Annual Report 2010-2011 - 特定非営利活動法人HANDS...unding Source】 Ajinomoto Co., Inc.,...

HANDS

Annual Report 2010-2011

Nonprofit Organization HANDS (Health and Development Service)

HANDS strengthens health systems and human capacity to enable people around the world to enjoy a healthy life.

Yamanote Bldg, 2F 3-20-7 Hongo Bunkyo-Ku, Tokyo,

Japan, 113-0033

Tel: +81-3-5805-8565 (from outside Japan)

Fax: +81-3-5805-8667 (from outside Japan)

E-mail: [email protected]

2

Brazil

Project on Nutrition Improvement, Income Generation, and Environmental Conservation

【Project Duration】 Apr.2008 – Mar.2011

【Funding Source】 Ajinomoto Co., Inc., Environmental Restoration and Conservation Agency,

Lush Japan CO., Ltd., Eco-points for home electric appliances and housing

Municipality of Manicore in the State of Amazonas is one of the poorest regions in Brazil, and its primary schools face

serious health problems, such as malaria, dengue, intestinal parasites, diarrhea, malnutrition, underdevelopment,

unwanted pregnancy by teenagers.

Manicore, which is composed of hundreds of communities along the tributaries of the Amazon River, has no hospital besides

the Municipality Hospital. Hence, as a means to protect themselves, the Manicore Education Office and the community

people requested "health" to be integrated into primary education as a formal subject. However, due to problems such as

lack of funds and human resources, the request never materialized.

From October 2003 to March 2006, HANDS, supported by JICA, implemented “Project for Strengthening Community

Health Services in Amazon” and aimed for the improvement of health status of the population in Manicore through

strengthening the capacity of Community Health Workers (CHWs). Utilizing this experience and asset, HANDS aims to

improve the health standard of primary and secondary school children in rural communities of Manicore.

HANDS also has started new challenges approaching nutrition improvement and income generation by introducing

agroforestry system and empowering community residents.

<Other Projects>

Health Promoting Schools in Rural Areas of Amazon

【Project Duration】 Sep.2007 – Feb.2010

【Funding Source】 Japan International Cooperation Agency (JICA)

Child Health Promotion Project through activating the Local Organization in Western Amazon

【Project Duration】 Mar.2010 – Dec.2010

【Funding Source】 Japan International Cooperation Agency (JICA)

Brazil

3

Kenya

Project on Promotion of Maternal and Neonatal Care Focusing on Breastfeeding in Kericho District

【Project Duration】 Aug.2009 – Jan.2012

【Funding Source】 Japan International Cooperation Agency (JICA), Global Foundation for Life Sciences,

and other individual donations

【Counterpart】 Ministry of Public Health and Sanitation, Kericho District Health Office

【Project Site】 Kericho District in South Rift Valley province

【Beneficiaries】・Approximately 5,000 postpartum women and newborn babies in the area.

・20 staff at five targeted Health facilities in the area.

・61,000 population of Kericho district.

【Project Purpose】

Purpose To improve the nutrition status of newborns, infants and children in Kericho District, by increasing

the number of mothers who continue breastfeeding

Outputs 1. Postnatal and newborn care services are upgraded at health facilities, particularly the

knowledge and skill to promote breastfeeding.

2. Awareness and knowledge of the postnatal and newborn care are improved in the community,

especially topics related to breastfeeding.

3. Monitoring system for maternal and child health care services related to breastfeeding are

improved at Kericho district health office.

Main

Activities

・ Conduct technical training for the health facility staff on postnatal and newborn care, especially

focusing on breast feeding, such as promoting awareness of breastfeeding, improving the

methods to handle breastfeeding trouble and providing appropriate information of

breastfeeding for HIV positive women.

・ Support the health facility staff to regularly conduct and monitor postnatal and newborn care

services.

・ Prepare and conduct “Partners Workshop,” in which the health facility staff and community

representatives both participate, for the purpose of effective collaboration of health facilities and

community in order to promote breastfeeding.

・ Encourage community groups to participate in "Baby Friendly Campaign" in Kenya to promote

breastfeeding at the community.

