ACADEMIA DE LA MAGISTRATURA...REVISTA INSTITUCIONAL N°6 Lima, Perú 2002
Memoria Institucional CARE Perú 2007-2008 (Inglés)
Transcript of Memoria Institucional CARE Perú 2007-2008 (Inglés)
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Index
Message from the Director 2
Our Vision, Mission and Core Values 4
Strategic Framework 6
Programs and Projects 10
Education 10
Health 13
Sustainable Economic Development, Food Security and Nutrition 16
IV. Integrated Water Resource Management 19
V. Governance and Extractive Industries 22
VI. Emergency Risk Management 25
Financial Report 28
Recognition 30
I.
II.
III.
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Message from the Director
On August 15, 2007 an earthquake measuring eight on the Richter scale struck the south coast of Peru,
in Lima (Caete) , Ica ( Chincha Pisco) and Huancavelica ( Huaytar and Castrovirreyna) . This was an
important historical event for the country as it caused the loss of nearly 600 lives, while more than 4,000
were injured and more than 300,000 peoples homes were destroyed. Across the whole region, water andelectricity services collapsed, and food and medical assistance were initially limited. The lack of shelter
and the fear of aftershocks forced people to sleep outdoors amid the rubble, highlighting the poverty
and extreme vulnerability which characterize the living conditions of rural and peri-urban communities.
On the other hand, it also highlighted the capacity of public and private institutions to respond to the
emergency, as well as creating synergies with international donors, while authorities, government officials,
and organized groups at the local, regional and national level pooled resources to provide an immediate
response to the emergency.
Through our Institutional Report, we would like to share with you CARE Perus experiences during the emergencyresponse, which taught us invaluable lessons for the future. Hours after the earthquake, we already had teams in
place in Caete, Chincha and Huancavelica. Our humanitarian aid, rehabilitation and reconstruction program, to which
we remain committed, has involved a permanent working relationship with local and regional authorities and other
key organizations, enabling a response that has been synchronized, effective and timely. This was made possible
by the solidarity, commitment and responsibility of CARE Perus workers, who always showed respect for the human
dignity of the affected people with whom they worked.
For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417),
through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or
dissatisfaction with the service received so ensuring respect for and adequate dissemination of international
humanitarian aid codes and norms that we put in place. These complaints had a rapid effect in that they ensured aquality and dignified service to everyone. The reports on the calls were published on our website, on council notice
boards, and weekly notices conveyed the most important events of this initiative.
In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels
and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this
phase of the immediate response, CARE provided humanitarian aid to 12,019 families, totaling 60,500 people in the
provinces of Caete, Chincha, Castrovirreyna y Huaytar. Together with the local authorities, CARE strengthened Civil
Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access
for those most in need.
CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares
of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and
Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in
good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure
for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary
classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were
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CAREPERUINSTITUTIONALREPORT2007-2008
removed, 1,000 temporary homes were built using reinforced plastic, and 6,397 pit latrines, ecological latrines and
flush toilets were installed. In this phase of rehabilitation, our efforts targeted 8,455 families and 3,000 primary and
secondary students.
In 2008, in a joint effort with the Catholic University of Peru [Pontificia Universidad Catlica del Per] (PUCP)
and international donor agencies, as well as with national and international NGOs, CARE set about improving
reconstruction methods for safe and healthy earthquake-proof buildings for families in rural and periurban
communities. A project was set up with PUCP to train people to build earthquake-proof homes using adobe reinforced
with geogrid meshing. Training in these practices was given to construction workers and male and female heads ofhousehold. Access to subsidies provided by the government will allow these families to build houses with technical
assistance provided by workers trained in the above techniques.
At the same time, reconstruction efforts were focused on Castrovirreyna and Huaytar, in the department of
Huancavelica, the poorest region in Peru, with a poverty rate of 88,7% and an extreme poverty rate of 72,3%, and
where chronic malnutrition in children under five stands at 53,4%. A more comprehensive approach is being adopted,
including training in rebuilding skills, in other words, water and sanitation infrastructure; rural housing infrastructure;
improvement of family incomes through productive chains, as well as promoting democratic governance and gender
equity. In this way, local post-disaster capacities are built on to facilitate and initiate rehabilitation and reconstruction.
The link between the immediate response to the emergency and sustainable development interventions has ensured
ongoing stakeholder participation, while maintaining the proper respect due to formal and informal local institutions.
Overall, these efforts allowed us to channel US$8,838,940 in assistance; approximately US$3.5 million on
humanitarian aid and rehabilitation, and more than US$5.3 million on reconstruction. Performing this monumental
task was made possible by the people and institutions who trusted in our ability to carry out the work and in our
commitment. Our gratitude and recognition goes out to every one of them.
Milo StanojevichNational Director
CARE Per
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Vision
We seek a world of hope, tolerance and social justice, where poverty has been overcome and people live
in dignity and security. CARE International will be a global force and a partner of choice within a worldwide
movement dedicated to ending poverty. We will be known everywhere for our unshakable commitment to
the dignity of people.
Mission
To serve individuals and families in the poorest communities in the world. Drawing strength from our
global diversity, resources and experience, we promote innovative solutions and are advocates for global
responsibility. We facilitate lasting change by strengthening capacity for self-help, providing economic
opportunity, delivering relief in emergencies, influencing policy decisions at all levels, and addressing
discrimination in all its forms.
Values
Respect: We affirm the dignity, potential, and contribution of participants, donors, partners and
staff.
Integrity: We act consistently with CAREs mission, are honest and transparent in what we do and say
and accept responsibility for our collective and individual actions.
Commitment: We work together effectively to serve the larger community.
Excellence: We constantly challenge ourselves to the highest level of learning and performance in
order to achieve greater impact.
Our Vision, Mission andCore Values
CARE is a nonprofit organizat ion, without religious or political affiliation, created to improve qua lity of life
for those least well off. The work of CARE has expanded to more than 70 countries worldwide, supporting
integral development programs and influencing policymakers with the aim of eradicat ing poverty. CARE has
been operating permanently in Peru for 38 years, starting with the provision of humanitarian assistance
to people left homeless by the 1970 earthquake. Over the years CARE has progressed from providing
humanitarian aid to facilitating social, economic and environmental development in many regions of Peru,
working to serve the poor and excluded.
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Our Principles
Promote empowerment and more equal power prelationships. We stand in solidarity with poor and
marginalized people, and support their efforts to take control of their own lives and realise their rights,
responsibilities and aspirations. We ensure that those people who are affected are involved in the design,
implementation, monitoring and evaluation of our work.
Work in partnership with others. We work with others to maximise the impact of our work, building
alliances and partnerships with those who take similar or complementary approaches, are able to work ona larger scale, and/or who have responsibility to fulfil rights and alleviate poverty through policy change
and enforcement.
Ensure accountability and promote responsibility. We seek to be held accountable to poor and
marginalized people whose rights are denied. We identify those with an obligation toward poor and
marginalized people, and support and encourage their efforts to fulfil their responsibilities.
Address discrimination. In our programmes and offices we oppose discrimination and the denial of rights
based on sex, race, nationality, ethnicity, class, religion, age, physical ability, caste, opinion or sexual
orientation.
Promote the non-violent resolution of conflicts. We promote just and non-violent means for preventing and
resolving conflicts, noting that such conflicts contribute to poverty and the denial of rights.
