aga khan foundation
Transcription
aga khan foundation
AGA KHAN FOUNDATION AN AGENCY OF THE AGA KHAN DEVELOPMENT NETWORK THE IMAMAT Aga Khan Development Network Economic Development Aga Khan Fund for Economic Development Tourism Promotion Services Social Development Aga Khan Agency Aga Khan for Microfinance Foundation Industrial Promotion Services Aga Khan University Aga Khan Education Services Culture University of Central Asia Aga Khan Trust for Culture Aga Khan Award for Architecture Aga Khan Historic Cities Programme Aga Khan Health Services Financial Services Media Services Aviation Services Aga Khan Planning and Building Services Education and Culture Programme Cover: In Madagascar, AKF has seen dramatic results in a relatively short time in the improvement of rice production. In fields where selected practices have been adopted, rice yields have on average doubled; in certain fields they have tripled. Farmers who have benefited from this increased productivity no longer experience the hungry season, during which families typically reduce their nutritional intake to one meal per day. Contents 4 0 AKF Y E A R S 2 On Area Development 6 Overview: Aga Khan Development Network 9 Introduction 13 AKF’s Impact on Rural Development 25 AKF’s Impact on Health 35 AKF’s Impact on Education 47 AKF’s Impact on Civil Society 55 AKF’s Impact on the Environment 58 Institutional Collaborations 59 Current Projects 60 Facts at a Glance 61 Contacts On Area Development “To o o f t e n , t h e va r i ous a c t or s g o a b ou t t hei r b u s ine s s witho ut e no ugh re fe re nc e to o ne a no the r. The re s ult o f ten r emi n ds m e o f an o r ch e s t ra m a d e up of t a l en t ed a n d d e dic a te d a r tis ts – but pla ying fro m diffe re nt s c o re s . The re s ul t i s n ot ha r m o n y bu t ca co p h ony – a nd a n u n ev en n es s o f public impa c t whic h is inhe re ntly unfa ir.” – H i s H i g h n e s s t h e Aga Khan at the Enabling Enviro nme nt Co nfe re nc e , Kabul, 4 J une 2007 In the 1980s, before the Aga Khan Foundation’s first rural support programmes were established, development initiatives were often applied in piecemeal fashion. Local and international experts worked in their specific areas to good effect, but these activities were rarely coordinated.The economic and social linkages that typically led to higher levels of overall development in other contexts were absent from developing world settings. In 1987, when His Highness the Aga Khan travelled to the Northern Areas to review the progress of the Foundation’s rural support programme, he saw that the many facets of development – including Aga Khan Development Network (AKDN) initiatives and those of partners, NGOs and other agencies – had to be coordinated so as to maximise their effect.An agency that installed water and sanitation systems, for example, needed to work with other organisations that promoted personal hygiene. The coordination of these activities was particularly vital as their number grew. At the time of his visit, the Aga Khan saw the rural support programme expanding naturally into health and education, but he also saw a need for microinsurance, environmental projects, seismic-resistant home construction, village planning and the restoration of cultural monuments. The need for linkages between these activities led to the concept of “area development”. In Pakistan’s Northern Areas, the activities of the Foundation’s rural development programme were coordinated with those of other AKDN agencies. While the programme built thousands of small infrastructure projects, installed hundreds of micro-hydroelectric plants, planted tens of millions of trees, reclaimed hundreds of hectares of degraded land and mobilised 4,000 community organisations, Aga Khan Health Services complemented these activities by setting up health clinics. Aga Khan Education Services set up schools and literacy programmes. Aga Khan University in Karachi provided education to many bright students who eventually returned to serve their communities as doctors, nurses and teachers. The Aga Khan Planning and Building Services created seismicresistant designs for housing and community centres, set up water and sanitation projects and created over 70 low-cost housing improvements. Focus Humanitarian Assistance, an AKDN affiliate, provided disaster response and mitigation training. The Aga Khan Fund for Economic Development (AKFED) set up three hotels in the region – economic engines that provide jobs, set service standards and stimulate economic activity through local sourcing. The Aga Khan Agency for Microfinance administered thousands of new microfinance loans and pioneered microinsurance for the poor. The Aga Khan Trust for Culture (AKTC) restored dozens of historic houses, monuments, landmark buildings and public spaces. In other environments, AKTC has taken the lead. In Delhi, the Nizamuddin Urban Renewal Initiative has added social and economic components – including upgrades to a school and health clinic – to what was once a cultural programme. Similarly, 2 Hunza Valley, Pakistan, 1987 the Azhar Park Project in Cairo, which began as a massive engineering effort to create more green space, has since grown into a full-fledged area development project in the adjacent Darb al-Ahmar neighbourhood, one of the poorest areas in Cairo. In other circumstances, AKFED is the first AKDN agency to be invited to participate in a country’s development. Often working in fragile economies or post-conflict societies, AKFED has made bold but calculated investments in key parts of the economic infrastructure, such as electricity generation, aviation, hotels, agro-industries or financial services. Once the Fund makes an investment, other AKDN agencies often begin work in the surrounding area – supporting improvements in education, health, adult literacy, skills training and housing. Notable examples include microfinance, agricultural support services and health and education programmes in the vicinity of AKFED investments in Burkina Faso and Kenya. An important lesson arising from these experiences has been that no agency or group of agencies can accomplish everything by itself. Rather, a broad spectrum of national and international partners must be engaged in the process. In a number of cases, such as major infrastructure projects, AKDN has mobilised local and international partners. One such project is the US$ 225 million Azito power plant in Côte d’Ivoire, which was built by a consortium of international investors brought together by AKFED. A hydroelectric plant in Tajikistan was refurbished and expanded with support from the Tajik and European governments. In Afghanistan, AKDN has mobilised over US$ 700 million in order to scale up successful programmes. Public-private partnerships, or PPPs, have also increased the scale and impact of area development programmes. From Lahore to Zanzibar, Bamako to Delhi, AKDN has signed PPPs in order to bring to bear a full package of multi-input, multi-discipline activities – involving not only AKDN agencies but government and other partners – which eventually leads to the sustained revitalisation of communities. In AKDN’s experience, a process of positive change sparked by AKDN agencies can gain its own momentum and become self-sustaining if – and this is where experimentation and innovation are important – there is both a correct mix, and a critical mass, of coordinated development activity. “Area development” then becomes “area revitalisation” – a process by which poor communities begin to see, and enjoy, the satisfying ascent to dignity and self-reliance. – The Aga Khan Foundation 3 4 5 Children play between classes at one of the 14 schools supported by AKF in Aswan, Egypt. Overview Aga Khan Development Network The Aga Khan Foundation is part of the Aga Khan Development Network (AKDN). Founded and guided by His Highness the Aga Khan, the AKDN brings together a number of international development agencies, institutions and programmes that work primarily in the poorest parts of South and Central Asia, Africa and the Middle East. All AKDN agencies conduct their programmes without regard to faith, origin or gender. The Aga Khan Agency for Microfinance works to expand access for the poor to a wider range of financial services, including micro-insurance, small housing loans, savings, education and health accounts. Its programmes range from village lending cooperatives to self-standing microfinance banks in South and Central Asia, Africa and the Middle East. Aga Khan Education Services aims to diminish obstacles to educational access, quality and achievement. It operates more than 300 schools and advanced educational programmes at the pre-school, primary, secondary and higher secondary levels in Bangladesh, India, Kenya, Kyrgyz Republic, Pakistan, Tajikistan, Tanzania and Uganda. It emphasises student-centred teaching methods, field-based teacher training and school improvement. Aga Khan Health Services provides primary and curative health care in Afghanistan, India, Kenya, Pakistan, Tajikistan and Tanzania in over 200 health centres, dispensaries, hospitals, diagnostic centres and community health outlets. Annually, AKHS provides primary health care to 1.8 million beneficiaries and handles 1.5 million patient visits. AKHS also works with governments and other institutions to improve national health systems. Gender is an integral and cross-cutting concern in all areas of AKF’s work (women exercising). At the First Microfinance Foundation in Cairo, Egypt, clients can access credit to restore their homes or to start or expand their businesses. In keeping with its objective to pair restoration of Aga Khan Planning and Building Services assists communities with village planning, natural hazard mitigation, environmental sanitation, water supply systems and improved design and construction of both housing and public buildings. It provides material and technical expertise, training and construction management services to rural and urban areas. historic monuments with integrated development of surrounding areas, AKTC has undertaken work in the town of Masyaf, Syria, subsequent to completing the restoration of the Citadel in 2007. 6 The Aga Khan Trust for Culture encompasses the triennial Aga Khan Award for Architecture; the Historic Cities Programme, which undertakes conservation and rehabilitation in ways that act as catalysts for development; the Music Initiative, which preserves and promotes the traditional music of Central Asia; ArchNet.org, an online archive of materials on architecture and related issues; the Aga Khan Program for Islamic Architecture, which is based at Harvard and MIT; and the Museums Project, which is creating museums in Toronto and Cairo. The Aga Khan University is a major centre for education, training and research. Chartered as Pakistan’s first private international university in 1983, it has teaching sites in Afghanistan, Kenya, Pakistan, Syria, Tanzania, Uganda and the United Kingdom. Following the establishment of the Faculty of Health Sciences, the Institute for Educational Development and the Institute for the Study of Muslim Civilisations, AKU is moving towards becoming a comprehensive university with a Faculty of Arts and Sciences in Karachi. The University of Central Asia, chartered in 2000, is located on three campuses: in Khorog, Tajikistan; Tekeli, Kazakhstan; and Naryn, Kyrgyz Republic. UCA’s mission is to foster economic and social development in the mountain regions of Central Asia. It will offer Master of Arts degrees in mountain development; a Bachelor of Arts programme based on the liberal arts and sciences; and non-degree continuing education courses. The Aga Khan Fund for Economic Development is the only for-profit agency in the Network. Often acting in collaboration with local and international partners, the Fund takes bold but calculated steps to invest in fragile and complex settings. It mobilises investment for the construction, rehabilitation or expansion of infrastructure; sets up sustainable financial institutions; builds economically viable enterprises that provide essential goods and services; and creates employment opportunities. The Aga Khan Academy in Mombasa, Kenya, Focus Humanitarian Assistance, an AKDN affiliate, provides emergency relief supplies and services to victims of conflict and natural disasters. It also works with AKF to help people recover from these events and make the transition to long-term development and self-reliance. began operating on a new 18-acre (7.3 hectares) campus in August 2003. AKU researchers in Karachi, Pakistan, work on subjects including genetic predisposition to disease and the major causes of infant mortality. Dilapidated and underused administrative buildings were AKDN institutions work together with the world’s leading aid and development agencies. (See “Institutional Collaborations”, page 58 for a detailed list.) converted into the Zanzibar Serena Inn as part of a broad programme of social, cultural and economic development activities on the island. 