In brief 2014 Médecins du Monde

in brief Doctors of the World 2014 Edition

Also cares for injustice

a word from our chair Dr Thierry Brigaud © Nicolas Moulard

Chair, Doctors of the World France

Describing Doctors of the World’s activities for the 2014 annual report is like making a list of the world’s problems and how they have evolved.

The multiplication of humanitarian crises and the ongoing economic crisis in Europe have meant continued growth in our humanitarian operations.

This growth is necessary but only possible thanks to the unfailing support of our individual donors and successful grant applications to institutional funders. Our donors know and recognise the quality of MdM’s work on the ground as well as the resilience and relevance of its associative model. This will enable Doctors of the World to continually adapt to global turmoil and open new programmes in countries faced with major public health crises or war.

In December, Doctors of the World presented a budget for 2015 showing growth for the third year running. We need it to be able to intervene in the ever expanding list of grey zones. When states crumble so does the law and a climate of violence reigns. The health of the most vulnerable is merely seen as insignificant, collateral damage. This increase in resources creates the right environment for our staff to deal with the expansion of activities. It also allows for more investment to rally new donors in France and across Europe.

We are faced with the pressing challenge of giving more meaning to our work, more power to our testimony, and greater emphasis on our solidarity.

By stabilising its social mission and redrafting its plan, Doctors of the World’s associative model demonstrates its vitality and robustness.

By facilitating this model and ensuring we stay close to beneficiaries in project planning, tomorrow we can help to build the right to health.

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2014 in brief

our identity Providing care and bearing witness

As an international humanitarian organisation, Doctors of the World/Médecins du Monde (MdM) provides care to the most vulnerable populations, including victims of armed conflict or natural disasters and those whom the world gradually forgets. MdM’s work depends on the commitment of volunteers, logisticians, doctors, nurses, midwives...

As an independent organisation, Doctors of the World goes further than providing healthcare. We draw attention to human rights violations and fight to improve the situation of populations.

key figures €77.9M

total MDM FRANCE BUDGET

At home and abroad

Doctors of the World works all over the world: internationally in more than 40 countries, but also in France.

81%

other 4%

2%

operating costs

42%

fundraising

social programmes

52%

expenditure

private grants and sponsorship

institutional grants

public generosity

INCOME

For today and tomorrow

As well as emergency response projects, Doctors of the World runs long-term development programmes.

We extend our activities beyond crises to support reconstruction efforts within each country. In the field, training for medical teams and links with local partners guarantee the sustainability of these projects in the long term.

13%

6%

All the information in this document is from the 2014 annual and financial reports, which are on our website: www.medecindumonde.org, or are available on request.

MDM FRANCE human resources

» 2,000 volunteers

» 90

xpatriates, including e 20 volunteers

» 1,390 national employees » 300 employees (HQ and France) Iraq © Guillaume Pinon

2014 in brief

3

PRIORITY THEMES Doctors of the World is an NGO that supports social change. It acts in emergencies, but also creates long-term programmes.

Over and above ensuring access to care for the most vulnerable, MdM has identified four priorities for its work in the field: crises and conflicts, sexual and reproductive health, harm reduction and migrants.

Haiti © Benoît Guénot

4

Crises and conflicts

Sexual and reproductive health

A conflict or a natural disaster leads to an interruption in access to care. In order to respond to the immediate health needs of those affected, Doctors of the World swiftly sends emergency teams and supplies to the field. Our actions are planned in partnership with civil society and health ministries, and if there are already colleagues present in the country working on long-term projects they are called on for support. Emergency programmes generally include support for the health system and reconstruction when needed, long after media interest has faded.

The organisation has a joint committee (the CUI). This group ensures a swift response, acting as a short cut to bring together six people to agree on intervention and activate a group entitled ERUC, which brings members together to reflect on emergencies and crises, meeting regularly to discuss cross-cutting issues. In 2014, Doctors of the World responded to typhoon Haiyan in the Philippines, floods in Bosnia-Herzegovina, displaced populations in Iraq, Gaza bombings, crises in Syria and Central Africa, and the fight against the Ebola epidemic in West Africa.