Seek sustainable results. Working to identify and address underlying causes of poverty and rights denial,we develop and use approaches that ensure our work results in lasting and fundamental improvements inthe lives of the poor and marginalized with whom we work.
We hold ourselves accountable for enacting behaviours consistent with these principles,
and ask others to help us do so, not only in our programming, but in all that we do.
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Through its programs, CARE Peru contributes to significant and wide reaching impact on the underlying
causes of poverty and social injustice. In order to bring this about we strive in our projects and programs
to implement innovative ways to move forward in the attainment of national and international objectives
(MDGs), support t he government and other stakeholders in the replicat ion or adaptat ion of validated andsuccessful strategies, and influence change in public policy and its implementat ion. We always work with
partners and allies on multiple levels, reinforcing and promoting efforts through networks and alliances.
In all our interventions, we seek to promote the empowerment of excluded populations, the fulfillment of
responsibilities and accountability, and elimination of discrimination in all its forms, as well as generating
sustainable, lasting results.
Strategic Framework
New Models and High Impact Strategies
Model for Intercultural Bilingual Education with Social Participation. The EDUBINA project, funded by
Canadian CIDA, finished in mid 2008, with clear evidence of having contributed to an improvement in
access to quality and relevant education for boys and girls in rural communities in the rural highlands
of Ancash. Implemented as an official regional pilot program with the endorsement of the Ancash
Regional Education Authority, EDUBINA pursued a strategy of community participation, curricularplanning based on a Community Education Plan, and mentoring for teachers in the application of the
intercultural bilingual education approach, as well as the promotion of gender equity. Working in 18
primary schools and benefiting a total of 1,465 children, the project increased access to education and
increased the enrolment rate: from 89% to 90% in boys, with an even higher increase of 83% to 88%
in girls.
According to the final evaluation, between 2003 and 2006, the average score on a scale of 1 to 20
in reading and writing in Spanish rose by 229% and 156%, respectively, with increases of 219% and
186% in reading and writing in Quechua. At the beginning of the project only 15% of children achieved
pass grades in Spanish reading (meeting expectations or exceeding expectations) and only 10% did so
in Quechua. By the end of the project, 99% of children achieved pass grades in both languages. Incomparison with other similar rural schools where the project was not implemented, the average scores in
reading and writing in Spanish in EDUBINA schools was more than double, and in Quechua between triple
and fivefold. The successes of the bilingual intercultural education model are now being expanded to
other schools in Ancash, thanks to the support of the Antamina Mining Fund and Credit Suisse.
As this report attests, over the last two years our programs have contributed to impacts that represent
significant change for excluded people in Peru. Here we highlight a few of these.
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Model for Development of Rural Production. The Income and Employment Generation in Family
Production Units in the Altiplano project, funded by FondoEmpleo has developed the beef cattle
value chain in Quechua- and Ayamara-speaking communities in 10 districts in Huancae and Azngaro
provinces, in Puno. This project has validated a successful initiative that combines valuing and
disseminating traditional local knowledge, increasing productivity in cattle rearing, the creation of
an available supply of technical assistance provided by 62 local producers, and direct marketing of
livestock by rural producers. The project has more than surpassed its targets, generating an average
increase of 84% in the incomes of 3,187 producers, which in turn has dynamized the local economy. The
donors initial investment of S/. 1.193.000 has made it possible to fatten and sell 13,047 head of cattle,valued at S/. 20.261.471, a sales return of nearly 17 soles for every sol of project budget. Of no less
importance, is the impact on the self-esteem of the producers, who now sell their cattle directly to the
principal markets in Lima and Arequipa, where they are seen as highly valued and appreciated clients.
Other innovative strategies validated during the last two years include the financial services model
to facilitate access to improved sanitary services, in the project Alternative Sanitation Solutions,
a revolving fund established by EDYFICAR for persons with HIV to expand their micro businesses,
in association with the Consorcio Fortaleza led by Asociacin Solas y Unidas, or the innovative
accountability system designed by CARE Peru in the framework of its emergency response program
following the earthquake of August 15, 2007. Other noteworthy models CARE has validated include:
the innovative model by PROPILAS aimed at improving access to water and sanitation services in
dispersed rural communities and rural district capitals; the Regional Agreement promoted in Apurimac
as a means of decentralizing the Acuerdo Nacional (National Agreement between political parties,
government and civil society); the model for earthquake-proof and healthy housing implemented
during the reconstruction in Chincha and Huancavelica, based on the technique of adobe reinforced
with meshing to increase integrity which had been validated by the Catholic University of Peru; or the
model to promote access for producers in the rural areas of Ayacucho to irrigation systems through
credit from formal microfinance providers
Support to Government and Other Institutions in Replicating Validated
Strategies
The FEMME project (Foundations for Enhancing Management of Maternal Emergencies) was
implemented by CARE Peru in Ayacucho between 2000 and 2005, with funding from the Averting
Maternal Death and Disability Program (AMDD) of the University of Columbias School of Public Health
and from the Bill and Melinda Gates Foundation. The project supported the efforts of the Ayacucho
Regional Health Authority and the national Maternal and Perinatal Institute in Lima in improving the
standard of emergency obstetric care, increasing access to timely health services through the referral
and counter-referral system in neonatal and obstetric emergencies, and through promoting greater civil
society participation in favor of safe and secure motherhood.
Given the evidence of project impact in reducing maternal mortality (by 49%), as shown in the external
final evaluation comissioned by the Ministry of Health and CARE, which highlighted the strategies
implemented by the project as an effective model to be implemented in regions with high levels of
maternal mortality, the projects standardized guidelines for obstetric emergencies were taken as
the basis for developing new national guidelines. These new guides for clinical practice in obstetric
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emergencies, by levels of problem-solving capacity, and for clinical practice in attending newborn infants,
were launched by the Minister of Health in 2007, and are now being applied at a national level. During
2008, CARE also worked with the Ministry of Health in developing a detailed systemation of the eight
FEMME strategies, with the aim of converting them into eight modules that make up the Intervention
Model for Improving Availability, Quality and Use of Emergency Obstetric and Newborn Care in Peru, with
a view to their implementation in 2009. Similarly, together with the Ministry of Health and the Ayacucho
Regional Health Authority, CARE is supporting Bolivias Ministry of Health and Sport in strengthening the
organization of its obstetric care networks, following the model developed in Ayacucho.
Other examples of evidence-based interventions taken to scale include the support to the Ministry
of Health in the development of - and financing through the National Health Insurance (SIS) - of a
Package of Cost-Effective Interventions for Reduction of Neonatal Mortality, in the framework of the
Health Rights and Participatory Voices projects, in conjunction with the Newborn Health Collective,
or support by CARE and other partner institutions in the Child Malnutrition Initiative for local level
implementation of the national CRECER strategy to reduce chronic malnutrition in children, or the role
played by CARE as Principal Recipient for HIV and TB programs funded by the Global Fund to Fight
AIDS, Tuberculosis and Malaria, which are focused on nationwide implementation of a significant part
of the national multisectoral strategies against HIV and TB in the country.
Advocacy on the Development and Implementation of Public Policy
The Child Malnutrition Initiative (CMI) was formed in 2006 to position the issue of malnutrition with
candidates for the Presidency and later Regional Presidencies, in the national and regional elections,
highlighting the urgent need for a multi-sector strategy to combat chronic child malnutrition, a
condition affecting almost one quarter of children under five throughout the country and almost 40%
of children in rural areas, statistics that had remained virtually unchanged for over 10 years. We
believe that advocacy by the Initiative has significantly contributed to the strong prioritization by the
present government of the goal of reducing chronic malnutrition, setting an ambitious target for a 9
percentage point reduction during their term in office, and setting up the national strategy CRECER
and the Articulated Nutrition Strategic Budget Program in the framework of results based budgeting.