7 AKF and the AKDN RUSSIA UNITED KINGDOM CANADA KAZAKHSTAN FRANCE SWITZERLAND BOSNIA-HERZEGOVINA KYRGYZ REPUBLIC UNITED STATES OF AMERICA UZBEKISTAN PORTUGAL TAJIKISTAN SYRIA AFGHANISTAN PAKISTAN EGYPT INDIA MALI SENEGAL BURKINA FASO CÔTE D’IVOIRE UGANDA DEMOCRATIC REPUBLIC OF CONGO KENYA TANZANIA AKDN Countries of Activity AKF Countries of Activity MOZAMBIQUE MADAGASCAR 8 BANGLADESH Introduction 4 0 AKF Y E A R S The Aga Khan Foundation (AKF) and its sister Aga Khan Development Network (AKDN) agencies have been experimenting with, and implementing, innovative solutions to development challenges for over 40 years. In every under taking, the overriding goal is to assist in the struggle against hunger, disease, illiteracy, ignorance and social exclusion. Central to all these effor ts have been inclusive, community-based development approaches, in which local organisations identify, prioritise and implement projects with the Foundation’s assistance. Within this ethos, AKF focuses on five major areas: rural development, health, education, civil society and the environment. The challenges which the Foundation has faced in each of these sectors and the impact which it has subsequently made over the years are highlighted in this repor t. AKF’s approach features a long-term commitment that is maintained through political and social uncer tainty. It has been the Foundation’s experience that quick fixes rarely take root; rather, sustainable development requires careful, culturally appropriate and disciplined application of best practices over periods that may be longer than typical funding cycles. AKF therefore strives to maintain long-term relationships with donor agencies and peer organisations for the mobilisation of funds, human resources and exper tise. It also works to encourage indigenous philanthropy. Once community organisations begin providing services to their members, AKF expands the programme by establishing village organisations in other districts. AKF then brings them into a federated structure and links them to local governments through collaboration on development issues. It also 9 introduction provides fund-raising advice and contacts to current and former recipients of its grants through its civil society activities. The principal themes of AKF’s work – rural development, health, education, civil society and the environment – are linked by several Through endowments and capital investments, AKF helps to ensure the viability of these institutions. For example, it has aided community pre-schools in Africa to build endowments. AKF’s support extends to the creation of civil society institutions, including pre-primary, primary, secondary, technical and professional schools; maternity homes, hospitals and research centres; and sports, recreation and cultural centres. cross-cutting concerns including gender issues, pluralism, human resource development and public awareness of development issues. AKF both implements projects and makes grants. Most Foundation grants are made to local field-based organisations. When an appropriate partner for a programme does not exist, the Foundation will create one – such as its rural development programmes – or manage the project directly. Over the years, AKF has built a solid reputation for accountable management of grants within a clearly defined thematic strategy and geographic focus. His Highness the Aga Khan, who founded AKF in 1967, provides regular funding for administration and programme initiatives as well as contributions to its endowment. The Ismaili community contributes invaluable volunteer time, professional services and substantial financial resources. Other funding sources include more than 60 national and international development agencies and many thousands of individual and corporate donors. The Foundation is committed to sharing lessons from its field experiences through collaboration, public dissemination and policy dialogue. Models that the Foundation has promoted have been adapted and replicated by governments and international donors across a spectrum of environments and economies. Right: In the high-mountain region of Hunza, Pakistan, the Passu Women’s Organisation (WO) began to develop this land shortly after AKF helped the village to complete an irrigation channel in 1987. Although the WO now has nearly 200 members and many other activities, the founding members continue to harvest fruits, vegetables and fuel wood from these fields and forest plots. 10 The Foundation is based in Geneva, Switzerland, with branches and affiliates in Central and South Asia, the Middle East, Sub-Saharan Africa, Europe and Nor th America. In every country, the Foundation works for the common good of all citizens, regardless of gender, origin, religion or political association. introduction 1988 2000 11 12 A K F ’s I m p a c t o n R u r a l D e v e l o p m e n t The Aga Khan Foundation’s (AKF) pioneering rural development programmes have often been at the heart of the Aga Khan Development Network’s (AKDN) commitment to the economic and social development of rural areas, particularly in resource-poor, degraded or remote environments. Enabling people in these areas to create the services they need and have access to the opportunities they want is a particular focus. AKF’s Role in Rural Development The first Aga Khan Rural Support Programme (AKRSP) began in the remote Northern Areas of Pakistan. In 1982, when the programme started, the poor and rugged region (located among four of the highest mountain ranges of the world, including the Karakorum, Himalayas, Hindukush and Pamirs) was one of the poorest areas in the developing world. Isolated and bypassed by advancements elsewhere, these rural communities of different ethnic and religious backgrounds –Shia, Sunni and non-Muslim – struggled to eke out a meagre living, farming small holdings in the harsh environment of this mountainous desert ecosystem. AKRSP’s challenge was to create sustainable, inclusive processes of development in which diverse communities could participate together and seek joint solutions to common problems. Left: Central to the Foundation’s work is the belief that communities must take ownership of their development so that the programmes can eventually become self- During the past 25 years, AKRSP successfully tested participatory approaches to planning and implementation of micro-level development in rural areas, including the mobilisation of rural savings and provision of micro credit; the application of cost-effective methods for building rural infrastructure; institution and capacity building; and successful partnership models for public-private sector initiatives. sustaining. Since 1982, AKF has mobilised 4,000 community development organisations in the remote Northern Areas of Pakistan. Often described as a process of “learning by doing”, the AKRSP approach of working in partnership with communities has made remarkable changes in the 13 akf ’s impact on rural development lives of the 1.3 million villagers who live in the programme area. Most of these beneficiaries are widely dispersed across a region covering almost 90,000 square kilometres, an area larger than Ireland. Among many notable achievements have been a significant increase in incomes, the construction of hundreds of bridges, irrigation channels and other small infrastructure projects, the planting of tens of millions of trees and the reclamation of hundreds of hectares of degraded land, and the mobilisation of 4,000 community organisations that have established patterns of local governance that are democratic, transparent and accountable to their members and which manage savings of almost US$ 8 million. Today, the value of community partnership has become a widely recognised concept, practised as a highly effective and sustainable model of rural development in Pakistan and across the globe.The success of the Foundation’s approach can be measured by both its positive impact on villagers in the programme areas, as well as by its influence on global development trends. In 2002, in response to the low levels of food security in northeast Afghanistan, AKF began distributing quality seeds and fertilisers to improve agricultural yields and productivity, mostly in the Bamyan, Baghlan and Badakhshan provinces. In recent years, efforts have focused on providing sustainable alternative livelihoods In 2004, AKRSP received an Ashden Award for Sustainable Energy, for the innovative use of micro-hydels (eco-friendly mini-hydroelectric generators providing communities with renewable energy) in the Northern Areas of Pakistan.With the Foundation’s assistance, over 180 micro-hydel units supplying electricity to 50 percent of the population of Chitral were implemented, maintained and managed by the communities themselves. In 2005, AKRSP also received the Global Development Award for Most Innovative Development Project.This award is given to development projects which are judged to have the greatest potential for benefiting the poor in developing countries. and micro-credit options to the rural poor to help them escape the impoverishing cycle of poppy cultivation and opium-related debt. In keeping with its focus on resource-poor and remote regions, AKF has extended its rural development experience to some of the most challenging environments in the world: from high-mountain deserts in Afghanistan where the terrain and isolation combine to create economic hardship, to coastal plains in Mozambique where saltwater encroachment pollutes the water available for drinking and irrigation. The Foundation’s efforts concentrate on a small number of rural programmes of significant scale in 10 countries: Pakistan, India,Tajikistan, Kenya, Mozambique, Afghanistan, Syria, Kyrgyzstan, Madagascar and Mali.Although each programme is adapted to its local context, the long-term aim of the programmes is to give the participating communities access, confidence and competence to make informed choices about a range of appropriate development options. This 14 akf ’s impact on rural development is done by working primarily in the four areas which are highlighted in the following section: promoting social mobilisation by encouraging community participation and decision-making around a set of common developmental goals; improving natural resource management and increasing livestock and agricultural productivity to ensure food security as well as increase incomes; facilitating village development funds and savings groups; and assisting village organisations to create and maintain productive physical infrastructure. In addition, AKF fosters the development of micro and small enterprises by facilitating market access and developing people’s skills. Social Mobilisation Central to the Foundation’s work is the belief that communities must take ownership of their development so that the programmes can eventually become self-sustaining. To support this endeavour, the Foundation creates and strengthens institutional structures at the village level to ensure that community priorities are represented in programmes and effectively communicated to government and other development partners, including civil society organisations and the private sector.These village organisations – whether broad-based or interest-specific – provide supportive networks by which communities can enlarge their economic assets and harness individual efforts/skills to generate income in an equitable and sustainable manner. On Ibo Island, Mozambique, AKF helps to increase rural incomes by promoting enterprise development. It works with producers and technical service providers to increase product quality and facilitates linkages to markets. 15 akf ’s impact on rural development Once a village organisation begins to provide services to its members, the Foundation expands the programme by establishing organisations in other districts. It then brings them into a federated structure and links them to local governments through collaboration on development issues. The Foundation’s focus on marginalised groups, especially in poor, rural areas, has led to the creation of women’s organisations.The aim of these groups is to empower women economically as well as politically in regions where they lack financial and social independence. Examples of this can be found in India, where women’s self-help groups are filling a significant gap in social and community development. In Gujarat, on the periphery of the Gir Forest, the Siddis are a marginalised tribal people of African origin whose subsistence depends on illegal firewood collection. While the Siddis would prefer not to deplete the forest for income, the community (whose members are mostly landless) has little choice but to engage in illegal cutting given the lack of livelihood options. To empower their community with alternative livelihoods and, subsequently, a better socio-economic status, the members of the Siddi self-help group In Gujarat, India, with the support of AKF, made a visit to Surendranagar district to see how women there were making members of a Siddi women’s organisation organic compost under another AKRSP programme. Encouraged by what participated in building an organic composting structure. They now produce 15,000 bags of they saw, the Siddi women returned home to try their own hand at compost compost per year, earning a profit of US$ 16,700 production and have since built a very successful business. Starting modestly or US$ 696 per member. in 1999 with the production of 200 bags, the Jambur Women’s Group now 16 akf ’s impact on rural development produces 15,000 bags per year, earning a profit of US$ 16,700 or US$ 696 per member. This represents an increased annual income of more than 500 percent, compared to earnings from firewood collection. Today, the women’s self-help groups are working together as federated organisations, providing their members with savings and loan facilities as well as sustainable alternative livelihood options. Natural Resource Management In most areas where the Foundation works, agricultural production remains the primary and often only economic activity for a majority of people. Recognising the link between poverty and the scarcity of natural resources, AKF strives to facilitate programmes that are designed to improve rural livelihoods and better utilise existing resources without placing undue pressure on ecosystems. In the drought-prone rural areas of Salamieh District, Syria, for example, 60 percent of wells have dried up in the last 25 years. In response to these increasingly serious water shortages, the Foundation has helped farmers develop new and more efficient farming techniques. Groups have come together to learn how to improve irrigation technology in order to increase yields while minimising the extraction of water from underground sources. AKF also supports mushroom production as a means of supplementing family income. Mushrooms need very little water and are cultivated at room temperature, allowing families to grow them in milk crates in a dark corner of their home. Since 2003, mushrooms have become a sustainable source of supplemental income, increasing annual household earnings by 10 to 25 percent. AKF has begun to assist in the marketing of the mushrooms to major cities in the country. In Salamieh, Syria, sheep are a major source of income. AKF trains farmers with technical knowhow to help them increase the productivity and value of their livestock. Farmers are also trained on bookkeeping, noting, for example, the date of birth, weight, lactation and feeding patterns of newborns. This information helps them determine the efficacy of the various technologies (fortified feed, early weaning practices, etc.). Once AKF-trained farmers Livestock and Agriculture adapt these new technologies to local conditions, they train other farmers in the area. The Foundation’s rural development programmes help to improve livelihoods by increasing agricultural productivity – for example, by improving agricultural techniques, promoting land development and enhancing processes which add value to primary agricultural goods. Farmers are encouraged to experiment with improved seeds and crop management practices in order to raise livelihood above subsistence level. In a rice-growing area of northern Madagascar, AKF has seen dramatic results in a relatively short time with this participatory/experimental approach. The key has been to avoid the prescriptive approach and, rather, to offer farmers 17 akf ’s impact on rural development a best practices “toolkit” from which they can borrow while experimenting on a 10-square-metre plot. Farmers adopt techniques (planting in rows, using weeding tools, levelling soil beds, etc.) at their discretion and combine them with traditional knowledge so as to make them better suited to local conditions. In fields where selected practices have been adopted, rice yields have on average doubled, and in some villages, are three times greater than in neighbouring plots. In a country where 80 percent of rural households are involved in rice production, these gains are expected to make significant