evaluations commissioned by us in 2015.

Because we managed to keep the overall costs and fundraising costs in check, we are proud to say that almost 90% of our income is spent directly on achieving our goals.

Of course there are also overhead costs:

Provisions are the reserves that we build up to cover the risk of rejected justifications of grants. However, our final checks were very good. This way we were able to re-mobilize a part of this piggy bank for

office rental, telephone, heating, accounting, ... We aim to keep these below 10% of our total expenditure. The fundraising

our operation. This has resulted in a negative number under the category of exceptional costs.

South work 57%

fundraising costs


general management


program management costs


portion as well. These big programmes are largely funded by means of subsidies. We currently support several other projects (eg. in Cuba) with our own funds.

North work 24%

71% subsidies



15% other income

14% fundraising

21 expenses SOUTH WOR K





1.071.318 58%

1.087.125 57 %

partner work DR Congo



partner work Philippines







partner work Laos






335.609 18%


partner work

partner work Palestine


sales campaigns (Taybeh beer and Easter campaign) companies (Ello Mobile)


partner work Cuba



subsidies federal government DGD (General Directorate for Development)

emergency projects



subsidies European Commission

small projects





subsidies from towns, cities, provinces and communities


IDRC Canada

People’s Health Movement staff costs aid workers

NORTH WOR K operational expenses personnel costs

PROGR A M M ANAGE MENT COST S operational expenses personnel costs

GENER AL M ANAGE MENT office rent, general expenses and communication personnel costs

FUNDR AISING COST S personnel costs operational expenses sales material purchases


On the revenue side, we see that the fundraising has been lower than in 2014. This is due to the absence of major relief campaigns in 2015. Nevertheless, we are quite satisfied with the fundraising. Thanks to the growing number of ‘allies’ who


420.732 23%

454.432 24%





87.267 5%

117.046 6%





183.921 10% 83.387

164.970 9% 49.328






1.30 0.616 70% 991.851



493 115.142






229.266 12%

271.881 15%



contributions from 11.11.11



contributions from CNCD






32.817 8.122

(Umbrella of Francophone and Germanspeaking Belgian NGOs and associations)



60.499 3%

74.867 4%

expense recovery



miscellaneous income (interest,...)




exceptional income




contributions from other associations

contributions from member organisation PHM (People’s Health Movement)

35.489 2%

1.311.802 71%


National Lottery subsidies for personnel

260.269 14%




support us with a monthly gift, we have a stable base that we can count on in the future. This is important because we are largely dependent on subsidies, which are coming under scrutiny in the current austerity climate.



Finally we close the year with a negative balance of €43,000. In and by itself this is not alarming given that we have ended the last three years with a surplus. The deficit can hence easily be funded from our reserves.



Our organisation Gender We want to promote respect for gender differences and equality between men and women in all our activities and actions. In 2015 we scrutinised TWHA’s gender policy by means of a survey and a team workshop. During this first phase, we have examined how we can improve our organisation, and what are the best practices we want to preserve and strengthen. In 2016, we want to investigate how we deal with gender in our activities in Belgium (in our communication, trainings, campaigns, meetings,...).

TWHA team



Board of Directors

4 in 2014

5 1


General Assembly



Environment and social impact In order to keep our environmental impact as small as possible, TWHA has a conscious policy on: Transport: use of public transport is encouraged. The environmental impact of our office, we try to reduce energy consumption. Waste management in our activities: where possible we try to avoid waste and use recycled materials.

Volunteers in action at the summer festivals.

Airline travel: we try to limit the number of flights by combining activities and justifying each trip. When possible, we opt for an affordable alternative.

