ACF-USA 2002 Annual Report

Action Against Hunger USA
2002 Annual Report
Note: The 2002 Annual report is a collaborative effort of all four headquarters in the Action Against Hunger
international network. It was translated in U.K. English from Spanish and produced as an MS Word document in
order to reduce translation and printing costs. Thank you for your understanding.
ACTION AGAINST HUNGER - USA

247 West 37th Street New York, New York, 10018 Tel: 212 967 7800 Fax: 212 967 5480
Email: aah@aah-usa.org Website: www.actionagainsthunger.org
Action Against Hunger Charter of Principles
Action Against Hunger is an international non-governmental organisation. It is private, non-

political, non-denominational, non-profit making and was created in 1979 to intervene all over
the world.
The aim of Action Against Hunger is to combat hunger, the misery and the hazardous conditions
that threaten helpless men, women and children.
Action Against Hunger intervenes in at least one of the following situations:

- In severe crisis, natural or man-made, that threatens the food security or leads to a food
crisis
- In breakdown of the social fabric, created by internal or external factors that place certain
populations in a situation of severe vulnerability
- In situations where survival depends on humanitarian assistance
Action Against Hunger intervenes either during the crisis itself, through emergency intervention,
or afterwards, through rehabilitation and sustainable development programmes. Action Against
Hunger also intervenes in the prevention of certain high-risk situations (disaster preparedness
programmes).
The ultimate aim of all Action Against Hunger’s programmes is to enable the beneficiaries to
regain their autonomy and self-sufficiency as soon as possible.
While developing its activities, Action Against Hunger respects the following principles:
INDEPENDENCE
Action Against Hunger seeks to maintain its moral and financial independence and acts
according to its own defined principles, not to domestic or foreign policies or the interest of any
particular government.
NEUTRALITY
Action Against Hunger strictly respects neutrality and maintains political and religious
impartiality. However, Action Against Hunger might denounce human rights violations that it
has witnessed as well as obstacles put in the war of its humanitarian action.
NON-DISCRIMINATION
A victim is a victim. Action Against Hunger refutes all discrimination based on race, sex,
religion, nationality, opinion or social class.
FREE AND DIRECT ACCESS TO VICTIMS

Action Against Hunger demands free access to the victims and direct control of its programmes.
Action Against Hunger uses all means available to achieve these principles, and will denounce
and act against any obstacle preventing it from doing so. Action Against Hunger also checks the
allocation of its resources in order to ensure that the resources reach those individuals for whom
they are destined. Under no circumstances can contractors working together with or alongside

Action Against Hunger become the ultimate beneficiaries of Action Against Hunger’s aid
programmes.
PROFESSIONALISM
Action Against Hunger bases the conception, realisation, management and assessment of its
programmes on professional standards and years of experience in order to maximise its
efficiency and the use of resources.
TRANSPARENCY
Action Against Hunger is committed to respecting a policy of total openness to partners and
donors and encourages the availability of information on the allocation and management of its
funds. Action Against Hunger is also committed to providing guarantees of its good
management.

Summary of Activities
Action Against Hunger - USA’s (AAH-USA) mission is to save lives by combating hunger,
physical suffering and situations of distress that endanger the lives of men, women and children.
At Action Against Hunger, we want to assure our friends and supporters that despite the
catastrophic images that reach us from outside the United States, there is another Africa that is
not starving, another Asia that is not subjected to sexual or labor exploitation and another
America that is not stricken with natural disasters. Every day we see in the field, in our projects
and in the communities, that the strength of peace and working together can put a stop to hunger.
It is no miracle: when the necessary resources, political power and will is mobilized, misery
recedes.
There was good news in 2002. In Timor, a new democracy began to establish itself in a new
country. In Angola, we saw the success of the peace process after almost 40 years – three
generations – of fratricidal fighting. In Sierra Leone, development has prevailed over the state of
emergency of 2001, despite the current chaos in neighboring Liberia. In the battle against AIDS
in Uganda, collective efforts have succeeded in stabilizing the number of newly infected patients.
The cameras, however continue to focus on the images of misery from the streets of Kampala,
Luanda or Freetown, and this is a pity. The happy faces of healthy children, the joy experienced
by a community emerging from the ravages of a recent war, the dignity and hope that come with
restoring self-sufficiency; these are all images far more powerful, compelling, and representative
than the images of misery that so frequently accompany the headlines. In fact, the resilience and
strength to start afresh that these human beings embody is what spurs us on and drives of our
teams in 41 countries to continue working with the over 4 million victims of hunger each year.
Despite the good news, our optimism has been put to the test. Sadly, world hunger is increasing
again after years of decline: the second half of the decade saw an increase of 18 million more
people experiencing hunger. The number of undernourished in the world actually increased by
4.5 million per year between 1995 and 2001. Currently, 36 countries face serious food
emergencies. Factors contributing to the changing numbers include economic growth, trade
policies, demographic shifts, the HIV/AIDS emergency, drought, wars and lack of political will
– but not lack of food.
In 2002, Action Against Hunger continued to offer leadership in the ever-changing fight against
hunger throughout the world. Our range of programs encompass the following:
• Direct humanitarian interventions that successfully save lives and end hunger by targeting
those most affected (via therapeutic nutritional centers, emergency water supply programs,
targeted food distribution, etc.)
• Post-emergency assistance to build self-reliance among families and communities (by
building water infrastructure, carrying out health and hygiene education, implementing
technical programs to increase food availability, building capacity of local health care
systems, etc.)
• Technical research to increase the viability of Action Against Hunger’s programs (research in
nutrition, water and sanitation, food security)
• Educational efforts that bring crucial information about the realities of hunger to people of
the United States (via partnerships with schools, the production of radio interview series, the
biannual publication of Geopolitics of Hunger, the ongoing formation of pro bono
partnerships with companies and professional volunteers, etc.)
The past year was filled with wonderful opportunities, challenges, and accomplishments. Some
of AAH’s accomplishment highlights were:
• Providing assistance to over 1,645,000 beneficiaries in Uganda, South Sudan and the
Democratic Republic of Congo through our nutrition, water and sanitation, health, and food
self-reliance programs managed by Action Against Hunger (USA).
• Providing assistance to over 4 million beneficiaries through our partnership with Action
Against Hunger headquarters in France, Spain, and the U.K.
• The success of the annual World Food Day Gala at the Harvard Club with honorary
chairman, Frank McCourt
• Presiding over the NASDAQ Market Open, after which, Lucas Van den Broeck, our late
executive director was interviewed by CNNfn.
• Implementation of a public education campaign on radio stations across the United States
reaching an estimated 2 million listeners.
The following is an overview of Action Against Hunger’s income and expenses for the year
ending December 31st, 2002.
Total Revenue and Support: 14,357,711