・ Support Kericho District Health Office to supervise the postnatal and newborn care services at

the health facilities and develop a plan of promotion on breastfeeding for each community based

on the experiences through the project.

Kenya

4

Sudan

Sudan Frontline Maternal and Child Health Empowerment Project "Mother Nile Project"

In joint implementation with System Science Consultants Inc.

【Project Duration】 Jun.2008 – Jun.2011

【Funding Source】 Japan International Cooperation Agency (JICA) “Technical Cooperation Project”

【Counterpart】 Federal Ministry of Health (FMOH), Ministry of Health, Sennar State (SMOH)

【Project Site】 Sennar State

【Beneficiaries】 Direct Beneficiaries: Health managers and service providers in the project target scope (800)

Indirect Beneficiaries: Mothers and children in a pilot state (260,000) and possible extended to

15 Northern States (6 million)


Overall Goal Mothers and children are harmonized into the strengthened health systems and the mortality among

mothers and children in a Pilot State are reduced.

Purpose Village midwives(VMWs) are empowered and organized in the PHC context to perform ideal

continuum of care for maternal and child health (MCH) in Pilot State.

Outputs 1. Organizational capacity of FMOH and SMOH, and rules and regulations of VMWs are

strengthened to perform appropriate MCH services.

2. MCH services are provided through strengthened and organized VMWs in Pilot State.

3. Horizontal communication network among northern states and relevant stakeholders is

strengthened to address the issue on MCH.

Sudan

5

Honduras

Project for Strengthening Adolescent Sexual and Reproductive Health in Olancho Department in Honduras


【Project Duration】 Jul.2008 – Jun.2012


【Counterpart】 Ministry of Health, Health Region No.15, Health Facilities in the 7 cities of Olancho Department

【Project Site】 7 municipalities of the Department of Olancho (Juticalpa, Catacamas, Candy Name of Culmi, Patuca,

Salama, San Esteban, Guayape)

【Beneficiaries】 Approximately 80,000 adolescents between 10 and 19 years in 7 municipalities of Olancho

Approximately 700 health personnel of health; MOH, No. 15 Regional Office, health facilities


Overall Goal 1. To contribute to the reduce the percentage of pregnancy in adolescence in Olancho Department

2. Adolescents in Olancho Department take responsible behavior with correct knowledge of sexual

and reproductive health

Purpose The number of adolescents who receive integral reproductive health care increases in the 7 cities of

Olancho Department

Outputs 1. Healthcare personnel provides adolescent reproductive health (ARH) services in consideration

for adolescents on the basis of the regulations of National Program of Integral Care for

Adolescents (PAIA).

2. A health system to provide ARH services is established.

3. Adolescents take a positive attitude about receiving ARH services by activities of health

promotion.

4. A system of administration and management for provision of ARH services, including IEC, is

established.

Honduras

6

Egypt

Project on the Promotion of School Health Service in Upper Egypt


【Project Duration】 Dec.2008 – Nov.2012


【Counterpart】・Ministry of Health and Population (MOHP)

・School Aged Health Care Department (SAHCD）in Fayoum Governorate

・Health Insurance Organization (HIO）in Fayoum Governorate

【Project Site】 Tammia district in Fayoum Governorate, Arab Republic of Egypt

【Beneficiaries】・Primary and secondary school students, approximately 10,000, at Tammia district

in Fayoum governorate and Teachers

・Government staff in School Clinic at Tammia district in Fayoum governorate

・School doctors and nurses in Health Insurance Clinic, and doctors, nurses and medical staff

in School Clinic

・Central government staff in SAHCD and HIO


Purpose 1. To improve the quality of school health services in Tammia district through the dissemination of

Health promotion school.

2. To build up the framework of health promotion school in Upper Egypt.

Outputs 1. The monitoring and supervisory mechanism on school health is developed at district level.

2. The school health services are developed at Tammia district.

3. Human resources for school health services are streanthened.

4. Supporting activities of School health promotion by teachers and parents are strengthened.

Main

Activities

・ Build up the system of school health services, especially creating the manual and guideline.