improvements in livelihood. In the remote mountain regions of Tajikistan, where there is little arable land and a serious problem of food security, diversifying agricultural production is an important part of AKF’s efforts to improve livelihoods. The aim is to introduce new crops that enable farmers to work on currently unusable or under-utilised lands with low productivity and make additional income through the processing of their goods. The introduction of new crops and value-added processing enables both farmers and local entrepreneurs to generate income from previously marginal and unusable land. Since 2002, more than 15,000 people in the Khatlon and Rasht Valley regions have benefited from the crop diversification activities supported by AKF. Over this In rural Tajikistan, where more than 60 percent of period, production in the Rasht Valley of fruits and vegetables has increased households have no access to clean, piped water, by 340 percent and 280 percent respectively. In a study conducted in Khatlon the Foundation has (since 1997) supported the region, of the 70 percent of households that reported an improvement in construction or rehabilitation of more than 400 livelihood and quality of life, more than one-third attributed the change to water and sanitation projects. improvements in agriculture. In particular, households identified the cultivation and sale of orchard fruits and vegetables as the primary factors responsible for their improved living conditions. Establishing Community Funds Managing funds and creating individual savings programmes for poor rural people have proven to be impor tant ways to encourage social collaboration, to fund critical investments at the village level and to help cushion people from unexpected expenses resulting from health problems or a death in the family. In Pakistan, for example, with the Foundation’s assistance, some women’s organisations now run their own microfinance operations, lending funds to their members as well as to their spouses. In Tajikistan, AKF’s Mountain Societies Development Suppor t Programme mobilises local funds to promote community development. The money raised allows communities to 18 akf ’s impact on rural development initiate and run development projects with a sense of local ownership that is crucial for long-term success. Productive Physical Infrastructure Building and rehabilitating physical infrastructure is central to the Network’s effor ts to improve rural livelihoods. Before they can begin to increase their income-generating activities, people need to access basic necessities such as sustainable energy and clean water. In the mountainous regions of nor thern Pakistan, where many communities are far removed from the electricity grid, the Foundation has pioneered and helped implement micro-hydroelectric plants which generate enough power to light an entire village. The projects are implemented, maintained and managed by the communities themselves. Several dozen other such plants are also in operation in Tajikistan and Afghanistan. In rural Tajikistan, where more than 60 percent of households do not have access to clean, piped water, the Foundation has (since 1997) suppor ted the construction or rehabilitation of more than 400 water and sanitation projects. In Gorno-Badakhshan Autonomous Oblast, incidents of waterborne diseases have decreased by 62 percent between 1999 and 2005. In Madagascar, AKF has seen dramatic results in a relatively short time in the improvement of rice production. As part of the programme, farmers are trained in small groups on how to manage the water levels and fertility of their paddies and how to implement correct replanting and weeding practices. In fields where selected practices have been adopted, rice yields have on average doubled. In addition to improving basic aspects of community health and safety, the Network’s investments in critical infrastructure are also enabling people to work together and gain better use of economic and social oppor tunities. A series of bridges have been constructed and rehabilitated across the Pyanj River to consolidate permanent overland links between Tajikistan and Afghanistan. The project, under taken by AKDN in collaboration with the two governments, is improving significantly the flow of aid, commerce and trade within Central Asia. The links and meeting places created by these bridges are also facilitating cross-cultural understanding. In 2007, through joint business trainings, weekly cross-border markets and social workshops, AKF brought together community members from south-central Tajikistan and nor th-east Afghanistan to meet, share ideas and strengthen economic and social relationships. Cross-border sales via the Darwaz and Tem bridges have increased from four percent to 55 percent over the year, greatly exceeding initial targets. A cross-border market now operates weekly in three communities along the Tajik-Afghan frontier ; 19 akf ’s impact on rural development every Saturday, over 1,000 traders congregate from both sides to buy and sell goods and services. Enterprise Development A vast majority of AKF beneficiaries are micro and small producers whose livelihoods depend on income from selling products. However, their incomes are strongly influenced by various factors, such as inadequate access to knowledge, information and services, unaffordable or inappropriate technologies, physical distance to markets, uneven competition due to national and international trade policies, and limited productivity as a result of environmental degradation. Enterprises run by the poor have specific constraints related to factors that exacerbate their poverty such as geographic or socio-cultural isolation or the devastation of war. The Foundation’s approach to enterprise development is market oriented. It does not enter the market directly or run businesses itself. Rather, it focuses on facilitating the private sector to operate profitable businesses and ensuring the poor have access to markets. In Badakhshan, a remote and poor north-eastern province of Afghanistan, AKF has used this approach to develop the poultry sector as an effective alternative for many villagers, whose incomes previously depended on opium poppy cultivation. Without such an alternative livelihood, The Azhar Park Project in Cairo, which began as a massive engineering effort to create more green space, has grown into a full-fledged area development project in the adjacent historic district of Darb al-Ahmar. Hundreds of young men and women in Darb al-Ahmar – one of the poorest neighbourhoods in Cairo – have found work in the park, in horticulture and on project teams restoring the Ayyubid wall and local landmark buildings. 20 akf ’s impact on rural development a large number of rural Afghans today would be facing the risk of even greater poverty due to national efforts to eradicate the opium economy. Future Directions Over the last quarter century, the Foundation’s approach of “learning by doing” in partnership with communities has made dramatic changes in the lives of rural people around the world. In addition to partnering with the villages, AKF has coordinated its efforts with those of its sister organisations in AKDN, so as to increase its impact. Implicit in this approach – and reflecting the complexity of development – is the need to bring a wide variety of disciplines (economic, social, cultural) to bear in a given area. As society is becoming increasingly urban, there is a growing demand for better understanding of – and solutions to – the conditions of urban poverty. In response to this demand, AKF has been addressing poverty alleviation and problems of social exclusion in urban neighbourhoods in several settings, including Portugal, India, Egypt, Mali, Pakistan and Syria. The Foundation has also been working more closely with other AKDN agencies – the Aga Khan Trust for Culture, for example, whose mandate includes the urban revitalisation of culturally significant sites in the Islamic world – to help improve the quality of life in historic cities including Cairo, Delhi, Lahore, Mopti, Kabul and Zanzibar. 21 akf ’s impact on rural development AKF Rural Development Programmes PAKISTAN Since 1982, the Aga Khan Rural Support Programme in Pakistan has been working in a poor and rugged region located among four of the highest mountain ranges of the world, including the Karakorum, Himalayas, Hindukush and Pamirs. The population of 1.3 million in the programme area lives in small villages widely dispersed throughout an area covering almost 90,000 square kilometres, an area larger than Ireland. Among many notable achievements have been a significant increase in incomes, the construction of hundreds of bridges, irrigation channels and other small infrastructure projects, the planting of tens of millions of trees, the reclamation of hundreds of hectares of degraded land and the mobilisation of 4,000 community organisations. These organisations, which have established patterns of local governance that are democratic, transparent and accountable to their members, manage savings of almost $US 8 million. INDIA Since 1983, the Aga Khan Rural Support Programme in India has reached over 400,000 beneficiaries in over 1,000 villages in the states of Gujarat and Madhya Pradesh. Activities have included watershed development and the planting of millions of trees. AKRSP has also constructed or repaired dozens of bunds and dams that help recharge depleted reservoirs and address the increasing salinity of groundwater in coastal areas. These measures provide communities with more water for drinking and irrigation, resulting in higher agricultural productivity and rural incomes (including household savings), greater resilience to droughts and the ability to manage the natural resource base better. Among the notable impacts of these activities, particularly for women, have been better health and reduced medical costs due to improved diets and greater access to safe drinking water. Literacy and school attendance levels have increased, especially for girls, who freed of the laborious task of water collection have more time to study. Women’s empowerment has also led to their participation (up to 30 percent in some programme areas) in the local political process. TAJIKISTAN In response to the humanitarian crisis in the Gorno-Badakhshan Autonomous Oblast (GBAO) of Tajikistan brought about by the collapse of the Soviet economy in 1992 and the ensuing civil war, AKF launched the Pamir Relief and Development Programme. The Programme initially worked to increase levels of food self-sufficiency in GBAO, which grew from approximately 15 percent in 1993 to 70 percent in 2003, a level that has been sustained since. Today, the Programme (renamed the Mountain Societies Development Suppor t Programme), covers a population of 730,000 across three regions: GBAO, the Rasht Valley and Khatlon. The improvement of rural incomes and livelihoods has been facilitated by the creation and suppor t of over 1,100 village organisations, distribution of cash and in-kind credit to more than 24,000 farmers for agricultural inputs, completion of more than 2,400 infrastructure projects and the establishment of nearly 50 new rural enterprises across Tajikistan. KENYA The Coastal Rural Support Programme in Kenya has been working in semi-arid, marginalised rural areas of Coast Province since 1997. Over a 10-year period, the programme has grown from working with four village organisations comprising less than 300 community members to working with 195 village organisations comprising more than 30,000 members. The introduction of small farm reservoirs, which has provided the target population of 130,000 with critical access to water for both domestic and productive uses, has helped the majority of households to increase agricultural production and income, in spite of the increasing poverty in Coast province. MOZAMBIQUE In response to the extreme poverty and isolation facing rural communities of northern Mozambique, AKF created the Coastal Rural Support Programme in the province of Cabo Delgado in 2001. To date, the programme has worked in partnership with the communities to improve 22 22 akf ’s impact on rural development “ A K D N t akes a n a r ea - b a s ed a p p r oa c h . D ra wing o n its expe r ie nc e o f ma ny ye a r s in dive r s e e nviro nme nts , we h ave le a r n e d t h at d ev el op m en t i s a n i nt eg ra t ed pro c e s s . This re quire s us to wo r k s imulta ne o us ly a c ro s s multipl e sector s , an d in s p h er es b ot h p u bl i c a n d p r i va t e .” – His Highne s s the A ga Khan, Kabul, 8 Nove m ber 2005 the livelihoods of approximately 25,000 households. It has supported agricultural training and provided an array of inputs that offer alternatives to the slash-and-burn subsistence farming methods employed by local populations. It has supported the planting of alternative cash crops such as vegetables and sesame and created more than 120 farming blocks. Other programmes develop alternative income-raising activities and support small businesses on both the mainland and the island of Ibo. More recently, around Quirimbas National Park, non-lethal ways of reducing crop damage caused by wildlife have been explored. AFGHANISTAN In 2002, in response to the low levels of food security in north-east Afghanistan, AKF began distributing quality seeds and fertilisers to improve agricultural yields and productivity, mostly in the Bamyan, Baghlan and Badakhshan provinces. Shortly afterwards, AKDN began mobilising and partnering with villages to build community infrastructure projects, including water supply schemes, latrines, irrigation channels, microhydroelectric plants, roads, bridges, schools and health centres. In recent years, efforts have focused on providing sustainable alternative livelihoods and micro-credit options to the rural poor to help them escape the impoverishing cycle of poppy cultivation and opium-related debt. SYRIA Since 2003, the Rural Development Programme in Syria has worked with agriculturally reliant communities in Salamieh District on the persistent issue of water scarcity. The programme maintains that cooperation and collective management of natural resources is the key to alleviating poverty in this region. Water management and irrigation technology combined with agricultural diversification and improved techniques – of which more than 2,500 households have directly benefited to date – are at the foundation of AKF’s success in Salamieh District. In addition, the programme includes a mushroom growing initiative, women’s dairy processing groups, olive production for high quality oil, barley production, pistachio orchards and improvement of sheep and goat production. KYRGYZ REPUBLIC The Mountain Societies Development Support Programme in the Kyrgyz Republic was established in 2003. Its primary activities include establishing and building the capacity of community organisations to initiate and manage village projects and to mobilise resources from local governments and NGOs. It also introduces improved technology to increase agricultural and livestock productivity; supports income generating activities and small enterprise development; and provides training and support to village organisations. MADAGASCAR Since 2005, AKF has been working in Madagascar with the aim of reducing poverty by improving rice productivity. Using an innovative participatory approach, rice yields in programme areas have doubled on average. In some villages, yields are three times greater than in neighbouring plots. In a country where 80 percent of rural households are involved in rice production, these gains are expected to make significant improvements in livelihoods. MALI The Rural Development Programme, established in the Mopti Region of Mali in 2007, follows the AKRSP approach of working in partnership with local communities to improve agricultural productivity and rural livelihoods. The programme’s goal is to increase access to improved crop varieties – rice being the most important – while promoting viable private supply systems and developing rural infrastructure. The improvement of livelihoods in these communities is expected to raise their overall health status and levels of literacy. 