2004 ANNUAL REPORT

Design by: Marga Peces + Cynthia Mejías


Action Against Hunger USA, headquartered in New York, is a key member of the Action Against Hunger International Network.
In 2004, Action Against Hunger helped save and improve the lives of 5 million people suffering from, or threatened
by, starvation around the world. At the heart of this effort are Action Against Hunger's 4400 dedicated national
and expatriate staff around the world, working to create a world without hunger. The people who make up Action Against
Hunger come from 65 countries, including every country in which we work.
From the Executive Director
Working on the frontlines, Action Against Hunger's more than 4000 national staff in our 44 country programs make up
the core of the organization. They are nurses who stay up all night in Therapeutic Feeding Centers to feed malnourished
children every two hours, engineers who dig wells to provide clean water to villages, drivers who transport staff and supplies
to field offices, and security guards and radio operators who make sure our programs and staff are safe, to name just a few
of the crucial roles they play.
From the President
Backing up the national staff are more than 400 expatriate staff—most from North America and Europe, but also from
many developing countries. Our expatriates are experienced managers and technical experts in Action Against Hunger's
program areas—nutrition, water and sanitation, food security, and health. Some started with Action Against Hunger
as national staff. They usually sign on for one-year contracts, but many renew over and over, spending years in the field.
Finally, the staff in our five headquarters—New York, Paris, London, Madrid, and Montréal—are the
administrative backbone of the Action Against Hunger International Network. These people—several of whom have spent
many years in the field themselves and who go to the field frequently—guide the field-based programs, oversee the finances,
liaise with public and private donors, recruit and manage expatriate staff, and provide a public face for Action Against Hunger.
Every staff member at Action Against Hunger plays a unique and crucial role in our ongoing mission to eradicate hunger
and poverty around the world. Without their tireless efforts and dedication in the face of relentless suffering and poor
working conditions, we would not exist.
Cathy Skoula
Executive Director, Action Against Hunger USA
A World Without Hunger
Action Against Hunger's vision is a world without hunger. We work toward this goal in two general ways: First, we intervene in
crisis situations to treat children and their families suffering from acute malnutrition—saving the lives of people who are
literally dying of starvation. Second, and equally important, we work with communities to ensure that people have
sustainable, long-term sources of food and water, so that future emergency interventions will not be needed.
The best example of our emergency relief work is our network of feeding centers. Across Africa, Asia, and Latin America,
the staff of Action Against Hunger's Therapeutic Feeding Centers (TFCs) nurse severely malnourished children back to health,
adhering to strict protocols developed over the years. Administering F100, the high-energy milk formula pioneered by Action
Against Hunger, and other treatments, we have reduced mortality from malnutrition from as high as 25 percent to as low as
5 percent. Furthermore, by treating moderately malnourished children in Supplementary Feeding Centers before they reach
this potentially deadly state, and by going door to door to find children suffering from malnutrition, we reduce needless
suffering.
Longer-term strategies are typified by our food security programs. In most cases, hunger is the product of wars, natural
disasters, or other crises that render people unable to depend on their traditional sources of income and food. Action Against
Hunger helps people get back on their feet by providing fishing equipment or seeds and tools to start (or restart) farming.
In addition to these physical requirements, we also provide training in agriculture, fishing, food conservation, nutrition,
and basic business management to ensure that the beneficiaries will be able to use the tools to guarantee a consistent,
reliable source of food and income.
Another key aspect of Action Against Hunger's philosophy and our success is our commitment to constant innovation.
In 2004, for example, we tested a new home-treatment protocol, providing PlumpyNut, a solid substitute for F100,
to malnourished children, enabling them to go home after only one week in a TFC, instead of the normal 30 days.
We are also studying the ways in which HIV/AIDS and malnutrition interact to ensure that we are providing the most
effective treatment to people who are both malnourished and living with HIV/AIDS.
This commitment to intervening to save the lives of the most vulnerable and working with communities to develop long-term
solutions to hunger, relying on both dedication and scientific ingenuity, is what enables Action Against Hunger to help save
the lives and restore the dignity of more than 5 million people every year.
Burton K. Haimes
President, Action Against Hunger USA
 For more than 25 years, Action
OUR PROGRAMS
MISSION Against Hunger has pursued its vision

of a world without hunger, saving

the lives of malnourished children
and families. We provide relief,
Action Against Hunger's programs serve more than 5 million people each year. Yet with an
estimated 840 million people suffering from hunger and some 1.1 billion lacking sufficient
drinking water, much work remains to be done. Action Against Hunger's five-pronged approach
integrates nutrition, water and sanitation, food security, health, and advocacy programs:

recovery, and rehabilitation services

and specialize in emergency

situations of war, conflict, and natural

disaster. Action Against Hunger has

established itself as a leader in the

struggle to end hunger and

malnutrition and we work with

communities in 44 countries to

develop strategies to restore dignity

and self-sufficiency for the long term.

Our international network—with
headquarters in London, Madrid,
Montréal, New York, and Paris—
offers an impressive array of global
surveillance, rapid response,
and emergency preparedness
capabilities.
Nutrition
Our Therapeutic Feeding Centers save the lives
of severely malnourished children and adults
who may be just hours away from death.
Action Against Hunger developed, field tested,
and pioneered the now widely used
therapeutic milk formula F100, which has
decreased the mortality rate of severely
malnourished children under the age of 5 from
as high as 25 percent to as low as 5 percent.
We also operate Supplemental Feeding Centers,
distributing nutritionally balanced food supplies
to treat malnutrition before it becomes
life-threatening.
Fo o d S e c u r i t y
Treating malnutrition is only the beginning.
Action Against Hunger combines emergency
relief with programs that help develop
dependable sources of food and income.
By providing seeds, tools, and training
programs for income-generating
activities such as farming, gardening, animal
breeding, fishing, small–scale retailing, and
food conservation, we work to help
communities attain long-term self-sufficiency.
Water and Sanitation
Every year, 2.2 million people, most of them
children, die from diseases associated with
unsafe drinking water, inadequate sanitation,
and poor hygiene. Action Against Hunger
provides access to safe drinking water by
tapping springs, drilling wells, and installing
water systems. We also teach the importance
of water and sanitation in preventing disease,
and train local teams to maintain water and
sanitation equipment.
Health
Hunger and disease are inextricably linked.
Action Against Hunger’s staff includes experts
on the medical aspects of malnutrition,
tailoring our treatment to ensure that
malnourished children and their families receive
not only the food they need to regain their
health but also medical treatment for diseases
associated with malnutrition. We also integrate
health initiatives into all of our other programs,
and are on the cutting edge of research on
the links between HIV/AIDS and hunger.
Advocacy
Action Against Hunger continually analyzes
the fundamental causes of hunger
and publicizes our findings to government
officials, international organizations,
and the public. Our advocacy and public
awareness efforts aim to effect institutional
and cultural changes to help create a world
without hunger.

