Friends Without A Border 2015 Annual Report

2015 Annual Report

Healing Children, Healing AsiaHealing Children, Healing Asia

2015 was the year of another dream come true for me. Friends Without A Border opened a new hospital in a new country…Lao Friends Hospital for Children (LFHC)!

I am happy to report that LFHC is not only open, but off to an amazing and successful start. As 2015 came to a close, LFHC has successfully opened its Inpatient and Outpatient Departments, Pharmacy, Laboratory, Radiology, and its around-the-clock Emergency Department. In addition, works are in progress for Outreach, including Homecare and HIV programs so that we can bring compassionate and international-standard of primary healthcare to children throughout Northern Laos. The critical need for our hospital has also been confirmed by a consistently increasing number of children being treated at LFHC on a daily basis. The lives of many children have been saved.

The challenges faced in successfully opening LFHC are simply too numerous to mention. It is important

for me to identify and thank the selfless and dedicated team that continues to make this success possible. I begin by naming and thanking our primary partner in Laos, the Lao Ministry of Health and Health Department of Luang Prabang. As most of you know, our model for LFHC is different from the model we used in Cambodia for Angkor Hospital for Children. LFHC is a free-standing and independent children’s hospital built on the campus of the Luang Prabang Provincial Hospital (LPPH). LFHC has essentially become the Pediatric Department for LPPH. We have designed LFHC not only as a center of compassion and international medical excellence, but as a children’s hospital that will be locally sustainable. Our plan is to successfully integrate LFHC within 10 years to be managed by LPPH. The success of this fundamental goal requires close coordination and cooperation with LPPH and the Lao Ministry of Health, and I wish to thank the leadership at these institutions for the important role they have played in the opening of LFHC.

Message from our Founder

I would also like to thank the board of directors and staff of Friends Without A Border New York and Friends Japan, who worked tirelessly alongside the staff of LFHC. We are fortunate to have such highly-qualified and dedicated leadership that contribute experience from working in pediatric hospitals and clinics from around the world. Under the leadership of our Executive Director Dr. Cheri Nijssen-Jordan, the expat leadership staff has exceeded our expectations. Our Laotian staff is also quite impressive. The amount of work put in by these young doctors, nurses, technicians, and support staff is something to be seen. Not only are they learning to provide compassionate and international-standard care to the children, but they spend many hours beyond their duty to learn advanced medicine and nursing together with learning English. I can already see them growing into the leaders of the future Lao healthcare system, inheriting the spirit of Friends Without A Border.

Needless to mention, there are many people responsible for the initial success of LFHC. But one important part of the team remains, and it consists of the generous donors listed at the end of this Annual Report. Not only have you given generously to create Lao Friends Hospital for Children, but you have trusted us to invest those donations efficiently and effectively. We appreciate the trust, and we hope you can see through this Annual Report that your trust has been well placed. We are always so excited and gratified when our donors make the long trip to Luang Prabang to visit our hospital. Many of you attended our Grand Opening in early 2015, and others visited throughout the year. Please know that you are always welcome to see our staff treating every child as if their own child at LFHC. Lao Friends Hospital for Children could not be there without you.

Kenro Izu Founder and Honorary President

2

2015 was another busy and productive year for

Friends Without A Border. We continued our

financial support for Angkor Hospital for Children

(AHC) and The Lake Clinic (TLC) while opening and

growing Lao Friends Hospital for Children (LFHC).

Over the course of the year, LFHC grew from an

outpatient only facility to a 24-hour facility that

included Inpatient and Emergency Departments.

We strengthened our relationships with the local

community and Lao government by developing a

reputation for high-quality medical service and

continuing to share information and best practices.

In the coming year, we look forward to building

our Surgery and Neonatal Departments, as well

as implementing partnerships with local medical

schools to provide pediatric training for the next

generation of Lao doctors, nurses and physician

assistants. These education initiatives combined

with the expansion of our Outreach Programs will

ensure that Friends Without A Border will be able

to help even those children and families unable

to travel to LFHC.

As we approach the 20th anniversary of Friends

Without A Border, there is much to celebrate. With

the support of thousands of donors, medical

professionals, staff members, volunteers and

strategic partners, we have delivered compassionate

care to millions of children in the Mekong Region

and high-quality training to thousands of medical

professionals. As Chair of the Board of Directors of

Friends Without A Border, I would like to express

our heartfelt thanks to everyone who has made

this possible.

The last year has also reminded us that there

remains much work to be done. With families

traveling up to eight hours to receive care at LFHC

and children arriving with advanced and previously

undiagnosed serious medical conditions, we are

more aware than ever of the need for our services.

We look forward to the continued support of old

friends and to engaging with new friends as we fulfill

our mission of delivering the highest quality and

most compassionate care to the children of

Cambodia and Laos.

Matthew Magenheim

Chair of the Board of Directors

Message from our Chair

3

Lao Friends Hospital for Children is now a reality.

This Annual Report shares some of the successes

and challenges of the first year of operations. As the

management team reviewed the goals that Friends

Without A Border aspired to when designing the

hospital, the full LFHC team took a great deal of

pride in bringing such a special concept to life.

LFHC is now delivering care, free of charge, to any

child in Northern Laos who needs it.

The doors to the hospital opened on February 12th,

2015 for outpatient consultation and treatments.

The numbers of visits in outpatients doubled those

previously seen at the Luang Prabang Provincial

Hospital (LPPH). The pace continued as the Inpa-

tient Department opened in August followed by the

Emergency Department in November. As of Decem-

ber 31, LFHC treated over 10,000 children from the

ages of 1 day up to 15 years. These children came

from every district in the province of Luang Prabang

as well as 8 other provinces (out of 17) in Laos.