23 23 A K F ’s I m p a c t o n H e a l t h The Aga Khan Development Network (AKDN) and its institutional predecessors have been providing health services ranging from basic health promotion and disease prevention to inpatient care in developing countries for over 50 years. While the Aga Khan Foundation (AKF) promotes good health practices in poor communities, other AKDN agencies provide complementary services. Aga Khan Health Services (AKHS) delivers community health programmes and operates clinics, hospitals and other health facilities. Aga Khan Planning and Building Services (AKPBS) installs water supply and sanitation systems and promotes the construction of safe and hygienic housing and community structures. Aga Khan University (AKU), with campuses in Pakistan and East Africa (Kenya, Uganda and Tanzania), operates two university teaching hospitals and manages several others; trains health providers, including physicians, nurses and allied health professionals; and carries out health research on chronic or emerging health problems of the developing world. AKF’s Role in Health Left: In Gujarat, India, a community health worker shares her knowledge about hygiene and how women can care for AKF focuses on developing and implementing approaches that enable poorer communities, both rural and urban, to acquire the knowledge and adopt the practices needed to protect and promote good health. The community health programmes of AKF promote and build on existing local structures, belief patterns, resources and participation to achieve defined health gains. As a result, communities today are more informed about the causes of illness and how to avoid them, and more open to changing lifestyle behaviours to attain better health. themselves and their babies. AKF focuses on improving the health status of vulnerable groups, especially women of childbearing age and children under five, who live in geographically remote areas. The goal of the Foundation’s community health programme is to improve the health status of children under five and women of reproductive age (15 to 45). These groups are usually the most vulnerable in developing 25 akf ’s impact on health countries, and bear the largest burden of morbidity and mortality. AKF addresses communicable and vaccine-preventable illnesses as well as the prevalence and severity of emerging, re-emerging, persistent and noncommunicable diseases. The principal responsibilities and challenges facing the AKF community health programme are ensuring quality and programmatic relevance, measuring progress and impact, sustaining the programmes financially and mobilising resources needed to meet programme requirements on a timely basis. In response to these challenges, AKF supports the provision of effective and sustainable health care for communities residing in areas of concern to AKDN. In Stone Town, Zanzibar, an infant receives a It develops, tests and advances models of sustainable health care. It also vaccination at the Raha Leo Health Clinic. The enables communities and health professionals to serve their communities, clinic is home to the Raha Leo Community and documents the results, impact and lessons learned from programmes. Health Programme, a public-private partnership with AKF support, which serves the health needs of over 16,000 people annually. The programme works to improve the quality of general health services offered at the clinic, introduce HIV/ AIDS voluntary counselling and testing services, launch youth outreach programmes, and pilot approaches to cost sharing in line with Zanzibar’s Health Sector Reform Strategy. 26 In many countries AKF facilitates access to essential health services, largely through partnerships with communities, ministries of health and other nonstate providers. Its programmatic activities currently fall within the areas of maternal and child health, development of health professionals, strengthening health systems and improving the built environment.The Foundation supports programmes that are directly serving an estimated 1.1 million people. akf ’s impact on health Maternal and Child Health In India, AKF supports a community-led approach that provides quality health services to rural families in 67 villages in Maharashtra state (with approximately 90,000 direct beneficiaries), and 83 villages in Gujarat state (with over 150,000 direct beneficiaries). By forming 249 women’s self-help groups, 62 adolescent girls’ groups, and numerous male and female health action groups at the village level, the Foundation is building the capacity of local communities to partner with the Ministry of Health and other providers to ensure the availability of affordable reproductive and child health services. According to a recent internal review, there have been increases in the use of modern family planning methods among married women, immunisation coverage among children under 24 months has risen and attendance at antenatal and postpartum services has improved. In Chitral and the Northern Areas of Pakistan, the Foundation supports AKHS’s network of 22 Maternal Child Health Centres, which provides more than 300,000 women and children with access to essential care 24 hours a day, seven days a week. Assessments of the work carried out over the last two decades indicate that immunisation coverage and antenatal attendance in these communities are well above 80 percent, as compared to less than 50 percent prior to intervention and 60 percent in communities outside the catchment area. In Salamieh, Syria, a Bedouin mother listens to an In the remote mountain communities of Alai and Chon Alai, the two poorest districts in Osh Oblast, Kyrgyz Republic, more than 90,000 people in 76 villages are able to better assess their health needs, analyse underlying causes of illness and take collective action to improve their knowledge, and adopt behaviours that lead to better health.This has largely been the result of targeted awareness-raising campaigns organised by community health promoters and village volunteers trained by AKF. For example, when the Foundation began working in these villages, mothers used a range of breast-milk substitutes and did not link breastfeeding to the nutrition status, growth, development, health and survival of their children. Today, more than 90 percent of women are aware of the importance of exclusive breastfeeding (giving newborns no other food or drink, or even water, besides breast milk, for the first six months), a practice which dramatically reduces infant deaths in developing countries by reducing diarrhoea and infectious diseases. When community health AKF community health promoter, who explains how breastfeeding can dramatically reduce the incidence of diarrhoea and infectious diseases in infants. Between 2004 and 2007, the rate of exclusive breastfeeding in Salamieh increased from less than 10 percent to 45 percent. 27 akf ’s impact on health promoters emphasised the association between proper nutrition and good health for all age groups, more than 20 villages responded by establishing 160 kitchen gardens, with the suppor t of the Foundation. The production of tomatoes and carrots, among other vegetables, are expected to reduce some significant vitamin deficiencies in these highmountain communities. In Aswan, Egypt, nursing teachers at the Al Nafak Centre Nursing Skills Lab prepare a three-week professional orientation course, which is designed to familiarise new nursing graduates with hospital policy and human resource, management and legal issues in the health field. Such training courses supported by AKF aim to upgrade the quality of nursing services and improve the status of nursing. In Syria, the Government’s Healthy Village Programme was established to promote comprehensive community-based development. The Foundation is partnering with government programmes like this one and the Primary Health Care Programme to form village health committees and to train volunteer community health workers to introduce effective health behaviours and practices. After reviewing data on morbidity and mortality in the programme area, the Foundation introduced campaigns to promote exclusive breastfeeding, to stop smoking in the home and to initiate the use of helmets among motorcycle drivers and riders. The breastfeeding campaign has reached almost 80 percent of the residents of Salamieh District. Exclusive breastfeeding and appropriate weaning practices have increased from less than 10 percent to 45 percent. The smoking campaign, aimed primarily at men, has achieved slow but perceptible impact, largely through the efforts of wives/mothers on the village health committees, who have become aware of the effects of second-hand smoke on the health of young children. The motorcycle safety campaign, launched to reduce the large number of deaths and injuries among males, has been strongly supported by influential segments of the community. To promote the campaign, the Aga Khan Agency for Microfinance is offering loans to those wishing to buy good quality helmets. Development of Health Professionals The Foundation works with the Aga Khan University School of Nursing (AKU-SON) to increase the number and quality of health professionals, especially nurses and midwives, being trained at the Ghanzafar Institute for Health Sciences in Afghanistan. Afghan women – having been barred from general hospitals and midwifery services during the Taliban rule – have some of the highest maternal mor tality ratios ever recorded. In the remote nor th-eastern province of Badakhshan, for example, there are 1,600 maternal deaths per 100,000 live bir ths, compared to 530 deaths per 100,000 in Pakistan and only 12 per 100,000 in the 28 akf ’s impact on health United States. Skilled nurses and midwives are urgently needed to reduce the rate of preventable death during childbir th. Since 2003, the programme has prepared and placed in service more than 400 nurses and midwives, and trained 76 faculty members in good nursing and midwifery practice. The Foundation has also helped to establish professional nursing and midwife associations to underscore the impor tance of advancing these vocations in Afghanistan. With suppor t from AKF, AKU-SON star ted an Advanced Nursing Studies programme (AKU-ANS) in Kenya, Uganda and Tanzania in 2001. By providing nurses the means to upgrade their credentials while remaining in service, the programme is expected to deter migration and help retain much needed quality “front line” health staff in East Africa. As fewer nurses migrate or exit the health workforce, there will be fewer staff shor tages that compromise the delivery and quality of health services in these countries. Through its dynamic modular and par t-time approach, AKU-ANS builds on the knowledge, skills and experience that individual nurses bring to the programme. To accommodate the professional development goals of nurses in locations outside the three ANS campuses, which are in Nairobi, Kampala and Dar es Salaam, AKU-ANS uses distance education approaches to train and supervise. In an employer satisfaction survey conducted in East In Nairobi, Kenya, nurses enrolled in the Aga Khan University Advanced Nursing Studies programme (established with the support of AKF) are upgrading their credentials while remaining in service. In an employer satisfaction survey conducted in East Africa in 2007, more than 75 percent of 284 employers reported that AKUANS graduates were better prepared than other co-workers who underwent similar training programmes at other institutions. 29 akf ’s impact on health Africa in 2007, more than 75 percent of 284 employers repor ted that AKU-ANS graduates were better prepared than other co-workers who underwent similar training programmes at other institutions. At present, there are more than 1,000 students enrolled in campus-based and distance programmes. Strengthening Health Systems In Baghlan Province, Afghanistan, AKF supports the construction of water pumps and other water supply systems that help to reduce the incidence of diarrhoea and other waterborne diseases. Since the introduction of these systems, the incidence of diarrhoeal mortality in infants has decreased by 97 percent in the programme areas. In Afghanistan, AKF has suppor ted the effor ts of Aga Khan Health Services to establish and operate a network of government-owned facilities which provides essential health services through 127 Health Posts, 17 Basic Health Centres, five Comprehensive Health Centres and one district hospital (Bamyan). Through regional training teams, each composed of a physician, a nurse trainer and a health educator, facility staff and community volunteers are trained to offer quality, cost-effective, accessible and equitable care to communities residing in remote, rural areas. To date, community health programmes have reached more than 400,000 people living in nine districts who previously had no access to health care. In addition to implementing activities in HIV/AIDS, malaria control and water supply and sanitation, AKF is partnering with the Ministry of Health to operate two rural dispensaries in two districts of Cabo Delgado Province, Mozambique. Building on programme accomplishments in Kenya, AKF is training community members to be actively involved in managing the dispensary, promoting health-enhancing practices and collecting data to track the impact of programmes. In light of the high rates of wasting and stunting in the programme area, the Foundation is supporting initiatives to introduce nutritional foods (e.g., the yellow sweet potato) and promote appropriate complementary feeding and weaning practices. Services and information are accessible to more than 125,000 beneficiaries who previously had very limited access to health care. In Gorno-Badakhshan Autonomous Oblast (GBAO), Tajikistan, AKF suppor ts the effor ts of the Ministry of Health to shift the health sector’s focus from hospital-based curative care