2005 ANNUAL REPORT

2005
ANNUAL
REPORT
our mission our goals
Every child has the right to a healthy and loving life. Friends Without
A Border is committed to improving the health and well being of the
children of Cambodia through Angkor Hospital for Children (AHC) and
the Capacity Building and Health Education Program (CBHEP).
The mission of Angkor Hospital for Children is to provide nurturing
pediatric care, medical education and community outreach.
The Capacity Building and Health Education Program seeks to improve
the health, hygiene and nutrition of local communities.
2005
T
here have been clear benchmarks along the ten-year history of
professionals, mothers, fathers, administrators, travelers and students.
Friends Without A Border (Friends). The opening of Angkor Hospital
We are Friends, without a border.
for Children in 1999, the birth of the Capacity Building and Health
Education Program in 2001, and the opening of the Medical Education
Center in 2004 are among them. However, each year in-turn has seemed
monumental; 2005 was no exception.
2005 brought many tangible successes. Nearly 70,000 children received
treatment, AHC was recognized as an official teaching hospital and a new
50-year commitment to our project was signed with the Cambodian Ministry
of Health.
2005 brought something less quantifiable as well. We enjoyed a new energy
among the Board of Directors, an increasing sense of ownership amongst
AHC’s almost entirely Cambodian staff, an excitement filling the air at our
events. Friends is stronger, changing, growing. A decade has passed
since Friends was born and we are different, certainly, better equipped to
face the challenges of the decades ahead. But we are also very much the
same. We are a group of people who believe that every child has the
right to a healthy and happy life. We are doctors, nurses, teachers, artists,
Over 1,000
69,571
2,300
2,168
967
HEALTHCARE WORKERS TRAINED
CHILDREN TREATED
INPATIENT ADMISSIONS
HOME CARE VISITS MADE
SURGERIES PERFORMED
Provide high quality medical care for children in a warm, supportive
environment.
Support continuing education of health care professionals throughout
Cambodia so that they will become the clinicians and educators of
the future.
Improve the health, nutrition and hygiene of local communities through
outreach programs and homecare.
Stimulate research to develop sound health care practices appropriate
for local conditions.
introduction
and history
A
cclaimed photographer Kenro Izu first visited Cambodia in 1993.
The commitment of Friends to Cambodia does not stop at the hospital
His initial goal was to capture images conveying the magnificent
doors. Patient family education, mobile clinics, homecare services and the
stories behind the monuments of Angkor Wat. He returned from
Capacity Building and Health Education Program (CBHEP) work directly
Cambodia with both breathtaking photographs and a firm resolve to in
in Cambodian communities. CBHEP, begun in 2001, is a unique program
someway help the throngs of poor, ill and malnourished children he encoun-
aiming to improve health, hygiene, nutrition and access to healthcare
tered. In 1995 Izu founded Friends Without A Border and four years later
village by village. Through its Home Care Services Program, AHC is the only
Angkor Hospital for Children (AHC) opened its doors. Today AHC is a full
facility outside of Phnom Penh offering antiretroviral treatment to children
service pediatric hospital providing free and immediate medical assistance
with HIV/AIDS.
to the underserved population of Siem Reap, Cambodia.
Kenro Izu started something amazing ten years ago. The impact of Friends,
Since inception, more than 300,000 children have been treated at AHC.
AHC and CBHEP can be seen on the priceless, smiling faces of more and
AHC is also an officially recognized pediatric teaching hospital training
more children and parents in Cambodia. With your continuing support we
thousands of Cambodian healthcare workers each year. By rebuilding the
can continue to battle Cambodia’s poverty, disease and lack of services.
medical infrastructure destroyed during Cambodia’s violent past, the AHC
Though a tremendous amount of work lies ahead, each day we move closer
Medical Education Center strives to make a national impact, improving the
to our goal of a healthy and bright future for Cambodia’s children.
health of children throughout Cambodia.
1
ABOUT
CAMBODIA
LETTERS
Kenro Izu
FROM FOUNDER AND PRESIDENT,
I am happy to see the recent growth of Cambodia. Influenced by a stable government after so many years of turmoil, turmoil that destroyed
the social fabric of this beautiful country, Cambodia has begun to flourish. However, with the drastic growth of tourism in Siem Reap,
centered on its famous Angkor Wat Temples and other tourist destinations, the local cost of living and especially land values have soared.
I have been saddened to see some organizations and public institutions move from central locations in the city, only to be replaced by hotels
and tourist businesses.
With this trend and the end of our initial 10-year contract with the Ministry of Health approaching in 2007, rumors of reallocating AHC’s land
to the tourism industry became a serious concern to all of us at Friends Without A Border and Angkor Hospital for Children.
Following AHC’s recognition as an official teaching hospital by the Ministry of Health in November 2005, delegates from the hospital and
I appealed to Prime Minister Hun Sen for a secure, long-term commitment of AHC’s land. Recognizing the importance of AHC and our
numerous activities, as well as plans for future expansion, we were granted fifty years occupancy of the current site by the Prime Minister
Between 1990 and 2004 the infant mortality rate in Cambodia
and the Ministry of Health.