Program Expenses: 11,445,143
Management and General Expenses: 287,571
Fundraising Expenses: 199,287
End of Year Net Asset Balance: 5,978,354
Action Against Hunger is tax-exempt under section 501(c) (3) of the Internal Revenue Code.
Donations are tax-deductible to the extent allowed by law.

How our funds are spent
Each project has its own cost structure. Emergency programmes are the most expensive
programmes in terms of logistical and personnel costs as they involve a rapid mobilisation of
resources and an immediate deployment of qualified staff. We have to react quickly in order to
save lives.
Rehabilitation and structural development programmes are structured differently and are less
costly. Their aim is the long-term sustainable transmission of knowledge and techniques.
Monitoring at all levels in order to achieve optimal use of resources
It is imperative that the management of financial resources with which we are entrusted meets
our standards of transparency and accuracy. However, this in itself is not sufficient. All
expenditures must also be justified and previously budgeted for. Each expense must provide
guarantees of the following:
• Its relevance: each expense must contribute to achieving our objective – the fight against
hunger and must meet optimisation standards. Great care is taken to obtain goods and
services at a reasonable price.
• Its accuracy: through the reliability of accounting procedures and authorisation of
expenditure.
• Its transparency: in order to merit the confidence of all our supporters and allow them to
verify the quality of our resource management.
In order to guarantee these three principles, control mechanisms are in place at all levels, from
country programmes to head office. Our finance departments regularly carry out internal controls
and audits. Independent auditors carry out external audits on an annual basis in order to monitor
the standard of our operations and report to the public authorities with whom we collaborate.
Each Head Office is responsible for its own management. Annual financial audits both at Head
Office and country programme levels are the responsibility of each Head Office’s Board of
Directors.
Appropriate use of funds
We try to keep the organisation’s administration costs to a minimum in order to provide the
guarantee of a reliable, responsible and professional organisation in the fight against hunger.
However, we are unable to omit entirely such uses of funds, since:

• Management transparency, control procedures and the accuracy of our financial reporting
are dependent on professional and efficient financial and administrative management.
• Head Offices not only provide essential support for the programmes but also play the
vital role of building on experience, leading efficient research projects and responding to
difficulties.

Human Resources
• Decisive positioning by professionalism

Action Against Hunger positions decisively by the professionalism of the men and women who
work in the 40 countries where it is present. Human capital is principal in Action Against Hunger
and for this nearly 6,000 men and women work from the different head offices in Spain, France,
United Kingdom and the United States and in the projects shared out around the world.
The Human Resources department works in the identification and selection of experts that
guarantees efficient and rigorous action in the field, such that technicians specialised in different
areas in the head office support the work of the fieldworkers.
The professional profiles of the people that make up the organisation are very different, adapting
to the requirements of each project, each area and each reality.
Moreover, Action Against Hunger ensures that its entire staff receives prior training. Specific
courses on their area of work guarantee quality results. Along with this, general training that
ranges from humanitarian obligations to the necessary security regulations for working in zones
of conflict assures efficient management.
The success of our programmes depends on all of the above.
• International vocation
More than 500 fieldworkers and almost 5,000 national staff carry out programmes in more than
40 countries.
Competence and technical expertise are essential, for which Action Against Hunger pays great
attention to its selection procedure and training programmes. In order to rely on the best
technicians it searches for the ideal candidates in different countries, constantly identifying and
opening new reserves of human resources.
The organisation’s international vocation is reflected in the international contribution of

fieldworkers and head office staff between the four offices of Action Against Hunger: Paris,
London, New York and Madrid. Between them there is close communication in order to identify
the idea candidates for each situation.
Far from closing frontiers, Action Against Hunger puts forward a professional development
programme open to the five continents.

Technical Resources
The fight against hunger goes beyond simply distributing food. In order to fight hunger it is
necessary to define, recognise and study thoroughly the necessary techniques adapted to the
context in which we respond.
The technical departments are the foundations of the knowledge and experience of our
organisation. They carry out the essential role of training the teams before departure as well as
while carrying out their work in the field. For all Action Against Hunger’s fieldworkers, the
technical departments are the permanent reference throughout the whole implementation and
development of their projects.
The professionals that comprise these technical departments find themselves in the same core
definition of our actions - to be able to provide the most professional and efficient response to
the needs of the most vulnerable populations.
In many cases, giving food to children is often not the best way to save them from malnutrition.
For example, the fight against diarrhoea that is responsible for millions of cases of infant
malnutrition requires adequate medical treatment and the guaranteed supply of drinking water for
the child. The technical departments help understand the real causes of hunger and provide the
relevant solutions.
The fight against hunger is carried out through four complementary activities
NUTRITION
Saving the life of a child from severe malnutrition requires well-established therapeutic protocols
with the aim of promoting the best existing treatment to reduce the risk of death, to cut the stay
in the hospital and to facilitate the rehabilitation and complete recovery from malnutrition. It is
also important to develop community nutrition strategies aimed at preventing malnutrition and
taking advantage of local resources for good nutritional status.
FOOD SECURITY
Food insecurity is an underlying cause of malnutrition and mortality, and is a significant factor in
the self-sufficiency and autonomy of families in the long run. Intervention in this area covers
food distribution in crisis situations with the aim of increasing the availability of food supplies,
family economic support, improvement in the factors of production and in the socio-economic
and institutional contexts that affect household food security.
WATER AND SANITATION