OV E RV I EW
In 2004, Action Against Hunger again
helped more than 5 million beneficiaries
worldwide. The year began and ended
with a similar challenge—responding to
a crisis caused by an earthquake in Asia.
On December 24, 2003, an earthquake
devastated Bam, Iran, and on December 26,
2004, a tsunami crippled Southeast Asia.
Throughout the year we responded to
a myriad of challenges and heart-breaking
situations occurring across the rest of
the world. We are pleased to report that
we are making progress in this ongoing
battle. The following paragraphs highlight
some of our successes and achievements
during 2004.
Innovations in Home
Treatment
In February, Action Against Hunger launched
an alternative to its Therapeutic Feeding
Centers for the treatment of severe acute
malnutrition. Home treatment requires ailing
children to stay in the Center for only 10 days
rather than 30, which eases the strain on
families. Our trial program in Uganda proved
to be as successful at treating severe acute
malnutrition as our traditional 30-day regimen,
so later in the year we introduced home
treatment in southern Sudan and Kenya
as well.
H I V / AI D S Research
In June, we began supporting a humanitarian
organization in Zambia that focuses on
assisting children infected with HIV/AIDS.
This disease poses a unique challenge for
nutritional rescue. Children with the disease
recover more slowly from malnutrition and die
at higher rates than children who are free
of HIV. To learn why, we've begun a research
project at Therapeutic Feeding Centers in
Malawi, where one-third of the children carry
HIV, to learn how our nutritional rescue
protocols should be modified for beneficiaries
with the disease.
200 4 H I G H L I G H T S
New Mission Opened Indonesia. We were able provide relief honor of World Food Day. Over 115 restau-
assistance to 132,825 beneficiaries in the rants in Boston, Chicago, Los Angeles,
in Chad
affected areas, and prevent further outbreaks New York, San Francisco, and Washington,
In January, we carried out an evaluation in of disease and malnutrition through our water D.C., donated as much as 20 percent of the
and sanitation programs. In the United States, day's revenues in support of this cause,
Chad of more than 135,000 refugees from
neighboring Darfur, Sudan. We found that Fox News interviewed our Communications generating over $35,000 in donations and
water and sanitation were of highest concern. Manager, John W. Sauer, who outlined rescue increasing awareness of the problem
and rehabilitation procedures and explained of world hunger.
By June, independent nutritional surveys found
extremely high rates of malnutrition (35 to 39 how viewers could assist in addressing
percent) among the refugees as well as among the crisis. Vo l u n t e e r /
the host population. Following this report, Corporate Support
when the refugee count had climbed to Nelson Mandela Honored
187,000, the United Nations High Commission a t Wo r l d Fo o d D ay G a l a Action Against Hunger USA wishes to empha-
for Refugees asked Action Against Hunger size that we could never accomplish our
to intervene. As a result, in September, On October 5, Action Against Hunger's annual goals—while maintaining a uniquely low
we opened a mission to oversee nutrition World Food Day Gala at New York's Metropoli- overhead that sends more than 90 cents of
tan Club honored Nelson Mandela, the Nobel every contributed dollar directly to programs
in the camps.
Prize-winning anti-Apartheid crusader; in the field—without the efforts of nearly 200
Dr. Yvonne Grellety, who helped create the committed volunteers. They perform a broad
F100 therapeutic formula that slashed morta- array of tasks essential to our achievements,
lity rates caused by severe acute malnutrition ranging from lending us their professional
from 25 percent to 5 percent; and Martin design and marketing skills to stuffing enve-
Effective Response Franklin, Chair and CEO of Jarden Corporation. lopes. Action Against Hunger is similarly
to Tsunami in Asia The event was a resounding success, raising grateful for the pro bono support of for-profit
more than $600,000 to assist in the businesses that assisted in a whole range of
On December 26, a new earthquake in Asia
development and implementation of our business functions including creating market-
sent a devastating tsunami across the Indian
global programs. ing collateral, generating PR, and creating
Ocean, ravaging the shores of southern Asia
online design templates to name a few.
and east Africa while traveling as far as 1.5
miles inland. More than 283,100 people were
Restaurants Against
Hunger Success
killed, 14,100 were listed as missing, and
1,126,900 were displaced in ten countries.
On October 19, we held our third annual
Action Against Hunger responded within hours,
Restaurants Against Hunger program, also in
concentrating mainly on Sri Lanka and
OU R STORI E S
contain one common thread—helping
T S U N Ai nMI n Id o nRe sEi a La nIdES rFi L a n k a
vulnerable populations regain self-sufficiency
and long-term sustainability.
Disaster hit on December 26, 2004. An unpre-
cedented earthquake hit off the coast of Indone-
sia, sending out a massive tsunami across South
and Southeast Asia, destroying villages and people
in its path. Few directly hit survived, but for those
who did, an even greater challenge awaited them:
how to rebuild what they had lost. Action Against
Hunger was ready to respond immediately.
Bolstered by an exceptional response by the media
and donors, we put in place a solid, long-term plan
to help the areas recover from the tsunami.
During the first few days in Sri Lanka, where we
have had programs (managed by ACF-France)
since 1996, our staff concentrated on collecting
dead bodies, supplying clean drinking water, and
restoring basic sanitation to the displaced popula-
tions. Once the immediate danger was over, Action
Against Hunger continued to provide assistance,
building latrines, maintaining a supply of clean
water, and shifting towards rehabilitation
programs. Our rehabilitation and food security
programs restore long-term self-sufficiency to
ensure that the populations with whom we work in
Jaffna, Colombo, and all along the eastern shore
in Sri Lanka are empowered by our aid.
In Indonesia, Action Against Hunger has been
working on the west coast of Aceh Province,
including the capital, Banda Aceh. The tsunami
devastated the infrastructure in this area, making
it almost impossible to reach the hardest-hit rural
communities.
Yet Action Against Hunger attacked these logistical
problems with all of its available resources, and
within the first week had begun distributing aid,
supplying clean water, and maintaining basic
sanitation. Our long-term plan focuses on resettle-
ment and revival: rebuilding destroyed homes and
agricultural and economic infrastructure.
Elsewhere in Indonesia, we are also establishing
a disaster-preparedness program in the poor
neighborhoods of Jakarta, to reduce the vulne-
rability of populations to future crises.
Due to the support of tens of thousands of
donors, Action Against Hunger was able to
respond quickly, and we have the financial and
human capacity and resources to carry out our
mid-term target programs. Ultimately our plan
will help rebuild the destroyed areas.
In administering our aid, we have made every
effort to ensure that we avoid the sometimes
dangerous consequence of humanitarian aid:
dependency. Whenever possible we have
purchased our supplies from the local market,
bolstering the economy while saving people’s lives.
We have implemented cash-for-work programs,
and helped people acquire the supplies to begin
fishing and farming again. Our efforts have
benefited more than 130,000 people; however,
there is still a long way to go. But thanks to
generous donors and Action Against Hunger's
expertise, the people hit by the tsunami are
already on their way to recovery.
N U TI nRn oIv aTt i oInOi nNt r e a t m e n t Action Against Hunger launched a new
and innovative home-treatment program
in 2004 to cure children afflicted with
severe acute malnutrition. Traditionally,
we have required these patients and their
mothers to remain for 30 days in our
Therapeutic Feeding Centers, where we
cure them with a dietary regimen
of F100 therapeutic milk. Dr. Michael
Golden and the members of our Scien-
tific Committee developed the F100
formula, and the protocols for its use
that we pioneered in the field are now
standard operating procedure for
humanitarian organizations worldwide.
But maternal absences lasting 30 days
can put serious strains on families, and
the need for constant monitoring of
children in our intensive program limits
the number of children our teams can
treat. Under our new home-treatment
program, we choose the least sick
