29
2007 ANNUAL REPORT Friends Without A Border
2007 ANNUAL REPORT Friends Without A Border1123 Broadway Suite 1210 New York NY 10010 tel: 212-691-0909 fax: 212-337-8052 [email protected] www.fwab.org
Every child has the right to a healthy and loving life. Friends
Without A Border is committed to improving the health and
well-being of the children of Cambodia through Angkor
Hospital for Children (AHC) and the Capacity Building and
Health Education Program (CBHEP).
The mission of AHC is to provide nurturing pediatric
medical care, medical education and community outreach.
CBHEP seeks to improve the health, hygiene and nutrition
of local communities.
Provide high quality medical care for children in a warm,
supportive environment.
Support continuing education of health care professionals
throughout Cambodia so that they will become the clinicians
and educators of the future.
Improve the health, nutrition and hygiene of local communities
through outreach programs and homecare.
Stimulate research to develop sound health care practices
appropriate for local conditions.
Our Mission Our Goals
IFC
Messages
n our continuing efforts to keep pace with growing demands, primar-
ily due to the success of the Angkor Hospital for Children (AHC), we
needed to evolve to a higher level. 2007 began with the long journey of
searching for a new Executive Director (ED). We received about 100
applications from all over the world; this reinforced in my mind the large
presence of Angkor Hospital for Children (AHC), which has received
recognition from the medical and non-medical world alike for its
compassionate and quality care, as well as its nationally influential
education programs. With this realization, our expectations of the
new ED became highly elevated, and appropriately so. The responsi-
bilities awaiting the new ED would present daunting challenges.
After several months of what seemed like an ocean of applications
and interviews, we arrived at a finalist: Dr. William Housworth.
However, that acknowledgement did not yet mark the final outcome.
Dr. Housworth had to meet our management staff at AHC in Siem
Reap, Cambodia. Then, he and his family performed their due
diligence in visiting and researching the area, its living conditions, and
education programs for their children. I am proud that Dr. Housworth
is now at the helm of AHC, and am thankful for his enthusiasm, talent
and family commitment to the hospital and Cambodia’s children.
Teamed with Mr. David Shoemaker, who incredibly, simultaneously
served as Acting Director of AHC and Director of the Medical Educa-
tion Center during our search, I am certain that this strong force will
bring the Angkor Hospital for Children to the next stage of growth.
Kenro Izu Founder and President
riends Without A Border (Friends) is very fortunate to have a
talented, hardworking and generous Board that complements
so well the excellent staffs of Friends, and the Angkor Hospital
for Children (AHC). Early in 2008, the Board completed a
successful search for an Executive Director of AHC. The Board is
currently conducting a search for a CEO for Friends. Since the
beginning, approximately 10 years ago, Kenro Izu, our President and
Founder, with the most able assistance of Akiko Arai, Friends’ Chief
Operating Officer, successfully established AHC and nurtured its
growth, as well as the other programs added along the way, such as
the Medical Education Center and the Capacity Building and Health
Education Program. Due to the outstanding reputation of AHC in
Cambodia, more is being asked of our staff, such as new programs
suggested by the Cambodian Ministry of Health and other agencies.
It has become apparent to all of us that this is the right time for Friends
to add a CEO to the administrative structure with talents that can
support and enhance our current administration. This should permit
Friends to continue to grow during its second decade, maintaining
high quality in all of its current and new endeavors, fulfilling its mission
to improve the health and well-being of the children of Cambodia.
Ronald Ablow, MDChairman of the Board of Directors
I F
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2
uch injustice was perceived by Kenro Izu during a series of
photography trips to capture sacred images of the Angkor
temples in Siem Reap, Cambodia between 1993 and 1997.
While there, he frequently found himself amid a sea of
children malnourished, ill, and disfigured from landmines. The tragic
history of this tattered land and the realization of the sad legacy inherited
by the children stirred Izu to tackle the crisis. From a modest corner
of his studio in New York City, Izu leveraged his photographs to
mobilize thousands of supporters from the U.S. and around the world,
raising awareness and funds to build a pediatric hospital. In 1996,
Friends Without A Border (Friends) was founded as an official platform
to do so. Three years later, Angkor Hospital for Children (AHC) opened
its doors in Siem Reap.
Since its inception in 1999, AHC has treated over 500,000 children and
additionally performed over 12,000 surgeries. Today, the reputation of
AHC continues to spread to remote villages, as families bypass their
local health centers along the way to AHC, where they trust their children
will receive quality care. AHC is also the first institution outside Phnom
Penh, Cambodia’s capital, to offer anti-retroviral treatment to children
afflicted with HIV-AIDS, and our staff make thousands of treatment and
follow-up visits each year to the children at their homes in the remote
areas of northern Cambodia.