Water is one of the most effective weapons against hunger. Access to safe drinking water, a good
sanitation system and adequate sanitary conditions allow improvement in the state of health of
communities and prevent the spread of diseases that cause malnutrition. Irrigation of fields
allows food production to be increased by three, if not four, times in the same plot.
HEALTH
There is a vicious circle between disease and malnutrition. A malnourished child is more
vulnerable to diseases than a well-fed child. A sick child often becomes the victim of
malnutrition. It is therefore necessary to fight disease in order to combat hunger
Countries of Operation
Afghanistan
After 23 years of war and three years of drought, Afghanistan is exhausted, faced with emergency nutritional
and sanitation situations. This vulnerability is further exacerbated by persistent insecurity.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Treatment of malnutrition in 17 therapeutic feeding centres
• Regular nutritional surveillance and follow-up
• Training of national staff (705 persons)
FOOD SECURITY
• Weekly food distribution to 315,525 persons
• Seed and tool distribution to 52,566 beneficiaries
HEALTH PROGRAMME
• Distribution of 5,884 health kits
• Vaccination for 38,861 women and 42,242 children
• Medical consultations
• Periodic treatment for intestinal deparasitisation
• Family planning, gynaecology and obstetric clinics

• Rehabilitation of drainage systems for used water and rain water
• Construction, control and maintenance of 313 water points
• 1,878 latrines constructed
• Hygiene education: 34,000 sessions and meetings with water committees
LAUNCH OF PROGRAMME: 1995

GEOGRAPHICAL LOCATIONS: Balkh, Sar-e-Pol, Kabul, Parwan, Kapisa, Bamian, Urzugan, Ghor provinces
and cities of Kandahar, Kabul and Mazar
FIELDWORKERS: Minimum of 25, and maximum of 42
NUMBER OF NATIONAL STAFF: 1,100
FUNDING: ECHO, EU, PFDA. UNHCR, French government, Embassy of Great Britain, Swiss government,
French regional collectives, UN
NUMBER OF BENEFICIARIES: 750,000 persons
Angola
Action Against Hunger assists displaced people and refugees returning home after years of civil war.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Treatment of malnutrition in therapeutic feeding centres for the displaced and resident populations
• Supplementary feeding programmes
• Nutritional surveys
FOOD SECURITY
• Food distribution
• Special attention to the displaced population returning after the end of the conflict
• Support for food production and agricultural organisations
HEALTH PROGRAMME
• Primary healthcare assistance
• Support for the Ministry of Health in the management of hospitals and health centres
• Vaccinations: more than 55,000 children vaccinated

• Emergency distribution for an estimated population of 100,000 persons
• Construction of water points
• Hygiene education

GEOGRAPHICAL LOCATIONS: Caconda, Chipindo (Huila), Ganda (Benguela), Menongue, Cuito Canavale,
Mavinga (Cuando Cubango) and Matala districts
FIELDWORKERS: 17
NUMBER OF NATIONAL STAFF: 300
FUNDING: OCHA, Madrid Social Work fund, Dutch Co-operation, Canadian Co-operation (CIDA), OFDA,
ECHO, EU
Argentina
Action Against Hunger intervenes in response to the severe economic crisis and rising poverty.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Supply of food to local canteens, communal cookers
• Technical training
• Study of factors of vulnerability in the districts of intervention

GEOGRAPHICAL LOCATIONS: Buenos Aires
FIELDWORKERS: 1
FUNDING: Council of Galicia, Madrid Social Work fund, Action Against Hunger and private funds
Armenia
Action Against Hunger’s intervention aims to restore food security and improve the standard of living of
those populations affected by poverty, human conflicts and natural disasters.
• MAIN ACTIVITIES
FOOD SECURITY
• Development of agricultural activities
• Support for the structure of co-operatives
• Seed and fertiliser distribution and technical support
• Prevention of food insecurity for the most vulnerable families

GEOGRAPHICAL LOCATIONS: Synunic region, Sisian and Goris districts
FIELDWORKERS: 2
FUNDING: ECHO
NUMBER OF BENEFICIARIES: 2,600 families
Azerbaijan

With the fall of the Soviet Union and the war with Armenia, Azerbaijan is faced with severe poverty. Action
Against Hunger helps populations to restore their long-term food security.
• MAIN ACTIVITIES
FOOD SECURITY
• Improvement in living conditions for displaced populations by sustainable agricultural activities
• Support for farmers in crop and farming techniques. Training at community level to improve harvest and
management

GEOGRAPHICAL LOCATIONS: Agdabedi and Beylagan districts
FIELDWORKERS: 1
FUNDING: Swiss Co-operation, BPRM
NUMBER OF BENEFICIARIES: 600 families
Bolivia
Action Against Hunger intervenes in rural and suburban areas, mainly with ethnic populations in one of the
poorest countries in Latin America.
• MAIN ACTIVITIES
FOOD SECURITY
• Improvement in living conditions for displaced populations by sustainable agricultural activities
• Support for farmers in crop and farming techniques. Training at community level to improve harvest and
management