children at a Therapeutic Feeding Center,
feed them therapeutic F100 milk for only
10 days, then send them home. For the
next 20 days, the children are fed ready-
to-eat food at home—either PlumpyNut, a
peanut butter-like substance, or BP100
biscuits, each of which supplies the same
nutritional value as F100 milk. The
home-treatment program requires
mothers to bring their children to a
center weekly so recovery can be moni-
tored, and an Action Against Hunger
employee also visits children in their
homes once a week.
In February, our trial program in Uganda
proved to be as successful at treating
severe acute malnutrition in some cases
as our 30-day regimen at Therapeutic
Feeding Centers. So later in the year, we
introduced home treatment in southern
Sudan and Kenya among other sites.
Home treatment now complements our
other time-tested programs of nutritional
rescue:
• We distribute food directly to desper-
ately hungry victims of natural disasters
and political conflicts, ensuring that aid
is not diverted.
• We open feeding centers where saving
the life of a severely malnourished child
sometimes requires us to act within
hours. The protocols at our centers have
slashed the mortality rate of severely
malnourished children younger than five
from 25 percent to 5 percent.
• Our child-growth monitoring in vulner-
able communities successfully forestalls
malnutrition.
• Our nutrition surveys similarly help
avert famines by alerting us to problem
areas.
• Finally, we prevent malnutrition by
educating entire communities in healthy
nutrition.
F Restoring
O O D self-sufficiency
S E C U RinI T Y
southern Sudan
Civilians living in war zones suffer not only when they
are caught in active fighting, but also after they find
relative physical safety. The destruction and
displacement caused by wars frequently disrupt a
population's economy and food supply, threatening
their ability to feed themselves. This was the case in
southern Sudan, where a civil war raged from 1983
until 2005. There, many people were driven from their
homes by fighting between northern and southern
Sudanese forces. They were unable to support them-
selves because of their displacement, their poverty,
or the battle damage to their property.
Action Against Hunger's food security programs seek
to help people to regain the ability to support them-
selves after such disruptions caused by wars, natural
disasters, or other causes. Food security means that
people have sustainable access to sufficient quantities
of nutritious food to maintain healthy lives. We see
our mission as much larger than merely feeding
desperately hungry beneficiaries. Our job
is not finished until they have not only achieved
nutritional health but also established food security
for themselves, requiring no further intervention This helps families achieve their own food security expect thousands of refugees to return to their
on our part. as well as transform local economies and homes. After so many years of war and displace-
establish food security for entire communities. ment, though, they will not be able to support
To accomplish this, we distribute seeds, farming tools, In southern Sudan in 2004, we distributed seeds, themselves immediately. Action Against Hunger will
nets, and other fishing gear; we lend breeding farming tools, and fishing equipment to help help the returnees with food security programs
animals; and we conduct training programs in 90,000 beneficiaries, enabling recipients and their aimed at reestablishing their traditional lifestyles
income-generating activities such as farming, garden- families to support themselves. Early in 2005, and means of food production. Helping such
ing, animal husbandry, food conservation, and small the government of Sudan and the southern rebels beneficiaries achieve food security is one of Action
business management. signed a peace agreement, and as a result, we Against Hunger's chief goals worldwide.
 Civil war between government forces and
the opposition Lord's Resistance Army in
northern Uganda has forced hundreds of
thousands of Ugandan civilians to flee
their homes. At the same time, conflicts
in neighboring countries—the Democratic
Republic of Congo, Rwanda, and
Sudan—have sent refugees across the
borders. As a result, nearly 2 million
internally displaced people and refugees
now live in camps in northern Uganda.
Among the most pressing needs for
residents of the camps is clean water.
Our primary goal, of course, is taking
action against hunger. But water and
sanitation are pivotal in accomplishing
this goal. Clean water and adequate
sanitation prevent the spread of diseases
that cause, complicate, and aggravate
malnutrition.
Action Against Hunger is addressing the
needs of these camp residents. During
2004 in Uganda's Gulu and Lira Districts,
for example, we drilled 27 new boreholes
and rehabilitated another 53 to provide
clean water for 370,000 beneficiaries,
increasing the daily amount of clean water
available per person by nearly 20 percent.
War and displacement in Uganda
WAT E R AN D SAN I TAT I O N
We provide camps and communities with
access to safe drinking water by renovating
existing sources, drilling new wells,
tapping springs, and installing new systems.
Furthermore, we teach communities
the vital importance of clean water and
proper sanitation.
We also instruct communities in the ways
they can be self-sufficient. Our water-and-
sanitation programs train local teams called
Water Source and Sanitation Committees,
as well as local authorities and entire
communities, to maintain the water
sources, sanitary facilities, and equipment
necessary to keep clean water in
adequate supply.
We help initiate regular financial contribu-
tions from communities, which will support
local maintenance staff after we depart.
In addition, we monitor local sanitary
conditions both before we begin work and
before we leave to ensure that our lessons
have been absorbed. Overall, our water-
and-sanitation programs empower
communities to maintain clean water
sources and hygiene without dependence
on external aid agencies.
H EALTH
H IV/AI DS and hunger in Malawi
HIV/AIDS and malnutrition are two of the biggest
killers in the world today. But while they often
affect the same people—particularly in sub-
Saharan Africa—there has been very little
research on the effects of HIV/AIDS on severely
malnourished people or of malnutrition on
HIV/AIDS. In 2004, Action Against Hunger set out
to find answers to these questions through a
study in Malawi.
Specifically, we are trying to learn how the
treatments for HIV/AIDS and for malnutrition
affect each other. F100, the therapeutic milk
formula pioneered by Action Against Hunger, is
clearly effective in treating malnourished
children, reducing mortality from as high as 25
percent to as low as 5 percent. But we do not
know if it has the same effect on people with the
HIV virus. Similarly, we know that antiretroviral
drugs (ARVs), the class of drugs developed in the
1990s, drastically reduce the number of deaths
from HIV/AIDS, but we do not know if ARVs—
or other treatments for HIV and associated
infections—are equally effective in people who
are also severely malnourished.
Action Against Hunger's field office in Malawi
(managed by ACF-Spain) has started to answer
these questions, with a research project in two
Therapeutic Feeding Centers.
In close cooperation with the ministry of health,
which provides ARVs, we are testing children
admitted to the centers for HIV. For those children
who are HIV-positive, we administer HIV therapy
with ARVs and malnutrition treatment with F100.
By carefully analyzing the results we hope to
finally find the answers to these critical
questions. The study will continue for two years,
examining not only the overall effectiveness of
the two kinds of treatment but also which
aspects of the treatments may need to be
changed to meet the specific needs of people
suffering from both malnutrition and HIV/AIDS.
At the same time, we are working to prevent the
spread of HIV/AIDS and mitigate its effects
among the people we work with. For example, we
actively promote voluntary counseling and testing
for HIV, either at Action Against Hunger clinics or
by referring beneficiaries to other nearby organi-
zations. This is particularly important for
pregnant women, because a one-time large dose
of ARV therapy can enormously reduce the risk
of transmitting the virus to an unborn child.
We also work with the World Food Program to
distribute extra rations to families with an
HIV-positive family member. And we are
expanding our health education programs and
creating dedicated HIV-education programs to
help prevent the spread of the disease.
 Violence often compounds the effects of animals to maintain their health and