With this guarantee and agreement, to be signed in February 2006, we may now focus peacefully on the long-term plans of Friends. These
plans include the creation of an Angkor Hospital for Children Satellite Hospital. The AHC Satellite Hospital plan is the culmination of nearly
two years of research and survey by the senior Cambodian staff with the advice of AHC Executive Director Jon Morgan. By replicating the
successful system of pediatric care developed at AHC in existing government hospital facilities, the Satellite Hospital will not only provide
better medical care and health education, but will also treat patients closer to their homes, avoiding arduous travel and delay of treatment,
from 115/1,000 to 141/1,000
The enthusiasm and creativity of our staff is the engine driving our efforts to rebuild a society so recently destroyed by turmoil. The
desperate desire of our staff to help Cambodia’s children is indicative of the momentum building throughout the country. Aside from the
loud wave of tourism sweeping through Siem Reap there can also be felt a quiet but even larger wave of humanitarianism slowly building
C
a sustainable Cambodia.
Jon Morgan
FROM AHC EXECUTIVE DIRECTOR,
ambodia has a population of about 14 million people. Bordering
 40% of the Cambodian population
Thailand, Vietnam, Laos and The Gulf of Thailand in Southeast Asia,
the country consists of 181,040 square kilometers (slightly smaller
 The average annual per capita income
than the state of Oklahoma). Most Cambodians consider themselves to be
2005 will be remembered by all of us as “the year we came into our own.” Its greatest accomplishment is not to be found in the
communities; though the bulk of their economy consists mainly of tourism,
that with doing our best, the best can be achieved.
rice milling, fishing, logging, and rubber and textile industries.
David Shoemaker
Cambodia’s high risk, major infectious diseases include diarrhea, hepatitis
In 2005, more than 1000 Cambodian doctors, nurses, paramedical staff, and students utilized AHC as a learning resource to improve their
Siem Reap
access to adequate sanitation
Tonle Sap Lake
Phnom
Penh
gone down over the years but is still at a staggering 66 / 1,000, compared
to the U.S. rate of 7 / 1,000, and 4 / 1000 in Japan. About 18 percent of the
population, in an average month, experiences some kind of injury, illness or
from throughout Cambodia studying in one of a variety of training programs being conducted.
other health related symptom. Children under the age of 5 have the highest
CAMBODIA
0
Cambodia is slowly recovering after decades of war, but reminders of
conducting classroom lectures, to presenting at national and international conferences. The hospital staff’s ongoing dedication to education
that history remain scattered across the county in the form of landmines.
was recognized in November, when AHC was acknowledged as an official Teaching Hospital by the Cambodian Ministry of Health.
Hundreds of children are injured or killed yearly; on average 3 people die
Reaching this point could not have been possible without the commitment of each staff member and volunteer in making AHC the best
each day as a result of landmines. Landmines also make it impossible to
children’s hospital in Cambodia. I would like to take this opportunity to thank everyone involved. Together we have created a solid foundation
utilize farmland, leaving only 13% of Cambodia arable.
South
China
Sea
MALAYSIA
illness rate (25%).
teachers. The variety of settings in which they function as instructors continues to expand: from informal one-to-one bedside coaching, to
150
miles
SINGAPORE
I N D O N E S I A
to build on and I look forward to next year and continuing development and success.
2
THAILAND
A, typhoid fever, dengue fever and malaria. The infant mortality rate has
knowledge and skills of child health care. On almost any given day, one could walk into the hospital and expect to observe health workers
I continue to watch with pride as the Education Department and our hospital staff grows more comfortable and confident in their roles as
living with HIV/AIDS
 84% of Cambodians do not have
M
comes from trusting each other and knowing that we are engaged in very important and meaningful work. It comes from an understanding
 170,000 people in Cambodia are
NA
majority of Cambodians are rice and vegetable farmers who live in rural
only $1 a day
ET
government—but in the renewal of faith that all of us who have been involved with the hospital have found. It is a very human faith that
LAOS
 34% of the population survives on
VI
The climate in Cambodia is tropical and the terrain is mostly flat. The
FROM AHC MEDICAL EDUCATION CENTER DIRECTOR,
is $320
Khmers, descending from the Angkor Empire, and Theravada Buddhists.
statistics—the nearly 70,000 children who came through our gates, or in our recognition as an official teaching hospital by the Cambodian
CHINA
lives below the poverty line
3
ANGKOR
HOSPITAL
FOR
CHILDREN
The doors of Angkor Hospital for Children opened nearly
seven years ago and have since provided a sanctuary for the
sick children of Siem Reap and their families. Initially offering
only outpatient and emergency services, AHC quickly
expanded its range of care to best serve the surrounding
communities. Implicit to its expansion, the staff of AHC has
grown in number and skill and now leads their respective
professions nationally and regionally. The special combination of expertise and compassion offered at AHC draw more
and more patients each year, making AHC an increasingly
busy place!