The Angkor Hospital for Children has also gained attention from the
national and international communities. In 2005, renowned for its
contributions and impact, AHC was formally recognized by Cambodia’s
Ministry of Health as an official teaching hospital in the country, and its
Medical Education Center (MEC) has been the facilitator and training
site for thousands of healthcare professionals, including government
and non-government sponsored workers and nursing students, through-
out Cambodia.
The Capacity Building and Health Education Program (CBHEP) reaches
over 100,000 villagers in the surrounding area. As an extension of AHC,
CBHEP aims to strengthen the capacity and improve the quality of care
provided by local health centers, while teaching household preventative
and good health-promoting practices to villagers, through collaboration
with government agencies, community leaders, and volunteers.
As Cambodia continues to heal, we can help alleviate the burdens of
the injustice suffered by her children by making sure their little world
includes quality, compassionate health care, now and tomorrow. Please
journey with us.
Introduction and History
“In the little world in which children have their existence,
whosoever brings them up, there is nothing so finely
perceived and so finely felt, as injustice.” CHARLES DICKENS
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THAILAND
LAOS
CAMBODIA
CHINA
VIET
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SouthChinaSea
Phnom Penh
Siem ReapTonle Sap Lake
I N D O N E S I A
MALAYSIA
SINGAPORE
0 150
miles
About Cambodia
“In the little world in which children have their existence,
whosoever brings them up, there is nothing so finely
perceived and so finely felt, as injustice.” CHARLES DICKENS
2007
C Oambodian politics and history do not justly reflect the kind-
ness and beauty of her people and their culture. The mys-
tique of Angkor Wat, among many other attractions, has
drawn worldwide interest, and in 2007, the number of tour-
ists reached two million. Delve into the recent history of this small but
complex Land of the Buddha, and discover her plight. Between 1974
and 1979, more than 1.5 million (out of 7 million) Cambodians died from
execution, starvation and forced labor at the hands of Pol Pot and his
Khmer Rouge regime. Among the many classes targeted were profes-
sionals and anyone deemed educated. The genocide left the country’s
infrastructure decimated and her people orphaned.
Today, many Cambodians still struggle to reconstruct their lives, while
battling abject poverty. 66% of the population subsists on less than $1US
a day. Of the 14.2 million Cambodians living in the country, over 50% is
under 21 years old. Even more tragic: an estimated 37% is under the
age of 15. Awareness and compassion usher in aid from individuals and
non-government organizations from around the world. One such organi-
zation has become a strong presence in Cambodia’s healthcare system.
Friends Without A Border (Friends) is an NGO committed to not only
provide quality pediatric healthcare to the children of Cambodia, but its
efforts also include providing quality vital knowledge to those who care
for the children today and tomorrow.
■ Of a population of 14.2 million, 37% is under the age of 15.
■ Approximately 66% of Cambodians survive on less than $1US per day.
■ Under-5 mortality rate: 83 per 1,000, the highest in the region.
The probability of dying by age 5 in rural Cambodia is 111 out of 1,000
live births.
■ Malnutrition: 45% of Cambodian children
show moderate or severe stunting.
■ 31,000 Cambodian children under
the age of five died in 2006.
■ 65% of the population has sustainable
access to improved drinking water sources.
■ 28% of the population has sustainable
access to improved sanitation.
■ There are only 2 physicians per
10,000 people.
■ An estimated 130,000 Cambodians
live with HIV/AIDS.
Source: World Health Organization,UNICEF, CIA World Factbook
ver 500,000 patient visits were made since the Angkor
Hospital for Children (AHC) first opened its doors in 1999.
As the reputation of AHC grows, so do the demands of
the region. Families who learn of AHC travel incredible
distances to ensure that their children receive quality, compassionate
care. To keep pace with the growing demands, AHC’s programs and
facilities proportionately expand.
Major renovations have taken place in 2007 in order to maintain the
quality of care for which AHC has become renowned: outpatient
examination rooms were expanded and partitioned to increase
privacy and efficiency; the Operating Theater was renovated and
can now provide simple yet life-saving heart surgeries; the Medical
Library was modified to function more effectively in supporting a
teaching hospital; and the Nutrition Kitchen is now twice its original
size, allowing for more expansive demonstration-cooking classes to
even more families. Additionally, new facilities have been built at AHC
including a new playroom and a new staff changing room to better ac-
commodate patient and staff needs. The Center for Friends Without
A Border (Friends Center) progressed in construction throughout
the year and will open in the Fall of 2008.