ADVOCACY
Land reform
hunger and malnutrition. In Colombia,
where a bloody civil war has raged for over
30 years and left an estimated 2.5 million
people displaced, violence is one of the key
nurture them when they are sick. They learn
the value of sharing responsibilities and
communal living, and receive psychological
attention to help them deal with the trauma
factors affecting the population. Over 70 they have lived through.

in Tajikistan percent of displaced people do not have

Advocacy is Action Against Hunger's fifth pillar,
complementing our programs in nutrition, health,
water and sanitation, and food security. But unlike
our relief programs, the target for change in humani-
tarian advocacy is not the individual, but the policies,
practices, ideologies, and institutions that influence
a population's survival.
An example of the importance of Action Against
Hunger's advocacy efforts is our work in Tajikistan.
In an attempt to address one of the principal causes
of chronic hunger in Tajikistan, Action Against
Hunger has helped to move the country toward
longer-term solutions through agrarian reforms —
advocating changes in the Soviet-era system of land
management that underlie many other economic
problems.
Under the current system, Tajik citizens are
obligated to work for large communal enterprises for
virtually no compensation—women and children are
forced to labor long hours in commercial cotton
plantations in return for little more than in-kind
payments in cooking fuel. The result is less time for
tending subsistence gardens and no disposable
income for food or medicine. The rural Tajik popula-
tion also faces heavy constraints in the amount of
land that they can cultivate. The system consistently
produces high rates of chronic malnutrition and
widespread underdevelopment. Action Against
Hunger's successes in fighting malnutrition are only
temporary until the structural issue of land reform is
addressed.
After extensive field-level surveys and study, Action
Against Hunger compiled a number of recommenda-
tions for the government, international donors,
participating agencies and organizations, and other
influential stakeholders. The recommendations
include training for farmers on the land laws; public
awareness campaigns on their rights; establishing
mechanisms for legal redress; reconsideration of the
government-dictated production plans (giving
farmers the freedom to choose for themselves
what they will grow); the assumption of farmers'
debts by the government and international donors;
access to credit in the form of money; and further
monitoring of the land reform process.
Without our field-level leadership, land reform in
Tajikistan might have stagnated. As Janice Setser,
our former food security program manager, recently
remarked: “Within the past year, an Action Against
Hunger consultant did a study on the current status
of Tajikistan's land reform, on paper and in practice,
that virtually rocked the country. Things began to
move and shake after that and the U.N.'s Food and
Agriculture Organization began to organize a Land
Reform Working Group from the capital. Action
Against Hunger then formed the Field Level Land
Reform Working Group.” These advocacy efforts,
along with ACF’s other programs, will help to bring
about lasting change in the communities where
we work.
access to drinking water and 86 percent do
not have basic sanitary services. Schools
are destroyed, and children are often
recruited by paramilitary and guerilla
groups. With the conflict raging its way
through the countryside, Action Against
Hunger needed to create a safe haven where
families could work to recapture their
livelihoods. That safe haven came in the
form of Schools for Peace.
Schools for Peace began in 2000, when
Action Against Hunger (managed by
ACF-Spain) established control over eight
schools in San Jorge and Córdoba with the
intention of creating a classroom away
from the conflict. Here people could regain
some sense of order and focus on basic
agricultural and nutritional education. By
2004, we had expanded to 47 schools, and
integrated more programs into our work.
Targeting rural areas hardest hit by
violence, we rehabilitate abandoned schools
and set up small communities, providing
basic education on nutrition, clean water,
and sanitation. We run communal work and
kitchen programs, where families learn to
work and cook together, providing people
with what is often their only meal for the
day. Children are taught how to care for
But perhaps most importantly, these
schools and communities provide a sense
of hope. Many of the programs focus on
helping populations regain economic
viability. Children and families have a refuge
from the conflict so that their lives are not