67,000
Cambodian children under the age of 5 die each year
4
11,890
2,300
69,571
967
608
1,062
23,470
1,386
2000
2005
OUTPATIENTS
2000
2000
2005
INPATIENTS
2005
EMERGENCY CASES
5
2000
2005
SURGERIES PERFORMED
OUTPATIENT DEPARTMENT
LOW ACUITY UNIT
Over 300,000 patients have sought services at AHC since its inception
Drawn from deep in the Siem Reap countryside, many children treated at
in 1999. An effective triage system allows AHC to help over 300 children
AHC are unfit to make the grueling return trip to their homes but do not
on especially busy days. Most ill children suffer from preventable and
require the more intensive care of the Inpatient Department. Additionally,
treatable illness. Respiratory infections and diarrhea are constant foes,
many children suffering from malnutrition require a period of long-term
which when left untreated lead to more advanced and debilitating disease.
rehabilitation before they can return home. To serve the needs of these
For this reason, preventative education of patient families is a principle
children AHC’s Low Acuity Unit (LAU) allows children to recuperate fully
focus of the AHC outpatient department, as is the provision of vitamins
while allowing staff to closely monitor a child’s progress. In 2005, 638
and immunizations.
children received services in the LAU.
INPATIENT DEPARTMENT
LABORATORY SERVICES
Children suffering from malaria, pneumonia, tuberculosis, dengue fever,
Effective treatment is impossible without accurate diagnosis. The AHC Lab-
meningitis, malnutrition and other serious and advanced diseases require
oratory is responsible for supplying doctors with the information they need
admission to AHC. In 2005 over 2,300 children received 24-hour care in
to choose the right course of treatment for many children. In 2005 AHC’s
AHC’s Inpatient Department. Previously housing 35 beds, the Inpatient
Lab performed over 37,000 tests including clinical chemistry, transfusion
Department was expanded to 50 beds in 2005 in order to keep up with
medicine and microbiology. AHC’s Lab is renowned for its rigorous quality
the demand for inpatient care. To ease children and families through the
standards and strives to improve laboratory science throughout Cambodia.
sometimes frightening processes encountered in a hospital, Khmer lanDENTAL CLINIC
guage videos created by AHC staff are shown to help to lessen concerns.
Cambodian children face many challenges to their health. Dental health
ACUTE AND EMERGENCY CARE
and hygiene is most often overlooked leading to extremely high incidence
Acute respiratory distress/failure, trauma and acute onset disease brought
of tooth decay and gum disease. AHC’s Dental Department treated nearly
an average of 30 children to AHC each month in 2005. Intensive medical
14,000 children in 2005 while providing education on the importance of
and nursing care was provided in AHC’s 6 bed Acute Care Unit.
proper dental care. AHC’s Mobile Dental Unit, established in 2000, also
visits schools, villages and government health centers bringing hygiene
SURGICAL SERVICES
instruction and treatment directly to Cambodian communities.
AHC is one of only two Siem Reap hospitals providing pediatric surgical
services. The surgical team, comprised of Cambodian surgeons, anesthe-
EYE CLINIC
tists and operating theatre nurses, is on call 24 hours a day to meet the
AHC’s Cambodian ophthalmologist treated over 1,700 children in 2005 for
high demand for surgical services. Common surgeries performed include
various forms of eye disease. Poor nutrition and a hazardous environment are
acute trauma repair, tumor removal, orthopedic and hernia cases. AHC’s
key contributors to unusually high incidence of infection, trauma and child-
surgical team is supplemented by a steady stream of volunteer expatriate
hood blindness. In collaboration with SEVA and USAID, AHC’s Prevention of
surgeons whose expertise helps provide more specialized surgical
Childhood Blindness project provides medical and surgical ophthalmologic
services. In 2005 the first cardiac surgeries were performed at AHC. Plans
care including the provision of glasses, cataract removal and squint correction.
to expand, improve and update AHC’s Operating Theatre promise to
SPECIALIST VISITS
further expand the range of surgical services available at AHC.
AHC is blessed to host a steady stream of international specialists who
share their clinical and surgical skills to provide aggressive and specialized
treatment for Cambodian children in need.
Acute Respiratory Infections
and Diarrhea account for nearly
40%
of deaths in children.
6
7
AHC
OUTREACH
CARING FOR CHILDREN WITH CHRONIC DISEASE
by the AHC staff and are shown daily to all families with children admitted
Most chronically ill children in Cambodia do not receive the ongoing care
to the hospital. The videos aim to reduce the stress of families by provid-
they need. Hindered by their illness, distance and limited resources, these
ing information about staying in the hospital. They cover such topics as
children are unable to defeat the illnesses that plague them. Through AHC’s
how to use toilets and sinks and why doctors gather at the bedside every
Home Care Program, homebound children suffering from serious conditions
afternoon. Select medical and nursing staff that have advanced training in
such as malnutrition, post-meningitis, HIV/AIDS and epilepsy receive care
such common problem areas as nutrition, breast-feeding and HIV/AIDS
and health assessment. The Home Care Program allows children to con-
counseling are utilized to provide more in-depth teaching to high risk patients.
tinue their treatment at home, freeing hospital beds and resources for other
sick children. In 2005 AHC’s Home Care team conducted over 2,000 visits,
IMPROVING CHILDHOOD NUTRITION
with half of those to children battling HIV/AIDS.