The LFHC team numbered over 60 Lao staff includ-

ing nurses, doctors, x-ray technicians, laboratory

technicians, pharmacists, sterilization technician,

physiotherapy, administrative personnel, security,

Friends Visitor Center staff, and infection control

& cleaning staff. They are actively engaged in

providing services as well as taking English lessons

and continuing their clinical curriculum. Almost 100

expat volunteers from around the world helped to

provide high quality service and teaching. Both staff

and volunteers alike added flavour and an enthusi-

asm that echoed the mission of providing compas-

sionate quality care to the children of Northern Laos.

A significant highlight for operations was the

implementation of an Electronic Medical Record

utilizing OpenMRS, an open source IT medical

record system. This system will allow not only clinical

documentation, but will assist in monitoring and

evaluation for research and operational management.

Additional site commissioning will continue in 2016

with Operating Theatre preparation for the surgical

program as well as opening a newborn unit to

expand inpatient care to include infants under 28

days of life. The ultimate plan of integration of our

children’s hospital into the fabric of the Lao Ministry

of Health has been taken very seriously by the

team. Every decision was made using a lens of

sustainability in the Lao environment of future and

vetted with our Lao Ministry of Health partners.

The collaboration has been very successful!

As a final comment to this summary of LFHC’s first

year, we want to tell the story of one of our patients.

A small 4-month-old baby came in looking very blue,

not breathing well, and his heart was about to stop.

The LFHC Lao and expatriate team provided oxy-

gen, breathing support, thiamine, supportive medi-

cations, IV fluids, antibiotics, nursing care, cuddling,

and a lot of parental counselling and teaching. The

team were very proud to discharge this baby home

with his smiling parents a few days later. The care

provided to this small child was second to none in

the world, and it was provided here at Lao Friends

Hospital for Children. This story is one of many that

already dot the short history of a growing, caring

place with a mission statement that “every child

has the right to a healthy and loving life.” A very

heartfelt thanks is extending from the LFHC staff to

all of our donors, partners and supporters for your

help in bringing this dream to life!

Cheri L. D. Nijssen-Jordan, MD FRCPC FAAP MBA

Executive Director, Lao Friends Hospital for Children

Message from the Executive Director of LFHC

Friends Without a Border • 2015 annual report

4

Every child has the right to a healthy and loving life. We accomplish this by providing high-quality and compassionate medical care to the children of Southeast Asia; by creating community health education programs; and by training local healthcare professionals.

Friends Without A BorderFriends Without A Border

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Friends Events

Channapha Khomvongsa,

Executive Director and Founder

of Legacies of War. The tireless

efforts of Channapha and

her team have helped raise

awareness about unexploded

ordinance remaining from the

Vietnam War-era bombing of

Laos. As a result of their work,

countless lives have been

saved and devastating injuries

have been avoided. Friends

also recognized Gregory

Wakabayashi along with George

and Dori-Ann Stubos for their

many years of dedication and

support with the Best Friend of

Friends Award.

Friends Photography AuctionThe Annual Friends Photography

Auction is the signature event of

New York GalaOur Annual Spring Gala

celebrates Friends Without A

Border and honors those with

tremendous dedication to our

work. The theme of the 2015

Gala, “Realizing the Dream,”

commemorated the Grand

Opening of Lao Friends

Hospital for Children. The

Gala runs concurrently with the

Cambodian and Laotian New

Year and is a festive evening

dedicated to celebrating

Southeast Asian culture, with

delicious food, live and silent

auctions, and a market of

unique Asian-inspired gifts.

Over 200 guests attended the

13th Annual Friends Gala in

April and helped raise over

$270,000 to support healthcare

programs in Cambodia and Laos.

Friends was proud to present

its highest honor, the fourth

Healing Asia Award, to

Friends, symbolizing our belief

that “Art Can Make a Difference,”

and has raised over $2 million

since 1997. The 18th Annual

Friends Photography Auction

was held on October 6th in New

York City. Over 250 photography

enthusiasts joined Friends to

bid on over 150 pieces by

photographers around the

globe. Friends inaugurated the

Best Artist of the Year Award by

presenting this honor to Elliott

Erwitt, a renowned Magnum

photographer whose iconic

images are widely recognized.

With prints from artists like

Annie Leibovitz, Steve McCurry,

Richard Misrach, Daido

Moriyama, and Hiroshi

Sugimoto, the event raised

over $170,000 for children’s

healthcare.


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Friends expresses our sincere gratitude to the many supporters around the world who organized creative initiatives to support our cause and help children across Southeast Asia. Here are some of them.

Friends of FriendsOn October 10th, Friends of

Friends (FoF) New York held their

annual fundraiser for the 16th

year. The Cambodian-American

supporters of Friends were

delighted to raise over $16,000

for Angkor Hospital for Children

while having a fun-filled event

with Khmer-style dance and

music. On December 9th, com-

mittee members Dr. and Mrs.

Samrang Kchao visited AHC and

presented a check on behalf of

all the FoF supporters.

Diana’s Ice SkatingDiana Cheung and the Asian

Pacific American Medical Student

Association (APAMSA) hosted

an ice skating fundraiser for

LFHC, with over 136 students

from the NYIT College of

Osteopathic Medicine in

attendance. Diana and the

group raised enough money to

purchase a Continuous Positive

Airway Pressure (CPAP) machine

for Lao Friends Hospital for

Children - used for premature

births or babies born with

breathing problems.

Friends in the Community

7

Berger Family’s RunAdri Berger, Luang Prabang-

based videographer who

creates great footage for

Friends, and co-owner of the

Big Tree Café, is a big advocate

of LFHC in the local community.