consumed by daily violence. Through
education, Action Against Hunger hopes to
deter the cycle of violence plaguing the
country. By providing a safe haven, Action
Against Hunger hopes to restore livelihoods,
and hopefully sow the seeds for peace.
“In Colombia, those that have schools have to study “My family and I were happy in our house, but when the
underneath the trees.... Teachers are regularly killed, as violence began everything changed. We had to leave
are even boys and girls, and a large number of children behind our corn and rice…. For me Action Against Hunger
scarcely have anything to eat during lunch. Breakfast and is an aid for work. I think it is here to help us rebuild a
dinner don't exist here.” Iñigo Torres, Country Director, new life.” Ader Luis Milanes, 12 years old, resident of the
Colombia Nueva Esperanza camp in El Banquito
Schools for Peace in Colombia
REBUILDING
COMMUNITIES
 WH E RE WE WORK
The ACF International Network
Action Against Hunger USA is part of the ACF International Network, named for the
original member of the network, Action contre la Faim, or ACF, founded in 1979 in Paris.
Today, the network consists of five independent organizations: Action Against Hunger USA
(ACF-USA) in New York; Action contre la Faim (ACF-France) in Paris; Acción contra el
Hambre (ACF-Spain) in Madrid; Action Against Hunger UK (ACF-UK) in London; and
Action Contre la Faim / Action Against Hunger Canada (ACF-Canada) in Montréal.
The network shares an overall vision of a world without hunger, and the five member
organizations collaborate closely, sharing human resources, logistics, and technical
capacity. Each country program is managed by one of the five member organizations.

Nutrition Water and Health Food

Sanitation Security
 Temporarily
Unrestricted Total
REVENUE AND SUPPORT Restricted*
BOARD OF DIRECTORS Contributions $ 1,109,816 $ 301,587 $ 1,441,403

STATE M E NT OF ACTIVITI E S—ACTION AGAI N ST H U NG E R U SA

Grants:
U.S. Government 4,141,412 4,141,412
Burton K. Haimes, Chair Olivier Cassegrain Non-U.S. Government 165,841 5,869,768 6,035,609
Partner, Thelen Reid & Priest Managing Director, Longchamp Interest 3,220 - 3,220
Other 28,977 - 28,977
Raymond Debbane, Vice Chair Sabine Cassel Net assets released from donor restrictions 11,991,867 (11,991,867) -
President, The Invus Group, LLC
Prof. Michael Golden TOTAL REVENUE AND SUPPORT 13,299,721 (1,679,100) 11,620,621

FOR TH E YEAR E N DE D DEC E M B E R 31, 2004

Joseph G. Audi Professor Emeritus, Aberdeen University
President and CEO, InterAudi Bank EXPENSES
Iman Program Services:
Alexis Azria Impala Inc.–Iman Cosmetics Democratic Republic of Congo programs 5,800,191 - 5,800,191
Writer Southern Sudan programs 1,373,910 - 1,373,910
Frank McCourt Uganda programs 1,388,284 - 1,388,284
Henri Barguirdjian Author Tajikistan programs 657,721 - 657,721
Kenya programs 244,663 - 244,663
President, Graff USA
Achim Moeller Chad programs 147,606 - 147,606
Achim Moeller Fine Art Angola programs 311,878 - 311,878
Cristina Enriquez-Bocobo
Georgia programs - - -
President, Enriquez-Bocobo Constructs Guinea programs 432,602 - 432,602
Robert Rudzki
Iran programs 570,522 - 570,522
Yves-André Istel President, KIBAN Corporation
Mali programs 249,978 - 249,978
Senior Advisor, Rothschild, Inc. Colombia Programs 25,000 - 25,000
Edward M. Sermier
Ketty Maisonrouge Vice President, CAO and Corporate Secretary, TOTAL PROGRAM SERVICES 11,202,355 11,202,355
President, Ketty Maisonrouge & Company, Inc. Carnegie Corporation of New York
Supporting services:
Daniel Py Rick Smilow Management and General and Program Support 1,097,696
1,097,696 -
President, Medical-Instill Technologies President, The Institute of Culinary Education (ICE) Fundraising 309,851 - 309,851

Patrick Siegler-Lathrop Dr. Ronald Waldman TOTAL SUPPORTING SERVICES 1,407,547 - 1,407,547
Professor of Public Health, Columbia University 12,609,902 12,609,902
Cathy Skoula, Secretary (ex-oficio) TOTAL EXPENSES -
Executive Director, Action Against Hunger USA Jessica Weber
Changes in net assets before other items 689,819 (1,679,100) (989,281)
President, Jessica Weber Design
Provision for unanticipated losses (100,000) - (100,000)
ADVISORY COUNCIL Wendy C. Weiler Exchange gain (loss) 28,062 285,661 313,723
Partner, Argosy Partners De-obligated awards and funds returned to donor (12,308) (77,920) (77,920)
Christian Blanckaert
Nina S. Zagat Changes in net assets 605,573 (1,470,729) (865,156)
Président, Directeur Général, Hermès
Co-Founder and Co-Chair, Zagat Survey
Net assets at beginning of year 1,403,505 4,011,580 5,055,085
Harold A. Bornstein Tim Zagat
Vice President, Charles H. Greenthal & Co. Co-Founder, Co-Chair and CEO, Zagat Survey NET ASSETS AT END OF YEAR $ 1,649,078 $ 2,540,851 $ 4,189,929