Nutrition: during activities where possible we use organic and local food. We see this as an opportunity to raise awareness on the environmental impact of food. During ManiFiesta, the solidarity festival, for the second year in a row we made use of reusable cups significantly reducing waste. The investment in reusable cups was spread over several years, committing ourselves to continuing to take care of this aspect of the festival. In order to minimise the social impact of our operations, we avoid products or services from companies known for their antisocial conduct vis-Ă -vis their personnel or who disregard human rights. We encourage staff to actively participate in major trade union demonstrations.



On 31 December 2015 there were 20 paid staff (17,1 FTE) at TWHA. Our organisation uses the same salary scale for all of its employees (b1c of PC 329). We can also count on the support of regular volunteers both at the office and in the field.

The TWHA team can count on these fantastic employees Afef Hammami, finance assistant Alexia Fouarge, policy and movement officer André Crespin, policy and movement coordinator Anne Denis, policy officer Anne-Laure Roussot, secretarial officer Anuschka Mahieu, secretarial coordinator Benoît Capiau, finance officer Chiara Bodini, partnership officer Delphine Van Belleghem, communication and programme management officer Fanny Polet, programme management officer Fiona Ben Chekroun, programme management officer Gaëlle Fonteyne, partnership officer in the Democratic Republic of Congo Géraldine Malaise, partnership coordinator Gina Mujinga Mpoji, finance officer Hans Schaap, partnership officer in the Philippines Julie Steendam, policy officer Lena Van der Bruggen, communication and fundraising officer Tom Buytaert, IT and finance officer Wim De Ceukelaire, director Rein van Gisteren reinforced the TWHA team for a few months during Fanny’s and Delphine’s maternity leave. Thank you for your support, Rein!

TWHA Board of Directors Pol De Vos ( chairperson ) Bert De Belder Bogdan Van doninck Dirk Rooman Els Van der Sypt Gill Boeckmans Irina Meeusen Isabelle Vanbrabant Wim De Ceukelaire


TWHA TWHA is a member of 11.11.11 (the Flemish North-South movement’s umbrella organization) CNCD -11.11.11 (Centre national de coopération au développement – National Centre for Cooperation and Development) ACODEV (Fédération des ONG de coopération au développement – Federation of Cooperation and Development NGOs) ngo-federatie (Flemish Federation of Cooperation and Development NGOs) Association pour une Ethique dans les Récoltes de Fonds (VEF-AERF) – Association for Ethical Fundraising Be-cause health (Plate-forme belge pour la santé international – Belgian Platform for International Health) European Coordination of Committees and Associations for Palestine (ECCP) Plate-forme d’action Santé et Solidarité (Platform for Action on Health and Solidarity) Coalition pour le climat (Climate Coalition) People’s Health Movement “Stop the Killings” platform

TWHA has been granted following quality label: C2E (Committed to Excellence) – Quality awarded after evaluation by an assessor of the ACODEV federation. TWHA has endorsed following deontological codes: Ethics in Fundraising Code of Conduct – The Ethics in Fundraising Union’s label acknowledges that Third World Health Aid respects this organization’s ethical code of conduct. Charter on the recruitment and the media to the development of Health Human Resources in the partner countries - The voluntary code of conduct regarding staff of the working group Human Resources for Health of Be-cause Health. TWHA is recognized by the Belgian federal authorities as an NGO programme and is authorized to issue tax certificates. In addition to our donors, volunteers and supporters, we thank the authorities, federations and organizations that co-finance our operations: Directorate General for Development Cooperation of the Ministry of Foreign Affairs, Foreign Trade and Development Cooperation 11.11.11, the Flemish North-South movement’s umbrella organization CNCD-11.11.11 International Development Research Centre Medico International Wallonie-Bruxelles International Flemish Partnership Water for Development The Province of East Flanders The Province of Antwerp Peterschap Palestijnse Kinderen Cities and municipalities: Ypres, Lommel, Zoersel and Lille Ello Mobile

Contact TWHA (Third World Health Aid) Chaussée de Haecht 53, 1210 Brussels Tel: 02 209 23 65 Fax: 02 209 23 51 E-mail:

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