Sexual and reproductive health (SRH) covers various aspects of women’s and couples’ health: maternal and child health; prevention and management of unwanted pregnancies; the fight against sexually transmitted diseases; responses to gender-based violence, etc. The organisation runs more than 25 MdM projects on this theme. The organisation is keen to increase its focus in order to give women control over their choices and free access to quality sexual and reproductive health services.

In this context, MdM adopted a multi-year strategy in 2014 and reaffirmed its intention to promote sexual and reproductive rights of women and girls, reduce gender inequalities and promote universal access to SRH services. Our focus has been on prevention and care for unwanted pregnancies (contraception and termination of pregnancy), mainly in Latin America and the Caribbean and, most recently, in French speaking Africa. Work has also begun on strengthening our capacity to respond to violence carried out in the conflict zones where we work.

2014 In brief

Migrants

Harm reduction

For almost 30 years MdM has been working with migrants in France, Europe and, most recently, in Africa and the Middle east with the aim of assessing and testifying on the negative impact of European policies on the health of migrants.

To do this, Doctors of the World has developed a number of projects, mobilised primary healthcare centres and outreach teams that reach out to migrants where they are living, and specific projects that take account of mental suffering and post-traumatic stress.

The projects offer a place to rest, talk, the chance of a therapeutic break, holistic care and welfare guidance. They also provide an opportunity to bear witness to the diversity of migrant journeys as well as the main obstacles encountered.

For many years, Doctors of the World has worked with populations at risk, including people who use drugs and sex workers. Subject to discrimination, marginalisation and criminalisation, these people are exposed to numerous risks, including disease, violence and police harassment. Since 1989, to meet these challenges, MdM has run harm reduction programmes, related on the one hand to the use of psychoactive substances and on the other to sexual practices, providing medical, psychosocial and community responses.

In this context, for the past four years MdM has been developing a cross-cutting programme to improve the quality and visibility of harm reduction projects and to strengthen the involvement of beneficiaries, civil society and the authorities, with social change as the ultimate goal. The priorities are to promote harm reduction in Africa, where services are virtually non-existent, and to increase advocacy for access to diagnosis and treatment of hepatitis C.

Calais Š Sarah Alacalay

2014 in brief

5

advocacy campaigns Doctors of the World has led major advocacy and communication campaigns to ensure the voices of those marginalised by exclusion or by poverty are heard and their human rights are upheld. Whether by campaigning on access to care for all, promotion of sexual and reproductive health, or harm reduction policies, the organisation was more active than ever in 2014.

» France

Face up to poverty Guided by data gathered in its reports on access to rights and healthcare, Doctors of the World maintains its commitment to promoting vulnerable people’s rights. On 17 October, International Day for the Eradication of Poverty, the organisation held a major exhibition in Paris. In the Hotel de Ville square, 12 portraits of ‘heroic figures’ taken by photographer Denis Rouvre were displayed on a series of totems, inviting the public to look poverty in the face, in order to better fight it.

© Denis Rouvre

» France

Doctors of the World also cares for injustice Doctors of the World’s 2014 year end campaign spoke out against the injustice that deprives one in five people in the world of healthcare, and limits access for one in six people in France. Conceived with the support of three great figures from the French music scene — Maxime Le Forestier, the group IAM and Serge Gainsbourg’s estate — a series of posters, films and radio advertisements use words from popular songs set against the backdrop of the harsh reality of poverty. © DR/MdM

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2014 In brief

Amongst the faces Imre, Armelle, Najat, Marco, Jean-Michel and Constantin agreed to be the ambassadors of all those who share their fate. Each illustrates both a personal journey and a flaw in our healthcare system and access to care. Here, absence of healthcare coverage and delays in care for migrants, asylum seekers and homeless people. There, the loneliness of foreign minors or the high rates of mental health problems and hepatitis amongst vulnerable people.

» Hepatitis c

Pills cost nothing, profits cost lives Following the campaign launched by MdM in 2013, WHO adopted a resolution in 2014 on viral hepatitis and directives for testing and treatment of people with hepatitis C (HCV).

At the same time, new, more effective and better tolerated medicines have arrived on the market. But their price is exorbitant.

MdM defended universal access to treatments against hepatitis C by publishing a report on strategies to put in place and by co-hosting the first international meeting of

the community-based consultation group on hepatitis C during which civil society groups met pharmaceutical industry representatives to discuss access to treatment.