to community-based primary care. Community health promoters have been trained to inform the public about basic practices which help to reduce the burden of preventable diseases. The supply of essential pharmaceuticals and the practice of rational prescribing have made medicines available to 30 akf ’s impact on health over 220,000 people whose supplies had been acutely cut with the withdrawal of Soviet subsidies.The system now recovers 100 percent of the direct cost of the pharmaceuticals and continues to train providers on rational use. As a result, patients receive more precise prescriptions, have lower pharmaceutical costs and are less exposed to gratuitous drug immunity/resistance. Measures are in place to restructure the clinical and managerial operations of the provincial hospital in Khorog. The Foundation is also suppor ting the Government’s implementation of the Family Medicine initiative. The initial effor t, in which two doctors and four nurses are being trained to serve in Rushan District, is underway, and will be expanded to cover all GBAO districts once the outcomes of the initial phase have been assessed. Improving Water and Sanitation In seven countries (Afghanistan, India, the Kyrgyz Republic, Mali, Mozambique, Pakistan and Tajikistan), the Foundation supports the construction of water supply and sanitation infrastructure and the introduction of products and practices that improve living conditions in the home. In Afghanistan, for example, AKF interventions are reducing the incidence of water-borne diseases by providing safer water supply and improved sanitation facilities and encouraging the adoption of effective hygiene practices. With strong support from the Ministry of Rural Rehabilitation and Development, AKF has constructed 1,280 wells, 35 pipe water schemes and 1,760 latrines to serve a population of nearly 300,000. According to an independent evaluation commissioned by the Foundation in 2007, since the introduction of these safe water systems, the incidence of diarrhoea and other water-borne diseases has decreased by 80 percent and the incidence of diarrhoeal mortality in infants has decreased by 97 percent in the programme areas. In all AKDN countries, communities play an active role in financing, installing and maintaining the infrastructure. Community involvement ensures that the infrastructure continues to provide health benefits over the long term. In the Gorno-Badakhshan Autonomous Oblast of Tajikistan, the supply of essential pharmaceuticals and the practice of rational prescribing have made medicines available to over 220,000 people whose supplies had been sharply reduced following the withdrawal of Soviet subsidies. A Drug Revolving Fund acts as a partial cost-recovery mechanism, helping to replenish stocks and provide drugs for those unable to pay; in addition, drugs are used more efficiently thanks to training for doctors. Future Directions In the past, deficiencies in health policy, financing and service availability undermined attempts to achieve lasting improvements in health status among poor communities. Free-standing, community-based health programmes succeeded in achieving health improvements for a limited 31 akf ’s impact on health time at a relatively low cost. However, communities often did not have the financial resources to sustain improvements, the quality of care and patient referral were not assured, and basic services were often inaccessible and rarely equitable or lasting. Lessons learned in pioneering community health programmes in India and Pakistan have therefore influenced the design and implementation of community health programmes in other countries where AKDN works. The Foundation now suppor ts interventions that build the institutional capabilities of health systems by strengthening and developing par tnerships between all stakeholders, from the state to the community; promoting policy and financial mechanisms to develop and sustain health systems and services; and documenting and disseminating best practices from AKDN’s experience. In line with the policies of governments and international donor and lending agencies, the Foundation is also suppor ting effor ts to reform the health systems in Afghanistan, Tajikistan and the Kyrgyz Republic. In almost all AKDN countries, the Foundation is financing health 32 akf ’s impact on health infrastructure, strengthening the operations of the health systems and advancing the skills of health professionals, especially nurses and midwives. Due to demographic transitions and changing lifestyles, the Foundation has become increasingly involved in the prevention, care and treatment of noncommunicable and chronic diseases, which have become a more common cause of death than infectious diseases in many developing countries. Working with other AKDN agencies, it has also begun to contribute to the development, testing and promotion of new models of accessible and sustainable health care. By developing an e-Health system for the Network, for example – an innovation that helps to improve healthcare practice through the use of information and communications technology – the Foundation expects to enable staff working in remote, resource-poor locations to improve their ability to diagnose and treat patients seeking care. In Syria, motorcycle accidents are a major health risk. Boys start riding as early as age 10 but they rarely use helmets. According to the World Health Organization, helmets reduce motorcycle mortality by 45 percent.The AKF Health Programme has launched a motorcycle safety campaign to reduce the large number of deaths and injuries among males in Salamieh. Within the first five months of the campaign, 450 helmets were sold. The goal is to have 30 percent of riders wearing helmets by 2010. 33 34 A K F ’s I m p a c t o n E d u c a t i o n The Aga Khan Development Network (AKDN) and its institutional predecessors have supported schools in developing countries for over 100 years; in the last 30, a wide range of complementary efforts have provided poor and geographically remote communities with a continuous ladder of relevant learning opportunities and methods of improving educational quality, from pre-school through university. The Aga Khan Foundation’s (AKF) education programme works within the broader education activities of AKDN. Aga Khan Education Services (AKES) operates facilities ranging from pre-schools to higher secondary schools. The emerging network of Aga Khan Academies challenges meritorious students with critical thinking skills for higher learning and civil leadership. Aga Khan University (AKU), in Pakistan and East Africa, and the University of Central Asia (UCA), with campuses under construction in Kazakhstan, the Kyrgyz Republic and Tajikistan, offer instruction, training and research that is relevant to the needs of developing societies. The Aga Khan Trust for Culture’s (AKTC) Education and Culture Programme promotes the understanding and appreciation of Islamic art, architecture and musical heritage. AKF’s Role in Education Left: For 25 years, the Madrasa programme has worked to overcome critical gender barriers in East Africa by ensuring the equal participation of girls and boys in the classroom. On the ladder of learning, the Foundation provides support at various levels and pays special attention to the crucial first rung: getting young children into school. In Sub-Saharan Africa, half of the children do not complete five years of primary school. Globally, India and Pakistan account for 30 percent of out-ofschool primary age children. Out-of-school children are concentrated where poverty is most intense; 60 percent of them are girls. The Foundation plays a key role in promoting AKDN’s education agenda by increasing access to schools for young children – particularly girls and other marginalised children – who live in poor and geographically remote locations. 35 akf ’s impact on education Once children are in school, the challenge is keeping them there and, more importantly, ensuring they learn. Unless the education on offer seems relevant and useful to both the children themselves and their families, the risk of drop-out is near certain. Children growing up in the countries where AKF works need to develop multiple skills during the course of their lives. Key skills which are needed in addition to numeracy and literacy are adaptability, innovation, problem-solving and communication as well as responsible citizenship and respect for diversity. Whether or not expanded educational opportunities translate into meaningful development – for either the individual or the society – depends on child rearing and teaching practices which foster these skills. This calls for major shifts in practices and an increased attention to quality. The Foundation’s approach to ensuring a good start for young children involves the active involvement and support of parents and communities. In Tajikistan, a mother is pictured holding her son’s hand as he learns to write. This is part of an initiative to familiarise parents with the curricula their children are learning in school. As a result, AKF has traditionally worked in concert with other AKDN agencies as well as civil society organisations, governments, academic institutions, international development bodies – and most importantly, with communities themselves – to not only increase access to schools but to also improve the quality and relevance of their curricula in order to keep children in school longer and raise their levels of academic achievement. In particular, the Foundation focuses on early childhood development (ECD), school improvement, and youth and adult education. These activities have evolved successfully over the years (particularly ECD and school improvement programmes), leading to demand for local training and resource bases that create and strengthen the needed cadres of leaders, managers and teachers. To meet this demand, AKF has assisted in the start-up and growth of diverse institutions that are often specialised for different levels. For example, in ECD, the AKF-supported Madrasa Resource Centres in East Africa support over 200 community pre-schools in Kenya, Uganda and Tanzania, and assist in training hundreds of trainers, primary grade teachers and other pre-school teachers outside the Madrasa programme. The Foundation has also supported the establishment of AKU’s two Institutes for Educational Development, which help to raise local standards in primary and secondary schools. Based in Karachi, with satellite centres in Gilgit and Chitral, Pakistan, and also in Dar es Salaam, Tanzania, these Institutes provide teachers, school heads and teacher educators working in Central and South Asia, the Middle East and East Africa the means to upgrade their skills and credentials 36 akf ’s impact on education to Certificate, Advanced Diploma, Master’s and more recently PhD levels. Such efforts, among others, to help build and strengthen teacher development/training institutions reflect the Foundation’s holistic approach to education and commitment to long-term success. The examples which follow highlight AKF’s long-term impact in the field of education. Organised regionally, these accounts illustrate the often inherent interplay between different aspects and themes of the Foundation’s education agenda and how this interplay contributes to the Network’s continuous ladder of learning. South Asia In 2002, AKF implemented the Releasing Confidence and Creativity (RCC) programme in Sindh and Balochistan provinces in Pakistan. The programme initially targeted poor and marginalised children in the katchi (pre-school) class, a level which has only recently been recognised by Government as an integral part of basic education. Different studies have shown that access to appropriate early childhood services dramatically increases children’s chances of primary school enrolment and completion. Therefore, AKF has expanded its work in children’s transition to primary school from the home and/or ECD settings. In an In the Osh Oblast of the Kyrgyz Republic, AKF seeks to improve early childhood development by establishing a network of kindergartens (both central and satellite for the more remote villages) supported by teacher training and relevant learning materials.With the Foundation’s support, this central kindergarten in Alai District was renovated in 2005; the community contributed a quarter of the costs. 37 akf ’s impact on education AKDN works to strengthen government education efforts in a variety of settings. In the Northern Areas of Pakistan, the Foundation supports efforts to develop, in collaboration with the Ministry of Education, a longterm strategy that encompasses the activities of government, effor t to establish a captivating and nur turing classroom environment, the RCC programme has organised awareness-raising campaigns in the communities, trained local women as katchi teachers, equipped classes with low-cost learning materials, and encouraged parent and community members to par ticipate in their children’s education (e.g., management committees, storytelling and song leading, assistance with school construction). Within two years, demand from parents, teachers, government officials and children alike resulted in the project activities being extended to include Grades 1 and 2 – a real transition programme. Today enrolments have increased significantly while dropouts have decreased to a minimum (1.5 percent in Grade 1 versus a national Grade 1 drop-out rate of 23 percent). NGOs and private partners. The Foundation has worked in the Federally Administered Northern Areas of Pakistan longer than anywhere else. Many of the valleys in this remote and mountainous region are cut off for months at a time due to a harsh climate and inaccessible roads. In 1981, the female literacy rate in the Nor thern Areas was under three percent, compared to 16 percent for Pakistan as a whole. In 1994, girls’ enrolment in primary schools was still only 29 percent (as compared to 60 percent for boys). Only 10 percent of girls attended high school, and in many areas, there were simply no schools open to girls. 