・ Training for school doctors and nurses as well as teachers and social workers in school.

・ Strengthen the capacity development for school health services among government staff.

・ Establish the committee for the promotion of school health services through involving stakeholders

and government staff as well as student and parents.

・ Create the teaching materials for school health.

・ Maintenance of school health environment and equipments.

Egypt

7

Philippines

Project for Strengthening Maternal and Child Health Services in Eastern Visayas

In joint implementation with IC Net Ltd.

【Project Duration】 Jul.2010 – Jul.2014


【Counterpart】 Department of Health (DOH)

Department of Health -Center for Health Development, Eastern Visayas (DOH-CHD EV)

Provincial Health Office (PHO) -Leyte

City Health Office (CHO) -Ormoc

【Project Site】 Leyte Province in Eastern Visayas (except Tacloban City), and Ormoc City

【Beneficiaries】 Direct Beneficiaries: Health managers and service providers in the project target scope

Indirect Beneficiaries: Expectant and nursing mothers, and newborns


Purpose Maternal and infant mortality rate in the Eastern Visayas region is over the national average. The

DOH gives priority to maternal and child health program and has issued the Maternal, Neonatal and

Child Health and Nutrition (MNCHN) policy, which focuses on improving the quality of services and

delivery care. Through this project, we expect the number of pregnant women and newborns who

receive safe pregnancy, safe delivery and postpartum care is increased.

Outputs 1. Facilities which provide the Basic Emergency Obstetric and Newborn Care (BEmONC) and

MNCHN services are increased.

2. Technical skills of government service providers in BEmONC/ MNCHN are enhanced.

3. The function of DOH-CHD EV and PHO/CHO in achieving and maintaining quality of

BEmONC/ MNCHN services is enhanced.

4. Woman’s Health Teams are institutionalized and operate in areas covered by the proposed

BEmONC facilities.

5. Political support for pregnant women and their families in accessing BEmONC/ MNCHN

services is enhanced in areas covered by the proposed BEmONC facilities.

Philippines

8

Pacific (Fiji, Tonga, Vanuatu)

Project for Strengthening the Need-Based In-Service Training for Community Health Nurses

In joint implementation with KRI International Corp. 【Project Duration】 Oct.2010 – Apr.2014


【Counterpart】 Fiji: Division of Nursing Services

Ministry of Health, the Republic of Fiji Islands

Tonga: Republic Health Nursing

Hospital Nursing

School of Nursing

Nursing Services, Ministry of Health, the Kingdom of Tonga,

Vanuatu: Human Resource Development and Training Unit, Ministry of Health

Vanuatu College and Nurse Education

Vanuatu Nursing Council

Shefa Provincial Health Office

【Project Site】 Republic of Fiji, Kingdom of Tonga, Republic of Vanuatu

【Beneficiaries】 Direct Beneficiaries: Sub-divisional Health Sisters

Indirect Beneficiaries: Community health nurses (CHNs)


Purpose Due to the lack of doctors, CHNs have come to play a core role in health service delivery. In order to

deal with diversified health problems, CHNs have an opportunity to take the national training

courses to improve their capabilities. However, the courses do not necessarily meet the training needs

among CHNs, as offering a greater number of the top-down courses. Our project aims that the

mechanism of the CHNs’ need-based in-service training (NB-IST) is strengthened to raise the quality

of community health services.

Outputs 1. The NB-IST policy for community health nurses takes effect.

2. A nationally standardized monitoring and evaluation system for the NB-IST is operated.

3. A mid-level nursing management training course (incl. community health context) is conducted.

4. All types of NB-IST for CHNs are adequately coordinated at divisional level.

5. The progress and results of the project are shared among Fiji, Tonga, and Vanuatu.

Fiji

9

JAPAN

UNICEF HANDS Child Health Project (Tohoku Disaster Relief Project)

In joint implementation with UNICEF Association of Japan

【Project Duration】 May.2011 – Feb.2012

【Funding Source】 UNICEF Association of Japan , Japanese Disaster Relief Fund - Boston


Purpose To help to restore a safe and nurturing environment for mothers and children in the disaster stricken

areas.