Every child has the right to a healthy and loving life. Healing need not
necessarily be limited to medicine and science, but should also include
that of the spirit. Our staff has espoused in their heads and hearts to
treat each child as though she or he were their own. Additionally, the
goal of AHC’s education and outreach programs, as well as current and
future programs, is to help rebuild Cambodia’s healthcare infrastruc-
ture to the extent that it attains a self-sustaining existence. To that end,
Friends continues to expand the depths and breadths of its programs,
and to extend its reach to those who need help and those who can help.
107,732 children treated
3,829 inpatient admissions
1,345 major surgeries performed
Over 1,500 healthcare
workers educated
2,731 homecare visits made
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4
amilies flock to Angkor Hospi-
tal for Children, because they
trust their children will receive
the best care possible. Children
arriving on the steps of AHC are often
malnourished and dehydrated. Many
more suffer from respiratory infection
or some form of trauma. Children
infected with HIV/AIDS receive life-
saving treatment and counseling at
AHC. Certain diseases such as Dengue
Fever and Malaria are seasonal, with
unpredictable degrees of severity that
can be devastating.
On or off hospital grounds, the staff at
Angkor Hospital for Children provides
quality, compassionate care.
OUTPATIENT DEPARTMENT
Over 107,000 children visited AHC in 2007.
The summer months experienced a record-
breaking number of patients entering the Out-
patient Department (OPD) due to a Dengue
Fever epidemic. The staff treated over 2,000
more patients in 2007 than the prior year, this
in addition to the hundreds seeking treatment
every day for other ailments. Seven private
consultation rooms were constructed and
completed during renovations to the OPD.
A generous grant from Auitare I Bambini
provided an area conducive to patient privacy
and infection control. The Oral Rehydration
Therapy Corner treated 1,444 children suffer-
ing from mild dehydration in 2007. MERCY
Malaysia will continue funding this vital
program for another year. The OPD staff not
only treats patients with quality care, but
they also educate them and their families
on good health practices in order to prevent
recurring illness.
INPATIENT DEPARTMENT
Patients afflicted with severe illness and in-
fectious disease oftentimes require hospital
admission. The 26 beds in Inpatient Depart-
ment (IPD) are frequently filled with children
suffering from severe malnutrition, pneumo-
nia, Malaria and Dengue Fever. IPD provides
24-hour care, having provided care to 3,800
children in 2007. Hundreds more children
were admitted to the IPD this year, compared
to last year due to the outbreak of Dengue
Fever. Educating parents about their chil-
dren’s illness is crucial to their recovery.
While admitted to the IPD, families are
encouraged to attend classes. Classes,
generously funded by Abbott Laboratories,
educate patients and families on the impor-
tance of nutrition and healthy diet practices.
Cooking demonstrations occur twice daily in
the newly-renovated kitchen funded by Inoue
Foundation. And, with the grant from Ajino-
moto, a large food closet was constructed in
order to hold the food and material needed
for more expansive cooking demonstrations
and nutrition classes.
INTENSIVE AND EMERGENCY CARE
In 2007, there were almost 800 children
admitted into the 4-bed Intensive Care Unit
(ICU). These patients are among the sickest
children to receive treatment. They suffer from
illnesses such as acute respiratory failure and
acute onset disease. Nearly 12,000 children
received emergency care at AHC in 2007. For
many children and their families, AHC’S ICU
may be their last chance.
SURGICAL SERVICES
Over 8,000 surgeries have been performed at
AHC since its inception in 1999. In 2007, 1,345
orthopedic, tumor removal, hernia and cardiac
surgeries were performed in the newly-reno-
vated Operating Theater. Cardiac teams from
America, Australia and Singapore visited AHC
Angkor Hospital for Children
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in 2007 and saved the lives of children suf-
fering from heart disease, such as Patent
Ductus Arteriosus. The Korean Heart Founda-
tion helped to fund the cost of heart surgeries
performed at AHC, and also provided fund-
ing for some patients to travel to Phnom
Penh Heart Center for more extensive heart
surgery. The Hawo Company generously
supported the upgrade of the Sterilization
Room. Raising the standards in infection
control allows AHC to ensure quality, uncom-
promised healthcare. The construction of a
new Minor Surgical Procedures Room was
completed in 2007, due to the generosity of
Mr. and Mrs. Hartmut Giesecke. Minor proce-
dures that were once performed in ER, such
as suturing, casting and dressing changes,
can now be managed in the Minor Surgical
Procedure Room, affording ER more capacity
for infection control and critical procedures.