Nearly half of all Cambodian children under the age of five are moderately
to severely underweight. Malnutrition weakens these young bodies, making
BATTLING HIV/AIDS
them easy victims of disease and complicating pre-existing conditions. In
Cambodia suffers the alarming distinction of having the highest HIV/AIDS
response, AHC launched a Malnutrition Prevention Initiative aiming to
infection rate in the region. AHC is at the forefront of the battle against this
educate patient families. AHC’s dedicated nutrition nurse works one-on-one
destructive and deadly disease. Many children, acquiring HIV/AIDS from
with families to help improve the nutrition of its children. AHC also maintains
their mothers, are among the infected. These children all require aggressive
a nutrition garden and conducts daily cooking demonstrations to teach
treatment to stay alive. Through the Home Care Program and in collabora-
parents how to grow and prepare nutrient dense foods.
tion with MSF (Doctors Without Borders), AHC is the only facility outside of
Phnom Penh offering antiretroviral treatment (ARV). AHC is also a testing
REACHING OUT TO ORPHANS
center and provides crucial counseling for infected children and their
In 2000 some of AHC’s dedicated nurses volunteered to make regular
families. Thanks to the support of CARE, USAID and MSF over 150 children
visits to orphanages in Siem Reap. Five years later the Orphanage Medical
now receive ARV at AHC.
Assistance Program continues providing health education, first aid training for staff, immunization programs, dental checkups, first aid and toiletry
As elsewhere, in Cambodia HIV/AIDS is feared and misunderstood. In 2005
supplies. As the relationship between AHC and the orphanages grows,
five women, mothers of HIV/AIDS patients worked as part of the HIV/AIDS
some children enjoy after-school and summer jobs at AHC where they learn
Home Care Team. They work with the parents of other HIV positive children
maintenance skills while earning precious salaries.
and help to educate the community about this devastating disease.
HEALING AND TEACHING THROUGH PLAY
EDUCATING PATIENTS AND FAMILIES
AHC employs two dedicated play specialists who use play, an essential
Efforts to educate patient families can be found in every activity at AHC.
element of childhood, as a conduit for healing and educating. Play eases
Khmer language health information posters and pamphlets are found
discomfort while aiding development and improving the overall health of
throughout the hospital. Health information videos are played in the Out-
children. In most rural families childcare is delegated to older siblings.
patient Department for family viewing. In addition to providing irreplaceable
AHC‘s play specialists work with older siblings on caring for their younger
one-to-one counseling and teaching for families admitted to the hospital,
siblings and provide simple health education on topics such as washing
AHC recently implemented a variety of new teaching methods to supple-
cuts and scratches.
ment learning. Two patient educational videos have recently been produced
represents the single most important risk factor
for Cambodian children.
8
9
MEDICAL
EDUCATION
PROGRAM
No single hospital, no matter how talented the staff nor
extensive the programs can heal the ills of Cambodia’s
children. Implicit to our belief that every child has the right to
a healthy and happy life is the reality that every child needs
access to quality medical attention. To serve the children of
the Siem Reap area is not enough. AHC is determined to
help repair and reinvent Cambodia’s healthcare infrastructure. In 2005 Angkor Hospital for Children was recognized by
the Cambodian Ministry of Health (MoH) as an official teaching hospital. While constantly striving to improve the skills of
our own staff, AHC and its Medical Education Center collaborate with the Cambodian government and regionally active
organizations to train healthcare workers from throughout
the country.
100,000
There are 30 Cambodian doctors for every
people
10
11
CULTIVATING EXCELLENCE AND COMPASSION
National Nursing Student Practical Training
AHC’s staff is incredibly dedicated to the children and nation it serves. This
In cooperation with the MoH, AHC continues to be used as a clinical training
dedication is apparent in the compassionate care they deliver as well as in
site to assist the Technical School of Medical Care (TSMC) and the Regional
their tireless effort to improve their own skills. In 2005 with the help of nearly
Training Centers (RTCs) in Cambodia. The project aims to increase the
200 volunteers representing 20 nations and five continents, AHC staff re-
knowledge and skills of nursing students regarding child health care. Stu-
ceived training in pediatric medicine, nursing, surgery, anesthesiology, labo-
dents and teachers are provided the opportunity to practice and increase
ratory science, dental medicine, ophthalmology and hospital administration.
their skills during a two-week placement at AHC. The success of the initial
All AHC staff, including non-medical staff were also invited to participate in
program in 2004 resulted in a request by the MoH for AHC to repeat the
English Language classes.
project; over 300 nursing students participated in 2005.
In addition to providing expert training to our staff, the AHC volunteer pro-
Integrated Management of Childhood Illnesses (IMCI) Training Courses
gram has helped us to forge important international relationships, opening
The IMCI strategy is a key element of the Cambodian National Strategic
the door to overseas educational opportunities for our staff. In 2005 training
Health Plan for improving human resources. IMCI aims to reduce death,
abroad included trips for AHC staff to Japan, Nepal, the United States,
illness and disability, and to promote improved growth and development
Australia and Singapore.
among children under 5 years of age. In 2001, AHC was selected by the
MoH and WHO to host IMCI training courses. AHC continues to be one of
MOVING TOWARD A BRIGHTER FUTURE
only two sites in Cambodia used to host these sessions. It remains the only
Pediatric Training for Referral Hospital Doctors and Nurses
training site in the northern part of the country. In 2005 AHC hosted 25 IMCI
In coordination with the Cambodian Ministry of Health (MoH), AHC provides
courses for over 500 health professionals from throughout Cambodia.
‘‘ ’’
Since 1996 there has been a
Short-course Pediatric training for Referral Hospital Doctors. The goal of
5%
decline in the Cambodian Ministry of Health Workforce.
this training course is to produce doctors who can practice pediatrics safely,
ethically and competently in their own facility. Training more doctors from
government referral hospitals leads to better pediatric care in rural areas.