38 akf ’s impact on education The situation is strikingly different today. Between 1995 and 2005, girls’ enrolments in the Nor thern Areas more than doubled. Nearly 70 percent of girls now attend primary schools (compared to 60 percent for the rest of the country), and in many valleys, the figure is over 90 percent with steadily increasing numbers of girls going on to middle and high schools. In Nagar Valley, for example, 70 percent of girls are enrolled in high school. Government, private and community schools alike have played impor tant roles in increasing access. Within the non-state sector, the Foundation (since the mid-1990s) has suppor ted AKES’s large-scale commitment to increasing school enrolment and completion in these remote valleys, par ticularly for girls. According to data from the Ministry of Education, 76 percent of AKES students complete the primary cycle as compared to 44 percent in government schools. AKES accounts for one-third of middle school female enrolment and, in 2005, was the single largest provider of high school education for girls. This attention to post-primary provision demonstrates responsiveness to the evolving situation as well as close cooperation with the Nor thern Areas Government. Although AKES star ted by focusing on primary-age children, as government and other providers expanded in this area, the Foundation suppor ted AKES’s effor ts to meet the subsequent demand for middle and high school education. With regard to quality, data from the Ministry of Education show a matriculation rate of 88 percent in AKES high schools, compared to the overall high school matriculation rate of 59 percent. In a variety of settings, such as the remote mountainous regions of Northern Pakistan (above) and the poor urban neighbourhoods of Cairo, Egypt (left), AKF’s education activities focus on supporting early childhood development, school improvement, and youth and adult education. Beginning in the poorer neighbourhoods of Jaipur, India, Bodh Shiksha Samiti star ted community primary schools in Rajasthan during the early 1990s and developed a model based on intensive teacher training and community engagement that would ensure relevant, quality education to the most disadvantaged of the urban poor. With the suppor t of the Foundation, Bodh worked with the government to pilot the model in 10 municipal schools. In this par tnership, Bodh provided resource teachers to suppor t government teachers in the classroom. The government schools, in turn, provided teachers and training aids as required, and maintained a class size of 30 students. As a result, classroom learning environments changed dramatically: drop-out rates fell from 60 to less than 20 percent and student tests showed significant gains. Strong links were also established between communities and their schools. 39 akf ’s impact on education In the remote valleys of Bamyan, Afghanistan, the nearest school is often two and a half hours walk. As a result, young children do not attend school. This teacher was the first person in his village to attend school; his parents took him each day by bike. Now he runs this communitybased Grade 1 class from home. AKF has Building on this success, Bodh moved onto a series of larger, more complex joint ventures. Under AKF’s School Improvement Programme (1999-2007), Bodh expanded to 1,100 public schools, in both rural and urban areas. Ninety-five percent of the families in these communities live below the national pover ty line and represent various marginalised, minority groups. New plans for expansion of this public-private-community par tnership are expected to greatly increase rates of primary school enrolment and completion as well as improve the quality of learning among Rajasthan’s most disadvantaged. A recent external assessment of learning in Maths and Language demonstrates the potential of these par tnerships and the impact of Bodh’s interventions. Results in Maths showed that Grade 5 students in Bodh schools had an average score of nearly 61 percent; those in Bodh-suppor ted government schools averaged around 49 percent and those in non-suppor ted government schools scored just under 39 percent. Similar differences were found in Language with students in Bodh schools averaging nearly 81 percent compared to 73 percent and 64 percent for the Bodh-suppor ted government schools and other government schools, respectively. supported him with training and relevant learning materials. As the only literate person in his village, he is opening the door for others, Central Asia who by the time they have reached Grade 3, will be old enough to make the long trek to school. 40 In Afghanistan, AKF’s education programme started in 2002 with a relief/ rehabilitation focus, as so few schools were in a usable condition (if indeed they existed at all). AKF’s school improvement work brought together professional development and in-class mentoring support for teachers, strengthening school management, enhancing community engagement and improving system supports. Soon it was realised that there was only about one-quarter the number of girls in Grade 3 compared with Grade 1. They started coming into school in impressive numbers but began leaving in droves before they established even basic literacy and numeracy skills (just as in Pakistan).This again led to a re-orientation of the programme to give focused attention to improving learning opportunities in Grades 1-3. Low-cost learning material kits were provided as teaching aids and teachers were trained to make better, more systematic use of existing textbooks, in a way that would encourage real acquisition of basic reading and math competencies, as opposed to empty chanting. A curriculum-based learning achievement test has demonstrated that children in AKF programme schools outperform those in other similar schools. akf ’s impact on education Since 1996, the Foundation has worked with the Government of Tajikistan’s Institute of Professional Development in Khorog (IPD) on school improvement programmes in all 320 schools of a mountainous region that covers 60 percent of the country’s land area. IPD’s acknowledged exper tise in systematic active learning methods is drawn on extensively by national professional development and curriculum initiatives. Its curriculum enrichment framework has been reprinted by the Government and distributed to all schools in the country. In Jaipur, India, in an old palace used as a government school, a teacher who has been trained by Bodh helps a group of children with an educational board game. Bodh classes are characterised by supportive, child-centred teaching and students working in small groups. East Africa For over 25 years, the AKF Madrasa Early Childhood Programme in East Africa has helped children to get a good star t. The programme began at the request of a community in Mombasa, Kenya, which feared that its children were falling behind, and has since been adopted by over 200 communities in Tanzania and Uganda, as well as Kenya. Working 41 akf ’s impact on education The Madrasa Resource Centres, supported by AKF, initially assist and guide communities in building and overseeing their local pre-schools. Eventually, these efforts lead to a pre-school’s from Madrasa Resource Centres (MRCs, one in each country), the programme promotes the establishment of community-owned preschools that offer girls and boys a rich learning environment. “graduation”, which signifies an agreed level of quality of learning and ability to manage school finances and facilities. Graduated schools are then eligible to join the national Madrasa Association of pre-schools, which gives regular support and advocates ECD policy within the government policy framework. A study which tracked three groups of children between 1999 and 2005 found that Madrasa pre-school students scored higher on a range of cognitive and social skills than both children in other pre-schools and those outside the programme. Their Grade 1 repetition rates were also dramatically lower. However, MRC staff realised that when children enrolled in Grade 1 they experienced a serious “jolt” with the change in learning environment. To address this transitional difficulty, the MRCs began to organise annual Open Days and workshops for Grade 1 and head teachers from the schools to which the Madrasa children graduate. Use of the Madrasa pre-school learning materials in these workshops proved effective in engaging their colleagues in discussion on “active learning” principles. MRC now receives requests from early primary teachers and government officers to provide training in developing teaching and learning materials for their classrooms. In Uganda, the 42 akf ’s impact on education MRC now also works with tutors of selected Primary Teacher Training Colleges to ensure that the transition receives adequate attention in their programmes. In Salamieh, Syria, children come twice a week for after-school English lessons and recreational play. Their teachers are ECD-trained volunteers who began working with AKF as summer camp leaders and who have since begun to support The Middle East ECD and other AKF programmes year-round. In response to a request for support from the Ministry of Education, the Foundation began working in Syria in 2001 with a focus on early childhood education. One of the most unexpected outcomes has been the training of hundreds of young adult volunteers (ages 18 to 30) to lead and deliver month-long summer clubs for children. In 2004, 25 volunteers worked with 270 children. By 2007, 270 volunteers had enlisted to work with 1,600 children. Many of these volunteers have returned each summer with some supporting the ECD and other AKF programmes year-round. Some have also begun to change their career paths to become professionals working with children and communities across education, health and social service sectors. While these camps began initially as educational opportunities for young children, they now in effect also provide significant learning opportunities and a means for vocational transition for youth and adults. 43 akf ’s impact on education Europe The Foundation has suppor ted various ECD programmes for over 20 years in Portugal, including contributions to the growth of accredited training programmes in Early Childhood Education (ECE) offered at university level in Lisbon. AKF has also suppor ted University of Minho faculty in Braga to create ECE courses, which in 2007 were rated highly in the country. Since the mid-1990s, 615 Diploma and 250 postgraduate students, as well as 1,000 teachers enrolled in professional development, have been suppor ted and mentored in Braga – suppor t which has contributed to the growth of well qualified teachers, trainers and leaders for the field of ECD. Future Directions Drawing on nearly 30 years of field experience,AKF plans to continue developing its education agenda by using four cross-cutting themes.These include: Transitions: Improving children’s transitions into and through different levels of education.This begins with early transition into primary school – when so many Children at Braga Pre-school in Portugal pretend to be animals in a zoo while waiting for their mothers to collect them. Their teacher was trained in active learning methods at the University of Minho in Braga, in ECE courses that AKF helped to create. 44 akf ’s impact on education still do not enter, or if they do, either drop out or begin to fail in the first year – and goes through to post-secondary opportunities; Partnerships: Understanding and utilising the potential of public-privatecommunity partnerships to improve access and quality issues in education – particularly for those most disadvantaged; AKF analysis Education for of the All 2008 Global Monitoring Report data, from 136 Inclusion: Supporting quality education efforts that address the needs of children and communities marginalised due to factors such as poverty, gender, geography, race, ethnicity and religion; developing countries, shows that 69 million more children attend primary school now than in 1991. One-third of the increased enrolment is attributable to non- Pluralism: Promoting children’s critical understanding of and respect for diversity and pluralism across all levels of education in relevant and meaningful ways. state provision. 45 A K F ’s I m p a c t o n C i v i l S o c i e t y In an era of rising expectations and unmet needs in the developing world, the civil society sector plays an essential role in the provision of social ser vices, the protection of the marginalised, the deliver y of development programmes and the promotion of good governance. Its work is especially critical where governments are weak or non-performing, as in situations of failed democracies or post-conflict reconciliation and reconstruction. Where civil society organisations (CSOs) fail to perform well, or face a hostile or indifferent environment, development stagnates. Where civil society organisations function well, development indicators improve. For over 30 years, the Aga Khan Foundation (AKF) has led the civil society strengthening initiatives of the Aga Khan Development Network (AKDN) across all thematic areas (health, education and rural development) and regions in which it works. To broaden the impact of these activities, the civil society programme has now been formally extended to encompass all the AKDN agencies. The scope of the programme has also been widened in order to increase the positive impact of a wide array of organisations that have a presence in public life, including faith-based and charitable organisations, nongovernmental organisations (NGOs), labour unions, professional associations and foundations, village and women’s groups, neighbourhood self-help groups, social movements, business associations, microcredit organisations, coalitions and advocacy groups. Left: Whenever citizens come together to work for the public good the impact can be AKF’s Role in Civil Society significant. In Zanzibar, Tanzania, community members come together, with the assistance of the Zanzibar Madrasa Resource Centre (an independent organisation that started with the help of AKF), to build and manage quality pre-schools for their children. Central to the Foundation’s work is the belief that communities must take ownership of their development if they are to overcome problems of pover ty, lack of education and poor health over the long term. To suppor t this endeavour, AKF has from the star t of its work suppor ted the growth 47 akf ’s impact on civil society of village organisations whereby local citizens get together to achieve what they consider to be important. They harness their energies and direct it to activities that will both improve their material standard of living and make their communities more civil places to live. Such village organisations are also civil society organisations. Civil society organisations are important to all the sectors in which the Foundation works. They facilitate health awareness campaigns that leave communities better informed about illness prevention and more open to changing lifestyle behaviours to attain better health.They help teachers and school leaders access training programmes that in turn raise local standards of education. They also help poor rural people – particularly women – to create individual and group savings programmes which encourage social collaboration and small rural enterprises, as well as help cushion families from unexpected expenses resulting from health problems or a death in the family. These are just a few examples of how CSOs contribute to better living conditions and opportunities for people. Village organisations (VOs) enable communities to tackle important development issues which they consider most crucial to their safety and well-being. In the Gorno-Badakhshan Autonomous Oblast of Tajikistan, where certain valleys are prone to natural disasters, AKDN agencies and affiliates have collaborated with VOs to mitigate the effects of such hazards. One To the extent that CSOs have over the years played a significant, crosssectoral role in AKF’s work, there has emerged a need to recognise their particular qualities and address the specific challenges of this role. The Foundation strongly believes that CSOs can achieve what neither government nor business can achieve by themselves. The power of organised civil energies for the public good is a very important factor in development, and it needs to be helped to be as effective as possible. In recent years, this need has given rise to a separate and specific civil society programme that cuts across activities of the entire Network. activity involves the construction of footbridges, which reduce the vulnerability of communities by providing them with access to safer areas. The Civil Society Sector and What It Means Whenever citizens come together to work for the public good there is a wide range of ways in which they can express themselves. There can be village organisations; federations of village organisations operating on a district or provincial level; specialised organisations trying to improve life through interventions in health, gender, disability, environment, literacy, law, ethical standards, savings and credit; organisations that lobby for changes in government policy; or organisations for particular issues and causes. Their common factor is that a group of citizens believe in something strongly enough to put their energies and resources to work to achieve their objectives. 