Adri took his support even

further to his homeland of

The Netherlands, where his

extended family participated in

a marathon to raise money for

LFHC. More than ten members

of his family visited LFHC over

the summer and presented a

symbolic check to the hospital.

Luang Prabang Half MarathonMore than 500 participants took

to the streets of Luang Prabang

on October 18 in the run that

has been voted among Asia’s

top destination runs by CNN.

An unexpected shower did

not dampen the enthusiasm of

the runners from 23 countries,

who made their way past the

Mekong and Nam Khan rivers,

beautiful temples, and markets.

The runners raised over $60,000

for three Lao charities: a girls’

hygiene program, a literacy

organization, and Lao Friends

Hospital for Children.

VolunteersWe are so grateful for the

tremendous support we receive

from our volunteer community.

Over 150 volunteers helped

us with events, mailings, office

duties, and outreach in 2015.

Thank you to each and every

one of our amazing helpers!


8

Improving children’s health and survival is a top priority in Laos. Many years of conflict and widespread poverty have stalled health care development, and poor public infrastructure combined with high mountainous terrain present a constant barrier for children and families to access high-quality health care. Among the most crucial of these challenges is a lack of health workers in Laos.

LAo Friends hospitAL For ChiLdrenLAo Friends hospitAL For ChiLdren

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With 62.6% of the population

under the age of 18, and an

average population age of 20.7

years, children are the most

vulnerable and affected popula-

tion by these challenges. It is

common for children to suffer

from preventable and treatable

diseases such as malaria,

pneumonia and diarrhea. The

prevalence of malnutrition is

high, and rates of immunization

are low. Approximately 74 out

of every 1,000 children born

will not live to see their fifth

birthday. These astounding

statistics are what brought

Friends to the region.

Friends remains committed to

meeting these challenges and

delivering evidence-based care

through the successful model

implemented in Cambodia:

Treatment + Education +

Prevention.

LFHC was inaugurated on

February 11.

Throughout 2015, the clinical

team delivered care to increas-

ing numbers of children with

dedication, smiles, and a caring,

compassionate attitude. LFHC

implemented a phased opening;

with provision of care starting

with the Outpatient Department

(OPD). 47 children were seen

on opening day - since then, a

range from 30 to 90 outpatients

were seen each day by our

Lao medical staff, alongside

mentorship of our international

medical volunteers.

With increased training and

capacity, the doctors and nurses

were ready for the next mile-

stone: the Inpatient Department

(IPD). On August 11, the IPD

admitted its first patient: a

young girl named Yong Wa

with typhoid fever requiring IV

therapy. She came from a poor

Hmong family with 21 children

who traveled 8 hours by bus to

receive treatment. On the first

day there were 17 inpatients,

and the department has since

consistently been at capacity.

LFHC has seen an increasing

number of referrals from district

hospitals, as well as other

hospitals in the city and from

other provinces.

The opening of the Emergency

Department (ED) in November

marked the start of 24/7 care for

all children, including newborns,

medical, surgical, and trauma

victims. An average of 10

emergency patients per day are

treated for a variety of illnesses,

with infectious diseases

accounting for over 80% of

patient presenting illness.

Diagnoses also included sea-

sonal illnesses such as typhoid

and dengue fever; as well as

malnutrition, Thalassemia, and

nephrotic syndrome (kidney

diseases). The most commonly

prescribed medications

dispensed by the pharmacy

included Vitamin B1, folic acid,

multivitamins, zinc, and Tylenol.

Treatment


10

The Laboratory focused on

simple tests like a CBC (hemo-

globin test) and rapid tests to

treat frequently seen diseases

such as malaria, HIV, strepto-

coccus, dengue, and typhoid.

These tests provided immediate

results and helped direct care in

the appropriate way. The staff

became more proficient in read-

ing blood smears, gram stains

and malaria tests, and also

completed the training for HIV

testing. In total, 2,609 laboratory

tests were completed, with 13%

leading to a diagnosis of den-

gue fever and 4% diagnosed

with malaria.

The Diagnostic Imaging

Department opened in May,

with help from RAD-AID

International, who sent a

radiologist, an ultrasound

technician, and a radiology

technician to LFHC. They

were able to set up the digital

radiology machine as well as

teach in both ultrasound and

x-ray modalities to the new Lao

x-ray technician. The teaching

from RAD-AID volunteers was

instrumental to the ability to

provide high quality diagnostics.

An additional highlight for the

year was the installation of PACS

(patient archiving system) which

allowed images to be uploaded

and stored rather than needing

to print films. This technology

enabled reading of the informa-

tion anywhere over the hospital’s

network, plus easy transmission

to outside consultants.

LFHC was awarded the TEAM

Grant (Training, Economic

Empowerment, Assistive

Technology, Medical Rehabilita-

tion) as a sub grant from USAID.

The grant allowed LFHC to

develop its Therapy Program

and employ a local Lao

education professional. The play

therapist will be instrumental in

creating a neurodevelopmental

screening tool and measuring

cognitive stimulation and gross

motor development.

Meet Sith, a 14-month-old boy from Xayaboury Province in northern Laos. Sith is the youngest of five siblings and the son of rice farmers. Brought into LFHC by his parents, he was tired, weak, and

irritable. A blood test showed that his hemoglobin level, a measure of red blood cells, was dangerously low—less than 1/3 the level that is usually considered “low.” Sith suffers from Thalassemia, a genetic red blood cell disorder extremely com-mon in Laos. Children with Thalassemia require routine blood transfusions, frequently as often as every month. Sith received a blood transfusion and food supplementation to bring him back to health, and was sent home in a few days time with renewed energy. He will need to make the 3 hour journey from his home to LFHC every few months to make sure that he maintains a healthy red blood cell count. We look forward to seeing him back!