LOW ACUITY UNIT
The Low Acuity Unit (LAU) provides a place for
those children who need time to recover and
rehabilitate after suffering from conditions
such as severe malnutrition. The illness and
at times the treatment can leave the patient
in a condition too weak to return home. The
majority of Cambodia’s population resides
outside of the city, making the trip to and from
the hospital too long and oftentimes too tax-
ing on the patients. In 2007, the LAU medical
team monitored over 800 children.
DENTAL CLINIC
Up to 3,000 children receive dental care
through AHC each month. In 2007, over 25,000
patients were treated at AHC. The dentists
at the hospital provide treatment and dental
education for those entering AHC. With gen-
erous support from Dr. Richard P. Haugland
Foundation, the Mobile Dental Unit provides
outreach treatment at schools, orphanages,
villages and rural health centers, administer-
ing cleanings and minor procedures. Most
families are uneducated about the importance
of dental hygiene, and few own toothbrushes.
Dental education is crucial to preventing ill-
ness, dental or otherwise.
EYE CLINIC
In 2007, AHC’s eye specialists screened and,
if necessary, corrected the eyes of nearly
3,000 children. The Eye Clinic provides daily
screenings in order to detect eye diseases,
such as myopia and astigmatism. AHC’s
outreach team visits children in schools and
orphanages to not only treat the patients,
but to also teach the administrators at the
facility on how to provide proper screenings.
Free eyeglasses to the children are made
possible through the generosity of SEVA.
LABORATORY
AHC prides itself on the high standards of
its laboratory, and seeks to be a model for
laboratory science throughout Cambodia.
AHC staff provides training to the lab staff
William Housworth, MD, MPHExecutive Director, Angkor Hospital for Children
I was privileged to take over the reigns as executive director
of AHC in February 2008. I chose to accept this position
for three reasons. First, AHC has a long track record of provid-
ing high quality and compassionate pediatric care in Cambo-
dia. It is truly an institutional leader when it comes to showing
what can be accomplished in attempts to deliver high quality
healthcare in a resource poor setting. Second, AHC’s
approach to development stresses both the importance of
building up appropriate systems and building up human capacity through education. I firmly
believe that the healthcare capacity which AHC has developed will impact Cambodia for
decades to come. Third, I could tell that the staff of AHC is dedicated, passionate and
committed to the vision of AHC as a leader in what healthcare in Cambodia can be.
Obviously the greatest strength of any quality organization is its people. I have never seen
the staff of an organization which I would be more proud to serve as a leader.
In the coming months many more important changes will occur at AHC than just a
change in leadership. With increasing demands, many changes will be seen at the hospital
including an expanded and renovated emergency department and intensive care unit. A
new and larger eye clinic with its own operating theater is being planned as is a new onsite
building for the Capacity Building and Health Education Program. Also, the Satellite
Project at Sotnikum Hospital has recently taken on new life. These and other new projects
will enable us to continue to meet the vital healthcare needs of the children here in Siem
Reap province and beyond. I look forward to the many relationships, challenges and
successes that this year will bring and greatly appreciate your continued support.
7
“Patient care and happiness is the central goal in our department. We
have many priority patients and emergency cases, as well as a long
list of other surgeries. By understanding the priorities our depart-
ment has progressed to work smoothly. The quality of care, patient
education and staff performance in clinical practice and educational
study throughout the year has had a large impact on the smooth
running of the unit.” CHHOY CHAN – OPERATING THEATER AND SURGICAL UNIT
VOICES
“We are very impressed with the new ER/ICU where we can deal bet-
ter with the infection control. In 2008 we hope the outcome will be
much better depending on our good nursing care, the improvement
of medical knowledge and better infection control.” DR. YOS PAGNARITH
– CHIEF EMERGENCY DEPARTMENT AND ICU
VOICES
in surrounding hospitals and clinics in order
to increase the quality in overall care at their
facilities. In 2007, over 56,000 tests were
performed at AHC, crucial tests that provide
the information needed to properly diagnose
and treat patients.
SPECIAL VISITS
With international volunteer specialists,
AHC inches closer to fulfilling the goal of
making Angkor Hospital for Children a self-
sufficient hospital. Several individuals and
teams of specialists visited AHC in 2007,
performing life-saving procedures and pro-
viding invaluable education for the staff. Cleft
lip and palate surgeons and numerous heart
specialists visited AHC in 2007, saving the
smiles and lives of many children.
