ANNUAL REPORT 2013 | USA

WELCOME

Amref Health Africa, the largest African-led health development

organization on the continent, provides training and health services in

over 30 countries across Africa. Founded in 1957 as the Flying Doctors

of East Africa to bring critical health services to remote communities, Amref

Health Africa now delivers preventative, community-based health care.

With a focus on women and children, we manage a full range of medical

and public health programs tackling the most critical health challenges

facing the continent: maternal and child health, HIV/AIDS, malaria, TB,

clean water and sanitation, and surgical and clinical outreach.

MISSION STATEMENTTo improve the health of people in Africa by partnering with and empowering

communities, and strengthening health systems.

VISIONLasting health change in Africa.

INTRODUCINGWelcome to our new name and logo! Formerly known as the African

Medical & Research Foundation (AMREF), we are now Amref Health

Africa. Our research shows you think our new name and logo better

reflect the scope of our work and

give a clearer understanding of who

we are. Our new name, Amref Health

Africa, puts the focus on what we do

best – improve health for Africans.

DEAR FRIENDS Over the past 55+ years, our organization has evolved from an initial focus on curative,

medical services to now conducting a range of preventative, public health, training, research

and advocacy activities. To better reflect this broad scope of our current work, we recently

changed our name to Amref Health Africa.

The extent of our work is readily apparent in this report. The stories and projects highlighted

here reflect our core competency – health systems strengthening (HSS). This means improving

access to and quality of care from the basic community level to a district hospital, resulting

in better health for African families. It means ensuring that a community health worker can

correctly diagnose fever in a child and refer that child to a health facility for treatment. And, it

means that at the district hospital, the lab technician has the technology and skills necessary

to identify a myriad of illnesses.

Here in the USA, we had an eventful 2013. Nice Nailantei Leng’ete, a young Maasai woman

from Kenya, who spearheads our campaign to replace female genital cutting with alternative

rites of passage, spoke at the Clinton Global Initiative and to donors, media and members

of Congress.

Our advocacy work with the Frontline Health Workers Coalition continues to urge greater

and more strategic US government investment in frontline health workers in developing

countries as a global health ‘best buy’. We joined our colleagues in Brazil for the Global Health

Workforce Alliance 3rd Global Forum on Human Resources for Health (where our organization

received the NGO Partner Award) to lend our expertise to helping African countries implement

commitments to strengthen their health workforces.

And this year? In 2014 Amref Health Africa in the USA seeks to strengthen relationships with

our corporate partners, government and institutional donors, individual supporters across the

country and our NGO and global health colleagues, to ultimately articulate our vision: lasting

health change in Africa. We thank all of you, including our staff and Board of Directors, for your

continued support and generosity.

Lisa Meadowcroft Timothy WilsonExecutive Director Chair, Board of Directors

HOW WE SPEND YOUR DOLLARS

CREATING BETTER DECISION MAKERS, KENYA (2009-2014)

With support from the Cen-ters for Disease Control and Prevention (CDC) and in partnership with the Ministry of Health and others, Amref Health Africa is strengthening Kenya’s response to the HIV/AIDS epidemic by creating robust HIV/AIDS information and reporting systems. Accu-rate data about the epidemic, such as the age group most affected, allows Amref Health Africa and partners to tar-get and prioritize various health services. To date, we have trained more than 1,100 health workers in data management, analytics, reporting, and how to leverage data to make informed decisions. Amref Health Africa also developed an electronic cur-riculum that can be accessed in remote areas, lowers costs, and accelerates health worker training.

REPAIRING CLEFT LIP AND PALATES IN DR CONGO, ETHIOPIA, RWANDA, BURUNDI, UGANDA, SOUTH SUDAN, TANZANIA, KENYA (2012-2015)

Cleft lip and palate interferes with feeding and speech and may cause ear disease and difficulties with socialization. Amref Health Africa partners with Smile Train to provide no-cost cleft lip and palate reconstruction surgeries to babies, children and adults across East and West Africa. Both staff and volunteer surgeons regularly travel to hospitals in remote communities, where essential surgery is unavailable, to train local surgeons, nurses and clinical support staff to perform these surgeries themselves. In 2013 alone, doctors in Amref Health Africa’s medical services outreach program performed 672 cleft repair surgeries, out of a total of 6,481 since the Smile Train partnership began in 2006.