Patient Story

11

The Baseline Medical Survey

(BMS) conducted by Dr. Jeff

Measelle, started in 2014 and

continued research and analysis

throughout 2015. The BMS is

among the most comprehensive

child health studies conducted

in Luang Prabang. A total of

630 households were surveyed,

producing health data on more

than 900 children ages 0-to-5

years. The BMS focused on

developing an accurate picture

of children’s health in the

Province, in particular children’s

physical growth rates, immuni-

zation status, general health

status, rates of communicable

and non-communicable disease,

oral health, nutritional status,

familial reproductive health

practices, and maternal perinatal

health status. The collection of

both biological and survey data

has helped to prioritize medical

services at LFHC, and will

provide a baseline from which

to gage the impact of LFHC

going forward. The BMS also

provides LFHC staff the oppor-

tunity to collaborate on health

research and to develop grant

proposals with government and

NGO partners.


AGE

GENDER

ETHNICITY

DISTRICTS

30% Under 1 year old

46% Male

67% Lao

74% Luang Prabang

7% Chomphet

6% Pak Ou

4% Xiengngeun

9% Other

17% Khmu

16% Hmong

54% Female

18% 1-2 years old

25% Over 5 years old

27% 2-5 years old

LFHC Patients

COMMON DIAGNOSES

54% Infectious Diesease

35% Other

5% Malnutrition

3% Thalassemia/anemia

1% Epilepsy

1% Renal conditions

1% Injury

12

Workshop at Angkor Hospital

for Children. Nurses were

trained on combining clinical

information with the essentials

of pediatric care, and also

completed an Emergency

Triage Assessment and Treatment

(ETAT) course in preparation for

the inpatient and emergency

department openings. Rather

than delivering care according

to an arbitrary set of calcula-

tions, the medical team was

encouraged to think of the

patient holistically, and to

understand the disease for

which they were giving

medication. These ideas were

warmly welcomed and helped

genuinely foster a sense of com-

passionate care in the hospital.

The team also undertook

English-language classes taught

by an ESL-certified and native

English speaker. Our medical

library continued to grow, allow-

ing the staff to consistently learn

new skills and further develop

their English. Improving the lan-

guage skills of our doctors and

nurses is a component of our

capacity-building and sustain-

able approach to medical care:

it allows each and every practi-

tioner to become international

medical professionals.

In preparation for the opening

of the Operating Theatre in

2016, LFHC welcomed various

international medical profes-

sionals, including teams from

Germany and Singapore, as well

as U.S. Board Member, Dr. Tim

Weiner. The surgeons worked

hard to increase the capacity of

the Lao staff through training

and education on everything

from anesthesia, operations,

and pre- and post-operative

care. Our collaboration with

the Luang Prabang Provincial

Hospital (LPPH) was essential,

as LFHC began to take on the

post-operative care for surgical

patients from LPPH. In addi-

tion, two of our Lao nurses

underwent a 5-month training

at Angkor Hospital for Children

on anesthesiology. We couldn’t

be any happier to see our two

hospitals working together!

Education

LFHC’s education pillar focuses

on patient education, medical

education, English-language

education, and community

health education. The primary

emphasis was with patients

and their family members, and

ensuring that educators consid-

ered family dynamics, housing

environments, village resources,

and other influential factors.

Patient education is given daily

to patients’ families including

nutrition, vaccinations, breast-

feeding support, oral health,

family planning, and disease-

specific information.

Ongoing medical education

for Lao staff included a seven-

module program following

World Health Organization

(WHO) guidelines. There were

four opportunities for staff to

attend continuing education

workshops, including a Capacity

Building and Health Education

13

LFHC 2015 by the Numbers

10,800Total patient visits

252Patients admitted

over 50Post-operative patients

11Lao doctors

805X-rays and ultra-

sounds performed

67,806Total medications dispensed

2,609Lab tests

performed

115Homecare patients

21Lao nurses

less than 1 day to 61 daysLength of stay

14

launch an “Integrated Pediatric

HIV/AIDS Care Program” at

LFHC. Four clinical staff trained

as HIV counselors, and the team

conducted homecare visits for

4 HIV positive patients. Project

activities support improved

quality of life as well as prolon-

gation of life.

The Model Village project is

designed as a community

approach to providing health

care, with a major emphasis

on prevention and education.

Three “Health Promotion Days”

in the village provided needed

immunizations and health

education, covering hand wash-

ing, nutrition, food hygiene,

personal hygiene, head lice, and

growth and development. The

Model Village is led by LFHC’s

overarching goal to promote

empowerment and autonomy,

rather than complacency.

Our PartnersThrough the support of our

generous partners, we received

life-saving medicine and equip-

ment that allowed us to con-

tinue expanding LFHC to care

for more children in Laos. Our

partners included Direct Relief

International, Vitamin Angels,

Rotary Club Australia, RAD-AID

Our Outreach Program is

designed to care for children

who may not have access to

medical services, and to teach

preventative health to local

Lao communities. The LFHC

Outreach Program has three

components: a Homecare

project; HIV/AIDS care, and

a Model Village project.

Homecare focused on regularly

visiting chronically ill patients,

and provided services to 116

children and their families in 9

districts across Luang Prabang

Province. Care was designed

Preventionto involve a holistic approach

to support autonomy and

independence of both patients

and families, while providing

needed medical care for

children diagnosed with ill-

nesses such as cerebral palsy,

developmental delays, and

congenital heart disease.