*Funds secured in 2004 or earlier for a specific programmatic purpose and not yet spent at the end of the year.
D O N O R S D O N O R S

INSTITUTIONAL DONORS $10,000–24,999 Ms. Cristina E. Callan $1,000–4,999 Ms. Martha A. Brumfield Karl De Jonge
Mr. and Mrs. Mahyar and Fran Amirsaleh Mr. Charles Calomiris Jonathan Abrams and Sandra Jean-Louis Michael Allen Javier de Leon
Department for International Development (U.K.) Combined Federal Campaign Ms. Anne Cox Chambers Mr. Peter Aird Barbara Burke Mr. Blaine Degruise
European Commission Humanitarian Aid Office Debevoise and Plimpton Evelyn Sharp Foundation Mr. Robert W. Albrecht Tiffany Caldwell Ms. Cobie Delespinasse
European Commission Ms. Cristina Enriquez-Bocobo Hester Diamond Michael Allen Mr. C. Kevin Campbell Mr. and Mrs. Jeffery and Harriet Dennis
Office of U.S. Foreign Disaster Assistance Mr. and Mrs. Leonard C. and Mildred F. Ferguson Mr. and Mrs. John and Melissa Eydenberg Philippe Amouyal Bridget Campomanes Mr. and Mrs. Jerome and Elinor Deutsch
United Nations Children’s Fund Michael Golden Ms. Sabina Fila Mr. Rand Angelicola Carlson Family Foundation Rory Deutsch
United States Agency for International Golden Temple Inc. Ms. Ann Freedman Aramark Ms. Deborah Carmichael Dr. Layla Diba
Development Mr. Aaron Gural Mr. Eliot Glazer Mr. Wayne Archambo Richard Carroll Mr. Howard Dicker
United Nations High Commission for Refugees Mr. Yves-André Istel Mr. Frederick S. Green ASAP Personnel Services, Inc. Ms. Carolina Casperson Mr. Dennis C. Dobbs
World Food Programme Mr. and Mrs. Hisashi and Kuniko Juba Mr. and Mrs. Geoffrey and Sarah Gund Mr. Joseph Bachman Mr. Dominic Castriota Mr. and Mrs. Harry and Chant Dolman-
Mr. and Mrs. Kernan and M. Christine King Mr. William T. Hyde Back Office Support Systems, Inc. Kenneth Ceradsky Dussouchaud
Mr. Edwin H. Klink Transformation Trust, Inc. Mr. Thomas J. Igoe Mr. and Mrs. Richard and Beverly Bailey Cheng-Chang Chang Melissa Dunkerley
Mr. and Mrs. John D.B. and Laura V. Lewis Ananth Krishnamurty and Mary Inagami Bakersfield Christian High School Grace Chang Keith Duryea
CONTRIBUTORS Donald and Shelly Meltzer Kathy Lafreniere Mr. Khalil Barrage Danita Charity Mrs. Tana Dye
Mr. and Mrs. Prakash and Anjali Melwani Mr. Robert L. Lawrence Mr. Tom Bartlett Mr. Howard Chatzinoff Mr. and Mrs. Jeffrey and Gale Wild-Ebers
$25,000 or more Mr. Jean-Marc Moriani Phillip G. Lookadoo Capt. and Mrs. Ray and Nina Beatty Chemcentral Christopher Ecker
Mr. Ian Ashken Newmark and Company Real Estate, Inc. Ms. Diane Molleson Anne Bebear Mr. and Mrs. Rick and Laura Cioppa Thomas Emeigh
Mr. and Mrs. Joseph and Claude Audi Robert de Rothschild Carlton Hill Family Foundation Mr. Guillaume Bebear Citizens Vote, Inc. Equus Real Estate Management Inc.
Mr. and Mrs. René-Pierre and Alexis Azria Mr. and Mrs. Edward and Barbara Shapiro Ms. Ellen J. Odoner Mrs. Marianne (Markogianis) Belardi Mr. Stephen Clemons Joseph R. Evans
Mr. Henri Barguirdjian Greg Shunick The Orentreich Family Foundation Anthony Berardo Mr. David D. Cockcroft Falcone and Truman
CIBC World Markets Corp. Sikh Dharma Marcy Pfeiffer Jonathan Berget Mr. Farnaz Cohen Ms. Kathleen F. Fina
Citigroup Global Markets Inc. The Skolnick Foundation Kovan Pillai Mr. and Mrs. Stuart and Andrea Bernstein Mr. Adam Cohen Gabe Finke
Mr. Raymond Debbane Dr. H. Matt Smith Ms. Marilyn Ramirez Mr. Michael Billett Alan D Cohen Patricia Finlayson
Apollo Management, LP Ms. Connie Stults Farzad and Neda Rastegar Mr. Tom Birchard Noel and Barbara Commins Ms. Laura S. Fisher
Mr. Jeffrey R. Gural Gordon Swobe Mr. and Mrs. Bartolomeo and Aileen Getty Ruspoli Joan Blanchard Community Foundation of New Jersey Randall Fisher and Linda Lafontaine
Mr. Burton K. Haimes Ms. Fran Taylor Mr. and Mrs. Steven and Meryl Sitver Thomas Boldman Mr. James Cook Mr. and Mrs. Adam and Olivia Flatto
J. P. Morgan Chase Foundation The Taylor Family Charitable Foundation Mr. Carter Smith Boston Copley Place Marriott Kristen Copham Ms. Marta Florin
Mrs. Ketty Pucci-Sisti Maisonrouge Sandra and Stephen Waters Foundation Mr. and Mrs. Christopher and Patrice Sobecki Mr. David I. Bower Tom Corboy Messrs. Robert and David Fluet
Pepper Hamilton, LLP Mr. Paul A. Zrimsek Mr. James C. Sturdevant Mr. and Ms. Sean and Nancy Boylan Emmett Covello Mr. Richard Bailey Fordham
School Board of St. Lucie County, Florida Ms. Angela Urban Ms. J. Elizabeth Bradham Joseph Crain James Foster
Thelen, Reid and Priest $5,000–9,999 The Vasicek Foundation Douglas Bragdon The Cunningham-Wright Family Fund Frontera Grill
Warburg Pincus LLC Mr. Scott Adelsberg Vermeil Family Fund Ms. Melanie Branca Martha Daiello Fribourg Family Foundation
Mr. Cody J Smith Mark Auckerman WeightWatchers.com, Inc. Barbara Bremmer Ms. Judy Enright Daylily Mr. Bart Friedman
Weil, Gotshal and Manges LLP Joel E. Smilow Charitable Trust Ms. Isabelle S. Wilcox William Brown Mr. Peter J. Davies Mr. and Mrs. Patrizia and Elliott Friman
D O N O R S D O N O R S