GEOGRAPHICAL LOCATIONS: La Paz district
FIELDWORKERS: 2
FUNDING: Council of Galicia, EU, Spanish Cooperation, Iberdrola
Burundi
After a long civil war, the democratic solution seems to have been found. Nevertheless, the humanitarian
situation remains critical and insecurity persists. Action Against Hunger’s aim is to help the population to
regain their autonomy through nutrition and food security programmes.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• More than 2,500 children cared for in therapeutic feeding centres
• Training and technical support for 198 national staff and 2 fieldworkers
• Nutritional surveys in Ruyigi and Kayanza
FOOD SECURITY
• Evaluations in Ruyigi and Kayanza
• Techinical support and distribution of seeds and farm animals, benefiting around 15,000 persons
• More than 1,500 livestock distributed

GEOGRAPHICAL LOCATIONS: Bubanza, Kayanza and Ruyigi provinces
FIELDWORKERS: 10
BUDGET FOR 2002: 1,670,000 Euros
NUMBER OF BENEFICIARIES: 25,030
Cambodia
Action Against Hunger works in a country troubled by many years of war and genocide. The north of the
country is littered with mines and severe flooding is common.
• MAIN ACTIVITIES
• Water supply in rural areas
• Construction and rehabilitation wells
• Flood prevention
• Post flood improvement in sanitary conditions
• Flood and disaster preparedness
FOOD SECURITY
• Agricultural and livestock maintenance and development programmes

GEOGRAPHICAL LOCATIONS: Preah Vihear, Kampong Cham and Mondolkiri provinces
FIELDWORKERS: 5
FUNDING: EU, Action Against Hunger
Colombia
Action Against Hunger supports populations that have been displaced by internal armed conflict as well as
those that have remained in conflict zones.
• MAIN ACTIVITIES
NUTRITION/HEALTH PROGRAMME
• Nutritional and sanitation programmes in mother and child centres and community housing
• Psycho-social activities for populations displaced by conflict
• Rehabilitation of child health centres in collaboration with health authorities
FOOD SECURITY
• Community kitchens
• Agricultural support for self-sufficiency

• Rehabilitation of water systems in schools

GEOGRAPHICAL LOCATIONS: Alto Sinú, San Jorge (Cordoba district), Montes de María (Sucre district),
Fundación, Aratacata (Magdalena district)
FIELDWORKERS: 1
FUNDING: ECHO, Swiss Development Cooperation

Democratic Republic of Congo
Progress to peace has been very uneven: confrontations between government forces and militias continue in certain
zones of the country. More than half the population do not have access to drinking water.
• MAIN ACTIVITIES
NUTRITION
- Focus on malnutrition in therapeutic and supplementary feeding centres
FOOD SECURITY PROGRAMME

- Agriculture and fresh water fishing
- Rehabilitation of irrigation systems
- Seeds, farm tools and supplies distribution
- Soya crop cultivation
- Support for fish and agriculture co-operatives
- Technical training in fish and agriculture
- Demostration agricultural plots
- Cassava production
HEALTH PROGRAMME
- Support to one hospital and 21 health centres
- Epidemiology monitoring (cholera and measles outbreaks)
WATER AND SANITATION PROGRAMME

- Supply of drinking water to all health centres
- Supply of drinking water to an area of nine communities
- Support for the Water Commissions
- Training in emergency response (prior to cholera outbreaks)
LAUNCH OF MISSION: 1996
LOCATIONS: Uvira, Fizi, Shabuna (southern Kivu province), Moba (northern Katanga), Kinshasa, Equateur
(Boende, Mondombe, Bolonga, Lolonga, Mompoko), Lubumbashi, Malemba Nkulu
NUMBER OF FIELDWORKERS: 28
FUNDING: ECHO, OFDA, UN, EU, DFID, Canadian Cooperation, WFP, FAO, UNICEF, OCHA
East Timor
Action Against Hunger has been supporting the transition process and return of refugees, laying the basis for
future development in this small country.
• MAIN ACTIVITIES
• Nutrition training for 152 health staff
• Workshops and creation of teaching tools for nutritional training

• Improvement of water supply systems for 190 communities and 97schools
• Creation of committees for good water management
• Hygiene education and promotion in 1,250 schools
GEOGRAPHICAL LOCATIONS: Ermera, Mantuto, Manufahi
FIELDWORKERS: 11
FUNDING: ECHO, OTI, Action Against Hunger, UN
Ethiopia
Action Against Hunger intervenes in a complex context of chronic food insecurity caused by severe climate
conditions, under-exploited agricultural potential, progressive depletion of natural resources, political inertia,
as well as the effect of recent conflicts and ethnic hostilities.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Nutrition surveys in the Awash delta
FOOD SECURITY
• Support for the establishment of veterinary community care services and supplies of specific medicines
• Transfer of early warning systems to local NGOs
• Animal health training for more than 200 national staff

• Rehabilitation of wells and traditional pumps
• Construction of new wells
• Support for the management of water points
• Water distribution by mobile tanks at times of drought

GEOGRAPHICAL LOCATIONS: Afar and Ogadén regions
FIELDWORKERS: 10
FUNDING: UNICEF, French government, CAPE, Action Against Hunger
Georgia
After reaching independence, social and economic problems emerged. Action Against Hunger aims to reduce
the dependency on food aid through implementing sustainable agricultural activities.
• MAIN ACTIVITIES
FOOD SECURITY
• Support for food production for self-consumption
• Support and reinforcement of national structures
• Support for gender equality
• Integration of local refugee population

GEOGRAPHICAL LOCATIONS: western Georgia, Samegrelo region
FIELDWORKERS: 4
FUNDING: UNHCR, BPRM, ECHO, World Bank

Guatemala
Chronic food insecurity and malnutrition motivate the mission in this country affected by poverty and
climate change.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Therapeutic and supplementary feeding centres
• Nutrition surveys and evaluations
• Training and consultancy for the Ministry of Health in designing a National Nutrition Strategy
FOOD SECURITY
• Seed and fertilizer distribution
• Training and agricultural techniques and management
• Construction of handmade irrigation systems
• Distribution of food for work
• Rehabilitation of community infrastructure