A Memorandum of Understanding (MOU) was
signed with the University of British Columbia
Faculty of Dentistry that will allow senior den-
tal residents from the university to visit AHC
twice a year to further educate our dental
staff. An MOU was also signed with Wajiro
Hospital in Japan to secure the exchange of
knowledge between medical professionals in
Cambodia and Japan.
EDUCATING PATIENTS AND FAMILIES
Educating families about the condition ailing
their children is critical. To combat recur-
ring illnesses, parents are taught the value of
nutrition and prevention at home. Additionally,
parents receive training on how to care for
their children, especially those with a chron-
ic or fatal disease, such as HIV/AIDS. AHC
provides in-hospital education to all patients
admitted and to their families. Families also
receive literature with information about dis-
eases and treatments, as well as about the
responsibilities of family members within the
hospital and at home. Advanced education
is additionally given to the families of high-
risk patients suffering from diseases such as
HIV/AIDS. Specialists in the Oral Rehydration
Therapy corner not only administer in-hospital
treatment to children suffering from malnutri-
tion, but they also supply the parents with the
rehydration salts needed to help the child to
recover, as well as with the training on how to
continue treatment at home. Nutrition infor-
mation classes and demonstration cooking
classes are also available to all parents at AHC.
FAMILY NUTRITION EDUCATION
Made possible by the generosity of Abbott
Laboratories, thousands of parents receive
nutrition education each month at AHC. A
demonstration garden on the grounds of
AHC is used to grow nutrient-rich foods
that provide health benefits for children
suffering from malnutrition. Parents are taught
by the nutrition nurse not only about nutritious
foods to grow and prepare for their families,
but they are also required to attend cooking
demonstration classes that occur in the newly-
renovated kitchen at AHC. Malnutrition con-
tinues to be one of the most common medical
conditions affecting Cambodian children
today. Family nutrition education at AHC is
winning the battle against recurring malnutri-
tion of the country’s children, as fewer cases
were admitted in 2007 than in 2006.
HIV/HOMECARE PROGRAM
The outreach teams at AHC extend a hand
to those children suffering from debilitating
diseases and conditions, and unable to make
the trip to AHC for care. The HIV/Homecare
team reaches out into the rural communities
to follow-up, assess, educate, and administer
treatment to those in need, as well as counsel
those whose lives are touched by the afflic-
tion. Over 10,300 homecare visits have been
made over the course of the program. More
than 430 HIV/AIDS patients have received
Anti-Retroviral Treatment (ART) to help them
cope with the physical stress of the disease.
It is estimated that 12,000 Cambodian
children are living with HIV/AIDS. AHC is
currently the largest facility outside of Phnom
Penh providing ART to children.
MOBILE LAKE CLINIC
In a continued effort to extend AHC’s reach to
those ill and cannot trek to the hospital, staff
doctors and nurses conduct monthly trips on
the Tonle Sap Lake. Free pediatric health-
care, education and prevention services are
provided. The Mobile Lake Clinic provides
similar care and services as those provided by
Angkor Hospital for Children; however, it does
so on a smaller scale.
AHC Outreach
T
8
A DAY AT AHC
OPD: 326 were seen by doctors. On average, an additional 100 patients were seen by nurses in triage.
Abscess, Cutaneous, Skin
Acute Clomerular Nephritis
Atrial Septal Defect
Assault, unspecified
Asthma
Bronchiolitis, Acute
Cellulitis
Dengue Fever
Dental Caries
Dog Bite
Dysentery, unspecified
Eczema
Epilepsy
Eye Problem
Gastritis and Duodenitis
Gastroenteritis Diarrhoea
HIV, unspecified
Hydrocele
Impetigo
Idiopathic Thrombocythopenia
Purpura
Rheumatic Mitral Valve Diseases
Parasitic Disease
Patent Ductus Arteriosus
Pharyngitis
Pneumonia, Bacterial
Rheumatic Heart Disease
Rhinitis
Root Fragment
Skin Disorders
Tuberculosis, suspect
Tetralogy of Fallot
Tonsillitis
Upper Respiratory Infection
Urinary Tract Infection
Viral Infection of Unspecified Site
Ventricular Septal Defect
Well Child Visit
Other
o some of us, if we were fortunate, July 6, 2007 was like any other day in our lives. If we were especially fortu-
nate, it was a celebration of a birthday, of an anniversary, or perhaps even of a holiday, and we were surrounded
by those we love. To the hundreds of children, their families, and the staff at Angkor Hospital for Children, July 6,
2007 was also memorable.