Main

Activities

<In Rikuzentakta, Iwate / Joint with UNICEF Association of Japan>

・ Conduct small-scale survey targeting mothers with small children in order to identify their needs

on health and welfare.

・ Provide assistance to childcare support groups / facilities / network for reconstruction of its

services.

・ Implement advocacy activities in order to appeal the importance of long-term relief assistance for

vulnerable populations such as mothers and small children or prospective mothers.

<In Kesennuma, Miyagi / Joint with PWJ >

・ Monitor and evaluate the PWJ’s program “Art and Sports Caravan,” which aims to help children

express their feelings and overcome on their own from the tragic events, through activities such

as sports and arts.

・ Monitor and evaluate the PWJ’s program “Ochakko Soudanjo,” which provides a casual tea

space to the community to talk about anxiety and worries.

<Other Projects>

Psychosocial Care Project (Tohoku Disaster Relief Project)

In joint implementation with NPO Peace Winds Japan (PWJ)

【Project Duration】 Apr.2011 – Mar.2012

In this project, HANDS is in charge of monitoring and evaluating the following PWJ’s programs: a. “Art and Sports

Caravan,” which aims to help children express their feelings and overcome on their own from the tragic events, through

activities such as sports and arts, b. “Ochakko Soudanjo,” which provides a casual tea space to the community to talk about

anxiety and worries.

Rikuzentakta, Iwate

10

Financial Statements Fiscal 2010 （July 1 2010 - June 30 2011）

1. Statement of Activities (Fiscal 2010) and Budget (Fiscal 2011)

Revenue （Unit：Yen）

Fiscal 2010 Fiscal 2011

Budget Actual Actual/Budget (%) Budget

Membership Fees 1,200,000 1,172,000 97.7% 1,200,000

Donations 2,000,000 3,125,600 156.3% 3,200,000

1) Specified Donations *1 2,348,413

2) Non-Specified Donations 777,187

Grants *2 500,000 3,553,560 711% 15,000,000

Subsidies from Governments *2 28,000,000 31,053,091 110.9% 31,000,000

Contract Revenues *2 190,000,000 199,225,474 104.9% 430,000,000

Supports *3 0 355,000 - 0

Miscellaneous Income 1,000,000 1,709,400 170.9% 2,000,000

Interest Income & Foreign

Exchange Gain 100,000 100,567 100.6% 100,000

Total Income 222,800,000 240,294,692 107.9% 482,500,000

Balance Brought Forward 17,041,549 27,683,038

Grand Total 257,336,241 510,183,038

*1 Kenya Project, Brazil Project, Maternal and Child Health Handbook Support Project

*2 See “Breakdown of Grants, Contract Revenues, and Others” (p. 11)

*3 HANDS Family Concert, the 7th International Conference on Maternal and Child Health Handbook