The HIV Project aimed to

integrate all HIV-related care

into one pediatric facility with

pre- and post-test counseling,

treatment, homecare visits, and

prevention education. The team

worked closely with the Center

for HIV/AIDS and STIs in Vien-

tiane, as well as Luang Prabang

Provincial Hospital’s HIV clinic to

Bapphavadee was admitted to LFHC with a severe case of typhoid fever. Typhoid fever is spread through contaminated water, and most often affects children from rural villages with poor sanitation

systems. It is one of the many infectious diseases we deal with at LFHC that are rarely, if ever, seen in the developed world. Patients with dengue fever, malaria, hepatitis, and parasitic worms are unfortunately common sights at LFHC. Bapphavadee received a heavy dosage of antibiotics and supportive care to bring down her fever and treat her headache and diarrhea. After nearly a week in the Inpatient Department, she started feeling better and was sent home within a few days.

Patient Story

15

International, and the United

States Agency for International

Development (USAID).

In addition, a partnership with

the local branch of the Swiss

Red Cross (SRC) was initiated at

the start of Outreach program-

ming. Other coordination

on HIV/AIDS care, homecare

nursing visits, and the Model

Village project was held with

a variety of governmental and

non-governmental organiza-

tions, including Korean Inter-

national Cooperation Agency

(KOICA), Save the Children, the

Luang Prabang Provincial Health

Department, the Luang Prabang

District Hospital, and local

health centers.

LFHC VolunteersEstablishing a sound volunteer

program at LFHC was a fun-

damental part of the hospital’s

success. In 2015, we welcomed

medical and non-medical volun-

teers from across the world that

were essential in helping lay

the groundwork for the future

success of LFHC. 85 volunteers

came from 4 continents and 8

countries, including Australia,

Canada, Germany, India, Japan,

Myanmar, the United Kingdom,

and the United States. Each and

every volunteer brought with

them a strong commitment to

teaching our Lao staff and build-

ing LFHC’s capacity. They came

from professions such as nurses,

doctors, surgeons, pharmacists,

physical therapists, radiologists,

English teachers, and biomedical

and IT Technicians. We extend

our sincere gratitude to every

volunteer for donating their

time, talent, and knowledge to

Lao Friends Hospital for Children.

Friends Visitor CenterThe Friends Visitor Center (FVC)

opened in September 2014

in downtown Luang Prabang

as a way to spread awareness

of LFHC and the health care

situation in Laos among tourists

and the general public. The first

floor contains information on

our programs, souvenirs, and

an informative film about our

project; while the second floor

houses photography and art

related to Lao culture - all

available for donation with

proceeds going toward patient

care at LFHC.

FVC also plays an integral role

in community engagement. The

third floor is open to the local

community for various events,

such as yoga classes, while the

rooftop provides an incred-

ible view of Luang Prabang for

receptions or special occasions.

The FVC staff also works to

increase outreach by visiting

hotels and businesses to

introduce LFHC to international

tourists or Luang Prabang locals.

CanadaU.S.A.

AustraliaIndiaJapanMyanmarNew Zealand

ASIA

17

NORTH AMERICA

48

2015 Volunteers at LFHC

U.K.Germany

EUROPE

9


Angkor hospitAL For ChiLdren

16

Angkor hospitAL For ChiLdren

17

Opened in 1999 with just an

Outpatient Department,

Angkor Hospital for Children

(AHC) has developed into an

internationally recognized

pediatric teaching hospital. As

the Cambodian staff continues

to elevate the standard of

pediatric care in Cambodia,

the Outpatient Department

has gone from seeing 20,000

patients a year to 132,000 in

2015. AHC now provides Out-

patient, Inpatient, Emergency/

Intensive Care, Cardiac and

other surgical services, Physio-

therapy, Social Work, HIV, Eye

Cancer, and Neonatal Care, in

addition to ancillary services

including an on-site laboratory

and a wide variety of medical

educational programs. In 2014,

the Outpatient Department was

renovated to accommodate the

increase in patients, and in early

2015 the Emergency Room/In-

tensive Care Unit was renovated

to provide more patient privacy

and reduce in-hospital infec-

tions. AHC is one of only a few

hospitals with a standardised

Intensive Care Unit, and the only

hospital in Cambodia with a

Neonatal Intensive Care Unit.

AHC aims to provide high

quality, compassionate care to

all Cambodian children regard-

less of their ability to pay. For

patients who cannot afford to

pay, AHC provides free health-

care, as well as food support,

round-trip transportation

reimbursement and a safe space

for their families to stay during

treatment. Through their strong

network of referral partners,

AHC is able to refer patients to

other facilities should they be

more convenient or should they

require services that AHC does

not provide, such as routine

vaccinations, which are provided

at no cost by the Cambodian

government.

AHC became independent

in 2013 and is now staffed by

98 percent Cambodians.

AHC 2015 by the numbers

132,133Outpatient Department

3,411Inpatient Department

27,035Emergency Room

880Intensive Care Unit

27,190Satellite Clinic

>186,000Total Treatments

Top Diagnoses: Lower respiratory infection, upper respiratory infection, sepsis, and gastroenteritis.

For more information, visit

www.angkorhospital.org


18

the LAke CLiniCthe LAke CLiniC

19

Founded in 2007 by former

Executive Director of AHC,

Jon Morgan, The Lake

Clinic (TLC) provides medical

care and health education to

families living in remote and

isolated areas on the Tonle Sap

Lake and its tributaries in

Cambodia. TLC is the only

sustained hope of medical care

for these families; other medical

care centers are over 70 miles

by boat. TLC has continued to

grow and now includes 5 float-

ing clinics (in 5 of 9 villages) and

a small “fleet” of boats provid-

ing transport and support for

two clinical teams. Each team,

composed of an all Cambodian

staff, makes rounds every single

day, providing medicine and

education, and creating strong

bonds in the local community.