In 2014, MdM also published a report on the importance of integrating drug users into HCV treatment programmes. For more than 20 years, MdM has been developing a harm reduction approach among people who use drugs and sex workers.

© DR/MdM

» Sexual and reproductive health

Names Not Numbers: for the right to abortion

© DR/MdM

Globally, there are 80 million unwanted pregnancies every year and close to 22 million unsafe abortions. These risky abortions are one of the main causes of maternal mortality. Close to 50,000 women die every year.

In 2014, ahead of the Cairo+20 meeting focusing on health and sexual and reproductive rights to empower women and girls, MdM ran a campaign on prevention and access to care for unwanted pregnancies. A campaign entitled Names not Numbers was launched on 8 March, calling for the public to get involved through a dedicated website or by joining in events organised in four towns in Europe and in New York.

20,000 people signed a petition for women’s right to choose whether or not to have children. It was sent to United Nations General Secretary Ban Ki-Moon, who backs the protection of women who choose to have an abortion. Following Doctors of the World’s appeal, 416 doctors also signed a manifesto calling for the worldwide right to abortion, published in Le Nouvel Observateur.

At the same time, a constructive dialogue was developed with key French stakeholders involved in healthcare and sexual and reproductive rights, good relationships were established with ministries and technical advisors and the integration of MdM’s key messages in official communication documents.

2014 in brief

7

international programmes The year 2014 was beset by natural disasters, linked to climate change, and by armed conflict. In every country where we operated – in Bosnia, Palestine and in Syria where working conditions continue to deteriorate – Doctors of the World has endeavoured to remain true to its values.

To promote access to healthcare for vulnerable populations

This is our primary aim. It is absolutely crucial in emergency situations and it is fundamental to our development programmes. However, the security situation in the countries where we operate is often unstable and the way we work varies. Thus, in the Gaza Strip, during operation ‘Protective Edge’, as soon as it was possible to move around, we deployed mobile teams to reach the civilian population. When there were floods in Bosnia, we were able to work with the support of the civil protection service. Thanks to long standing and reliable partnerships, we were able to develop our project in Iraq, working with displaced populations. In Syria, we have continued to provide medicines and medical equipment for the civilian population with the support of medical solidarity networks within the country.

Develop people’s capacity to take action

We were taken by surprise by the rapid spread of the haemorrhagic fever epidemic due to the Ebola virus. Overwhelmed by the outbreak of this disease and by the heavy toll paid by health personnel, the health systems had difficulty in dealing 8

2014 In brief

with the epidemic. Doctors of the World opted for a community approach and for strengthening the health system to enable populations to cope.

Mexico

Encourage a joint approach to common causes

The development of cross-cutting approaches (over several countries) in sexual and reproductive health and harm reduction has allowed us to forge partnerships and to develop advocacy organisations in civil society, which, working shoulder to shoulder with us, form a legitimate lobbying voice.

In Latin America, for example, under the auspices of our regional programme on unwanted pregnancies, we rely on locally obtained results to enhance healthcare delivery, to improve population information and to support regional and national advocacy.

Political and financial independence

Increasingly, Doctors of the World’s work takes place in crisis situations. The public are less generous when faced with these events than in the case of large-scale natural disasters. So, it is institutional donors (ECHO, British and German government aid, etc.) who put their trust in us when there are these ‘forgotten’ crises.

Because of the growing number of operations, however, and our launch of more needs assessments abroad, we really must endeavour to diversify our funding sources so that we are able to maintain our independence.

Commitment and activism

Our positioning vis-a-vis the anti-immigration policies of countries in the northern hemisphere is more valid than ever. Doctors of the World’s international network has been approached to work on a project in the Mediterranean to bear witness to the inhumane conditions of migrant crossings.

In the countries where Doctors of the World has chosen to come to the aid of vulnerable populations, adaptability is an important factor. We must remember to retain this strength when the time comes to write our strategic plan.