July 6, 2007
IPD: 21 patients were admitted
Dengue Hemorrhagic Fever
Pneumonia
Meningitis
Tetanus
Anemia and HIV
ICU: 5 patients were admitted
Tetanus
Pancytopenia
Dengue Shock Syndrome
Severe Pneumonia
Meningitis
Surgery: 4 surgeries were performed
Skin Graft Burn
Change Dressing Burn 15%
Fascitis
Hemangioma Upper Back
Laboratory Tests
Emergancy Patients
Dental Clinic Patients
Eye Clinic Patients
Homecare Patients
1
1
1
1
9
2
1
17
21
3
4
1
1
6
1
2
20
1
1
1
2
1
7
16
12
2
2
3
3
3
2
3
40
4
25
3
18
85
8
9
1
2
1
1
1
1
1
1
1
1
1
1
198
40
20
8
13
T
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nother prong in AHC’s strat-
egy to address the healthcare
crisis in Cambodia is through
education. Cambodia is faced
with the daunting challenge of rebuild-
ing its devastated infrastructure from
the ground up. Our mission exists to
build upon the critical issue of health-
care in Cambodia, as its foundation
was ravaged by war. AHC provides its
doctors and nurses with the most ex-
tensive education available through its
Medical Education Center (MEC). In
2005, MEC was recognized by Cam-
bodia’s Ministry of Health (MOH) as an
official teaching hospital.
Medical specialists within and beyond
Cambodia’s borders volunteer their time
and expertise, constantly improving
the skills of our medical staff. MEC is
renowned for reaching out to health-
care workers from across Cambodia
in an effort to raise the standards in
medicine nationwide, and it is our goal
that those who receive such education
today will become the able teachers for
the next generation.
In 2007, MEC has helped to train more
than 800 Cambodian health workers,
350 nursing students, about 300 IMCI
participants, and several other govern-
ment doctors and nurses.
A generous donation from the Cassils-
Wettstein Asia Fund afforded the
renovation of the Medical Library in
MEC, contributing even more to the
wealth of knowledge to be disseminated.
Additionally, AHC signed Memoranda of
Understanding with prestigious organi-
zations, acknowledging the desire to
exchange knowledge and skills. Such
organizations include Brown University,
Stony Brook Medical Education Center,
The University of British Columbia-
Canada, The University of Pittsburgh,
and Fukuoka Wajiro Hospital Chiyukai
Medical Corporation-Japan.
NATIONAL NURSING STUDENT TRAINING
What started as a trial project in 2002 to help
improve the knowledge and skills of Cambodian
nursing students, has evolved into increased
collaboration and expanded training, at the
requests of Nursing School Directors and MOH.
Students and preceptors from five Cambodian
nursing schools and neighboring hospitals
routinely designated as clinical training sites
receive lectures and supervised clinical practice
at the bedside.
INTEGRATED MANAGEMENT OF CHILDHOOD
ILLNESSES (IMCI) TRAINING
In response to child survival issues, MOH
has adopted the Integrated Management of
Childhood Illness strategy. In 2001, AHC was
selected by MOH and WHO to host IMCI
training courses. This program includes
strengthening the skills of government health
workers in child illness case management. Such
topics include promoting health service and
delivery with supportive supervision, manage-
ment and referral systems, essential drug
supply for child health, and promoting appro-
priate family and household practices.
AHC remains one of only two hospitals in
Cambodia selected by the Ministry of Health to
act as a clinical site for conducting IMCI training
courses. Additionally, AHC doctors and nurses
are regularly scheduled to act as instructors
and facilitators.
PEDIATRIC AND EMERGENCY CARE COURSE
FOR GOVERNMENT DOCTORS
The 2-month training focus on emergency care
in childhood with the aim of promoting intel-
lectual sustainability in the field of pediatrics
and enabling the participants’ referral hospital
pediatric physician to provide high quality care
safely, ethically and competently in their hospi-
tals. Training consists of 72 hours of lectures
and 16 hours of case presentation with dis-
cussion, supplemented with teaching on ward
rounds, clinical practice and bedside sessions.
BASIC PEDIATRIC NURSING CARE COURSE
FOR REFERRAL HOSPITAL NURSES
The goals of the course are to strengthen the
existing partnership between AHC and MOH in
Medical Education Center
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David ShoemakerDirector, Medical Education Center
Deputy Director, Angkor Hospital for Children
2007 was an exceptional year for AHC.
Because of supporters from around the
world, the hospital has continued to grow
in response to community needs. A testa-
ment to this was the recent Dengue Fever
epidemic that spread throughout Southeast
Asia. For months, hundreds and hundreds of
families arrived at the hospital each day des-
perately seeking treatment for their children.