48 akf ’s impact on civil society For the last five years, AKF has made targeted efforts to build the civil society sector, to demonstrate that it is as important as government and business in development and that it has unique strengths and weaknesses which AKF can address. In this endeavour the Foundation is rather singular. Most development organisations see CSOs as the means towards poverty alleviation.The Foundation, while recognising this role of CSOs, emphasises the broader potential of the sector at large, of strengthening it and making it as effective as possible at increasing both the material standard of living and the quality of life in general – in short, of building a civil society. The Context for AKF’s Work with the Civil Society Sector The challenges that the civil society sector has in the countries where AKF works often concern the following factors: Competence: CSOs may be long on enthusiasm, but less consistent on competence. Workers in the civil society sector need to complement their enthusiasm with professionalism – while still retaining their commitment and values; Trust: Governments tend to be mistrustful of civil society actors – they consider them as organisations which may show up government faults, compete for the people’s loyalty and attract funds which might otherwise go to government. In some cases they also see CSOs as potential threats. Such attitudes are often shown through excessive legal restrictions and regulations; Following the December 2004 tsunami, AKDN projects in Andhra Pradesh, India, sought to combine emergency humanitarian assistance with long-term development. In addition to the repair of fishing vessels and the supply of nets, activities aimed to increase the ability of communities, local governing councils and district governments to prepare, mitigate and Awareness: Citizens are often unclear, par ticularly in countries that are emerging from a legacy of single-par ty rule, about their rights and responsibilities (i.e., with respect to doing things themselves versus waiting for government assistance); respond effectively to natural disasters. Good governance and integrity: Citizens are faced with many examples of those who hold power over them, abusing that power and diver ting resources meant for the public good; Rapport with the private sector: Businesses are often enthusiastic to show themselves as good and responsible corporate citizens and would like to suppor t effective CSOs to help them to do so. However, 49 akf ’s impact on civil society they are suspicious of a sector that is new to them, and often face disincentives in giving funds to such bodies. What AKF is Trying to Do Based on these findings and other earlier work, the Foundation has directed its focus on the whole of civil society, not just NGOs, and on the link between CSOs and their constituencies. The prejudices and attitudinal problems that exist between CSOs and government run deep. However, both national and district level government and CSOs must work together – they are natural collaborators and should be encouraged to do so. For the most par t, however, promoting a sector is new work. Development agencies are used to suppor ting specific CSOs to implement par ticular projects. In an effor t to pioneer a new model, AKF is working at various levels to: Above and right: From the rugged mountains of the Northern Areas in Pakistan, to the coastal plains of Cabo Delgado, Mozambique, change begins only when citizens are engaged in their own development. Ensure that CSOs are able to deliver when their existence is accepted and encouraged. Organisations need to know how to manage competent development interventions and have standards and values that will sustain their work. In Uganda and the Kyrgyz Republic, amongst other countries, AKF is helping CSOs develop codes of conduct and ethics to govern the sector, while in Tanzania and Pakistan it is supporting training organisations that impart skills in financial management, planning, participation and monitoring.To wean CSOs off dependence on foreign funds, in Central Asia and Uganda, AKF is helping to institutionalise training in financial sustainability based on local fund-raising and enterprise creation. Overturn the prejudices that governments have about CSOs. Efforts are being made to encourage government officials to see CSOs as potential partners with different but complementary skills, and as organisations that need a supportive and enabling legal and fiscal environment if they are to play this role effectively.The Foundation is building working groups of sympathetic CSOs and government officials who can see how a strong civil society sector is good for the country and that legislative and policy changes are needed to make this happen. In Afghanistan, this effort is linked to the Enabling Environment Conference which took place in Kabul in June 2007. 50 akf ’s impact on civil society Educate people about the value of that wide variety of groups, clubs, organisations and associations that make up the civil society sector. Because of over-emphasis on foreign-funded NGOs, many people do not know the great variety of things that CSOs do and how impor tant they are to improving the quality of life. In eight countries, AKF has documented and disseminated information about what makes up the civil society sector in that country, and how valuable it is. The power of organised civil energies can have a significant impact on development. From the start of its work, AKF has supported the growth of Help design and get uptake in schools and universities of curricula for civic education through which young citizens can develop a clear idea of what they can do for themselves and what standards they should uphold. In par t this is specifically about learning to practice integrity, par ticularly when surrounded by corruption and poor governance. Universities in Tajikistan and Pakistan are getting generalised civic education onto the curriculum where previously it was either political education by the government, or specific and limited education on gender, human rights or the environment. Help village organisations and village federations in five countries to access decentralised funds and train them how to use them. These initiatives are stimulated by the increasing prevalence of devolution village organisations whereby local citizens get together to achieve what they consider to be important. akf ’s impact on civil society in many countries where AKF works. At the same time, it is working with local government officials to show them how it is in everyone’s interests to have strong par tnerships between government and CSOs at the district level. Help businesses to see how CSOs can be useful to them as an important element of being good corporate citizens. The idea of “corporate social responsibility” is often best played out in par tnerships between businesses and CSOs where each can complement the other, and each can do things that the other cannot. Future Directions In its endeavour to strengthen government-business-civil society interactions in the countries where it works – thereby ensuring services to the poorest and a climate of tolerance, pluralism and equity – the AKDN Civil Society Programme will be working closely with various Network agencies. Working with them will provide a useful laboratory where the programme can try out ideas in relative safety until they reach the point where the methodologies are tried and akf ’s impact on civil society tested. Several project companies operated by the Aga Khan Fund for Economic Development (AKFED), for example, have already star ted collaborating with the programme. Kampala Pharmaceutical Industries Ltd. is focusing on issues of professional integrity, which is both useful for the company and a training ground for the larger Uganda business world. The Serena Group of hotels and lodges is streamlining its corporate social responsibility effor ts so that it can be more effective and so that others in the eco-tourism industry may learn from it. In Uganda, the AKDN Civil Society Programme works closely with Kampala Pharmaceutical Industries Ltd. (a company operated by AKFED) to try out ideas which focus on issues of professional integrity. This experimentation is both useful for the company and a training ground for the larger Uganda business world. 53 A K F ’s I m p a c t o n t h e E n v i r o n m e n t Concern for the environment has always been part of the ethical framework of the Aga Khan Development Network (AKDN). It has cross-cut a number of programmes ranging from reforestation and the reclamation of degraded lands to the construction of urban parks and efforts to reduce the ecological footprint of Serena Hotels (project companies of the Aga Khan Fund for Economic Development (AKFED)). Responsibility for new environmental initiatives within the Aga Khan Foundation (AKF) and AKDN rests with the Prince Sadruddin Aga Khan Fund for the Environment. The Fund works to promote the management and development of sustainable natural resources through education, area development and related research. The intention is to assist populations that are most threatened by their natural surroundings, while working to protect fragile ecosystems that are vulnerable to the effects of poorly planned human activity. Another goal of the Fund is to make natural environments more productive. Left: The Prince Sadruddin Aga Khan Fund for the Environment works to make natural environments more productive The Fund, which was formed by the merger of the Bellerive Foundation with AKF, incorporates the Bellerive Foundation’s expertise in wildlife management, education, mountain environments, forest preservation and fuel-saving stoves. In all its activities, the Fund strives to maintain the values, philosophy and expertise of the late Prince Sadruddin Aga Khan and the Bellerive Foundation, the international environmental NGO he founded in 1977 and chaired along with his wife, Princess Catherine. where populations are most threatened by their natural surroundings. In the remote The Fund concentrates in six main areas: mountain regions of Tajikistan, activities include helping communities to build and maintain irrigation channels which carry melted snow along the mountainside to farmland in the valley. Environmental Education: In selected areas where AKDN is present, the Fund implements basic environmental education that explains local environmental issues, risks and needs as they relate to human populations. 55 akf ’s impact on the environment The Fund also places local environmental issues and risks within the larger context of the global environment. Natural Resource Management in Fragile Zones: The Fund builds on the combined experience of the Bellerive Foundation and the Network on the mitigation and even reversal of environmental threats such as salinity, deforestation and land erosion. The Fund also works to address poor practices in agriculture, land management, water management and hygiene. It promotes environmentally sound technologies which have a high impact on the overall quality of life. The Aga Khan Planning and Building Service (AKPBS) in Pakistan was named the 2005 winner of the US$ 1 million Alcan Prize for Sustainability. It received the award for its efforts to improve Nature Parks and Wildlife Reserves: Where oppor tunities exist in locations where AKDN is active, the Fund engages in suppor ting – directly or indirectly, and on a carefully selected basis – the sustainability of wildlife reserves, ecological areas, city and national parks. Parks are utilised and developed for purposes such as nature conservation, the protection of rare species, habitat protection, ensuring cleaner air and water, education, improved health and employment creation. Priority is given to populations that are most in need – and in communities where there is a risk of environmental imbalances or damage caused by human activities. Pakistan’s built environment and water and sanitation facilities. Environmentally and Culturally Appropriate Tourism Infrastructure: As a way of raising incomes in poor areas, the Fund encourages the development of special forms of tourism that highlight environmental and cultural assets while providing local people with alternatives to the consumption or destruction of these assets. Activities are closely coordinated with other AKDN agencies, local governments and city authorities. Priority is given to areas and communities in which vital environmental resources or important cultural heritage are at risk. Environmental Health: The Fund works in target communities to introduce water supply, sanitation systems and other appropriate techniques that reduce disease and improve human welfare. Through programmes such as AKF’s Building and Construction Improvement Programme (BACIP) and the Water and Sanitation Extension Programme (WASEP), the Fund works to have a positive, measurable and long-lasting impact on the overall quality of life in areas of AKDN activity. akf ’s impact on the environment Research: The Fund collaborates with a select group of scientific institutions and universities on field-based research that addresses oppor tunities and problems of the environment and human habitat in the developing world. Research subjects include: identifying and developing new disease and drought-resistant crops for mountain and deser t environments; non-lethal methods of reducing crop loss and destruction by animals; and appropriate technologies in areas suffering from increased salinity. As human settlements encroach upon wild animal habitats, a major problem is the destruction of crops by animals, including elephants and monkeys. In parts of Africa, 50 percent of certain crops are eaten or trampled by animals. In this village in northern Mozambique, a pungent paste made with “piri-piri” (chilis) is applied to ropes, which are then tied around fields as a non-lethal method of repelling animals. The Foundation is working with the Parque Nacional das Quirimbas and the World Wildlife Fund to identify other animal-friendly methods of protecting crops, including fences of piri-piri and sisal. 