Russia

Moldova Bosnia Romania Bulgaria

Georgia

Turkey Turkey

Syria

Lebanon Tunisia Palestine Algeria

Iraq

Egypt

Jordan

Pakistan

Nepal India

Mali

Niger

Haiti

Guinea Colombia

Burkina Faso

Liberia

Chad CAR

Burma

Laos Laos

Philippines

Ethiopia Somalia

Rwanda Kenya

Côte d'Ivoire

DRC Tanzania

Peru Madagascar

Uruguay

Long-term programme (one colour for each region) Emergency programme

» 66 programmes » 40 countries 4,100,000 beneficiaries of our programmes

geographical breakdown of programmes

28 Africa............................... in 14 countries 13 North Africa and Middle East................ in 9 countries 8 Latin America and the Caribbean........... in 5 countries 17 Eurasia............................. in 12 countries

2014 in brief

9

programmes in France Three million people suffer from poverty in France, representing 14.3% of the general population.1 Since 2008, the number of vulnerable people continues to rise and social inequalities in health keep widening. In such circumstances, MdM programmes which cater for the most vulnerable (e.g., rough sleepers, squatters or shantytown inhabitants, sex workers, people who use drugs, migrants in transit‌) have seen increasing numbers in the last few years with a significant increase in the number of unaccompanied minors.

Fighting social exclusion and discrimination

In most cases, service users face multiple financial problems and poor housing conditions and 80% of households are food insecure due to a lack of income.2 The most vulnerable groups struggle more and more to access healthcare. With other organisations, MdM denounces the complexity of the system which is further impaired by regular abusive practices or dysfunctional bureaucracy which generate delays (36%) in accessing healthcare or can even prevent people from seeking care at all (20%) among people who came to our clinics. These indicators demonstrate a worsening in access to healthcare for the most vulnerable groups.

In 2014, vulnerable migrants, who represent the majority of the MdM service users, were still victims of a repressive immigration policy which aims to push them out of the French territory, at the cost of risking their lives or discriminating against certain communities. Migrants in transit on the Nord-Pas-de-Calais coast, irregular migrants in Mayotte or vulnerable Roma migrants experience serious oppression 10

2014 In brief

which impacts badly on their living conditions and access to healthcare.

The Pluriannual Plan against Poverty and for the Promotion of Social Inclusion, officially passed in January 2013, demonstrates a political will to fight social and geographic inequalities in health. However, the concrete impact of such measures is taking a long time to manifest and remains inadequate. For example, although the threshold of the complementary Universal Health Insurance (CMU-c) has been slightly raised, it still excludes many of those living below the poverty line.

Protection and housing

As far as housing is concerned, the government has promised, among other things, to abolish seasonal accommodation arrangements. This measure, however, has not yet been translated into concrete action in some regions. Once again, MdM calls on the government to urgently abolish the seasonal management of housing and to provide enough adequate, longterm, concrete and innovative solutions to housing for rough sleepers. Further-

more, the policy of shantytown reduction announced in early 2014 must respect the wishes of the people living in them.

At a time when the right to asylum is under discussion, MdM, with other organisations, is calling for a policy change away from an approach based on control and oppression towards one based on protection, complying with international law and disregarding the concerns of immigration management.

It is also particularly urgent and necessary to re-instate both elements of the protection of seriously ill migrants: non-deportation and a right to remain when the necessary treatment for their condition is not appropriately accessible in their country of origin.

Mobilising for better legislation in 2015

The April 2015 public debate in the French National Assembly presented an opportunity for MdM to develop its advocacy on the need for more effective action to tackle health inequalities given the inadequate content of the bill.

Despite certain measures, like the widening of the third-party payment or trials for low-

UNITED KINGDOM

71 programmes in » 33 towns » 120 employees » 2,000 volunteers »

Nord-Pasde-Calais

Rouen

BELGIUM

Dunkirk

Calais

Hénin-Beaumont Valenciennes

GERMANY LUX.

Saint-Denis

Le Havre

Metz

Normandy Colombes Île-deFrance

Lorraine

Paris

Strasbourg

Nancy Alsace FrancheComté

Pays de la Loire Angers

Besançon

Nantes

SWITZERLAND

Poitiers

Projects in rural areas, on the streets, in shantytowns, with migrants...

PoitouCharentes

Healthcare Referral and Advice Centres

Angoulême

Paediatric care centre

1. INSEE. Les revenus et le patrimoine des ménages.

2014, 136 pages 2. MdM. L’alimentation des personnes en situation de grande précarité en France: quel impact sur leur état de santé. June 2014.