At the regional, provincial and district level, participating organizations in the initiative have promoted
the approval of public policies and programs aimed at reducing chronic malnutrition. This advocacy
work is combined also with technical support to government at all levels, to ensure the effective
implementation of these norms and policies.
Other results of CARE Peru and its partners advocacy activities include: the approval of the Co-Management
and Citizen Participation Law for primary healthcare facilities, and later its implementing regulations;
congressional approval of the Healthcare Rights Law campaigned for by ForoSalud; CAREs main partner on
its health Program approval of the public policies on water and sanitation for 2006 2015 in Cajamarca, and
reactivation of the Florecer Network to ensure effective implementation of the Law on Education of Girls and
Adolescents in Rural Areas.
Several of these and other impacts and results have been recognized by other organizations. The
experience of implementing an accountability system was included in the Case Book on Civil Society
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and Aid Effectiveness published by the World Bank at the Third High Level Forum on Aid Ef fectiveness
in Accra, Ghana. The work of the Health Rights Project was included in a special edition of the
international medical journal, The Lancet, devoted to Human Rights and Health, published in December
2008, as well as in reports on Accountability and the Right to Health Care and Human Rights and
International Cooperation in Sexual and Reproductive Health, published by Essex Universitys Centre
for Human Rights. At the PERUSAN 2008 Conference, we presented seven innovative experiences from
our Integrated Water Resource Management program. The Livestock Fattening Project in Puno won the
2008 MORAY Prize for Quality in Agricultural Innovation Projects, in the category of participation of
organized producers and solidity of strategic partnerships.
However, the most important recognition of the impact achieved by our programs comes from the
local stakeholders that work with us in the promotion of their processes of development and social
justice: the girls and women, boys and men, with whom we work, particularly in communities in the
rural highlands and jungle regions. Their words of appreciation for the changes achieved inspire us to
keep on persevering in implementing our vision and mission in the country. We hope too that they will
encourage you to read this report and that we can continue to work together to build a collective vision
and redouble our efforts to eradicate poverty and social injustice in Peru.
The work of the women volunteers in Azngo and Ayaviri has been fundamental in extendingthe scope of our work in defense of human rights.
Luz Herqui nio, Regional Human Rights Ombudswomans Commissioner, Puno
The program has helped us craftswomen to work togethernow thanks to the project we have abusiness that buys from us and as a result we have more profit,because the business that buys from us is
an exporter, and this has enabled us to increase our incomes.
Rebeca, Craf tswoman, Sumak Maki Association, Huancavelica
After my first experience I felt encouraged to buy another old cow from the Ctac campesino community.The cow only produced 2 to 3 liters of milk per day. It was in a sorry state: thin, infested with parasites,had no appetite, of litt le value. After treat ment the cow has increased
its production up to 8 liters of milk per day.
Faustino Espri tu Huerta, Ctac, Ancash
With the help we have received we have become more united. As neighbors we now work together,we have been trained, we are all working together well.
Emma Prado, Community Leader, 25 de Diciembre, Sett lement Vi lla Maria del Triunfo, Lima
Thanks to the training we have received from CARE we have been able to compile a map highlighting themost vulnerable zones in the school, and now have developed a School Emergency Plan. Our eyes have beenopened and we are now able to use these new tools to develop and promote a culture of prevention.
Prof . Rosario, Director, Reyes School, Huaytar, Huancaveli ca
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Programs and Projects
I. Education
Most significant impacts and achievements 2007 2008
leaders and representatives of private and public-
sector institutions, aimed at improving education
quality.
Leadership and gender equity training has also been
provided to 1,252 girls.
In Ancash and Puno we have provided technical
assistance to 121 schools in rural areas, seven
local municipalities, and the regional education
authorities.
We have developed of a network of 50
communicators in Puno, who have initiated
campaigns publicizing the benefits of quality
education.
CARE Peru develops decentralized educat ion management proposals, linked to local and regional development
processes, with a focus on gender equity and interculturality. We demonstrate how quality Intercultural
Bilingual Education can be applied in practice, in schools based in the Andean and Amazonian regions.
CARE Peru also seeks to promote and strengthen intercultural educat ion experiences and proposals in private
and public schools. All these efforts promote community participation, including parents and children
in developing and implementing new educat ional proposals. Similarly, the education program promotes
spaces for participation of indigenous, peasant and community organizations, as well as of other civil
society organizat ions, in the development, implementat ion and evaluation of public policy. CARE Peru also
advocates for the promotion of policies, strategies and increased public spending by national, regional and
local government, to improve the quality of education for the most impoverished groups, and to overcome
the barriers of linguistic, social, ethnic and gender discrimination.
Project spending during this period:US$ 964.133,33
In the rural areas of Ancash and Puno, 256 girls
and boys are attending primary schools who would
not otherwise be, thanks in part to the education
projects undertaken by CARE Peru. This statistic
reflects a 3% increase in the enrolment of boys and
a 5% increase for girls, since the projects started
their work.
The Kawsay project in Puno, has improved learning
outcomes of 109 boys and girls in 10 schools, as
shown through the comparison of the intermediate
evaluation results with the baseline. Reading and
writing in Quechua has improved from a score of
2,2 to 9,8 and in Spanish from 4,85 to 8,7, while
scores in mathematics increased from 3,8 to 13,99.
CARE has trained 10,122 individuals, including
students, teachers, school directors, community
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Projects in Education Program
TITLE OF PROJECT PERIOD BUDGET DONOR(S)
1. New Bilingual Intercultural Education in November 2008 - 776.942 Credit Suisse
Carhuaz Mushuq Naanintsik - Our October 2010
New Road
2. New Intercultural Education in the July 2008 - 1.833.625,44 Antamina Mining Fun(FMA)
Andes - EDUBINA / HATUN YACHAY June 2010
3 Observatory on Rural Girls and June 2008 - 200.000 Patsy Collins Fund - CARE USA
Adolescents Education June 2010
4. New Quechua Secondary Education for the October 2007 - 200.000 KELLOGG Foundation, Municipality ofPuno Region October 2010 Azngaro, Arapa and Chupa, CARE Peru
5. Advocacy towards the IFIS on Intercultural February 2006 - 456.005 CARE International UK /DFID
and Bilingual Education in Bolivia, Ecuador September 2008
and Peru
6. Quality and Equity in Intercultural January 2006 - 1.148.582,66 European Commission, CARE France,
Education in Puno - Kawsay December 2010 Marshall Jr. foundation, CARE Peru
7. New Bilingual Education in the July 2003 - 468.850 CIDA Canada
Andes - EDUBINA May 2008
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Education in their mother tongue, in this case Quechua, makes it much easier to learn Spanish.After four years of work I noticed that the children were speaking Spanish correctly, making no moremistakes than children who had begun learning to read and write in Spanish, and using Quechua to
help them understand difficulties in Spanish. This system of teaching has not corrected the problemsof interferences that the students have, and which they will not be able to correct for a long time;what it does is separate the two languages to facilitate learning and teaches Spanish as a second
language. The approach I used was initially to teach Spanish orally, including the grammatical aspectsthat distinguish Spanish from Quechua, usually starting with the use of the article.