Children are much more likely to receive adequate treatment at their local
facility instead of having to travel to AHC. AHC also provides Basic Pediatric
Nursing Care for Referral Hospital Nurses. Like its medical counterpart,
Y
the program aims to increase the skills and knowledge of governmentemployed nurses in providing pediatric nursing care for common childhood
diseases and emergencies.
ou can easily read the statistics of the hospital’s effect, and
it is impressive. I have lived in several developing countries,
including Uganda, East Africa, where there is a large teaching
hospital. The thing that strikes me most at AHC is the attitude of
Health Center Staff Training
In 2005 AHC, in cooperation with CBHEP, continued to provide training
for nursing staff from selected government Health Centers. Health center
nurses train initially at AHC. During the final phase of the program, consisting
of follow-up training and evaluation, AHC staff work with Health Center staff
on-site at participating Health Centers. In 2005 AHC worked with staff from
Prasat Bakong, Don Keo, Angkor Thom and Reul Health Centers.
12
Nhean Sakhem
LETTER FROM PROJECT MANAGER, CBHEP
Taking time to reflect on the events of the past year has proven a valuable exercise as I realize how much Capacity Building and Health
Education Program (CBHEP) has grown. CBHEP is making a significant difference in the lives of so many families.
the staff, at all levels, in relation to the sick children, and their
CBHEP’s Springboard Project was designed with four phases to ensure that the villagers themselves can build upon the skills left behind.
frightened families. The behavior is one of respect and under-
Implementing the activities associated with all phases including research and integration, strengthening weakness, and the transferring of
standing and patience—all the while treating very large numbers
skills and knowledge proved much for CBHEP staff to accomplish in 2005. Our work was spread over six health centers and 103 villages,
of children.—Nancy Matthews, Volunteer, USA
the furthest of which was 50 kilometers from Siem Reap town. Over 400 Village Health Volunteers were recruited, trained and utilized,
serving a population of over 87,000.
In Siem Reap, the second poorest province in Cambodia where many earn less then the national average, and more then 68% of the
population is illiterate; CBHEP’s activities are crucial to improving health in the communities.
Through CBHEP villagers learned the
importance of accessing health care at their Health Centers for the prevention and identification of common diseases such as diarrhea,
malaria, dengue fever and tuberculosis. Perhaps most importantly we did our best to advance self-reliance, urging and supporting problem
solving within the community before seeking external assistance.
While the established network of Village Health Volunteers sought to establish and maintain good relationships between the communities
and their Health Centers, we worked to strengthen the capacity of Health Center staff in order to gain and sustain the trust of the villagers.
Despite our efforts CBHEP’s work is relatively modest. Siem Reap Province contains seventy health centers and associated catchments.
In 2005 CBHEP worked with only six. We look forward to improving health and health care village by village, but the road ahead is long
and arduous. Technical Advisor Mieko Morgan, the staff of Angkor Hospital for Children and our generous donors all deserve special thanks
for their support.
13
CAPACITY
BUILDING
AND HEALTH
EDUCATION
PROGRAM
For the majority of families, health is compromised by poverty
and all of its manifestations – poor housing, lack of clean water
and sanitation, flooding, hunger, limited access to healthcare
and education. A sad reality is that many children are admitted
to AHC with preventable conditions, such as diarrhea and
acute respiratory infections. These conditions are further
compounded by a high incidence of malnutrition.
In the battle against high child morbidity and mortality rates,
Friends realized that any long-term improvements in children’s
health could not be achieved through hospital-based work
alone; the adoption of a comprehensive community based
approach would be vital to these efforts. In April 2001, the
Capacity Building and Health Education Program (CBHEP)
was established to:
 Strengthen the capacity and improve the quality of community health services (Capacity Building)
twice
The under-5 mortality rate is
 Improve household preventative and good health promoting
practices (Health Education)
as high in the poorest as compared to the
richest socio-economic groups.
14
15
AHC &
CBHEP
COLLABORATIONS
A
VOLUNTEER
PROGRAM
T
During 2005 CBHEP worked with six health centers (HC) and the communi-
AHC staff. CBHEP provided management support and worked with the
ties they serve in the Angkor Chum and Siem Reap Operational Districts.
HCs to improve the water systems, acquire necessary equipment and
The work of CBHEP is carried out through the Springboard Project, a phase
establish Demonstration Gardens. Scheduled dental clinics were held
program of improving health services at government health clinics while
at each HC by AHC’s Mobile Dental Clinic to provide dental care and
simultaneously working with the communities those health centers serve.
education to over 300 participants while increasing the visibility of the HCs
As close allies, AHC and the Cambodian Ministry of Health strive to improve
skills of the AHC staff. Volunteers work one-on-one with the AHC staff;
to surrounding communities. A total of 21 programs for over 350 Village
pediatric medical services nationally.
providing classroom training and specialized care. In 2005 nearly 200
CHAR CHHOUK AND ANGKOR CHUM HEALTH CENTERS
Health Volunteers were held. Training covered important topics including
Springboard Project Phase 1
immunization, breastfeeding and nutrition, cough and difficulty breathing,
Char Chhouk and Angkor Chum are the two newest HC’s to be targeted
diarrhea, malaria, dengue fever, birth spacing and HIV/AIDS. Drama
by CBHEP. They serve 39 villages and a total population of over 19,000.
performances were also utilized to improve general health knowledge of
In 2005 the foundation was laid for Phase 2, the most intensive period of
nearly 3,000 villagers.
the Springboard Project. Staff from the health centers were introduced to
HC is a vital member of the vibrant Siem Reap community and
nascent but improving Cambodian medical system. Though a self
financed and independently operated non-governmental organiza-
tion, AHC functions as a referral hospital within the existing health system.