• Conditioning of water points and fitting in water treatment systems for irrigation
• Rehabilitation and extension of water distribution systems
• Construction of handmade irrigation systems
• Sanitary training and promotion

GEOGRAPHICAL LOCATIONS: San Marcos, Jutiapa and Jalapa provinces
FIELDWORKERS: 5
FUNDING: Spanish Cooperation, ECHO, regional government of Navarra (Spain)
Guinea
Action Against Hunger helps those who found refuge in camps in Guinea as a result of the conflicts in the
West African region.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Community nutrition
• Training and sensitisation of mothers in identification, treatment and prevention of child malnutrition
• Nutritional monitoring and follow-up
• Identification and treatment of severe and moderate malnutrition
FOOD SECURITY
• Conditioning of wetlands and analysis of food security situation
• Control and follow-up of food distribution for refugees

• Response to emergency situations: supply of water
• Construction of wells and sanitation in refugee camps
• Borehole drilling

GEOGRAPHICAL LOCATIONS: Kissidougou, Gueckedou, Nzerekoré and Lola regions
FIELDWORKERS: 15
FUNDING: ECHO, UNHCR, BPRM
Haiti
One of the poorest countries in the world, Haiti experiences chronic social, economic and health conditions.
• MAIN ACTIVITIES
• Provision of drinking water
SUPPORT PROGRAMME FOR STREET CHILDREN

• Working with street children between 13 and 18 years old
• Social reintegration by informal education and professional training
• Support to local initiatives and organisations
• Agreements with public authorities

GEOGRAPHICAL LOCATIONS: Northwest region, Artibonite province, central region and Puerto Príncipe
FIELDWORKERS: 2
FUNDING: UNICEF, compaines, Action Against Hunger
Honduras
Action Against Hunger helps isolated and vulnerable rural communities in a country hampered by
environmental, social and economic weaknesses.
• MAIN ACTIVITIES
FOOD SECURITY
• Maximisation and diversification of agricultural production: family gardens, improvement of traditional
crops, poultry raising, irrigation crops
• Environmental protection to limit the impact of natural disasters through soil conservation works and
reforestation
• Constitution of rural banks for the valuation and capitalisation of agricultural production

• Fitting of infrastructure for water and basic sanitation
• Personal technical training

GEOGRAPHICAL LOCATIONS: Danlí, Choluteca
FIELDWORKERS: 4
FUNDING: Barcelona city council, regional government of Navarra (Spain), Spanish Cooperation, ECHO, EU
Indonesia
Action Against Hunger carries out economic revitalisation activities, food security and sanitation
programmes and socio-economic surveys.
• MAIN ACTIVITIES
FOOD SECURITY
• Food and seed distribution to displaced population
• Evaluation of level of food security and protein deficiency
• Support for micro-projects for production: farms, fishing, small businesses

• Distribution of hygiene kits
• Rehabilitation of wells
• Construction of latrines

GEOGRAPHICAL LOCATIONS: Ambón, Ternate (Molucas)
FIELDWORKERS: 10
FUNDING: OTI, USAID, WFP, WFP, Dutch Cooperation, Australian Cooperation, Action Against Hunger
Ivory Coast
Action Against Hunger intervenes to help the displaced population mainly in refugee camps in the west of the
country after the political crisis.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Attention to and treatment of malnutrition in nutrition centres
• Technical training and consultancy
• Nutrition evaluation
FOOD SECURITY
• Distribution of 176 tonnes of food for 143,000 families
• Evaluation and reports in urban and rural areas

GEOGRAPHICAL LOCATIONS: Bouaké
FIELDWORKERS: 6
FUNDING: ECHO, WFP, Action Against Hunger
Kenya
The country is coming out of a food crisis and recovering slowly. The programmes of assistance for the
population are combined with longer term projects.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Anthropometric nutritional surveys and causal analysis
• Supplementary feeding centres

HEALTH PROGRAMME
• Improvement in infrastructure of clinics and health centres
FOOD SECURITY
• Programmes of work for food
• Strengthening of local capacity
• Improvement in infrastructure of piping and access to drinking water
• Construction of latrines and sanitary education
LAUNCH OF PROGRAMME: 1992-1994. New programme started in September 2001

GEOGRAPHICAL LOCATIONS: Moyale, Mandera
FIELDWORKERS: 4
FUNDING: UNICEF, EU, Action Against Hunger
Kosovo
Action Against Hunger supports local management structures and the improvement in social programmes
for the poorest.
• MAIN ACTIVITIES
COMMUNITY CAPACITY DEVELOPMENT PROGRAMME
• Technical support to the authorities for the follow-up and improvement of Social Assistance Programmes
for poor families through financial assistance
• Support capacity-building of Ministry of Labour and Social Welfare
• Production of “The Road Ahead” magazine that promotes social and economic development directed to
peace and reconciliation
• Transfer of activities

GEOGRAPHICAL LOCATIONS: Kosovo
FIELDWORKERS: 2
FUNDING: DFID
Laos
Action Against Hunger helps minorities living in mountainous areas that are at risk of being resettled in
plains with no real planning being made to improve their lives.
• MAIN ACTIVITIES
FOOD SECURITY
• Vaccination of more than 3,500 livestock in Kalum district
• Evaluation in 19 localities to determine the needs of the population

• Water programme: construction of wells, location of water sources
• Training of national staff in equipment maintenance

GEOGRAPHICAL LOCATIONS: Sekong and Luang Namtha provicnes
FIELDWORKERS: 5

FUNDING: ECHO, EU, Belgian Cooperation, Action Against Hunger
Liberia
After more than four years of internal conflict, the situation in Liberia has deteriorated into a humanitarian
crisis. Action Against Hunger assists the affected populations that have no access to water or food.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Treatment of severe and moderate malnutrition in children
• Integration of nutritional centres in state health infrastructures
• Training of national staff
FOOD SECURITY
• Distribution of 32 tonnes of food
• Distribution of seeds in 20 communities
• Contribution (material and training) to rural associations
• Food security surveys of refugees and local population