In 2015, TLC focused on the

idea that “nutrition is key,” and

village health volunteers visited

local schools to encourage

these ideas among local school

children. In the village of Pek

Chikrey, children learned the

basics of nutrition by describing

food as either “body building

food,” “body maintenance

food,” or “body energy food.”

When asked to prioritize their

food tastes between fish,

TLC 2015 by the numbers

4,843Pediatric patients treated

7,152General medicine provided

488Antenatal care patients

705Dental patients

211Eye care patients

1,951Immunizations provided

55Home care visits

44Referrals

120Birth spacing

1,172Visual acuity exams for

school children

For more information, visit www.lakeclinic.org

meat, vegetables and rice, the

children ranked vegetables the

highest—they learn quickly!—

with fish at the bottom.

To bring these lessons home,

TLC started a “bottle garden”

project with the school children,

initiated by one of TLC’s

cooks, Si Sathya, an avid home

gardener. From just a couple of

bottles filled with local soil, she

expanded the idea from just

basil and chili, to local spinach

and green onions along with

mint and even tomatoes.

20

U.S.CAMBODIALAOS

TOTAL POPULATION

POPULATION 0-14 YEARS

GNI PER CAPITA (CURRENT US$) ATLAS METHOD

UNDER 5 MORTALITY RATE

MATERNAL MORTALITY RATIO

HEALTH EXPENDITURE PER CAPITA (CURRENT US$)

BIRTHS ATTENDED BY SKILLED MEDICAL STAFF

$9,146

$55,200

$76

$1,020

$32

$1,600

318,857,05615,328,1366,689,300

197/100,000births

67/1,000births

161/100,000births

29/1,000births

14/100,000births

7/1,000births

99%

19%

42% 74%

32%35%

Health Statistics*All data from World Bank, 2013-2015

21

Statement of Activitiesand Changes in Net Assets for 2015 (Unaudited)


Temporarily 2015 2014 Unrestricted restricted Total Total

REVENUE

Contributions $ 1,760,291 $ 703,268 2,463,559 1,697,643 Government contract grants – – –Special events 594,955 594,955 456,215 Less: direct expenses (222,311) (222,311) (187,097)Patient income, fees etc. – – –Sales 37,488 37,488 4,482 Collection boxes 4,131 4,131 1,024 Investment income 1,477 1,477 1,602 Other income 2,284 2,284 92 5 Net assets released from restrictions 451,011 (451,011) – –

Total revenue 2,629,326 252,257 2,881,583 1,974,794

EXPENSES

Program servicesAHC & TLC support 364,392 364,392 350,402 LFHC 1,232,897 1,232,897 492,270 Program development 17,209 17,209 4,500

Total program services 1,614,498 – 1,614,498 847,172

Supporting servicesFundraising 217,389 217,389 202,928 Management and general 177,863 177,863 162,232

Total supporting services 395,252 – 395,252 365,160

Total expenses 2,009,750 – 2,009,750 1,212,332 Change in net assets 619,576 252,257 871,833 762,462 Net assets at beginning of year 1,552,166 248,228 1,800,394 1,037,932

Net asset at end of year 2,171,742 500,485 2,672,227 1,800,394

Sources of Revenue in 2015 How Resources Were Spent in 2015

85%Grants & Contributions

62%LFHC Program

2% Other Income

9% Management &

General13% Special Events 11%

Fundraising

18% AHC & TLC

Programs

The work of Friends Without A Border would not be possible without our generous donors. From all of us at Friends, we would like to extend our deep gratitude to all our caring supporters all over the world. We apologize for any omissions or errors as we acknowledge the following individuals and organizations that made significant contributions in 2015.

22

supporterssupporters

23

$100,000+Simon Franks

Hartmut & Ayako Giesecke

Edward Stone

Andrew Wolff

Mija Yang

$50,000+Build Cambodia

(Ed & Laurie Bachrach)

Nina & John Cassils

$25,000+Asia Brokers Asset Managers

Charity Ltd.

The Shemesh Joester Foundation

David & Joan Pritchard

Pua Foundation

World of Children Award

$10,000+Avenue Capital

The Big Wood Foundation

(Marjorie & Michael Stern)

Caroline & Jorge Camuñas

David & Tamana Chang

Gary Cornell

The Derfner Foundation

Robert Ellis & Jane Bernstein

Seiichi & Maho Fukuyama

Estate of Lino Gobbi

Corey S. Goodman &

Marcia Barinaga

Greater Houston Community

Foundation

Kurt Forrest Foundation

Monica Rich & Rod Kosann

Willy & Eileen Ma

Michael & Carolyn Rossip Malcolm

The Marshall Family Foundation Inc

Marily Mearns

Microsoft Matching Gifts Program

Dany & Mark Ramsay

Muhit Rahman

Stamos Capital Partners

Ungar Foundation

$5,000+Carlos Belmonte

Roberto Camacho

Barry & Naomi Cohen

Jeff & Carla Cole Foundation, Inc.