BUILDING FOR THE FUTURE, KENYA (2013)

Amref Health Africa strengthens health systems throughout Africa by strategically investing in crucial infrastructure such as medical facilities and health care worker training centers. Thousands of health workers from countries throughout sub-Saharan Africa have been trained at our Nairobi-based International Training Center (ITC) since its inception in 1987 – improving health services to

those in the most remote communities. With support from the United States Agency for International Development’s (USAID) American Schools and Hospitals Abroad program, Amref Health Africa added a new ‘Learning Annex’ to the ITC with updated classrooms, an eLearning center, office space, and recreational facilities. The Learning Annex, complete with the latest technology and information, meets students’ demands for high quality education and helps reduce the enormous gap in human resources for health across Africa.

DEVELOPING AFRICAN HEALTH LEADERS, ETHIOPIA (2012-2015)

Robust national health systems depend on accountable, transparent, and transformational leaders at all levels – a major management gap throughout Africa. In addition to offering health workers quality medical training, Amref Health Africa prioritizes building the capacity of the health workforce to manage program activities, finances, and administration more effectively, as well as provide governance functions. In partnership with Management Sciences for Health and funded by USAID, Amref Health Africa offers on-the-job “Leadership, Management, and Governance” (LMG) courses to CEOs, policy and program managers, and head nurses in remote Ethiopian hospitals – ultimately uplifting the entire health system and delivering better health services.

Program Reach

Office and Programs

South Sudan

Sudan

Angola

Senegal

Zambia

Lesotho

Malawi

Burundi Rwanda

DemocraticRepublic of Congo

Congo

Cameroon

Nigeria

Mali

Liberia

BeninGuinea

Ghana

Somalia

Eritrea

Zimbabwe

Swaziland

Namibia

South Africa

Mozambique

Ethiopia

UgandaKenya

Tanzania

CoteD’ivoire

^SierraLeone

Madagascar

UPGRADING LABORATORY TECHNICIANS AND MANAGERS There’s no treatment without accurate diagnosis. Access to reliable laboratory diagnostic services in Africa’s peripheral health facilities is among the major challenges contributing to the lack of appropriate patient care and management. Most labs are underfunded, lack basic equipment, are short on skilled manpower, and inadequately managed.

Amref Health Africa’s 12-week Refresher Course in Essential Laboratory Services (RCELS), held in Nairobi, strengthens laboratory diagnostic services through practical refresher training in essential procedures, such as HIV screening,

and basic laboratory management. Our Medical Laboratory Practices and Management (MLP&M) course trains managers to provide oversight in the planning, implementation, and evaluation of laboratory services. The two courses target personnel from remote and under serviced regions that don’t have access to affordable, in-service laboratory training. In 2013, generous, US-based donors provided scholarships to six laboratory technicians from all over Africa to attend these courses. The newly graduated technicians then return home with the knowledge and skills to improve the quality of health service delivery in their communities through better disease diagnostics, and prevention of disease outbreaks.

“With my refresher training, I can now deliver quality services to the over 160 patients living with HIV supported by my health center.”Ambrose Yegon, Laboratory Technician, Kenya

RECLAIMING WOMEN'S DIGNITY

Each year between 50,000 to 100,000 women worldwide are affected by obstetric fistula, a hole in the birth canal. The development of obstetric fistula is directly linked to one of the major causes of maternal mortality: obstructed labor. (WHO)

Fistula leads to a constant leak of urine and feces, causing emotional devastation, family disintegration and social stigma for the affected women. Yet this condition is completely repairable with simple surgery – enabling women to regain their dignity and their life within the community.

Funded by the US-based Audrey Irmas Foundation for Social Justice and The Search Foundation, Amref Health Africa’s Vesico-Vaginal Fistula (VVF)/Safe Motherhood Surgi-cal Outreach project works across Kenya, Tanzania, Uganda, and South Sudan to train health care providers to treat fistula, raise public awareness about maternal health, and improve health facilities.

Since the beginning of 2013 alone, the project has deployed surgeons to 11 rural hospitals to perform reconstructive surgery on women living with VVF, provided consultations to more than 1,300 patients, performed over 340 operations on mothers at no cost and trained in excess of 311 health care providers to properly treat and care for VVF patients.