With the staff’s dedication and commitment
and the proper supplies and equipment, AHC
was able to respond to this crisis. Schedules
were rearranged, floor mats were lined up in
the hallways to provide extra beds, and pro-
grams refocused their attention to the prop-
er care and treatment of children with this
disease. In the end, tens of thousands of
children were cared for and the AHC boasted
one of the lowest mortality rates in the country.
The staff’s ability to respond so swiftly and
effectively in a time of crisis has come through
years of hard work and study in classrooms
and at the bedside. We continue to expand
our pool of highly skilled child health profes-
sionals that are not only able to better care
for the children at the hospital, but are able to
share their knowledge with other Cambodian
health workers from around the country.
Increasingly, we are able to respond to re-
quests by the Ministry of Health and other
NGOs to collaborate in training programs
and research projects. Although the child
mortality rate has dropped in Cambodia over
the last decade, still one in twelve children
will die before their fifth birthday. The need
for improving health care and the continued
education and training of Cambodian health
workers remains critical. With support from
around the world, AHC looks forward to
contributing even more next year towards
improving the lives of Cambodian children.
order to improve the quality of pediatric care in
the referral hospitals, and to promote safe and
confident delivery of pediatric care as a routine
for referral hospital nurses. Four weeks of pedi-
atric nursing care training focusing on care for
common childhood diseases and emergencies
are provided to the participants, with scheduled
lectures supplemented with teachings on ward
rounds, clinical practice and bedside sessions.
AHC PEDIATRIC CURRICULUM
FOR JUNIOR DOCTORS
The aim is to produce doctors that will be able
to practice pediatrics safely, competently, and
ethically. This 3-year comprehensive program
includes system-based modules, with cases
and journal articles, and clinical teachings. The
program is concluded with performance-based
standardized assessments.
CAPACITY BUILDING OF ICU NURSES
This program is focused on strengthening the
skills and knowledge of AHC’s ICU nurses. ICU
nurses continue to improve skills to manage
patients who are critically ill in an increasingly
complex environment, including use of new
technology. These nurses also function as
teachers and preceptors to government health
works and students attending various training
programs conducted at the hospital.
NURSING ROTATION COURSE
Nurses undergo a comprehensive 23 weeks of
advanced training, involving clinical practice in
various hospital departments, while receiving
scheduled lectures from senior doctors and
senior nurses.
DIPLOMA IN CHILD HEALTH (DCH)
In 2007, MEC began its second year of
collaboration with Children’s Hospital at West-
mead in Australia to aid in the development of
AHC senior medical staff. This program entails
a one-year distance education program offered
by Westmead which covers pediatrics through
video-taped lectures. Further, the course
involves review and discussion on 3 hours of
lectures on DVD format per week.
HEALTH CENTER TRAINING
AHC continues to cooperate with the Capacity
Building and Health Education Program (CBHEP)
in improving the skills and knowledge of the
nursing staff at the local Health Centers (HC).
Nurses from selected HC attend a five-month
course at MEC. The training offers participants
guided clinical practice with experienced AHC
nursing staff as well as small tutorials focused
on common child health issues. Subsequent to
the course, an MEC teaching group conducts
a visit at the Health Center to follow-up on
application of knowledge.
OTHER EDUCATION INITIATIVES
■ Homecare: Community Health Education
■ Family Education
■ Community First-Aid Training to Non-
Medical Participants
■ Dental Outreach Training in Rural Schools
and Orphanages
■ Lab Staff Training to Government Health
Workers
■ International Medical Students Clinical
Elective Placements
■ Various Outreach, Classes/Lectures, and
Workshops On and Off AHC Campus
12
VOICES
“A large majority of surgical patients
who come through AHC’s gates can
be treated with a satisfactory result.
AHC is a great provider of healthcare
education and endless health care
support to Cambodian children.”
DR. SAR VUTHY– CHIEF OF SURGERY
David ShoemakerDirector, Medical Education Center
Deputy Director, Angkor Hospital for Children
2007 was an exceptional year for AHC.
Because of supporters from around the
world, the hospital has continued to grow
in response to community needs. A testa-
ment to this was the recent Dengue Fever
epidemic that spread throughout Southeast
Asia. For months, hundreds and hundreds of
families arrived at the hospital each day des-
perately seeking treatment for their children.
With the staff’s dedication and commitment
and the proper supplies and equipment, AHC
was able to respond to this crisis. Schedules
were rearranged, floor mats were lined up in
the hallways to provide extra beds, and pro-
grams refocused their attention to the prop-
er care and treatment of children with this
disease. In the end, tens of thousands of
children were cared for and the AHC boasted
one of the lowest mortality rates in the country.