Eulali a Hazaa Deza, Schoolteacher, San Miguel, Puno
This testimonial, originally collected in Quechua and translated into Spanish, tells the story of awoman leader from a community from the area of the EDUBINA project, who initially was involved in
designing the Community Education Plan. In the process she demonstrated her leadership qualities
and was later democrat ically elected on to her district Council.Nuqaqa huqta wamrakunapa mamanmi kaa, manam yachaywayiman aywarqatsu,
kichwayachawmi rimaytapis yachaa, tsaypitam mana alli rikayamarqam. Wapra markaapa lideresamkayta yachakurquu, Plan Educat ivo Comunal Nishqanta rurarmi, kanannam marka mayiikuna
churayaamashqa San Miguel de Aco Municipalidadpa rigidoram, t saymi marka mayiikuna kusshishqakayan Proyecto EDUBINAWAN kananqa wamraakuna kushishqa yachakuyan kichwachaw
kastillanuchawpis, Kananga komunidaaniipis alli ayllukashqamtsaymi yachaywayichaw yachatsikuyta yanapayan.
I am a mother of six. I never went to school and I only speak Quechua. I have endureddiscrimination and rejection. I learned to be a leader by gett ing involved in the Community EducationPlan in Huapra, the village where I live. Now the village has elected me councilwoman for my district(San Miguel de Aco) and they are happy with me The EDUBINAproject allows our children to learn
in Quechua and Spanish, and our community is better organized to support education.
Lidia Isidro, Counci lwoman of t he Municipali ty of Aco
I.Educacin
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II. Health
CARE Peru designs its strategies to improve the health of the populat ion, in particular those who areparticularly vulnerable, in the poorest areas of the country. It applies focuses on inclusion, interculturality,gender equality, citizenship exercise, health rights and responsibilities; it develops and validates modelswith high impact on public policies, works with figures from political classes and public management andcontributes t o the fulfillment of the health MDGs. In all levels of government, it develops and promotesstrategic public-private alliances which enrich the civil State private sector social dialogue, as supportto the institutionalism of interventions. Also, it strengthens the development of civil society networks andpromotes the organization of surveillance systems and citizen participation; it promotes the strengtheningof clinical training, of prevention and promotion of health, contributing fundamentally to reducing maternalnew born mortality and child malnutrition. It works also on the prevention and control of emerging infectiousdiseases, HIV/ AIDS and Tuberculosis, in association with the health sector and civil society, to give anarticulated and public-private inter-sector response.
Amount invested in this period:US$ 33.537.987,53
approved by the Committee for Health, Population, Family andPeople with Disabilities. Its debate is pending.
The bill containing the regulations for Law 29124 wasput to Congress. The bill contains contributions from theLocal Health Management Committee, which were gatheredat macro-regional meetings held with the support of theEuropean Commission.
The National Health Council incorporated the proposals ofForoSalud in the bill amending Law 27813, which creates thecoordination bodies of the National Health System.
With the technical assistance of CARE and other institutions,the Ministry of Health (2007) has institutionalized the ClinicalPractice Guidelines for Neonatal Care and the Clinical PracticeGuidelines for Emergency Obstetric Care according to handlingcapabilities. 50 health professionals act as regional facilitators.
1,825 health staff have been trained in dealing withneonatal of obstetric emergencies through workshops in theparticipating health regions. Also 3,500 guides and 6,000flowcharts have been handed out.
(*) These figures reflect progress for 2003-2008
16552 people receive Highly Active Anti-retroviral Therapy(HAART). 91% of people with HIV remain alive for 12 monthsafter HAART and 87% adhere to antiretroviral treatment*.
The percentage of homosexual men with HIV (+) has declinedfrom 13,9% to 10,8%.*
The percentages of children of HIV+ mothers who donot contract HIV at 18 months has gone down from 24%
(estimation) to 5,50%*.The rate of cases of TB BK+ has been reduced from68,8/100,000 to 62,9/100,000*.
The mortality rate from TB in any form has declined from3,95/100,000 people to 3,18/100,000*.
The cure rate for MDR TB rose from 46,9% to 91,2%*.
96% of cases of TB have been detected.
28,313 people have been trained in citizen health surveillance,State reform capacities, maternal-child mortality, prevention ofchild malnutrition and control of emerging infectious diseases,HIV/AIDS and TB.
The Healthcare Services Law was introduced in Congress withthe backing of more than 100,000 signatures to congress and
Programs and Projects
Most significant impacts and achievements 2007 2008
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Projects in Health Program
TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)
1. No woman left behind: closing the gaps November 2008 - 40.000 International Initiative on Maternalbetween rights and obligations for October 2009 Mortality and Human Rights (IIMMHR)ensuring Safe Motherhood
2. Citizen surveillance initiative for October 2008 - 12.000 Physicians for Human Rights - USAmaternal health care services in three March 2009areas of Puno
3. MCC - USAID THRESHOLD IMMNIZATION October 2008 - 3.393.398 Millenium Challenge Corporation,PROGRAM September 2010 Threshold Program - USAID
4. Participatory Voices April 2008 - 741.567 CARE International UK / DFIDMarch 2011
5. Huancavelica Youth for Responsible January 2008 - 120.000 CARE USA, CARE Peru, HuancavelicaMasculinity (AHMAR) September 2009 Regional Education Authority
6. National Multisectoral Plans: Pooling October 2007 - 40.848.622 Global Fund to Fight AIDS, TB andResources to Fight HIV/AIDS September 2012 Malariain Peru - VI Round
7. Foundations for Enhancing Management August 2007 - 95.500 Christy Turlington, CARE Peruof Maternal Emergencies December 2008
8. Strengthening Obstetric and Neonatal August 2007 - 1.649.045 Antamina Mining Fund (FMA)Emergency Care at Health Services June 2010and Promoting Coordinated Work withCivil Society in the Ancash Region -ALLI MAMA ALLI WAWA
9. Closing gaps: Toward the Millennium September 2006 - 32.545.545 Global Fund to Fight AIDS, TB andDevelopment Goals for Tuberculosis August 2011 Malariain Peru: Project with a ParticipatoryMultiagency DecentralizedApproach - V Round
10.Closing gaps: Toward the Millennium September 2006 - 12.697.865 Global Fund to Fight AIDS, TB andDevelopment Goals for HIV/AIDS in August 2011 MalariaPeru: Project with a ParticipatoryMultiagency DecentralizedApproach - V Round
11.Improving the Health of the Poor: April 2005 - 2.318.800 CARE International UK / DFID, CARE USA,
A Rights-Based Approach March 2008 Physicians for Human Rights PHR USA
12.Strengthening Prevention and Control December 2003 - 25.552.603 Global Fund to Fight
of TB in Peru - II Round December 2008 AIDS, TB and Malaria
13.Strengthening Prevention and Control December 2003 - 22.166.497 Global Fund to Fight
of HIV/AIDS in Peru - II Round December 2008 AIDS, TB and Malaria
II.
Health
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CAREPERUINSTITUTIONALREPORT2007-2008
I think the greatest achievement is to have grown as a person, above all through the work that weare doing. By gaining experience we can do our jobs better.
Tonica Antn, Community Delegate for Goal 1. Macro Regin North
I was one of those doctors who steadfastly refused to actively manage the third stage of childbirth.However, now that I have been trained I am convinced that all that is needed
is the right technique.