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Give a baby in Africa a chance at life. Their mother.Every year in Africa, just under 200,000 women die during pregnancy and childbirth due to a lack of basic medical care.

Help AMREF train 15,000 African midwives to save the lives of African women. Midwives save lives.

To support AMREF‘s Stand Up for African Mothers campaign, please visit www.amrefusa.org/standupor text ‘Give 11579’ to 80088 to give $10 to Stand Up for African Mothers through GlobalGiving.

Charges will appear on your wireless bill, or be deducted from your prepaid balance. All purchases must be authorized by account holder. Message and Data Rates May Apply. Text STOP to 80088 to STOP. Text HELP to 80088 for HELP. Full Terms: mGive.org/T. Privacy policy: goto.gg/privacy

STAND UP FOR AFRICAN MOTHERS

By December 2013, Amref Health Africa’s global Stand Up for African Mothers campaign had trained or was in the process of training 5,310 midwives in 13 countries, including, Ethiopia, Tanzania, Uganda, Malawi, Rwanda, Zambia, South Sudan, Mozambique, Kenya, Senegal, Lesotho, Burundi and Angola.

Launched in the USA in 2012, Stand Up for African Mothers aims to create awareness about the plight of African mothers and help reduce the high rates of maternal mortality by training 15,000 midwives by 2015.

Giving life should be a time of joy, not death. Yet each year in sub-Saharan Africa, one in 39 African women is at risk of dying in pregnancy or childbirth, compared to one in 3,800 in developed countries. Fifteen thousand additional midwives by 2015 can provide care and health education to over seven million women each year – saving the lives of countless mothers and newborns for years to come.

Learn more and sign the petition to nominate Esther Madudu, Amref Health Africa-trained Ugandan midwife, for the 2015 Nobel Peace Prize at:

www.amrefusa.org/standup

Give a baby in Africa a chance at life. Their mother.Every year in Africa, just under 200,000 women die during pregnancy and childbirth due to a lack of basic medical care. Help us train African midwives to save the lives of African women. Midwives save lives. To support Amref Health Africa‘s Stand Up for African Mothers campaign, donate at: www.amrefusa.org/standup

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FINANCIALS

The Big Picture

Headquartered in Nairobi, Kenya, with seven offices around the continent, Amref

Health Africa runs more than 100 programs and projects, touching close to 11 million

lives in 2013 alone. The US office, one of 10 branding and fundraising affiliates

located outside Africa, also advocates for greater and more strategic US government

investment in frontline health workers throughout the developing world.

Amref Health Africa (United States) / Statements of Activities and Changes in Net Assets

Years Ended September 30, 2013 And 2012

*This summary is based upon figures from the accounts and records prepared by Amref Health Africa (United States), which is classified as a tax-exempt organization under Section 501 (c) (3) of the Internal Revenue Code and is thus qualified for charitable contribution deductions. An independent audit of our accounts is available on our website at www.amrefusa.org.

SUPPORT AND REVENUES 2013 2012

Federal awards $7,413,167 $6,145,600

Foundations, corporate grants and individual donations 2,801,161 2,449,121

Special event, net of expenses of $7,421 19,547 -

Contributed Services 73,250 -

Investment income 55,173 79,304

Total support and revenues 10,362,298 8,674,025

EXPENSES

Program Services

Health training, education and primary care 1,827,672 2,297,138

Clinical services 2,592,333 3,935,765

Evaluation and operations research 4,819,951 1,260,687

Total program services 9,239,956 7,493,590

SUPPORTING SERVICES

Management and general 450,162 512,047

Fundraising 591,619 616,214

Total supporting services 1,041,781 1,128,261

Total expenses 10,281,737 8,621,851

Increase net assets 80,561 52,174

NET ASSETS

Beginning 2,377,804 2,325,630

End $2,458,365 $2,377,804

“Amref Health Africa has been saving lives year after year for decades, and should give us all hope that even the most complex health challenges can be overcome.”Bill Gates

“Amref Health Africa has been a valued partner to Johnson & Johnson in developing leadership and management programs for African health managers. We share a common vision of building the human resource capacity of African health systems to improve health outcomes.”Michael Bzdak, Ph.D., Executive Director, Corporate Contributions, Johnson & Johnson

“This is a miracle that I am no longer leaking. It’s like a dream that I can wake up on a dry bed. I am so grateful beyond words for the help Amref Health Africa has given me.” Rachel Wanjiku, 62, lived with fistula for 46 years, Eldoret, Kenya

THANKS TO OUR DONORS

We express deep gratitude to all of those who help us create lasting health change in Africa. Our work depends on the contributions of these generous individuals, foundations, corporations, governments, non-governmental organizations and multilateral agencies that supported Amref Health Africa in the USA during fiscal year October 2012 - September 2013. Please consider adding your name to this list.