Expenses （Unit：Yen）

（Unit：Yen）

Fiscal 2010 Fiscal 2011

Budget Actual Actual/Budget (%) Budget

Kenya Project 23,000,000 23,926,142 104.0% 25,000,000

Brazil Project 16,000,000 19,246,803 120.3% 18,000,000

Pacific Project 50,000,000 74,908,919 149.8% 110,000,000

Sudan Project 30,000,000 22,737,654 75.8% 190,000,000

Honduras Project 18,000,000 15,413,764 85.6% 22,000,000

Egypt Project 16,000,000 14,273,241 89.2% 9,000,000

Philippines Project 4,000,000 3,084,146 77.1% 6,000,000

Indonesia Project 3,000,000 1,229,508 41.0% 0

Tohoku Disaster Relief Project ‐ 1,720,482 ‐ 20,000,000

New Project Developments 6,000,000 7,946,445 132.4% 10,000,000

Human Resources Development 8,000,000 2,887,692 36.1% 4,000,000

Consultation 8,000,000 6,803,425 85.0% 11,000,000

Advocacy 4,000,000 3,584,902 89.6% 4,000,000

Public Relations 8,000,000 10,887,062 136.1% 12,000,000

Administrative Cost 25,000,000 21,003,018 84.0% 25,000,000

Total Expenses 219,000,000 229,653,203 104.9% 466,000,000

Balance at End of Year 27,683,038 44,183,038

Grand Total 257,336,241 510,183,038

11

2. Balance Sheet Fiscal 2010 (Year ended June 30, 2011)

（Unit：Yen）

Ⅰ Assets Ⅱ Liabilities

1 Current Assets 1 Current Liabilities

Cash Deposits 24,467,044 Short-term Loan Payable 20,500,000

Accounts Receivable 83,978,686 Accounts Payable 21,413,086

Advances 14,487 (Unpaid) Taxes 3,524,900

Prepaid Expenses 70,000 Advance Received 5,847,573

Suspense Payments/

Deposit Paid 1,418,250

Total Current Assets 109,948,467 Total Current Liabilities 51,285,559

2 Non-current Assets 2 Non-current Liabilities

Vehicle Carriers 918,142 Long-term Loan Payable 32,508,134

Office Equipments 228,978

Total Non-current

Liabilities 32,508,134

Credit Union Dues 50,000 Total Liabilities 83,793,693

Lease Deposits 1,337,852 Ⅲ Net Assets

Guarantee Deposits 2,100 Net Assets 28,691,846

Total Non-current assets 2,537,072 （Increase in Net Assets） 9,976,806

Total assets 112,485,539

Total Liabilities and Net

Assets 112,485,539

3. Breakdown of Grants, Contract Revenues, and Others

Japan International Cooperation Agency （JICA）

Kenya: Grassroots Partnership Program 19,675,626 yen

Brazil:

Pacific:

Sudan:

Honduras:

Philippines:

Egypt:

Indonesia:

Grassroots Partnership Program 8,377,465 yen

Technical Cooperation Project

(In joint implementation with KRI International Corp.) 95,352,981 yen


(In joint implementation with System Science Consultants Inc.) 41,812,428 yen




(In joint implementation with IC Net Ltd.) 6,605,550 yen



Training Program in Japan (Community Health) 1,240,508 yen

Environmental Restoration and Conservation Agency

Brazil: Japan Fund for Global Environment Grants 2011 3,000,000 yen

UNICEF Association of Japan

Tohoku Disaster Relief:

Peace Winds Japan


Japanese Disaster Relief Fund - Boston


UNICEF HANDS Child Health Project 1,920,000 yen

Psychosocial Care Project 987,828 yen

Project Initiative for Restoring a Healthy and Safe Environment for Mothers

645,732 yen

12

Organization

‐ Year of Establishment: January 2000 (Registered in Tokyo Metropolitan Government)

‐ Number of Staff (including local employees and interns): 43 (as of Jun. 2011)

‐ Board of Directors:

Kazunari Uchida

Professor, Waseda University Business School

Makio Kitazawa

Director of Partmer & Managing, The Boston Consulting Group Inc.

Masayuki Tagai

Yasuhide Nakamura

Representative, HANDS

Professor, Graduate School of Human Sciences, Osaka University

Atsuko Fish

Consultant for US-Japan Cross Cultural Communication /

Chairman of Asian Task Force Against Domestic Violence

Chizuru Misago

Professor, Department of International and Cultural Studies, Tsuda College

Masashi Yokota

Executive Director, HANDS

Setsuko Lee

Professor, Graduate School of Human Health Science, University of Nagasaki Siebold Campus

‐ Auditor:

Masaru Kitamura

Kitamura & Givens Law Firm

‐ Technical Advisors:

Mayumi Onishi

Professor, Graduate School of Biomedical Science, Nagasaki University

Daisuke Onuki

Associate Professor, Tokai University School of Humanities and Culture

Yasuhiko Kamiya

Professor, Center for International Collaborative Research, Nagasaki University

Sakae Kikuchi

Maternity Coordinator/ Photographer

Hisako Takamura

Visiting Professor, Department of Public Health / School of Nursing, Jichi Medical University

Akira Toda

Conductor, Composer

Akemi Bando

Executive Director, The Support Of Vietnam Children Association

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