• Distribution of drinking water in camps for displaced persons
• Rehabilitation of water supply systems in health centres

GEOGRAPHICAL LOCATIONS: Montserrado, Bong and Grand Gedeh
FIELDWORKERS: 11
FUNDING: ECHO, EU, PTS, PRM, Canadian Cooperation, Swiss Cooperation, Action Against Hunger
Macedonia
Food distribution and improvement in the water network have eased the situation of the populations affected
by the conflict.
• MAIN ACTIVITIES
FOOD SECURITY
• Food distribution in zones of conflict

• Programmes for improvement in water network and sanitation
• Creation of new water points

GEOGRAPHICAL LOCATIONS: the whole country
FIELDWORKERS: 3
FUNDING: EU, DFID
Malawi

Extremely poor and affected by drought in 2002, Malawi recently faced a severe food crisis. Action Against
Hunger developed nutrition programmes for under-nourished children under the age of 4 and assists farmers
who face considerable uncertainties.
• MAIN ACTIVITIES
• Treatment of children under five years of age with severe and moderate malnutrition
• Development of national protocols for therapeutic food and anthropometric surveys
FOOD SECURITY
• Training for farmers in techniques in agricultural exploitation and crop diversification
• Technical support for the Vulnerability Evaluation Committee in monitoring food security
• Analysis of causes of food insecurity

GEOGRAPHICAL LOCATIONS: The whole country
FIELDWORKERS: 8
FUNDING: EU, Reuters Foundation, CARE, UKJAID
Mali
Action Against Hunger supports vulnerable populations affected by high levels of poverty and recurrent
droughts.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Training in nutrition for medical and sanitation personnel
• Community sensitisation programme
• Initiating and assisting nutritional activities in community health centres
• Nutritional support for Gao hospital
HEALTH PROGRAMME
• Continuous training of technicians for improving monitoring
• Training and assistance for those responsible for management of medication
FOOD SECURITY
• Community funds to finance infrastructure and economic development
• Support for production, storage and commercialisation
• Income generating activities for women

• Construction of infrastructure: wells, cisterns and pumping systems
• Use of teledetection systems
• Training in resource maintenance and management

GEOGRAPHICAL LOCATIONS: Gao, Kidal, Bamako
FIELDWORKERS: 9
FUNDING: USAID, EU, OFDA, regional government of Navarra (Spain), Norwegian Cooperation

Mongolia
Action Against Hunger assists the vulnerable population suffering from extreme food insecurity due to
drastic economic reforms and recurrent weather disruptions.
• MAIN ACTIVITIES
FOOD SECURITY
• Food distribution to vulnerable population
• Community canteens
• Support for vegetable gardens
• Microcredit
• Support for cooperatives of shepherds and cattle breeders

GEOGRAPHICAL LOCATIONS: Ulan Bator, Bayan Ülgil
FIELDWORKERS: 1
FUNDING: French Cooperation, Action Against Hunger
Myanmar (Burma)
Action Against Hunger carries out food and sanitation programmes in aid of ethnic minorities.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
HEALTH PROGRAMME
• Training for traditional midwives
• Distribution of 100 midwifery kits
FOOD SECURITY
• Support to vulnerable families through microprojects of employment and income generation

• Installation of 400 water points
• Construction of 3,000 latrines
• Creation of water and hygiene committees

GEOGRAPHICAL LOCATIONS: Rakhine state
FIELDWORKERS: 14
FUNDING: ECHO, EU, French Ministry of External Affairs, British and Japanese Cooperation, Action Against
Hunger
Nicaragua
Action Against Hunger’s aim is to improve the food security and the nutritional situation of the most
vulnerable populations, and to mitigate the consequences of natural disasters.
• MAIN ACTIVITIES

FOOD SECURITY
• Legal advice for legalisation of property and resolution of local land-related conflicts
• Diversification of agricultural activity through installing irrigation systems for families and communities
• Livestock diversification projects
• Establishment of a Food Security Observatory

• Supply of water and basic sanitation infrastructure
• Hygiene and sanitation education

GEOGRAPHICAL LOCATIONS: Somoto
FIELDWORKERS: 2
FUNDING: CAM, UKJAID, LA CLAU, EU-PRRAC, Spanish Cooperation
Niger
In a climate of social and economic instability, difficult weather conditions have caused structural food
insecurity.
• MAIN ACTIVITIES
• Infant malnutrition survey
• AIDS sensitisation campaigns
FOOD SECURITY
• Support for the production and diversification of agricultural products

• Construction of water works

GEOGRAPHICAL LOCATIONS: Bilma
FIELDWORKERS: 3
FUNDING: EU, Madrid Social Fund (Spain), French and Canadian Cooperation, UNICEF, Food Crisis Committee
Pakistan
Affected by the war in Afghanistan, Pakistan has been destabilised by a massive influx of refugees, creeping
impoverishment, and a severe drought in the south.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Nutritional surveys in Afghan refugee camps
• Malnutrition risk reduction in Loralai district

• Rehabilitation of water systems and construction of wells in Afghan refugee camps
• Prevention of displacement of populations affected by drought

GEOGRAPHICAL LOCATIONS: Islamabad, Quetta, Loralai, Mislim Bagh
FIELDWORKERS: 4
FUNDING: ECHO, UNHCR, Action Against Hunger
Palestinian Territories
Action Against Hunger intervenes among vulnerable rural populations in the difficult context of the Israeli-
Palestinian conflict.
• MAIN ACTIVITIES
FOOD SECURITY
• Vulnerability study
• Distribution of livestock to 366 families for breeding, milk production, cheese and yoghurt
• Distribution of hens
• Creation of family kitchen gardens