57 Institutional Collaborations The Foundation works with many institutional partners across the world. It also works closely with state and national governments in all countries where it operates. In addition, the Ismaili community provides substantial financial support. The Foundation is most grateful to all. The AKDN has agreements with the following countries and organisations: Afghanistan, Asian Development Bank, Bangladesh, Canada, Egypt, the European Commission, France, Germany, India, Ivory Coast, Kazakhstan, Kenya, Kyrgyz Republic, Mali, Mozambique, Norway, Pakistan, Portugal, Russia, Syria, Tajikistan, Tanzania, Uganda, United Kingdom and the United Nations (UNDP and WHO). AFGHANISTAN • Government of Afghanistan • Ministry of Rural Reconstruction and Development BELGIUM • Government of Belgium CANADA • Canadian International Development Agency DENMARK • Ministry of Foreign Affairs SWEDEN • Swedish International Development Agency KENYA • Barclays Bank of Kenya Ltd. SWITZERLAND • Swiss Agency for Development and Cooperation KYRGYZ REPUBLIC • Mayor of Naryn MOZAMBIQUE • mCel (Mozambique Cellular) • Mozal Community Development Trust EGYPT • Governorates of Aswan and Cairo • Social Fund for Development THE NETHERLANDS • Dutch Embassy, Afghanistan • Dutch Embassy, Pakistan • Netherlands Organisation for International Development Co-operation GERMANY • Federal Foreign Office • Gesellschaft für Technische Zusammenarbeit (GTZ) NEW ZEALAND • New Zealand Aid INDIA • Department of Community Sciences, Mahatma Gandhi Institute of Medical Sciences • Government of India and State Government of Gujarat • International Rice Research Institute • National Bank for Agriculture and Rural Development • Sir Dorabji Tata Trust • Sir Ratan Tata Trust • Technology and Transportation Integration • Water & Sanitation Management Organisation ITALY • Ev-K²-CNR Committee 58 JAPAN • Japan International Cooperation Agency NORWAY • Ministry of Foreign Affairs • Norwegian Agency for Development Cooperation PAKISTAN • Government of Pakistan • Ministry of Women Development • Pakistan Poverty Alleviation Fund • Rural Support Programmes Network PORTUGAL • Calouste Gulbenkian Foundation (Portugal) • Instituto Portugues de Apoio ao Desenvolvimento • Ministério do Trabalho e Solidariedade Social • Municipality of Lisbon • Municipality of Sintra • Santa Casa da Misericórdia de Lisboa (Lisbon House of Mercy) UNITED KINGDOM • British Embassy, Tajikistan • Comic Relief • Department for International Development • Foreign & Commonwealth Office • London School of Hygiene & Tropical Medicine UNITED STATES • Bill & Melinda Gates Foundation • CARE • Charles Stewart Mott Foundation • ELMA Relief Foundation • Flora Family Foundation • Ford Foundation • Microsoft Corporation • Rockefeller Foundation • South Asia Earthquake Relief Fund • US Agency for International Development • US Department of Agriculture • US Environmental Protection Agency • William and Flora Hewlett Foundation INTERNATIONAL • Asian Development Bank • European Commission • European Commission Humanitarian Aid Office (ECHO) • Johnson & Johnson • Shell Foundation • United Nations Population Fund • World Bank,The • World Health Organization Current Projects RURAL DEVELOPMENT • Aga Khan Rural Support Programme (India) • Aga Khan Rural Support Programme, Pakistan • Area Development Programme (Bihar & Uttar Pradesh, India) • Coastal Rural Support Programmes (Kenya, Mozambique) • Enterprise Development (Mozambique, Afghanistan) • Integrated Rural Development Programmes (Afghanistan, Syria, Madagascar, Mali) • Mountain Societies Development Support Programmes (Tajikistan, Kyrgyz Republic) • Rural Electrification Energy Master Plan (Tajikistan) • Sombeza Water and Sanitation Programme, Kenya HEALTH • Advanced Nursing Studies programme, East Africa • Building and Construction Improvement Programme, Pakistan • Building capacity to treat Tuberculosis, Pakistan • Coastal Rural Support Programme - Health (Mozambique) • Community Health Programmes (Pakistan, Afghanistan, Tajikistan, Kyrgyz Republic, Syria) • Community Led Initiatives for Child Survival, India • Gujarat Environmental Health Improvement Programme (water and sanitation), India • Health sector reform programme, Tajikistan • HIV/AIDS Programme, Zanzibar • Institutes of Health Sciences, Afghanistan • Integrated Health Programmes (Egypt, Madagascar, Mali) • Mountain Societies Development Support Programme - Health (Kyrgyz Republic) • Nursing Improvement Programme (AKUSON), Syria • Nursing Support Programme, India • Rationalising Pharmaceutical Management and Policy, Tajikistan • Remote Access for Health Professionals, USA • Reproductive Health and Child Survival, Tajikistan • Social Safety Net’s Mental Health Awareness Program, USA • Strengthening health systems in Coast Province, Kenya • Water and Sanitation Programmes (Pakistan, Afghanistan) EDUCATION • AKU-Examination Board • AKU-Institute for Educational Development, Pakistan • Coastal Rural Support Programme Education (Mozambique) • Community Based Education, Afghanistan • Completion, Retention and Access for Tanzanians to Education, East Africa • Continuing education and institutional strengthening, Mozambique • Development Education/Policy Engagement, Canada • Early Childhood Development Centre, Portugal • East Africa Quality Learning Initiative • Education, Dairy and Nutrition Programme (school milk programme), Tajikistan • Education sector reform programme, Tajikistan • Educational support for children of marginalised populations, Kenya • Enhancement of Universal Primary Education and Community, East Africa • Integrated Education Programmes (Egypt, Mali) • Links to Learning: Education Support to Pakistan • Madrasa Programme Resource Centres and research, East Africa • Mountain Societies Development Support Programme - Education (Kyrgyz Republic) • National early childhood development programme, Syria • Northern Pakistan Education Programme • Programme for Enrichment of School Level Education, India • Releasing Confidence and Creativity (early childhood development), Pakistan • Rural education support programme, Afghanistan • School improvement projects and research, East Africa • Teacher Advancement Programme, Zanzibar • Teacher education programme (AKU-IED), Syria • Teacher training colleges, Afghanistan • Vocational Education, Egypt CIVIL SOCIETY • AKDN Civil Society Programmes (Afghanistan, East Africa, Kyrgyz Republic, Mali, Pakistan, Tajikistan) • Building the capacity of small CSOs and a supportive environment for CSOs in Bangladesh • Civil Society Mapping in Bihar & Uttar Pradesh, India • NGO Resource Centre Zanzibar, Tanzania • NGO Resource Centre, Pakistan • Pakistan Centre for Philanthropy • Sharaka programme, Egypt • Supporting development in Balochistan, Pakistan • Young Development Professionals programme, East Africa THE ENVIRONMENT • Human-Animal Conflict Mitigation Programme (Mozambique) HUMANITARIAN ASSISTANCE • Earthquake relief, rehabilitation and reconstruction (Pakistan, India) • Fostering Disaster Resilient Communities in Isolated Mountain Areas of Tajikistan • Post-Tsunami Relief to Development, India OTHER PROJECTS • Aging Gracefully Initiative, USA • BRAC Learning Partnership, Canada/Bangladesh • Canadian Development Exchange Programme • Capacity building and institutional linkages - University of Central Asia, Canada/USA • Fellowship in International Development Management, Canada • Fellowship in International Microfinance and Microenterprise, Canada • Human Resource Development for Volunteers, USA • Initiative on Pluralist Societies, Canada • International Development Scholarship Programme, Canada • International Scholarship Programme • Internship Program, USA • Islamic Cultural Studies Program, University of Texas at Austin, USA • Livelihood Upgrading in the Hospitality Sector, Pakistan • Policy and research initiatives, Canada • Policy Externship Program, USA • Social Safety Net’s Youth Support Services, USA • Tajik Scholarship Programme, Tajikistan • University Seminar Series, Canada • Urban Community Support Programme, Portugal 59 Facts at a Glance FOUNDER AND CHAIRMAN His Highness the Aga Khan, spiritual leader of the Shia Ismaili Muslims. BOARD OF DIRECTORS His Highness the Aga Khan, Prince Amyn Aga Khan, Maître André Ardoin, Guillaume de Spoelberch. ESTABLISHED Head Office - Geneva, Switzerland (1967), Pakistan (1969), United Kingdom (1973), Kenya (1974), India (1978), Bangladesh (1980), Canada (1980), United States of America (1981), Portugal (1983), Tanzania (1991), Uganda (1992), Tajikistan (1995), Mozambique (2000), Kyrgyz Republic (2003), Afghanistan (2003), Syria (2003), Egypt (2006), Madagascar (2006), Mali (2007), Russia (2007). ORGANISATION Private, not-for-profit, non-denominational, development agency. Part of the Aga Khan Development Network (AKDN), a group of nine institutions working in health, education, culture and rural and economic development. PURPOSE AKF seeks sustainable solutions to longterm problems of poverty, hunger, illiteracy and ill-health with special emphasis on the needs of rural communities in mountainous, coastal and other resource-poor areas. PROGRAMME PRIORITIES Rural development, health, education, civil society and the environment, with particular emphasis on community participation, gender, pluralism and human resource development. GRANTEES Grants are normally made to nongovermental organisations that share the Foundation’s goals. In some cases, where there is no appropriate partner, 60 the Foundation may help to create a new civil society organisation or may manage projects directly. Grantees are selected without regard to origin, religion, gender or political association. STAFF 3,060 worldwide. AKF attempts, as a management principle, to develop local human resource capacity. Most AKF employees are nationals of the countries where AKF offices are located. GOALS There are four central objectives: • Make it possible for poor people to act in ways that will lead to long-term improvements in their income and health, in the environment and in the education of their children; • Provide communities with a greater range of choices and the understanding necessary to take informed action; • Enable beneficiaries to gain the confidence and competence to participate in the design, implementation and continuing operation of activities that affect the quality of their lives; • Put institutional, management and financial structures in place ensuring that programme activities are sustainable without Foundation assistance within a reasonable timeframe. SOURCES OF FUNDING AND ENDOWMENT His Highness the Aga Khan, grants from development agencies, income from the endowment and donations from individuals and corporations. EVALUATION Major projects are evaluated by independent professionals, in many cases in partnership with the agencies that co-fund them. For more information please visit our web site: www.akdn.org Contacts Aga Khan Foundation 1-3 avenue de la Paix 1202 Geneva Case postale 2369 1211 Geneva 2, Switzerland Tel: +41 22 909 7200 Fax: +41 22 909 7291 e-mail: akf@akdn.org BRANCHES Aga Khan Foundation (Afghanistan) House N° 43, Street N° 13, Main Road Wazir Akbar Khan P.O. Box 5753 Kabul, Afghanistan Tel: +873 763 631 488 Fax: +873 763 631 489 Aga Khan Foundation (Bangladesh) SW(F)3B, Road N° 2 Gulshan 1 P.O. Box 6025 Dhaka 1212, Bangladesh Tel: +880 2 989 4871 Fax +880 2 882 3261 Aga Khan Foundation (Egypt) Om Habibeh Foundation Abdallah Osman Yacoub Street Atlas, Aswan, Egypt Tel: +20 97 230 99 55 Fax: +20 97 231 33 07 Aga Khan Foundation (India) Sarojini House, 2nd floor 6, Bhagwan Dass Road New Delhi 110001, India Tel: +91 11 2378 2173 Fax: +91 11 2378 2174 Aga Khan Foundation (Kenya) East Africa Regional Office ICEA Building (8th floor) Kenyatta Avenue P.O. Box 40898-00100 Nairobi, Kenya Tel: +254 20 223951 Fax: +254 20 248296 Aga Khan Foundation (Kyrgyz Republic) 7, Michurina Street 714000 Osh, Kyrgyz Republic Tel/Fax: +996 3222 56718 Aga Khan Foundation (Madagascar) Lot VF 77 Lalana Solombavambahoaka Frantsay Antsahavola Antananarivo 101, Madagascar Tel: +261 202 426 188 Aga Khan Foundation (Mali) Quartier Bougoufié Face au stade Barema Bocoum Rue 300, Porte 131 B.P. 39 Mopti, Mali Tel: + 223 243 1406 Fax: + 223 243 1408 Aga Khan Foundation (Mozambique) Edificio Sua Alteza Aga Khan Av. Albert Luthuli 739 P.O. Box 746 Maputo, Mozambique Tel: +258 21 40 9007 / 8 Fax: +258 21 40 9010 Aga Khan Foundation (Pakistan) House N° 1, Street N° 61 Sector F-6/3 Islamabad, Pakistan Tel: +92 51 111 253254 Fax: +92 51 227 6815 / 4504 Aga Khan Foundation (Syria) Abou Rumaneh, Rawda Square Abdul Kader Al Jazairi Street Building No. 15 Damascus, Syria Tel +963 11 334 3610/11 Fax +963 11 334 3613 Aga Khan Foundation (Tanzania) P.O. Box 125 Plot 37, Haile Selassie Road Dar es Salaam, Tanzania Tel: +255 22 266 7923 Fax: +255 22 266 8527 Aga Khan Foundation (Uganda) 2nd Floor, Diamond Trust Building Plot 17/19, Kampala Road Kampala, Uganda Tel: +256 41 25 5884 / 6165 Fax: +256 41 34 0126 AFFILIATES Aga Khan Foundation Canada Constitution Square 360 Albert Street Suite 1220 Ottawa, Ontario Canada K1R 7X7 Tel: +1 613 237 2532 Fax: +1 613 567 2532 Aga Khan Foundation Portugal Ismaili Centre 1, Avenida Lusiada 1600-001 Lisbon Portugal Tel: +351 21 722 9001 Fax: +351 21 722 9011 Aga Khan Foundation Tajikistan 137 Rudaki Avenue Building “Tajikmatlubot”, 4th floor Dushanbe 734003, Tajikistan Tel: +992 372 247650 +873 762 560065 Fax: +992 372 510061 +873 762 560061 Aga Khan Foundation United Kingdom 3 Cromwell Gardens London SW7 2HB United Kingdom Tel: +44 20 7591 6800 Fax: +44 20 7589 0641 Aga Khan Foundation USA 1825 K Street, N.W., Suite 901 Washington, D.C. 20006 United States of America Tel: +1 202 293 2537 Fax: +1 202 785 1752 REPRESENTATIVE OFFICE Aga Khan Foundation Russia Leninsky Prospect 32A Sector B, 4th floor, offices 429/430/431 Academy of Sciences of Russia 119991 Moscow, Russia Tel: +7 495 9385372 Fax: +7 495 9385390 61 The restoration of landmark buildings like the Baltit Fort in Hunza, Pakistan, are departure points from which AKDN’s economic, social and cultural programmes all work in concert to improve the quality of life in the surrounding areas. Photography: Jean-Luc Ray, Amit Pasricha, Zahur Ramji, Gary Otte, Lucas Cuervo Moura,Thomas Kelly, Caroline Arnold, Ward Heneveld, Katherine Hinckley, Alain Lits, Jean Mohr, Matthieu Paley, Rajendra Shaw, Hasan-Uddin Khan Printed: Imprimeries Réunies Lausanne s.a. © 64 2008 Aga Khan Foundation AGA KHAN FOUNDATION www.akdn.org