Dr. FernandoTurrizaga, Gynecologist/ Obstet rician, La Caleta Hospit al, Ancash
I am HIVpositive. When I received the diagnosis (2003) , I thought I was about to die. All Icould think about was my children because when I separated from their dad they told me that
they didnt want me to have another partner, that I should stay single. And now that my kids are
teenagers, well, that was what killing me: thinking how they would take the news. But thanks to theGlobal Fund, which sent us free antiretroviral treatment, weve had a second chance in life and I am
here thanks to that. My friend Jonathan invited me to ASIPO+. It is an association that providessupport and information to recently diagnosed people. I arrive at work at 9.30, help out in the
kitchen, and then Im in the office answering calls. My goals in life are to work because all of us atthe Association are volunteers, and to be a great activist to help more people with HIV.
Nelly, Representative of the association ASIPO, Lima+
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III. Sustainable Economic Development,Food Security and Nutrition
CARE Peru promotes food security, nutrition and sust ainable economic development. Sustainable economic
development provides the balance for economic, social and environmental wellbeing. In order to make an
impact in reducing poverty, CARE validates models and sustainable experiences of market access, promotes
the development of private technical assistance, and uses methods which provide access to credit for
small rural producers. At the same time, it promotes the organization of producers, public-private work
alliances, and partnership with businesses on corporate social responsibility. Also, it promotes climate
change adaption and mitigation methods, with and emphasis on the participation of the poorest and
most excluded people. It provides technical assistance and mentoring for policy advocacy measures and
strengthening of public management, with an emphasis on promotion of public and private investment to
implement strategies against child malnutrition and make this issue a priority at the national, regional and
local level. CARE plays an important part in the Child Malnutrition Initia tive.
3,504 men and women producers accessed credit in theamount of S/. 4,315,888, or S/. 1,232 per producer,through 10 projects.
The finance entity EDYFICAR has 178,806 clients; 54%
of whom are women with average loans of S/. 3,219(US$1,073)
5,090 people have been trained in strengtheningproduction chains and in private technical assistance for
businesses and communities.
Amount invested in this period:US$ 4.263.424,84
3,892 men and women producers increased their revenueby an average of 85% - with an average increase ofS/. 1,531 per producer (US$510), through 8 projects.
11,763 men and women producers increased their sales
turnover by 568%, with an annual sales increase of S/.3,611 per producer (US$1,204), through 12 projects.
668 women producers increased their sales turnover by496%, with an increase in sales of S/. 2,952 per producer(US$ 984), through 9 projects.
63 companies increased their sales by 2,193%, with anincrease in annual sales of S/. 519,638 per company(US$173,213), through three projects.
81% of companies have teamed up for sales, out of a totalof 398 associations that participated in 14 projects.
Programs and Projects
Most significant impacts and achievements 2007 2008
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CAREPERUINSTITUTIONALREPORT2007-2008
Proj ects in Sustainable Economic Development, FoodSecuri ty and Nutri t ion Program
1. Leveraging Information from the Field to July 2008 - 52.903 CARE USA - Bill and Melinda GatesTransform U.S. Policy toward Developing June 2010 FoundationCountries (LIFT UP)
2. Improvement of Livestock Production for June 2008 - 673.238,20 Ministry of Economy and Finance,Small Farmers in the Districts of LARAMATE September 2010 Ayacucho Regional Governmentand LLAUTA in the Province of LUCANAS
3. Strengthening Local Management April 2008 - 170.625 USAID, Caritas Peru, CARE Peruto Reduce Malnutrition June 2009
4. Empowering Women in the Community December 2007 - 10.000 Tom and Zantha Warth (USA)of Paucara in Huancavelica to Participate September 2008
in Local Economic Development throughSmall-Scale Traditional Textile Production
5. Seedlings for spineless artichoke November 2007 - 25.000 Peru Opportunity Fundproduction in Ancash October 2009
6. Productive Chain Program for Poverty August 2007 - 2.311.683 Antamina Mining Fund (FMA)Reduction in Ancash - ALLI ALLPA August 2012
7. Financing for Agricultural Irrigation July 2007 - 125.144 USAID, AEDSystems February 2009
8. Services for Socially Responsible for June 2007 - 45.046,54 CARE Canada, CARE USA, Lions ClubBusiness Development February 2009 International
9. Informed Decisions June 2007 - 202.722,51 USAIDJune 2008
10.Sustainable Pea and Improved Guinea Pig April 2007 - 100.000 Jeff Peierls - USAProduction in the Districts of Tambillo February 2009and Acocro
11.Influencing Multilateral Bank Policy January 2007 - 357.981 CARE International UK / DFID, CAREfor Reducing Child Malnutrition in Peru March 2008 Peru
12.Improvement of Family Incomes in January 2007 - 101.680 European Commission, Program ofthe Acobamba Mayocc Road Corridor May 2007 Support for Socioeconomic Development
and Decentralization in the Ayacuchoand HuancavelicaRegions (AGORAH)
13.Dairy Production Development with Small December 2006 - 112.660,63 PRODELICA Program - EuropeanProducers in the Cajabamba - San Marcos July 2007 CommunityEconomic Corridor
14.Pilot Microcredit Program for Families in June 2006 - 100.000 Morris WilliamsExtreme Poverty February 2008
15.Capacity Building for Products: Limes, May 2006 - 56.540 Ministry for Women and SocialPrickly Pears, Guinea Pigs, Mangoes October 2007 Advancement (MIMDES), FONCODES
Huaraz Zone
16.Innovative Use of Multiagency Partnerships January 2006 - 100.000 CARE International UK / DFIDto Promote Market Access for Poor December 2007Communities
17.Income and Employment Generation December 2006 - 352.959 FONDOEMPLEOin Family Production Units in the November 2008Altiplano through Developmentof the Beef Value Chain in Puno
TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)
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They have helped all of us craft workers to work and make better things together. Before, we allused to work separately and no one knew about sales. But now, thanks to the project, we have acompany that buys from us, and we make more money because the company buys our things to
export, which bring us more income. We all have our own tools and now we can produce.
Rebeca, Craf tswoman, Asociacin Sumak Maki , Huancavelica
With the Productive Water Project the more proactive of us fruit farmers have been building acommunity reservoir and installing advanced irrigation systems for our crops. CARE provides uswith technical assistance and EDYFICAR loans us the money to buy the irrigation equipment andmaterials. This is how weve always wanted to work, but in our community there are people who
are complacent and instead of actively looking for this support, they have simply been waiting forhandouts and donations from some institution to install their irrigation systems.
Rubn Vctor Huapaya V., Community of Seccllas Alt o, Huanta, Ayacucho
In this way the bulls quickly put on weight. A bull gains 1.5 kg a day. Previously we used tosell on an annual basis but now we sell quarterly. We have broken into the Lima and Arequipa
markets. I never imagined that one day Id bring my cattle for sale directly to Lima. However, whenwe arrived, we realized that the quality of Puno beef is superior. In a little over three years we
have sold more than 12,000 head of cattle, equivalent to nearly 17 million nuevos soles (US$ 5.6million). The most important thing in all of this is the expertise; the project hasnt given us money
or bulls, but something much more important: expertise. And nobody can take that away from us.It is something that we will have til our dying day.