• Construction of tanks to collect rainwater
• Construction of water treatment plants
• Tank rehabilitation

GEOGRAPHICAL LOCATIONS: Tubas (Cisjordania)
FIELDWORKERS: 4
FUNDING: ECHO, Madrid Social Services (Spain)
Philippines
Action Against Hunger helps displaced people to resettle. Some of these people have been displaced several
times as a result of internal conflict.
• MAIN ACTIVITIES
HEALTH PROGRAMME
• Community pharmacies
• Social training for communities
• Training of national staff
FOOD SECURITY
• Revitalisation of agricultural production capacity for 5,000 displaced families
• Improvement in food security for 2,500 households
• Agricultural diversification
• Training of women and young people in different responsibilities
• Rehabilitation of schools
• Construction of fish-farms
• Microcredit

• Creation of water committees
• Improvement in water pipe systems
• Construction of latrines and incinerators
GEOGRAPHICAL LOCATIONS: Centre of Mindanao and town of Vigán (Luzón)
FIELDWORKERS: 6
FUNDING: EU, Spanish Cooperation, Terrasa district council
Russian Federation (Chechnya, Ingushetia)
After three years of war in Chechnya, intensive bombing has been replaced by a hidden war that has ravaged
the civil population. Many Chechens fled to neighbouring Ingushetia. Both republics are in need of
humanitarian assistance.
• MAIN ACTIVITIES
FOOD SECURITY
• Food distribution for the most vulnerable people
• Distribution of food specifically for children between 6 and 24 months

• Equipment for obtaining drinking water in the camp for displaced persons in Ingushetia
• Distribution of 1,000 water storage kits and 205 sanitation kits

GEOGRAPHICAL LOCATIONS: Chechnya, Ingushetia
FIELDWORKERS: 5
FUNDING: ECHO, Action Against Hunger, Dutch Cooperation
Sierra Leone
After eight years of civil war that devastated the country, peace agreements have been signed, followed by
elections. Action Against Hunger assists the return of displace people.
• MAIN ACTIVITIES
• Therapeutic and Supplementary Feeding Centres
• Assistance to national health structures
• Specialist technical training
FOOD SECURITY
• Food security surveillance programme
• Distribution of 10,000 kits with seeds and farming tools

• Programme of water supply and sanitation in refugee camps and for the local population
• Construction of 216 latrines

GEOGRAPHICAL LOCATIONS: Freetown, Bo, Makeni, Kailahun
FIELDWORKERS: 15
FUNDING: ECHO, EU, OFDA, UNICEF, Action Against Hunger
Somalia
Violence between clans and political factions continue despite on-going peace talks. Action Against hunger,
one of the few NGOs present in the country, assists the extremely vulnerable populations.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Treatment of severe and moderate malnutrition in Therapeutic Feeding Centres
HEALTH PROGRAMME
• Prevention and treatment of cholera
• Vaccination of more than 1,000 people
FOOD SECURITY
• Distribution of food rations to more than 7,000 people
• Evaluations of the nutritional situation in various districts


GEOGRAPHICAL LOCATIONS: Benadir, Bakool and Gedo regions
FIELDWORKERS: 16
FUNDING: ECHO, OFDA, UNICEF, British Cooperation, Action Against Hunger
Sri Lanka
Whilst negotiations for peace are in process between the government and the Tamil Tigers, Action Against
Hunger helps populations to regain their livelihood and to return to their native land.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Specialist training
FOOD SECURITY
• Nutrition and food security surveys
• Distribution of 4,850 kits for home vegetable gardens, for some 24,250 beneficiaries
• Programme of animal distribution for 1,400 beneficiaries
• Distribution of basic tools for returned population

• Installation of more than 300 water points
• Construction and rehabilitation of 260 latrines
• Training for committees for water point maintenance

GEOGRAPHICAL LOCATIONS: Jaffna, Trincomalee
FIELDWORKERS: 19
FUNDING: ECHO, EU, French Cooperation, Action Against Hunger
Sudan
Peace talks have allowed the civil population better access to humanitarian support, but such assistance
remains insufficient in many areas. Millions of people remain displaced as negotiations to end 20 years of
conflict enter a critical phase.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• 2 Therapeutic Feeding Centres and 6 Supplementary Feeding Centres
• Monitoring of malnutrition with regular nutrition surveys
• Training on monitoring of malnutrition for UK, international NGOs and development agencies
• Health and nutrition training
FOOD SECURITY
• Monitoring of food security
• Seed and tool distribution
• Distribution of fishing equipment
• Technical agricultural training

• Monitoring of water situation and sanitation
• Hygiene education and promotion
EMERGENCY RESPONSE PROGRAMME

• Distribution of non-food kits for emergency (blankets, utensils, mosquito nets, etc) to internally displaced
persons

GEOGRAPHICAL LOCATIONS: Alto Nilo, Bahr El Ghazal
FIELDWORKERS: 12
FUNDING: ECHO, OFDA, UNICEF, TAF
Tajikistan
After a civil war, the country has stabilised but still faces widespread poverty.
• MAIN ACTIVITIES
HEALTH PROGRAMME
• Reinforcement in quality of rural medical services
• Improvement in access to sanitary services through specialist visits, free consultations for pregnant women
and children under five years of age
• Distribution of medical equipment and sanitary kits
NUTRITION PROGRAMME
• Control of malnutrition through Therapeutic and Supplementary Feeding Centres
• Collaboration with Ministry of Health for improvement in treatment and prevention of malnutrition

FOOD SECURITY
• Seed distribution to vulnerable families
• Microprojects
• Promotion of local initiatives
• Veterinary services

• Rehabilitation of irrigation channels
• Rehabilitation of water infrastructure in the villages