Many of our volunteers come through international volunteer organizations
that provide invaluable service by screening and preparing volunteers. We
CARE
must especially thank Voluntary Service Overseas (VSO) and the United
Mercy Malaysia
Nations Volunteers (UNV/UNDP) for providing excellent long-term medical
US Agency for International Development
and nursing volunteers with support from the Japan Trust. Health Volunteers
For generous grant support directly to AHC
Overseas (HVO) has also been a tremendous resource providing volunteers
Education team worked with 55 key villagers to introduce the Village Health
population of 29,000. Phase 3 of the Springboard Project aims to reduce
Volunteer program and request their help. Social mapping of all 39 villages
direct involvement in HC activities while maintaining adequate support.
was conducted and a baseline survey performed to determine the level of
During 2005 a CBHEP Nurse Trainer continued to work on site with Prasat
basic understanding on important health issues.
Bakong and Don Keo Health Center staff providing support and training.
Brown University, USA
Dental Clinics were held on a monthly basis, providing service to over 400
REUL AND ANGKOR THOM HEALTH CENTERS
Canadian International Development Agency
members of the surrounding communities. Refresher training for Village
Springboard Project Phase 2
Catholic Relief Services
Health Volunteers, now a responsibility of the HCs, was conducted for
Reul and Angkor Thom Health Centers, serving 38 villages and a total
Doctors Without Borders (MSF)
over 50 participants.
Hasbro Children’s Hospital, USA
‘‘ ’’
Villages Project was created. It is a joint project of Rotary Clubs in Rhode
Island, Massachusetts and Colorado, USA; Tokyo, Japan; Edinburgh,
W
Scotland; Lyon, France; Phnom Penh, Cambodia; and Bangkok, Thailand.
e hear so much about global markets, global politics, global
issues. We should hear more about “global people”—all those
from all over the world who come to places like AHC. Doctors, nurses,
and many others with skills or simply a desire to help.—Judy Larkin,
Volunteer, USA
16
international organizations.
Asian Development Bank
Prasat Bakong and Don Keo Health Centers serve 30 villages and a
illnesses. In response, the Health, Pure Water and Literacy for Cambodian
raising funds, awareness and establishing ongoing relationships with
AHC OWES SPECIAL THANKS TO:
problems, constraints, and areas most in need of improvement. The Health
Many Cambodian children become ill from preventable water-borne
those from years past continue to help AHC from their home countries,
organizations, without whom its own programs would be far less effective.
Springboard Project Phase 3
Angkor Hospital for Children along with ongoing on-site training by senior
and skill at Angkor Hospital for Children. Many of these volunteers and
the Siem Reap area. AHC is privileged to collaborate with many of these
CBHEP. A baseline survey of each HC was conducted to determine
HEALTH, PURE WATER AND LITERACY FOR CAMBODIAN VILLAGES
experts including doctors, nurses, dentists and laboratory techni-
volunteers, representing 20 nations and five continents, donated their time
ened by the number of incredible organizations bringing international aid to
PRASAT BAKONG AND DON KEO HEALTH CENTERS
Springboard Project in 2005. HC staff underwent weeklong training at
and eventual self-sustainability. A steady stream of health care
cians, as well as non-medical volunteers, constantly work to improve the
Despite the many obstacles to overcome in Cambodia we can all be heart-
the program through study tours of other HC’s previously involved with
population of over 33,000, underwent the most intensive phase of the
he Volunteer Program is crucial to AHC’s Medical Education Program
Ministry of Health, Cambodia
Reproductive and Child Health Alliance
UNICEF
University Research Co.
World Health Organization
For collaborative efforts
with expertise in a variety of fields. We must also thank Pfizer Pharmaceuti-
‘‘
cals for providing excellent volunteers to the AHC Laboratory.
THANK YOU VOLUNTEERS OF 2005 FOR YOUR INCREDIBLE GIFT!
A
s I wrote in my journal after the first day in OPD: “It was
wild. The pathology I saw in one day equaled what I might
see in several months at Hasbro.” I found it quite gratifying when
’’
I recognized classic pediatric conditions or physical findings,
including pectus excavatum, branchial cleft cysts, chalazions,
Key to the project is its collaboration with CBHEP and the utilization of
Australian Medical Student Aid Project
CBHEP’s existing relationship with government health facilities and villagers.
Health Partners International
The project calls for local manufacturing and installation of 7,500 bio-sand
Kinders-Angkor
filters to provide pure water to 150,000 Cambodians. The Pure Water
KKH Women’s and Children’s Hospital, Singapore
Project will combine health, pure water and hygiene training with basic liter-
Sam Relief Inc.
acy and counting as a holistic approach to improve the lives of Cambodian
SEVA
villagers. Thank you Rotary Clubs for developing this wonderful project!