Pedro Ccacca de Samn, Lourdes Saavedra, Catt le Breeders, Huancan, PunoIII.SustainableEconomicDevelopment,FoodSecurityandNutritionProgram
18.Strengthening the Milk and Cheese December 2005 - 593.003 Ministry of Economy and Finance
Production Chain in the Province of June 2007
Bolognesi
19.Increasing Incomes for Canary Bean June 2005 - 123.031 PRODELICA - European Commission
Producers in the Condebamba Valley, July 2007
in the Provinces of Cajabamba and San
Marcos
20.Poverty Relief and Alleviation Program July 2004 - 1.487.502,42 USAID, Chemonics
(PRA) August 2008
21.Combining and Replicating Technologies January 2004 - 42.000 International Potato Center (CIP),for Low-Income Potato Producers June 2007 International Fund for Agriculture
Development (IFAD)
Proj ects in Sustainable Economic Development, FoodSecuri ty and Nutri t ion Program
TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)
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CAREPERUINSTITUTIONALREPORT2007-2008
IV. Integrated Water Resource Management
CARE Peru seeks to intervene at local, regional and nat ional levels to ensure that the issue of t he environment
is included in plans, projects, program and politics, based on validated experiences of strategic partners.
To that end, it develops innovative models in areas such as payment for environmental services, or new
practices for the sustainable use of natural resources which redress the loss of these resources and generate
economic and social benefits for poor families. It also develops and disseminates validated models for the
provision and management of water and sanitation in isolated rural communities, district capitals and small
villages. It promotes a lternative sanitation initiatives, solid waste management, and waste water t reatment
in small cities, as well as consensualized participatory design of regional and provincial policies, thereby
strengthening the sanitation sector in a decentralized framework. CARE Peru supports governmental sectors
to ensure the effective execution of water and sanitation programs in the country, as well as to broaden the
coverage of water services and collective sewerage systems in periurban areas of Lima.
Assistance given to 71 local governments, 11
regional governments and 14 State institutions or
programs.
Promotion of the promulgation of 21 regional
bylaws which promote access to water and sanitationservices, which contribute in a direct manner to
improved health conditions.
80 families have accessed technology to solve their
sewage problems, either through loans or cash
payment
Amount invested in this period:US$ 2.508.860,28
Facilitated access for 21,522 families to safe water;
19,067 families to improved sanitation; and 700
families to sewage treatment.
Organization strengthening in rural zones jointly
with local governments and the active participationof 325 Water Boards (JASS) with around 1,000
members, of which 257 are women, 113 of whom
presently occupy management positions.
In Cajamarca, prevalence of chronic diarrhea has
dropped from 22% to 0% in Cedro; from 15% to 0%
in Loropampa; and from 16% to 0% in Maqui.
Programs and Projects
Most significant impacts and achievements 2007 2008
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Programa
TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)
1. Formulation of Regional Plans and March - In La Libertad World Bank-Water and SanitationProvincial Pilot Plans on Water and November 2008 124.423 ProgramSanitation in La Libertad and Cajamarca In 123.063,09
2. Alternative Sanitation Solutions September 2007 - 372.824,97 Fund for the Americas (FONDAM),May 2009 CARE Peru/ ENSEMBLE foundation
3. Technical Advisory Services to the July 2007 - 341.017 Swiss Agency for Development andRegional Government of Cuzco for June 2009 Cooperation (COSUDE)Implementation of Phase V of the BasicEnvironmental Sanitation Project in theSouthern Highlands(SANBASUR)
4. Domestic Waste Water Treatment at the May 2007 - 100.000 Jeff Pierls FoundationHeadwaters of the Santa River May 2009Watershed in Ancash
5. Equitable Payments for Watershed April 2006 - 1.408.732 DANIDA - DGISand Environmental Services December 2011
6. Outreach, Training, Design and Construction April 2006 - 1.639.487,92 World Bank - SEDAPALSupervision of Conventional and Collective February 2009Secondary Water and Sewerage Systems, aswell as Fountains Latrines in Various Districtsof the Southern Cone of Lima.
7. Waste Water Treatment in Rural August 2005 - 266.573 ENSEMBLE Foundation
Districts of Puno October 2007
8. Pilot Project to Strengthen Regional July 2005 - 1.323.721 Swiss Agency for Development andand Local Management of Water and December 2008 Cooperation (COSUDE)Sanitation Services in the Framework ofDecentralization - PROPILAS IV
9. National Rural Water and Sanitation Ayacucho: 1.860.409,39 Ministry of Housing, Construction andProgram in Ayacucho, Piura, September 2004 - Sanitation (MVCS), World BankHunuco y Huancavelica December 2008
Piura:April 2005 - 2009
Hunuco:April 2005 -
January 2008Huancavelica:
October 2005 -January 2009
IV.
IntegratedW
aterResourceManagement
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CAREPERUINSTITUTIONALREPORT2007-2008
I think that having real, accurate information is important for people to understand how the
project works. People are used to handouts and with this project we managed to get people tocontribute, to play their role in achieving change for themselves. Having everything given
away cant work, and it is important that the community contributes and so changesthe way we work to benefit the population.
Julio Tello Flores,, Mayor of Rosario de Polloc Community, La Encaada, Cajamarca
Now, with the project, we are more united. Neighbors are working together. We havereceived training and are all working steadily. There have been more
people to prepare the land and the roads.
Emma Prado, Community Leader, A.H. 25 de Diciembre. Vil la Mara del Triunfo, Lima
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V. Governance and Extractive Industries
CARE Peru promotes good governmental practices based on empowerment of the poor, civil society
participation, and capacity building in public institutions, seeking greater awareness, responsibility and
transparency vis a vis the public. It implements strategies for strengthening the processes of decentralization
and regionalization, through capacity building for local and regional government and civil society. It
also promotes consensus building and citizen participation, emphasizing the participation of women
and indigenous people in decision making. It provides technical support on regulations for democratic
institutions within the framework of decentralization, implementing approaches to raise awareness about
gender, multiculturality, the environment and watershed management. In the area of mining, CARE endorses
constructive relations between the communities, local government, and mining companies, so that potential
conflicts are properly addressed in the interests of collective understanding and good local government.
Close to 100 documents have been recorded at the
national, regional and local level institutionalizing
CARE Perus policy advocacy contributions through
its programs and projects.
Amount invested in this period:US$ 1.173.845,98
Technical assistance is given to four regional
governments and 29 local governments, to improve
good governance. 90% have a consensualized
development plan in place and received advice on
participatory budgeting.
In coordination with the RENIEC (National Registry
of Identification and Civil Status), 4,638 people
from excluded zones have obtained national identity
documents; of these 1,920 are women and 256 are
children.
Over 6,000 community leaders, youth leaders,
and representatives of private and public
institution, among others, have been trained in
good governance, accountability, organization and
leadership.