Mr. Burt Fujishima Mr. Douglas G. Hickey Ms. Nancy Leeds Gary Melman Pepsico Ms. Ann Sardini
Shawna Gage Daniel Hildebrandt Denise Legenzoff Mr. Charles Merrill Mr. Richard Perdue Ms. Joan Saunders
Susan Gallo Joy Wok Express Mr. Yves Leperlier Microsoft Giving Campaign Perelson Weiner, LLP Michael Saunders
Mr. Adam Garcia Ms. Evelyn Hofman Ms. Stephanie L. Levaughn Ms. Laurie A. Miller Mr. Thomas H. Peterson Mr. Fuad Sawaya
Miss Elisa Gatti HOPE Sudbury Mr. and Mrs. Philicia and David Levinson Mary Frances Miller Guy Phillips Ms. Julie Schaffer
Wendy Gelbart James C. Hormel and Timothy C. Wu Mark Lewis Marie Mintz PMK Group Jill Schreiner
Mr. Raymond Gietz Mr. and Mrs. Ching and Karen Huang Peter Ley Miracle Bar and Grill Sydney Poitier Jamie Schulke
Clarice Giles Mrs. Linda Huett Ms. Judith Lidsky Miracle Grill Darcy Pollack Jane Schwartz Foundation
Mr. and Mrs. Tom and Beverly Gillett Pastor Verenander L. Hughes Kristin Lile Gerd Mittmann Poncelet Family Fund Seguros Express Inc
Ms. Tracy Girth Mr. Edwin Huston Mr. Chun Ta Lin Thomas Mohrhauser Lester Price Ms. Stephanie J. Seligman
Ms. Dolores Gluck Alice Hyman Mr. Steve Lincoln Ms. Rebecca Morey Ms. Mandakini Puri Kenneth G. Prior Foundation
Fred Godwin Mr. and Mrs. Gianfranco and Rita Iavarone Emily Lizcano Mrs. Margaret S. Moyers Mr. Dan Purnell Mr. Michael J. Sherman
Mr. Ronald E. Goldberger IBM Employee Services Center L'Olivier Floral Atelier Lisa Mueggenborg Vinh Quach Simon and Eve Colin Foundation, Inc.
Keith Hemmerle and Barbara Gollust I Do Foundation Mr.and Mrs. Michel J. and Odile Longchampt Mulago Foundation Mr. and Mrs. Frederic and Maria Ragucci Anna Sinclair
Jean Grant and Francis Minskoff-Grant Il Buco Ms. Lisa Loveday Bedri Munsuz Rebold Family Fund Frances Singery
Mr. Nicholas Groombridge Indian Students Association University of Texas at J. Harry Lynch Mr. Toby Myerson Ms. Serena Richardson Lai Shan Siu
Mr. and Mrs. Erik and Christiane Grotness Austin Mrs. Gina Giumarra MacArthur Dave Nape Daniel Riess Rich Skalbania
George Gund and Iara Lee Barbara Jacobs Mr. John MacArthur and Ms. Renee Khatami The Seth Neiman and Lauren Speeth Foundation Rimerman Family Foundation Slanted Door
Christine Haas Jennifer L. Schiff Charitable Trust Bart MacDonald Dr. Yale R. Nemerson Mr. Stephen A. Rishton Mr. Rick Smilow
Ms. Irene Habernickel Jim Boyd Construction, Inc. Ms. Mitzi MacDonald-Laws Nemet Motors Riverdale-Yonkers Society for Ethical Cultture Mr. and Mrs. Raymond W. and Phyllis Smith
Mr. and Mrs. Thomas and Diana Hall Roberta Kanter Mahalaxmi Inn Corporation Lobsang Nepali Roan Universal Foundation Ms. Lindsay Leigh Smith
Robert Hall Kimberly Kargman Mike Mai Julie Netser Robert J. Hurst Foundation Jeffrey Smith
David L. Hamilton Mrs. Nona Kerr Mr. Stephen B. Maiman Network for Good Jordan Roberts Mr. and Mrs. Garrett and Jeannine Snipes
Ms. Mary Hamilton Jason Kessler Ms. Marita Makinen The News Corporation Foundation Mr. and Mrs. Thomas and Mary Alice Roberts Michael Snyder
John Hamilton Mr. Anthony J. Khuri Mr. and Mrs. Charles-Henri and Marguerite Peaceful Nguyen Douglas Robinson Ron and Annette Soufrine
Jefferey Hammann Mrs. Sandra Kirchhoff Mangin Ms. Janet Nolan Samir and Manpreet Rohatgi Mr. David Speedie
Mr. and Mrs. Rob and Stacey Hammerling Radford Klotz and Shahnaz Batmanghelidj Mr. Bennet Manning Raya Novak Mr. Charles J Rose Ms. Ashley Spicer
Beverlin Hammett Bruce Kraus Mr. and Mrs. Michael and Anne Marx Kelly Oh Jeffrey Roseman Robert Spring and James Huddle
Mr. Robert S. Harrison Krinos Foods, Inc. Mr. and Mrs. Stephen and Patricia Masceri Ms. Carole Oliver Mr. and Mrs. James and Alice H. Ross Mrs. Jill Stansky
Dr. and Mrs. William and Aline Haynes Ms. Daniele Kulera Mr. Andrew Maunder David Oppenheimer Stuart Ross Hossein Amirsaleh Foundation
Mr. Russell D. Hemenway Mr. and Mrs. Michael and Janice Lally Ms. Jane McDonald Stephen Paris Mr. Greg Roth Mr. Brian Steinwurtzel
Mr. David Henderson Kenneth A. Lattman Foundation Mr. John McDermott and Ms. Victoria McManus Kara Parker Timothy Rothwell Mr. Ronald W. Stevens
Allyson Henry Le Bernardin, Inc. Courtney McMahan Hasmukh and Bhanuben Patel Ms. Sharon G Russell Bruce R Stone
Mrs. Catherine Herkovic Alain LeCoque The Melinda and William J. Vanden Heuvel Mukeshkumar and Lataben Patel William Ryan Ms. Elizabeth Stribling
Mr. David Alexander Hickerson Mr. and Mrs. Stephen S. and Julie Dien Ledoux Foundation, Inc. James and Gloria Paul Gabriel and Nada Sara Ursula and Paul Striker
D O N O R S D O N O R S