Westmead Children’s Hospital, Australia
For generous gifts in kind
and numerous other findings with which the Cambodian doctors
were not familiar. When I could show them pictures of the precise
finding in a textbook and encourage them to read about it right
then and there, I could see the light bulbs go on in their heads.
—Randy Rockney, Volunteer, MD, USA
17
LOCAL
SUPPORT
S
ocial responsibility is growing in Cambodia along with the tourism industry.
Angkor Hospital for Children has been
fortunate to receive support from a number of
COMBINED
STATEMENT
OF
FINANCIAL
POSITION
OUR
SUPPORTERS
A
s our name implies, the incredible work
Fukuoka Seisyukai Hospital
of Angkor Hospital for Children, the Med-
Fukuoka Shin Mizumaki Hospital
ical Education Center and the Capacity
Fukuoka Wajiro Hospital
Building and Health Education Program, is made
Kimiko Fujimatsu
Siem Reap businesses. This support is crucial
possible by a worldwide network of friends This
Hartmut and Ayako Giesecke
to maintaining AHC’s many programs and is
network spans more than 20 nations and five
Horyuji Temple
important to the morale of our staff as well. Run-
continents based on the belief that all children
Elizabeth Ross Johnson
ning a pediatric hospital is an incredibly emotional
deserve the right to a healthy and happy life.
Assit no Kai
experience. Receiving the encouragement of the
Siem Reap community is priceless.
The generosity of over 4,000 members, foundations, corporations and organizations makes our
Amansara Hotel
work possible. YOU, and your generosity, allow
Angkor Diamond Hotel
AHC to open its doors each morning, and hun-
Angkor Goldiana Hotel
dreds of children to feel better at the end of the
Angkor Supper Market
day. YOU, our supporters, are providing the
Angkor What?
foundation of a self-sustainable medical system.
Artisant D’Angkor
YOU, friends without a border, are making the
Auberge de Mont Royal d’Angkor
future of Cambodia brighter.
Brodie’s Bar
Casa Angkor Hotel
City Angkor Hotel
City Royal Hotel
Earth Walkers Guest House
Garden Village Guesthouse
Grand D’Angkor Hotel
Ivy Bar and Guest House
John McDermott Gallery
La Noria Hotel
Little India Restaurant
Preah Khan Hotel
Siem Reap Airport
Soup Dragon
Vietnam Airlines
Investment
Grants and Contributions Receivable
Inventory – prints, catalogs etc
Kiyosato Museum of Photographic Arts
Total current assets
Komonji Hospital
Fixed Assets
Iyo Kyokai Temple
Security deposit
Charles and Laura Lawson
TOTAL ASSETS:
85,9406
3,144
1,082,681
1,107,627
1,279,500
1,332,734
3,594
3,594
$
2,365,775
$
2,443,955
$
63,718
$
59,647
The McKnight Foundation
Medix Japan Inc.
Tsutomu Okubo
LIABILITIES AND NET ASSETS:
Current Liabilities:
Accrued Expenses Payable
Other Liabilities
Ryukoutokuji
Photography Auction, helped to raise crucial fi-
Dr. Alfred Scherzer
Unrestricted:
nancial support as well as awareness. Lastly, the
Patrick Schuenemann
General Fund
organization of Cambodian American Friends
Seiryokai Medical Corporation
Reserve Fund
of Friends continues to grow each year raising
Seiryou Iwasato Hospital
Fixed Assets Fund
interest in and support for the work of Friends.
Shimonoseki Rehabilitation Center
Shinnyoen
Shinyukuhashi Hospital
Sieryo Medical Corporation
Dr. Basil Stamos
Anonymous
Spiro and Katherine Stamos
Peter Artaserse
Sterling Stamos
Assist-no-Kai
St. Luke’s International Hospital
Edgar and Laurie Bachrach
Syokeiji Temple
Anne Bass
Kuniko Takashima
Steve and Suzanne Brown
Toei Co., Ltd.
Cedar Co. Ltd.
Miyo Tunafuji
East Bay Community Foundation
Tsudajyukukai
Peter Edwards
Dan Tyler
Robert Ellis and Jane Bernstein
Hiroko Watanabe
The Charles Englehard Foundation
John Whitehead
Maree Ford
Yoskioka Pediatric Clinic
13,800
Total Current Liabilities
Fundraising Gala and 9th Friends of Friends
18
67,000
Kashiigaoka Rehabilitation Center
NET ASSETS:
Fukuoka Nursing School
12,437
Kankakuji Temple
Nakayama Shingo Syousyu Daihonzan
for Infectious Diseases
13,575
151,063
7,003
Donald and Shelley Rubin
Fukuoka Children’s Hospital and Medical Center
500,000
11,086
Annual Celebrity Poker Tournament, 3rd Annual
Fukuoka Asian Art Museum
446,937
500,000
8,800
France. Special events of 2005, including the 1st
sands of others who could not be listed here.
$
322,240
1,063
Lynda and Stewart Resnick
individuals and organizations as well as the thou-
$
Reserved Cash
Other Receivable
through our chapters in the U.S., Japan and
Moloppor Cafe
Pansea Hotel
Cash
Prepaid expenses
RKB Mainichi Broadcasting Corp.