$500,000 AND UPThe Centers for Disease Control and Prevention (CDC)The Smile Train

$250,000 TO $499,999Anonymous Barr FoundationJohnson & JohnsonStarr International FoundationUSAID: The American Schools and Hospitals AbroadWorld Vision

$50,000 TO $249,999Audrey Irmas Foundation for Social JusticeThe Boeing CompanyThe Peter and Carmen Lucia Buck FoundationGlobal ImpactThe Nommontu FoundationThe Search Foundation

$25,000 TO $49,000Ned W. BandlerChristina M. Casey/ Mary Cooney and Edward Essl FoundationIntrahealth InternationalManagement Science for HealthMedical Care Development International Estate of Alan J. Taylor

$10,000 TO $24,999Ruth Ann Geisbuhler TrustPeter S. and Helen GoldsteinIZUMI FoundationLuz and William H. MacArthurNewman’s Own FoundationInosi M. NyattaThe Jay and Rose Phillips Family Foundation of MinnesotaCraig SaxtonTimothy S. WilsonWonderWork

$5,000 TO $9,999AnonymousThe Louis Auer FoundationMichael J. CushingRodney DavisKathy L. EchternachRichard F. FishThe Good Works FoundationVictoria Obst HausmanJeffrey HoffmanMarc M. KayeMicrosoft Matching Gifts ProgramFrederick Henry Prince Testamentary TrustBruce E. RosenblumHerbert J. SiegelBrian M. StewartErwin VisserLouis WalkerZegar Family Foundation

$1,000 TO $4,999Stella AdamopoulosAnonymousAnonymousAnonymousAmy BilkeyLinda and Bruce BodnerHeather CampbellCobb Income Charitable FundJohn CogmanEric R. CraymerGay E. CrowleyStephen CummingsLawerence DanielsDell Direct Giving CampaignDina Dublon

Evergreen Fund of the Community Fdn. of NJAnonymousKatherine D.W. FindlayTom FreudenheimJeff GardnerRobert W. GarthwaitDale GlasserThe Global Giving FoundationSabine HagemannTeresa HaggertyGenevieve HainesHarvey Family Charitable FoundationNancy Hsiung and Charles KeoughEthan S. JohnsonPhilip W. JohnsonReed KendallThomas J. KilleenBryan KleistPatrice KopistanskyWade LambleRonald and Valerie LauderdaleThe Lawson Family Charitable FundSuzanne L. LernerMatthew LevieSusan and Robert W.C. LilleyMadison Performance GroupRichard and Jane MesconWilliam C. MillerDavid J. MorenaGreg MuirMTA NYC Transit AuthorityJennifer NadeauMatthew NeigerNortheastern Mosquito Control AssociationAlexander ObbardNyagaka and Eva OngeriJoseph E. PeguesJames ProtzLeigh RawdonSarah E. ReesThomas D. Rees†

Peter A. Ridings FoundationWilliam R. SalomonThe Schmitz-Fromherz Family Fund

Studley, Inc. Carel TalensMark ThielkingSt. Thomas Aquinas ParishCynthia Wachtell and Jeffrey N. NeumanWorld Bank Community Connections FundThe Tulgey Wood FoundationEleanora M. WorthNancy M. Zeitler

$500 TO $999Rosalind S. AbernathyAnothony AmboumradPatrica AchardWaleed AlgarniAmerica’s CharitiesMichael S. AndersonKanchan BarvePeter and Nejma BeardLouis M. Bell FundJerome BerkoCatherine Cahill and William BernhardEstate of Bernice Pauahi BishopGeorge BollagCynthia BoucherSteven A. BrownRichard BuskensJohn C. CampbellTim Cliffe