ITALY

Grenoble

Buddying of children in hospital

risk drug consumption rooms, the draft law does not go far enough to streamline bureaucratic processes to access healthcare (e.g., no proposal to merge the State Medical Aid (AME) and the complementary Universal Health Insurance CMU-c). Nor does it provide enough safeguards to protect current healthcare services (mother and child protection, health centres, healthcare access offices) which face many difficulties and are, in some cases, under threat. With the arrival of prohibitively expensive treatments, it is also urgent and necessary that we have a public debate about price fixing and transparent mechanisms to ensure the principles of a health democracy are respected.

MdM wants the bill to better reflect the objectives set in the national health strategy and to take this opportunity to strengthen the fight against health inequalities.

Rhônes-Alpes, Bourgogne, Auvergne Combrailles Lyon

Bordeaux

Sex worker projects Aquitaine

Projects with people who use drugs Project with prisoners

MidiPyrénées

ProvenceAlpesCôte d’Azur

Languedoc-

Nice

Toulouse

Bayonne Pau

Outreach projects

Montpellier

Projects in MdM premises

Aix-en-Provence Corsica Marseille

SPAIN

Ajaccio

Saint-Denis Mayotte Reunion

Cayenne

Mamoudzou SURINA AM

Saint-Pierre

Guiana BRAZIL

20

healthcare, referral and advice clinics

40,790 medical consultations1

1. Excluding the clinic in Ajaccio where no data were available for 2014.

2014 in brief

11

Jordan Š Thierry du Bois

Doctors of the world’s economic model Public generosity is essential to Doctors of the World’s economic model

The income and expenditure account highlights the organisation’s macroeconomic model.

Doctors of the World is a medical humanitarian NGO which runs healthcare and advocacy programmes in France and overseas. Depending on the context, particularly in armed conflict situations or during major natural disasters, these programmes require considerable financial resources.

The majority of MdM’s income is raised from the general public, through donations and legacies totalling €38.9M, and in the form of our volunteers’ efforts and gifts-inkind valued at €6.1M in 2014.

In order to have greater impact in our work with vulnerable populations, to ensure long-term sustainability of our work and to be able to carry out a large number of programmes, MdM also seeks grants from institutional or private funders.

Donations contribute to programme coordination, enabling us to ensure the quality and effectiveness of MdM’s work.

The income and expenditure account shows that, not only do donations from the general public directly finance our operations, they also have a multiplier effect by complementing institutional funding and in this way fund more numerous and largerscale programmes.

2014 in brief

13

doctors of the world’s financial management principles Rigorous management and transparency

MdM is approved by the Comité de la charte (the Charter Committee on Donating with Confidence) and is particularly committed to following the charter’s principles, including rigorous management and financial transparency.

Controls by external organisations

MdM is subjected to control by the Cour des Comptes (French public finance court) and the organisation’s accounts are certified by an auditor, Deloitte. Detailed audits are carried out by French, European and international institutional donors (such as ECHO, the European Commission’s humanitarian agency) or the United Nations.

The donors’ committee

MdM relies on an independent donors’ committee, which regularly analyses and examines the organisation’s work.

Financial scope

The financial results of MdM France include transfers to and from the other organisations in the Doctors of the World network, where MdM France has oversight in relation to those transfers: MdM Belgium, MdM Canada, MdM Germany, MdM Greece, MdM Japan, MdM Netherlands, MdM Spain, MdM Sweden, MdM United Kingdom and MdM United States.

A detailed financial report is available from our website: www.medecinsdumonde.org.

Haiti © Benoît Guénot

Pooling donations: a fundamental principle MdM has always adhered to the principle that it does not allocate donations to specific projects, unless specifically requested by the donor, but rather pools all donations received. This policy allows us to intervene according to real needs on the ground, without being influenced by financial considerations or extensive media coverage of individual emergency situations. We regularly remind our donors, and all those who support our work, that we pool donations in this way.

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2014 In brief

2014 balance sheet Assets fixed assets

net 2014

net 2013

5 285 478

4 889 901

268 444

138 178

receivables

25 974 328

12 691 529

cash

22 297 356

22 860 439

711 751

700 371

stocks

pre-paid expenses

Total assets

equity and liabilities

54 537 357 41 280 418

2014

2013

equity

15 699 793

18 645 117

PROVISIONS FOR LIABILITIES & CHARGES

1 049 247

673 557

227 745

276 416

15 493 188

10 596 408

22 067 384

11 088 920

54 537 357

41 280 418

DESIGNATED FUNDS DEBTS DEFERRED INCOMe

TOTAL EQUITY & LIABILITIES

This represents 2.4 months of operating costs, thus ensuring our autonomy and our financial independence.