We owe our deepest thanks to the following
2004
2005
Joal Kamen
Friends Without A Border continues to grow
Maisa Restaurant
Monarch Angkor
December 31, 2005 and 2004
ASSETS:
Total Unrestricted Net Assets
$
SOURCE OF REVENUE
Special Events
Membership
22%
452,574
500,000
500,000
1,332,734
2,221,257
2,285,308
67,000
99,000
2,384,308
$
2,365,775
2,443,995
HOW FRIENDS RESOURCES WERE SPENT
4%
27%
430,427
2,288,257
TOTAL LIABILITIES AND NET ASSETS
Other Income
59,647
1,290,830
Temporarily restricted
Total net assets
77,518
Management and
Fundraising
47%
Grants and
Contributions
HIV/AIDS Community
Education and Support
14%
9%
Capacity Building and
Health Education Program
(CBHEP)
6%
Medical Education Center
12%
The Friends Without A Border family maintains
contact through our newsletter, website and
mailings.
19
59%
AHC
Hospital Operations
AHC &
FRIENDS
TEAM
ANGKOR HOSPITAL FOR CHILDREN
Jon Morgan
Executive Director
FRIENDS WITHOUT A BORDER
Staff:
Honorary Advisors:
Akiko Arai
Chief Operating Officer
Yasushi Akashi
Samdech Preah Maha Ghosananda
Advisors:
David Shoemaker
Medical Education Center Director
AHC Deputy Director
Robert Bring, Esq.
Peter Grilli
Michele H. Haines
Yashiaki Ishizawa
Sidney Sass
Nguon Chan Pheaktra, M.D.
Medical Director
Long Sedtha
Administrative Director
New York, NY 10010
Tel 212-691-0909
Nerou Cheng, C.P.A.
Fax 212-337-8052
Michael Cohn, O.D.
fwab@fawb.org
Caroline Dueger, M.D.
Friends Without A Border/Japan
Mio Fredland, M.D.
Kenro Izu
Masumi Kamachi, M.D.
Vanessa Ly
Akio Matsushima
Robert Nassau, M.D.
Tina Patterson
Christopher Stamos
Eugene Tragus, M.D.
Medical Advisors:
Ashwin Balagopal, M.D.
Rethy K. Chhem, M.D., R.R.C.P.C.
Nhean Sakhem
CBHEP Manager
Michael Cohn, O.D.
G.A.P. Ganepola, M.D., F.A.C.S.
Masao Iwasato, M.D.
5-1-18 Nakameguro
Meguro-ku, Tokyo 153-0061 Japan
Tel 03-5722-2381
Fax 03-5722-2060
friends@rf6.so-net.ne.jp
Friends Without A Border/France
c/o Chez Docteur Narathib Nay
Residence Tokyo – Apt. 2151
20, avenue d’Ivry – 75013 Paris
Tel 06-14-41-41-07 (Saytry)
contact@fwab-france.org
Angkor Friends Fund/Tokyo
Misato Kato
c/o Ryus International
7-17-14 Ginza #7F
Chuo-ku, Tokyo 106-0061 Japan
Tel 03-3541-3914
Fax 03-3541-3744
Masumi Kamachi, M.D.
Angkor Friends Fund/Fukuoka
Nal Oum, M.D.
Kumiko Imazu
Yoshihiro Ueno, M.D.
c/o Wajiro Hospital/Administrative Department
B. Allen Weiss, M.D., F.A.C.S.
2-11-17 Wajirogaooko, Higashi-Ku
Suzanne M. Werner, R.N., B.S.N.
Fukuoka-shi 811-0213 Japanj
Architectural Advisors:
Kazumi Akao
Director of HIV/AIDS, Community
Education and Support Program
(HACES)
Akio Matsushima
Mamoru Kai
Tel 092-609-1210
Fax 092-608-1241
Jeffrey Kapec
Angkor Hospital for Children
Kan Morimoto
PO Box 50 Siem Reap, Cambodia
Kazuna Tanaka
Tel 063-96-3490
Fax 063-76-0452
admin@angkorhospital.org
20
CREDIT © 2006 FRIENDS WITHOUT A BORDER, PHOTOS ON PAGE ZZZZZZZ BY DANIEL ROTHENBERG
David J. Pritchard
Homyo Saito
Tep Navy
Assistant Director of Nursing
Friends Without A Border/Headquarters
Ronald Ablow, M.D.
Masayuki Fukuoka
Prak Manilla
Nursing Education Coordinator
OFFICES
1123 Broadway, Suite 1210
Tadao Fujimatsu
Som Sophal
Director of Nursing
Sachie Kumano
Program Director
Board Members:
Hideki Fujii
Neou Leakhena, M.D.
Medical Education Coordinator
Carolina Castellano
Development Director
1123 Broadway Suite 1210 New York NY 10010
tel: 212-691-0909 fax: 212-337-8052 fwab@fwab.org www.fwab.org
1123 Broadway Suite 1210 New York NY 10010
tel: 212-691-0909 fax: 212-337-8052 fwab@fwab.org www.fwab.org
1123 Broadway Suite 1210 New York NY 10010
tel: 212-691-0909 fax: 212-337-8052 fwab@fwab.org www.fwab.org
2005
ANNUAL
REPORT
2005
ANNUAL
REPORT
2005
ANNUAL
REPORT
2005
ANNUAL
REPORT