Mr. and Mrs. Eric and Patricia Sugden Mr. P. Garrett Wyckoff In-Kind Contributions of Goods World Food Day Gala Epicurean World Food Day Gala Supporters Michael C. Fina
Ms. Suzanne Sutter Michael Yancey or Services Committee Alès Group USA Monsieur Touton Selections, Ltd.
Mutaz Tabbaa Myrth York AFD Furniture Acquolina amNewYork New York Press
Mr. and Mrs. Jeffrey and Karen Tanenbaum Mr. and Mrs. Robert and Jeanne Zabelle Ain's List Aquavit Artscounselinc.com Paris Gourmet
Joel Tauber Mr. Walter Zalenski amNew York Babbo Avenue A Pedro Aleman Catering
Mary Taylor Ms. Sabine Zerarka Avenue A Bice Benjamin Hudgins Rémy Martin
Christina Tempelaar-Lietz Zodiac Pioneer Aerospace Corporation Black Book Blue Hill Berrymatch.com Reuters
Craig and Robyn Thompson Mike Zoi Brandwebsite.com Blue Smoke / Jazz Standard BlackBook Magazine Ruder Finn
Daniel Thompson The Bravo Group Bouley Bakery / Danube Body Shop Ruth C. Schwartz & Co. Special Events
Loren Tibbitts Institute of Culinary Education Café Boulud Brandwebsite.com and Public Relations
Ms. Carole Tillman InterAudi Bank Café Joul CHANEL, Inc. SeamlessWeb
Towery Homes, Inc. Jessica Weber Design, Inc. Chanterelle Château Latour Smashing Ideas Inc.
Ms. Judith T. Tran L'Olivier Floral Atelier D’Artagnan Château Mouton Rothschild Starchefs.com
United Directories Lalique Dawat Chloé Susan Ciminelli Day Spa at Bergdorf
Deborah van der Heyden Longchamp Eleven Madison Park Christian Dior, Inc. The Lowell Hotel
Mr. and Mrs. Alexander and Ashley Von Perfall Monsieur Touton Selections ICE Cornelia Fifth Avenue The Yale Club
Henry and Margaret Vosswinkel New York Press il Buco Emelise Alpacas Tom Weidlinger, Moira Productions
Joe Wagner Remy Martin Jean-Georges EuroAmerican Communications Weight Watchers International, Inc.
Mr. Willie Wallace Reuters Design Team Jojo Firmenich Zagat Survey
Yichun Wang Ruder Finn Landmarc Restaurant G3 Architecture Interiors
Robert Weaver Smashing Ideas Le Bernardin Health Supportive Chef
Ms. Wendy Weiler StarChefs.com Mercer Kitchen Hermès de Paris, Inc.
Weingart Family Fund Taranto Gallery Miracle Bar and Grill Hotel Plaza Athénée
Mr. Stephan Wessels The Reuters Sign Oceana Ilka
Laura West Thelen, Reid & Priest, LLC Post House IMAN Cosmetics
Mr. Don E. Whitson Ventana Productions Remi IMG / 7th on Sixth
April Williams Viacom Riingo Jessica Weber Design, Inc.
Christopher and Janice Williams Village Voice 66 John Hardy Jewlery
Teresa Williams Virginie Sommet Judith Nelson, New York Philharmonic Orchestra
Brett Williamson Zagat.com Lalique North America
Robyn Wittleder Lillian Lincoln Foundation
Mr. Barry M. Wolf Longchamp
Mr. Wingson Wong Ambassador Raymond Loretan
Mr. and Mrs. Robert L. and Angelia Wood L’Olivier Downtown
Ms. Jamie Woolley Loyola Phoenix
Whispering Bells Foundation
ACF H EADQUARTE RS
ACCIÓN CONTRA EL HAMBRE
C/Caracas, 6, 1°
28010 Madrid
Tel: +34 91 391 53 00
Fax: +34 91 391 53 01 PHOTO CREDITS
ach@achesp.org
www.accioncontraelhambre.org • Burger/Phanie
ACTION AGAINST HUNGER USA President: José Luis Leal • Olivier Longué
247 West 37th Street Director: Olivier Longué • Devrig Velly
Suite 1201 • Benoît Miribel
New York, NY 10018 ACTION AGAINST HUNGER UK • Stephanie Bouaziz
Tel: +1 212 967 7800 Unit 7B Larnaca Works • Janice Setser
Fax: +1 212 967 5480 Grange Walk
• Jeffrey Austin
info@actionagainsthunger.org London SE1 3EW
• James Pomerantz /
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• Aaron Brent
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• Peter Bussian
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• Seth Cohen
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4 rue Niepce Director: Jean-Michel Grand • Blazej Mikula
75662 Paris Cedex 14 • François Perri
Tel: +33 1 43 35 88 88 ACTION CONTRE LA FAIM /
Fax: +33 1 43 35 88 00 ACTION AGAINST HUNGER CANADA
lgrosjean@actioncontrelafaim.org 1002 Sherbrooke Street West, Suite 2300
www.actioncontrelafaim.org Montreal, Québec, Canada
President: Dr. Jean-Christophe Rufin H3A 3L6
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President: Burton K. Haimes
Director: Anne-Sophie Fournier