Darryl Goveas & Valerie Chow

Foto Care

RJ Hutton Charitable Trust

George Kanas

David Kronn

Philip Lajaunie

Bernard Liberman

Celia Morrissette

Susan Rafte

Nirit Resnick

The Shelley & Donald Rubin

Foundation

Jake & Ewi Shafran

Traloun Song

Jane Tjian

Ayako H. Weissman

$1,000+Ronald & Judith Ablow

John Andresen

Marsha Askins

Michael Astendig

Ben Baccash

Tony & Gay Barclay

Susan Barrett

Hazel Bercholz

Terry Best

Stephana Bottom

Jean A. Briggs

Sheri Brooks

Steve & Suzanne Brown

Alexis & Steven Burakoff

Kristen Campana

Paul & Helaine Cantor

Willie & Mika Chang

Nieves B. & Alex S. Chanthasoto

Charities Aid Foundation

Nerou N. Cheng

Diana Cheung

Jae Chun

Dan & Sally Connolly

Ellen & Richard Cook

William Cottingham

Jeffrey Cunard & Mariko Ikehara

Pushpak Damodar & Salina Maharaj

Malcolm Daniel

Aaron Day

Ellen Dodge

Walter & Caroline Dueger

Tom Finke

Andrea Franchini

Michael Freeborn

Friendship With Cambodia

Juliana Gamino

Michael Gilmore

Lucy Goldman

Marty & Kathy Goossen

Howard & Ellen Greenberg

Don & Joy Haley

Lee & Mary Hamilton

Omar Hansrod

Patrick Hogan

Steven Holl & Solance Fabiao

The Honickman Foundation

Horizon Kinetics

International Society for

Children with Cancer


24

Helen Jessup

Melissa Jones

Brice Karsh

Phonesouda Khamvongsa

David Kistenbroker

Gera-Lind Kolarik

David Krestin

Varun Kumar

Hal Kussick

Ken & Rosalind Landis

Lang Foundation Trust

Corina Larkin

Jennie Lebowitz

Veronique Lee

David & Pia Ledy

William & Stephanie Lemke

Olivier Letessier

Brian Li

Matthew H. Magenheim

Steven B. Malkenson

Patrick Maloney

Barbara & Fred Marcus

Andrew Massat

George McClintock

Siobhan McNally & Mark Liponis

John Meditz

Bruno Mejean

Kendall Messick & Paulette Wilson

Edward Messikian

Nippon Steel U.S.A., Inc.

Chris O’Connell

Gary O’Connor

Michael O’Connor & Susan Leon

Nouanenith & Bob Paiva

David Park

Robert Pascoe

Scott Pearson

Rebecca Perrin & Michael Gulas

Tatiana Pouschine

Elizabeth Pritchard

Matthew & Elizabeth Quigley

Joseph Rokacz

William Rogers

Travis & Julie Rushing

Kathryn Salisbury

Sidney & Janet Sass

Aileen Brody Schiro

Kylie Schuyler

Karen & Douglas Seidman

Bob Shaye

Allan Silverstein

Francoise Simon

David & Kathryn Snell

Diane Steiner

St. Thomas Aquinas Parish,

St. John Church & Student Center

Jayashree Srinivasan

Jasmine & Mark Swope

Harumi Tai

Daisuke Takahashi

David & Sylvia Teitelbaum Fund Inc.

Miwako Tezuka

Craig Tooman & Jillian Crawford

Francois Turner &

Marie-Michele Desfosses

Julian Tyacke & Kristiane Traffa

Wing Tsan & Mieko Wong

Paul & Sylvie Vaccari

Kathy Valko & Alexander Cook

Louis & Kimiko Vigden

Gregory & Teresa Wakabayashi

Jeffrey Waltcher & Timely Rain

Atsuko Watanabe

Audrey Weaver & Michael Vogan

Barbara & Frank Weiner

Jack Weiner

Timothy M. Weiner

Steven Williamson

Won Chong Trading Inc.

Asaf Yogev

Beverley Zabriskie

Local SupportersAmantaka

Apsara Hotel

Belmond La Residence Phou Vao

Luang Prabang International Airport

Luang Prabang View Hotel

Ma Te Sai

Sala Prabang Hotel

Sofitel Luang Prabang

Sonphao Japanese Restaurant

Trails of Indochina Company

Xiengthong Victoria Hotel (Palace)

3 Nagas by M Gallery

In-Kind Donors ($1,000+)William Abranowicz

Alberta Health Services

Mariette P. Allen

Altour International

Avenue Capital Management II, LP

Rachel Barlow

Robyn Beeche

Adri Berger

Big Brother Mouse

Phil Borges

Campbelltown Hospital, Sydney

Canadian Society of Registered

Orthopeadic Technologists

(Calgary Chapter)

William Carter

Paul and Gabriel Chaleff

Alisa Eva Chazani

Nerou N. Cheng

Commerce Graphics

Ellie Davies

Margo Davis

25

Dominic DeFrancis

Monica Denevan

Deonne Dersch-Mills

Direct Relief International

Celine Drean

Steve Dunning

Edgewood College

Ashley Emmerton

Brian English

Elliott Erwitt

Estate of James Karales

Millie Falcaro

Tom Finke

Frank Fournier

Daniel Glico

Howard Greenberg

Hakujyuji Co.,ltd

Rose Hartman

Herb Ritts Foundation

Eikoh Hosoe

Kenro & Yumiko Izu

Stephen Joester

Bill Kane

Michael Kenna

Laura Labelle and Aimee DeLeon

Michael Lang

Philippe E. Laumont

Le Sen Boutique Hotel

Annie Leibovitz

Saul Leiter Foundation

Elaine Ling

Liverpool Hospital, Sydney

Christophe Lunn

Jenny Lynn

Ellen Kaplowitz

Rob Kinmonth

KunSik

Masatomo Kuriya

Michael Maher

Hiroyuki Matsuoka

Steve McCurry

Siobhan McNally

Amanda Means

Barbara Mensch

Marilee Miner

Daniel Mintz

Richard Misrach

Daido Moriyama

Marvin Newman

Stefano Nicolini

Cheri Nijssen-Jordan

Hank O’Neal

Wendy Paton

Ed Pfizenmaier

Sue Phim

José Picayo

Andy Plager

Robert Polidori

RAD-AID International

Beatrix Reinhardt

Dave & Marnie Rickards

Saul Robbins

Sheila Rock

Michael Sabo

Sand & Stories

Tomoko Sawada

Robert Schaefer

Leanne Schanzer

Scheinbaum & Russek Ltd.