» 2014 BALANCE SHEET ANALYSIS The balance sheet shows an overview of our financial position on 31 December 2014. The changes from one year to the next reflect the changes in our activities in 2014.

The current assets (stocks, creditors/receivables and cash) of €49M is significantly higher than the liabilities (short term debts) of €15M, showing that the organisation carries out its work with a view to sustainability and quality.

The cash available (€22M), related to the differences in timing of collection and payments, allows us to make short term investments. Our investment policy favours monetary investments (short term deposits, SICAV/FCP) which are among the most secure assets on the market.

Taking the 2014 deficit (€2.9M) into account, the organisation’s equity on 31 December corresponds to about 2.4 months of activity.

2014 in brief

15

annual income and expenditure account

» Expenditure 2014 Expenditure Allocation of funds raised from the general public

SOCIAL programmes

62 411 144

28 373 788

10 201 103

9 728 787

operating costs

4 366 787

3 350 564

Fundraising

I - TOTAL EXPENDITURE RECORDED IN THE PROFIT AND LOSS ACCOUNT

76 979 034

II - charges to PROVISIONS

673 497

III - outstanding commitments on allocated funding

227 745

IV - surplus general TOTAL

77 880 276 41 453 139

in kind contributions social programmes

For 1 euro invested in fundraising, nearly 4 euros were collected in 2014 from public generosity.

6 076 151

Fundraising operating costs TOTAL

2014 expenditure ratios The ratios are calculated on the basis of a sub-total of expenditure recorded in the profit and loss account (Total I) from the annual expenditure account.

16

2014 In brief

6 076 151

Social programmes These have reached €62M and represent 81% of expenditure, a ratio which is better than in the previous year (79% in 2013). The social programmes budget line encompasses all our programmes in France and overseas, Head Office departments linked to programme co-ordination and expenses linked to communication and advocacy.

Fundraising costs These costs represent 13% of expenditure, equivalent to €10M, and have slightly increased. In fact, the organisation has invested in order to seek growth in income from the general public, foundations, businesses and public institutions. Such investment also enables us to maintain our financial independence.

Operating costs These represent 6% of expenditure in 2014, at €4.4M. Operating costs include expenditure linked to the administrative and legal division, the finance division (comprising IT, accounts payable and cash), personnel administration and general services.

» Income 2014 Income

income collected from the general public unallocated and unused at the start of the financial year

INCOME RAISED FROM THE GENERAL PUBLIC

38 856 282

OTHER PRIVATE INCOME

2 834 580

GRANTS AND OTHER INSTITUTIONAL FUNDING

31 562 518

OTHER INCOME

Follow up of funds raised from the public 7 640 323 38 856 282

1 128 796

I - TOTAL INCOME FOR THE FINANCIAL YEAR RECORDED IN the profit AND LOSS ACCOUNT II - REVERSALS OF PROVISIONS

74 382 176 297 807

III - C ARRY FORWARD OF ALLOCATED INCOME NOT USED IN PREVIOUS YEARS

276 416

IV - C HANGES IN DEDICATED FUNDS RAISED FROM GENERAL PUBLIC (See dedicated funding table) V - deficit for the financial year TOTAL (I+II+III+IV+V)

- 136 023 2 923 877 77 880 276

38 720 259

Total expenditure financed by funds raised from the general public

41 453 139

ALANCE OF UNALLOCATED FUNDS RAISED FROM THE B general PUBLIC AND NOT USED AT THE END OF THE YEAR

4 907 443

In kind contributions Doctors of the World benefited from in-kind contributions worth €6.1M in 2014, mainly in the form of volunteers’ work on national programmes (€4.9M).

Our work depends on 2,000 volunteers on our national programmes. A software tool has enabled us to collect data on the number of hours of voluntary work declared. These are valued using the MdM salary scale.

Gifts or services in kind (€0.6M in 2014) are added to the hours of voluntary work and the contributions of volunteers working on international programmes (€0.6M in 2014).