Programs and Projects
Most significant impacts and achievements 2007 2008
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CAREPERUINSTITUTIONALREPORT2007-2008
TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)
Projects in Governance and ExtractiveIndustri es Program
1. Capacity Building and Strengthening February 2005 - 947.618 CARE International UK, Projectfor Decentralization and Democracy March 2008 Counselling Service (PCS)FORTALECE
2. Insertion of the Excluded CHOPCCA May 2005 - 383.404 Deparment of State - USAPopulation of Huancavelica in the March 2007Institutionalization of Democracy
3. New Voices Piura February 2006 - 9.886,25 World Bank - PeruJune 2008
4. Capacity Building for Management April 2006 - 262.955 OXFAM GBof Social and Environmental April 2009 UK / DFID
Conflicts in Mining Activities5. Governance, Mining and Sustainable June 2006 - 200.000 USAID
Development June 2008
6. Building Multiagency Partnerships for November 2006 - 100.003 CARE International UK / DFIDDevelopment with Equity on the Zone March 2007Targeted for Mining Investment, LasBambas, Apurmac
7. Local Governments and Civil Society November 2006 - 60.754 CARE International UK / DFIDOrganizations in Small Rural Towns and May 2007their Relationship with Good Governance
8. Rights, Cultural Identity, and Participation February 2007 - 747.666 European Commission, CARE Perufor Amazonian Indigenous Peoples: December 2009
The Case of the Aguaruna People
9. Empowerment, Capacity Building, and March 2007 - 28.000 CARE USA, Sexual Explotation andPrevention of Sexual Violence in Puno December 2008 Abuse (SEA), CARE Peru
10.Consensualized Land Planning in May 2007 - 27.572 Peru Germany Counterpar t Fund (FCPA)the Bigote and Serrn Sub-Watersheds October 2007
11.Governance in the Andes April 2008 - 133.000 CARE International UK / DFID, Benala /March 2009 Canadian LWR
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Now I can guide and train my organization, the Bartolina Sisa de Caravilque Mothers Association.I have got over my fear of public speaking. Also my Spanish has improved
also as a result of taking part in these training activities.
Mati lde Jurez de Arenas,
At the Glass of Milk organization we talked about what we do, but we did not know that wecould also have a say in the municipal budget plan. When we went to the budget meeting to
support our co-worker, Rosa, in presenting our proposal, we met the Mayor, all the council members,and the district mayors. We felt important and were delighted when
they commended us on our proposal and approved it.
Yaneth Canaza. Glass of Milk , Puno
V.
Governancea
ndPrimaryResourceIndustriesProgram
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CAREPERUINSTITUTIONALREPORT2007-2008
A timely response to emergencies is essential in the fight against poverty and injustice, since the impact
of disaster is the cause and consequence of both. CARE Peru permanently strives to analyze the underlying
causes of vulnerability and works to reduce them. Through humanitarian assistance, it helps individuals to
overcome the crisis. It applies measures for the reduction of risk from disasters, to support the rehabilitation
and reconstruction processes post-crisis, strengthening capacity for resilience and local response in the
affected population. It acts towards the preparation and prevention for of emergencies in its programs, and
it incorporates the concept of reconstruction building back in the post-emergency scenario, so that affected
familiar gain access to better basic services, to safe and healthy homes, as well as the means to live with
greater food security and better income. By CAREs mandate the response to an emergency must satisfy the
basic necessities of the affected population, above all in the poorest and most needy areas, respecting the
humanitarian principles and international standards that recognize the right to personal dignity for thoseaffected by a crisis or emergency; the code of conduct of the International Federat ion of the red Cross and
Red Crescent, and the regulations of Sphere Project. It also develops initiatives and account management
within the frame of own membership to the Internat ional Mandate Humanitarian Accountability Partnerships
Responsibility- HAP.
and non-structural aspects for risk mitigation within the
framework of earthquake reconstruction.
78 temporary classrooms were installed in Chincha and
Caete
Four safe water systems have been rehabilitated, promoting
the strengthening of the Water Boards (JASS) and good
sanitary practices, and above all for hand washing with soap.
6.65 km of irrigation canals have been rehabilitated.
200 earthquake-proof houses of mud bricks and adobe
are currently being built with the participation of affected
families, in Chincha and Huaytara.
100 houses affected by the earthquake have been restored.
Amount invested in this period:US$ 4.140.849,08
Immediate response in providing assistance to families
affected by the earthquake in 2007, benefiting 12,019families with humanitarian aid, water bottles, canned foods,
blankets, individual and family-sized tents, medicines,
coffins, flashlights, lanterns, candles, tools, brooms, soaps,
kettles, dishes, spoons, etc.
Over 13000 families in the areas worst hit by the earthquake
of August 2007 have received information and guidance on
constructing earthquake-proof houses made of reinforced
adobe and strengthened mud bricks, as well as management
and maintenance issues, through radio, television and other
alternative communication media in Chincha.
Over 2,055 families have been trained in the structural
aspects of construction of earthquake-proof housing,
Programs and Projects
Most significant impacts and achievements 2007 2008
VI. Emergency and Risk Management
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Projects in Emergency and Risk Management Program
1. Socioeconomic Development and September 2008 - 128.918 Government of Navarra, PROPERURestoration of Livelihoods for Poor Families May 2009Struck by the 2007 Earthquake in theProvince of Huaytar
2. Huancavelica Reconstruction Project June 2008 - 4.879.000 CIDA CanadaJanuary 2011
3. Capacity Building for Reconstruction of June 2008 - 400.000 USAID OFDAHomes in Chincha February 2009
4. Program on Humanitarian Response to August 2007 - 1.060.117,50 Bill & Melinda Gates Foundation, private
the August 2007 Earthquake June 2008 donors to CARE USA, Edpyme EDYFICAR,
Minera IRL Minera Minera San Juan, JCB5. Project on Immediate Response to August 2007 - 243.305,71 European Commission Humanitarian
the August Earthquake (PRISA) October 2007 Aid Office (ECHO)
6. Restoration of Livelihoods and Access August 2007- 461.215,02 European Commission Humanitarian Aidto Basic Services for Families Affected October 2007 Office (ECHO)by the Earthquake in Huancavelica
7. Temporary Housing, Sanitation, August 2007 - 367.500 USAID OFDAInstitutional Strengthening December 2007
8. Aid and Reconstruction for Excluded e September 2007 - 460.500 ELMA FoundationCommunities after the August 2007 February 2009Earthquake
9. Improvement of Sanitation Conditions September 2007 - 20.000 Fund for the Americas (FONDAM),for School Communities in Huaytar November 2007 CARE PeruAffected by the Earthquake
10.Rehabilitation of Sanitation Services fpr September 2007 - 961.903,80 UK Government, (DFID), in the frameworkFamilies Affected by the Earthquake in Caete, February 2008 of the UN Flash AppealChincha and Provinces of Huancavelica
11.Landslide Risk Management December 2006 - 163.165 Swiss Agency for Development and June 2009 Cooperation (COSUDE)
12.Binational Capacity Building for Disaster Risk March 2006 - 437.711,24 European Commission Humanitarian AidReduction: Tumbes - El Oro May 2007 Office (ECHO), DIPECHO Programme
VI.Emergencya
ndRiskManagementProgram
TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)
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CAREPERUINSTITUTIONALREPORT2007-2008
Thanks to CARE and the European Union for the humanitarian aid that reached usyouwere the first to support us after the earthquake.
President of community of Amaylla,
At last we have a working Emergency Operations Center and very soon we will have our ownbuilding for this. The volunteers are in good spirits because they have their own rescue
equipment and will no longer have to depend on the Machala Civil Defense.We want to hold a binational drill very soon.
Alf redo Tamayo, Civi l Defense, Huaquillas, Tumbes
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Financial Report
GENERAL BALANCE 2008
Total Support
Comparison of Administrative Costs2006 - 2008
0.00
5,000.00
10,000.00
15,000.00
20,000.00
25,000.00
30,000.00
2006 - 2007 2007 - 2008
Budget Execution
In the period 2006-2007, at 50%, the principal source
of financing for programs and projects executed by CARE
Peru was the Global Fund against AIDS and Tuberculosis,
of which CARE is the principal recipient. Next was the
European Commission, with 19%; the remaining 31%
came from private donors, the Peruvian Government
and Institutions, the United States Government, and
other bilateral donors. Just like the previous period, in
the 2007-2008 the main source of financing was the
Global Fund against AIDS and TB with 45%. After it came
bilateral funds with 27%, the Peruvian Government and
institutions with 5%, the European Commission with 10%,
and the remaining 3% from a few private donors, the U.S.