Eudice and Les DalyDennis DillahuntEric and Linda DrattelAnn R. EllimanMary-Anne EnochHensley EvansMadison S. FinlayKaren F. Folk and Michael J. FolkArthur J. Gallagher FoundationGeorge GibsonChristine L. GroganAvril HarcourtDonald HarrisChristian W. HinrichsNate and Michelle HolobinkoRobert HodgesIBM Employee Services CenterMichael E. KassanFuat J. KavakNancy Lee KennedyLaurence J. KerrChristopher KerriganDede R. KeteyianJosh KleselHugo F. KeunenMcBride Family & Aspen Business Center FoundationErin McCartneyMarjolein van der MeulenCharles H. MottNeil J. Mulcahy

Carolyn and Bill PattersonDouglas J. Pasto-CrosbyEileen M. PeltonWilliam RevelleTerry L. RolleriEvan RosenmanFrancisco RotichJay and Linda Sandrich TrustAndrei ScheinkmanMark SchafferThe Simple Gifts Project Inc.Morgan StanleyDon V. SmithWesley M. SmithRichard SimeRichard SineSisters of St. Joseph of CarondeletState Employees’ Community CampaignKelso F. SuttonJoseph WeintropMarissa C. WeselyMary Wilkinson

IN KIND DONOR LISTAlli Q Design Applause Africa Google Inc.JCDecaux North AmericaMorgans Hotel Group

Amref Health Africa IN THE USA

Amref Health Africa worldwide staff and board members mourn the loss of our co-founder, Dr. Thomas D. Rees, remarkable visionary and renowned surgeon, who passed away at his home in Santa Fe, NM on Thursday, November 14, 2013.

CURRENT BOARDChristina M. Casey, SecretaryRodney DavisHensley EvansLucy FatoChristine L. GroganCarol JenkinsWilliam H. MacArthur, TreasurerInosi M. Nyatta, Vice ChairNyagaka OngeriJoseph E. Pegues, Jr.Sarah Elizabeth ReesTimothy S. Wilson, ChairDr. Teguest Guerma, Ex-Officio

RETIREDNed W. Bandler, Jr.Robert W.C. LilleyVictoria Obst HausmanThomas D. Rees (Deceased)

STAFFBernhard Bauer, Director, Individual Giving and CommunicationsDavid Chase, Director, Business and Resource DevelopmentEmily Correale, Associate Manager, DevelopmentSamuel Hindels, Manager, Development and CommunicationsAngelica Jacinto, Associate Manager, Business and Resource DevelopmentElizabeth Medhurst, Manager, Business and Resource DevelopmentPhilip M. Perlah, Director of FinanceSharon Rainey, Senior Manager, Communications and Advocacy Rosaline Sheriff, Administrative Assistant

VOLUNTEERSAmy CharltonLindsey CohenJane MainaBridget Moran Arnold MugumeFrancesca PapillonChristopher Lee Sheriff

PARTNER ORGANIZATIONS

AWARDS

Amref Health Africa was presented with the 1999 Conrad N. Hilton Prize for alleviating human suffering and was recognized with the 2005 Gates Award for Global Health for extraordinary achievement in improving health.

HOW YOU CAN HELP Your generous contributions allow Amref Health Africa to continue its work developing health solutions that are practical, cost-effective, and sustainable in the African context. Together, we are taking a vital step toward creating a healthy, stable and prosperous Africa. Please consider these ways of contributing to:

DONATETo make a gift call (212) 768-2440or donate at www.amrefusa.org

RECURRING GIFTSJoin our Health-for-Africa Monthly Giving Club to make automatic monthly contributions.

TRIBUTE AND MEMORIAL GIFTSHonor someone special in your life or recognize an important event with a commemorative gift.

MATCHING GIFTSAsk if your employer will match or increase your charitable gift to Amref Health Africa.

BEQUESTSBy including Amref Health Africa in your will, you make a permanent difference in the health of future African generations. Please call us at (212) 768-2440 for more information.

RAISE FUNDSPlease contact us for ideas and support. You can get started by visiting www.amrefusa.org/funraise

Eighty-nine percent of every dollar we spend goes directly to our life-saving and life-changing programs. For the ninth consecutive year, we have received Charity Navigator’s 4-star rating for sound fiscal management and

transparency. We also meet all twenty of the rigorous standards established by the BBB Wise

Giving Alliance.

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