These are calculated as follows: each volunteer ‘s professional profile is combined with a role at Doctors of the World in order to be able to calculate a theoretical salary level, according to the internal salary scales. The amount of allowances and in-kind benefits given to volunteers are then deducted from the theoretical salary level.

100% of donations received in 2014 were used during the year.

in kind contributions voluntary work (on national programmes)

4 892 151

gifts in kind

593 000

voluntary work (on international programmes)

591 000

TOTAL

6 076 151

MdM depends on the commitment of 2,000 volunteers to carry out its work and advocacy activities.

To fund its work MdM depends on: Public generosity In 2014, income collected from the general public represented 52% of MdM’s income at €38.9M. In France, donations reached €34.3M. Legacies and other gifts totalled €3.5M. Donors from the MdM international network contributed €1M to Doctors of the World France projects.

Other private funds Public institutional grants These represent 4% of income, coming These represent 42% of income. MdM from associations, foundations or pri- has a variety of funders in France vate businesses. and internationally (mainly the French Development Agency, humanitarian aid from the European Union through ECHO or the EU development agency, DFID, German ministry of foreign affairs, regional and district councils, United Nations and the Global Fund to Fight Aids, Tuberculosis and Malaria, etc.).

2014 in brief

17

the international network In 2014, Doctors of the World’s international network mobilised as one to fight the Ebola epidemic, help Syrian populations, confirm women’s right to choose freely what to do with their bodies and continue its European project on access to healthcare.

Argentina | Belgium | Canada | France | Germany | Greece | Japan | Luxembourg | Netherlands | Portugal | Spain | Sweden | Switzerland | United States | United Kingdom

A strong response to the Ebola crisis

The Doctors of the World network faced a major humanitarian crisis with the Ebola epidemic in West Africa. Due to our longterm presence in Liberia and Sierra Leone, the organisation was able to act quickly on the ground by training health professionals and providing information to communities.

The teams of MdM France and MdM Spain, backed by MdM UK, tackled urgent needs in a high-risk environment.

Supporting Syrian refugees and displaced persons

For the third consecutive year the Doctors of the World’s network supported millions of refugees fleeing the Syrian conflict. Most of our help was provided at Syria’s borders with Lebanon, Jordan and Turkey. Doctors of the World also supports the activities of doctors in Syria by sending them supplies and providing training.

The Syrian conflict also affects Europe where tens of thousands of victims seek refuge.

Doctors of the World calls on European governments to take in these victims.

Campaign for women’s right to decide whether and when they want a child

Every year, 250,000 women die from complications related to pregnancy and another

18

2014 In brief

50,000 die from unsafe abortions. In response to this intolerable situation, the Doctors of the World network ran an advocacy campaign during the global Cairo+20 summit. Before the summit, street demonstrations were carried out in Paris, London, Amsterdam and New York to raise awareness about women’s right to choose freely.

The campaign, called Names not Numbers, demonstrated that behind the statistics there are women, and that each of them has a life, a story, a freedom of choice which was trampled.

The international network’s European project

Since 2004, Doctors of the World’s international network has been working on a joint project which was started in order to protect seriously ill migrants unable to access healthcare in their country of origin. In addition, the project also carries out routine and specific surveys to bear witness to barriers to access healthcare and to the health conditions suffered by those who visit our national programmes on a daily basis. We call this project the international network’s Observatory on access to healthcare.

In 2014, during the network annual meeting held in Madrid, the organisation star-

ted a discussion to define a shared vision, mission statement and common values.

Following up on this, the network members will spend a few months in 2015 to develop a common strategic plan, in order to increase the impact of our actions.

MdM international network budget:

€135M

(including the €77.9M MdM France budget)

In 2014,

the 14,177 people involved in the Doctors of the World international network implemented:

» 355

programmes in...

» 82

countries

Greece Š Giorgos Moutafis

62 rue Marcadet 75018 Paris Tel. +33 (0)1 44 92 15 15 Fax. +33 (0)1 44 92 99 99 www.medecinsdumonde.org

© Corentin Fohlen

Publication: Médecins du Monde - June 2015 /Cover photo: Corentin Fohlen / Graphic Design: Aurore Voet

Médecins du Monde