Ken Schles

Peter Serling

Michael Shapiro

Saschy Singh

Alex Smith

South Austral Pty Ltd

Jonathan & Marci Spector

Harvey Stein

Peter Steinhauer

Kai Stuht

Hiroshi Sugimoto

Jasmine Swope

Eric Taubman

The Children’s Hospital at

Westmead, Sydney

Charles Traub

Brian Tseng

Richard Tuschman

Setthy Ung

Carolyn Usher

Vitamin Angels

Lisa Walsh

Hiroshi Watanabe

William Wegman

Timothy Weiner

Susanne Werner

Greg Wright

George S. Zimbel

LFHC Co-FoundersAct Against AIDS

「THE VARIETY」Ed Bachrach &

Laurie Bachrach, MD

Nina & John Cassils, MD

David & Tamana Chang

Drs. Jay J. & B. Hyun Choi

Edward E. Stone Foundation

Franks Family Foundation

Hartmut & Ayako Giesecke

Houryuji in honor of

Houmyo Saito

Kenro & Yumiko Izu

Yollanda Cheung &

Rupert Christopher Li

Nakayama Shingosho-shu

Gratitude Campaign Fund


26

hoW you CAn heLphoW you CAn heLp

27

Every single day, children die

from preventable diseases and

treatable illnesses such as

malnutrition, pneumonia, and

diarrhea, simply because they

don’t have access to medical

care. Our holistic model of

“Treatment + Education +

Prevention” ensures that

your support not only treats

children in need, but promotes

long-term and sustainable

development.

Heal a Child, Save a LifeGive a gift to support our efforts

to provide international-quality

and compassionate healthcare

to the children of Southeast

Asia. Make an instant, secure,

and tax-deductible donation

online by visiting www.fwab.

org/donate, or give us a call

at 212.691.0909, or by mail to

Friends Without A Border.

Honor a Loved OneHonor someone special with a

tribute gift, a donation made

in someone else’s name. Your

tribute gift can be in honor of,

or in memory of, a friend, family

member, colleague, loved one,

or just someone special. Your

honoree will receive a personal-

ized letter introducing them to

the children that their gift was

able to impact.

Create a Lasting LegacyConsider including Friends in

your estate plans. A gift to

Friends Without A Border in your

will or living trust allows you to

retain assets during your lifetime,

minimize estate taxes, and is a

lasting investment in advancing

our mission and ability to

respond to future challenges.

Give the Gift of StockDonating stock or mutual funds

to Friends Without A Border is a

tax-wise approach for caring for

children in need. Making a gift

of securities is simple and offers

a number of valuable financial

benefits. We encourage you

to consult your personal tax

advisor to evaluate your best

options when making a dona-

tion of securities.

Start a FundraiserCelebrating a birthday, wed-

ding, or other big event? We

can assist in organizing com-

munity events from bake-offs

to bike races. Simply start

a fundraiser on Crowdrise,

GoFundMe, or FirstGiving, and

select Friends Without A Border

as your charity of choice.

Friends Without A Border1123 Broadway, Suite 1210

New York, NY 10010

Tel: 212.691.0909

Fax: 212.337.8052

email: [email protected]

www.fwab.org


28

BoArd / stAFF

Goodwill AmbassadorYo-Yo Ma (2016)

BoardRonald D. Ablow, MD

David Chang

Nerou Cheng, CPA

Kenro Izu,

Founder and Honorary

President

Stephen Joester

Philippe Lajaunie

Matthew Magenheim, Chair

Michael Malcolm

Tina Patterson

David J. Pritchard

Jonathan Spector, MD MPH

Michael Stern

Timothy M. Weiner, MD

Ayako Weissman

Medical AdvisorsDavid L. Pugatch, MD

Charles F. Craft, DDS

Young AmbassadorsDiana Cheung (2016)

Todd Joseph (2016)

Friends Without A Border New YorkCHIEF OPERATING OFFICER

Akiko Arai

DEVELOPMENT & EVENTS

MANAGER

Juan Carlos Uribe Vega

DONOR RELATIONS

ASSOCIATE

Stephanie Lowry

1123 Broadway, Suite 1210

New York, NY 10010

Tel: 212.691.0909

Fax: 212.337.8052


www.fwab.org

Friends Without A Border Japan1-7-5-203 Shimo Meguro

Meguro-ku, Tokyo

153-0064 Japan

Tel: 81.(0)3.6421.7903

Fax: 81.(0)3.5722.2060

www.fwab.jp

Lao Friends Hospital for ChildrenEXECUTIVE DIRECTOR

Cheri L. D. Nijssen-Jordan, MD

FRCPC FAAP MBA

MEDICAL DIRECTOR

Siobhan McNally, MD

DEPUTY DIRECTOR

Jennifer Brown

MEDICAL EDUCATION

DIRECTOR

Michael Maher, MD

DIRECTOR OF NURSING

Jessica Dwyer, RN

CLINICAL OUTREACH

COORDINATOR

Kazumi Akao, RN

DIRECTOR OF

ADMINISTRATION

Rodney Miller

Located on the grounds of the

Luang Prabang Provincial Hospital

P.O. Box 873, Luang Prabang,

Lao PDR

Tel and Fax: 856.(0)71.254.247


Photo credits: Adri Berger, Diana Cheung, Shigemi Hirano, Geoff Ridenour, Paul Wager, Ellen Wallop, Bryan Watt

www.fwab.org

Friends Without A Border 2015 Annual Report

Documents

Transcript of Friends Without A Border 2015 Annual Report