GEOGRAPHICAL LOCATIONS: Khatlon region (19 districts)
FIELDWORKERS: 8
FUNDING: UN, CARE< EU
Uganda
17 years of existing conflict is flaring up once again in the north, involving a third of the country and
displacing more than a million people for whom access to basic services is becoming increasingly difficult.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Treatment of malnutrition in Therapeutic and Supplementary Feeding Centres
• Monitoring of malnutrition with regular nutrition surveys
FOOD SECURITY
• Monitoring of food security
HEALTH PROGRAMME
• Supply of water (bore holes and rehabilitation of wells)
• Organisation and training of Water and Sanitation Committees
• Periodic treatment of intestinal deparasitation
• Hygiene and sanitary education

GEOGRAPHICAL LOCATIONS: Acholiland, Gulu
FIELDWORKERS: 7
FUNDING: ECHO, OFDA
Zimbabwe
Around 700 persons benefit from the nutrition programmes in this African country.
• MAIN ACTIVITIES
NUTRITION PROGRAMME
• Treatment of severe and moderate malnutrition in children under five years of age through government
structures
• Development of national protocols for therapeutic feeding
• Training of sanitation personnel in nutrition and supplementary feeding techniques

GEOGRAPHICAL LOCATIONS: Manicaland province
FIELDWORKERS: 2
FUNDING: CIDA, Action Against Hunger
NUMBER OF BENEFICIARIES: 680

List of donor acronyms
AECI – Agencia Española de Cooperación Internacional, Spanish Co-operation
BPRM – Bureau for Population, Refugees, and Migration (U.S. Department of State)
CIDA – Canadian International Development Agency
DFID – Department for International Development (UK government)
ECHO – European Community Humanitarian Office
EU – European Union
FAO – Food and Agriculture Organisation (United Nations)
OCHA – United Nations Office for the Coordination for Humanitarian Affairs
OFDA – Office of U.S. Foreign Disaster Assistance
PRRAC – Regional Rehabilitation Programme for Central America (European Union)
SDC – Swiss Agency for Development and Cooperation
UKJAID – UK Jewish Aid and International Development
UN – United Nations
UNHCR (HCR) – United Nations High Commissioner for Refugees
UNICEF – United Nations International Children’s Fund
USAID – The United States Agency for International Development
WFP – World Food Programme (United Nations)

The Board as of December 31st 2002
CHAIRMAN PROFESSIONAL AFFILIATION

Burton K. Haimes Partner, Thelen Reid & Priest LLP
DIRECTORS
Joseph G. Audi President and CEO, Bank Audi USA
Henri Barguirdjian President, Graff USA
Raymond Debbane President, The Invus Group, Ltd.
Lucas vas den Broeck Executive Director, Action Against Hunger - USA
Yves-André Istel Senior Advisor , Rothschild, Inc.
Ketty Maisonrouge President, Ketty Maisonrouge & Company, Inc.
Frank McCourt Pulitzer Prize Winning Author (Honorary Board Member)
Robert W. Rudzki President, KIBAN Corporation
Jacques Serba Honorary President. Action Contre la Faim
Patrick Seigler-Lathrop Chairman and CEO, PSL
ADVISORS
Christian Blanckaert President & General Director, Hermes
Harold Bornstein Vice President, Charles H. Greenthal & Co.
Sabine Cassel Patron and Philanthropist
Hamilton Fish President, The Nation Institute
Michael Golden Professor of Medicine, University of Aberdeen
Iman President, Impala - Iman Cosmetics
Achim Moeller Curator, Achim Moeller Fine Art Ltd.
Edward M. Sermier VP, CAO, and Corporate Secretary, Carnegie Corporation
Ronald Waldman Professor, School of Public Health, Columbia University
Jessica Weber President, Jessica Weber Design Inc.


ACF-USA 2002 Annual Report

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ACF-USA 2002 Annual Report

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Action Against Hunger USA

2002 Annual Report

ACTION AGAINST HUNGER - USA

Action Against Hunger is an international non-governmental organisation. It is private, non-

Action Against Hunger intervenes in at least one of the following situations:

FREE AND DIRECT ACCESS TO VICTIMS

ACTION AGAINST HUNGER - USA

ACTION AGAINST HUNGER - USA

Total Revenue and Support: 14,357,711

ACTION AGAINST HUNGER - USA

Monitoring at all levels in order to achieve optimal use of resources

Appropriate use of funds

However, we are unable to omit entirely such uses of funds, since:

ACTION AGAINST HUNGER - USA

• Decisive positioning by professionalism

The success of our programmes depends on all of the above.

The organisation’s international vocation is reflected in the international contribution of

ACTION AGAINST HUNGER - USA

WATER AND SANITATION

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1995

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1993

LAUNCH OF PROGRAMME: 2002

LAUNCH OF PROGRAMME: 1994

ACTION AGAINST HUNGER - USA

LAUNCH OF PROGRAMME: 2000

LAUNCH OF PROGRAMME: 2000

LAUNCH OF PROGRAMME: 1994

LAUNCH OF PROGRAMME: 1989

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1998

ACTION AGAINST HUNGER - USA

FOOD SECURITY PROGRAMME

WATER AND SANITATION PROGRAMME

LAUNCH OF MISSION: 1996

NUMBER OF NATIONAL STAFF: 520

NUMBER OF BENEFICIARIES: 895,000 persons

WATER AND SANITATION

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1985

LAUNCH OF PROGRAMME: 1995

ACTION AGAINST HUNGER - USA

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1998

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1995

SUPPORT PROGRAMME FOR STREET CHILDREN

LAUNCH OF PROGRAMME: 1988

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1998

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1998

LAUNCH OF PROGRAMME: 2002

ACTION AGAINST HUNGER - USA

LAUNCH OF PROGRAMME: 1992-1994. New programme started in September 2001

LAUNCH OF PROGRAMME: 1998

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1991

ACTION AGAINST HUNGER - USA

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1990

WATER AND SANITATION

LAUNCH OF PROGRAMME: 1999