Government and the World Bank.
The accounting and finance information of CARE Peru has
accounting mechanisms in conformity with the policiesof institutional transparency. It abides fully with all the
regulations of the Peruvian State, as well as those of CARE
International and other donor governments. In the period
2006-2008, the status of CARE Perus accounts was as
follows:
The expenses effected during the period 2006-
2007 came to US$ 15.614.368,16, which
represents 93% of total expenses generated
by programs and projects. US$ 1.081.227,81,
that is to say 7% of the total, was channeled for
administrative expenses. In the period 2007-
2008, total expenses came to US$ 26.292.876,11,
with 5%, that is US$ 1.388.485,59, used for
administrative expenditure. Even though the
budget increased in comparison with the previous
period, the percentage allocated to administrative
expenses was 2% lower.
Funding Sources
CARE Peru maintains a commitment to its donors with
respect to the good use of resources, according to the
budgets approved in programmed activities. For this
reason, its accounting system is organized by funds,
ensuring an efficient and effective method of control.
Bilateral funds Global Fund to Fight AIDS, TB, Malaria
European Commission Peruvian Government or inst itut ions
Government a the U.S. Private donations
World Bank Seri e8
0
5000
10000
15000
20000
25000
30000
Millares
2006 - 2007 2007 - 2008
Years 2006- 2008
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CAREPERUINSTITUTIONALREPORT2007-2008
In the period 2007-2008, the main source of was
also the Global Fund for HIV/AIDS and TB programs.
Accordingly, Health has received the most funding.
Following it are DESAN, and GREM. In contrast to
the previous period, the latter received significant
financing from diverse donors, since humanitarian
aid interventions were implemented, as well as
rehabilitation and reconstruction for the areas affected
by the earthquake of August 2007. Following it areGIRH, Health, GOB, and EDU.
Distribution of Expenses by Programmatic Priority
CARE Peru, through five regional offices and five offices
in the nation, comes implementing projects in six
programmatic areas. For the significant amounts moved by
the programs against HIV/AIDS and Tuberculosis carried
by the Global Fund, as already mentioned, the health axis
has received greater resources, followed by Sustainable
Economic Development, Nourishment and Nutrition Security
(DESAN) [Desarrollo Econmico Sostenible, Seguridad
Alimentara y Nutricin]. Without including the Global Fundin this distribution, the majority of expenses executed
in the period 2006-2007 corresponded to the axis of
DESAN. Following it is the Integrated Management of
Water Resources (GIRH) [Gestin Integrada de Recursos
Hdricos]; Health, Governance and Extractive Industries
(GOB) [Salud, Gobernabilidad e Industrias Extractivas], Risk
and Emergency Management (GREM) [Gestin de Riesgos y
Emergencias], and Education (EDU).
2 000
4 0006 000
8 000
10 000
12 000
14 00016 000
2006 - 2007 2007 - 2008
DESAN EDU
GREM GOB
GIRH Health / Global Fund
Implementati on Programmatic Priority
Thousands -500.00
1,000.00
1,500.00
2,000.00
2,500.00
3,000.00
3,500.00
4,000.00
Thousands
2006 - 2007
DESAN EDU
GREM GOB
GIRH Health
2007 - 2008
Implementati on by Programmatic PrioritWithout the Global Fund
2006-2008
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The Regional Government of Ayacucho through
the Regional Management of Agriculture, awarded
first prize the Nio Jesus de Neque Association of
Agricultural Producers for the high genetic quality
of its animals in the category of reproducers and
Second Place to the In the New Dawn of San Juan
de Frontera Womens association in the category of
guinea pig meat. Both associations received technical
assistance from CARE Peru through the pilot project
of Microcredit for families in extreme poverty. 2007.
The NGO KIWANIS International and the network of
television radio and press representatives in Ancash
in the Eco Prize Ceremony for Competitiveness and
Business Quality 2007, awarded CARE Peru, through
project EDUBINA, the acknowledgement of best NGO
2007.
The Regional Education Directorate of Ancash gives
acknowledgement and awards the support of the
regions education for the successful results achieved
in Project EDUBINA, through the Canadian Agency
for Development ACDI and CARE Peru. Office number
0958-2007-ME/RA/DREAD May 2007.
Credential Merit awarded to CARE Peru by the District
Council of Huasmn for the project Increase of
Income for Producers of Beans from the Valley of
Condebamba and the provinces of Cajabamba and
San Marco. Cajamarca 2007.
The experience of CARE Peru with the Foro Salud inPuno and the Regional Human Rights Ombudsman
Office of the town was selected from 800 applications
and presented in the framework of the Annual
Reunion of the Global Health Council, dedicated to
Community Health: Promoting, Strengthening, Linking.
May 2007.
Acknowledgement for the Project Generation of
Work in productive units of the altiplano through the
development of the value chain of cows for meat.
For me, in so many years of promoting all kinds of
initiatives for development, this has been one of the
best moments, a true prize for which I give thanks to
life and to all those who have made this development
miracle possible. Nick Nolte, AGRONOTICIAS
Magazine No.320, April 2007.
The Cattle Fattening Project in Puno also won First,
Second and Third place in the Brown Swiss Cattle
category, in the XXIV Livestock National Competition,
in the Experimental and Auction Center, Buena Vista,
Lurin. October 2008.
The same Project won First place in the II NationalCompetition for Rewarding Quality MORAY 2008,
No. 003-2008-PIEA-INCARGO, in the category:
Participation of Organized Producers and Strength of
Strategic Alliances. Auditorium of the Antonio Ruiz de
Montoya University, Lima, December 2008.
The medical magazine The Lancet published a special
edition about health rights and public policies which
included a study called The Right to Health and
Health Systems: an evaluation of 194 countries with
CARE Peru as co-author. There figures also a commentabout health Peru and the initiative which CARE Peru
developed with female leaders in Azngaro, Ayaviri y
Puno. December 2008.
Recognition
In this period CARE Peru has received acknowledgement for quality, consequences and results in its
work. Here are some of them:
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CAREPERUINSTITUTIONALREPORT2007-2008
Judith Bueno de Mesquita and Paul Hunt, ex Special
Speaker at the United Nations for Health Rights included
the experience of the Health Rights Project, as an
example of the aspects to take into account during the
promotion and realization of sexual and reproductive
rights, in the international publication Assistance and
Cooperation in Sexual and Reproductive Health: A Human
Rights Responsibility for Donors. Our health rights
work was also quoted in publications about participation(Participation and the right to the highest attainable
standard of health) and accountability (Accountability
and the Right to the Highest Attainable Standard of
Health). Centre for Human Rights, University of Essex,
December 2008
Acknowledgement for good institutional accountability
practice. Quoted in the publication Civil Society and
Aid Effectiveness. Case Book. Section Accountability
to disaster affected People in CAREs 2007 Earthquake
Response in Peru (68-71). Susan Taylor-Meehan,Jacqueline Wood and Real Lavergne. 2008.
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ERUINSTITUTIONALREPORT2007-2008