The staff’s ability to respond so swiftly and
effectively in a time of crisis has come through
years of hard work and study in classrooms
and at the bedside. We continue to expand
our pool of highly skilled child health profes-
sionals that are not only able to better care
for the children at the hospital, but are able to
share their knowledge with other Cambodian
health workers from around the country.
Increasingly, we are able to respond to re-
quests by the Ministry of Health and other
NGOs to collaborate in training programs
and research projects. Although the child
mortality rate has dropped in Cambodia over
the last decade, still one in twelve children
will die before their fifth birthday. The need
for improving health care and the continued
education and training of Cambodian health
workers remains critical. With support from
around the world, AHC looks forward to
contributing even more next year towards
improving the lives of Cambodian children.
In June 2007, nine-year-old, Sort Piseth, was struck with Dengue Fever.
She is one of three children in a family in Kampong Thom Province.
Like many who live in the rural areas of Cambodia, poverty meant
having limited or no access to appropriate health care. After a neighbor
informed her parents about AHC, they mustered 40,000 riel, a week’s
wage equivalent to $10US, to pay for the 70-mile motorcycle taxi travel
to Angkor Hospital for Children. Piseth received the quality, compas-
sionate care that every child deserves. She recovered, and returned
home a week later.
Cambodia is blessed with having a rainy season that replenishes its
fields, and fills its rivers and lakes every summer. Unfortunately, the
season provides all of the necessary elements needed for mosquito-
borne illnesses such as Malaria and Dengue Fever to breed. In 2007,
Cambodia was struck by a devastating Dengue Fever epidemic that
infected nearly 40,000 people and killed 407 men, women and
children countrywide.
During the 2007 summer months, AHC treated over 2,700 children
diagnosed with Dengue Fever. In June alone, 723 children were treated;
that is twice as many as the total number treated during the extent
of 2006. The hospital did not physically have enough beds to accom-
modate all the children entering the doors each day, and was forced
to treat children on straw mats spread out over the hospital floors.
Children seeking care for other illnesses and injuries also continued
to make the journey to the hospital at an average rate of 350 patients
each day. The staff members at AHC were remarkable in talent and in
compassion during this difficult time. The disease also struck many of
their own family members, making their work even more stressful and
all-the-more admirable.
By September, the epidemic had subsided. AHC treated 2,000 more
patients in 2007 than in 2006. Dengue Fever typically lasts for 6 or
7 days, if it does not manifest itself into a more severe form such as
Dengue Hemorrhagic Fever or Dengue Shock Syndrome, both of which
can be life-threatening. Preventing the disease is incredibly difficult
which makes it an enormous health problem of international concern.
PATIENT STORY
2007 Dengue Fever Outbreak
13
900
800
700
600
500
400
300
200
100
0
NUMBER OF DENGUE FEVER CASES AT AHC
2007
2006
4281
223
734
11
780
458
192
102
1045 78
11269
21
L
14
L
15
Capacity Building and Health Education Program
CBHEP ACTIVITIES AS OF 2007
HEALTH CENTER VILLAGES POPULATION HC STAFF VHV/ VHVS
Daun Keo 13 10,917 7 46
Prasat Bakong 17 17,205 5 70
Reul 24 20,331 6 91
Angkor Thom 15 14,264 5 62
Angkor Chum 20 10,421 7 61
Cha Chhuok 19 9,210 5 55
Peak Sneng 11 7,460 5 38
Damnak Slanh 11 8,862 5 44
Total 130 98,670 45 467
ong-term improvements in child
healthcare could not be achie-
ved through hospital-based care
alone. A comprehensive com-
munity-based approach is necessary.
What began in 2001 as sporadic efforts
to materialize this realization off the
grounds of the Angkor Hospital for
Children have evolved into a significant
and vital initiative, Capacity Building
and Health Education Program (CBHEP),
gaining good cooperation with the
Ministry of Health.
The purpose of CBHEP is two-fold:
1. To strengthen the capacity and im-
prove the quality of community health
services at local health centers; and
2. To improve household preventative
and good health-promoting practices
through health education.
The programs of CBHEP aim to reach
the hundreds of thousands of villagers
in the Siem Reap province and beyond,
with the goal of reducing morbidity and
mortality rates of Cambodia’s children.
SPRINGBOARD PROJECT
CBHEP’s Springboard Project is recognized
by many NGOs as a model project in Siem
Reap. It is comprised of four one-year phases.
Phase I entails an analysis of a village on
parameters such as the knowledge of the
families in the community as well as that of the
staff at the local health centers (HC). A plan
of action is created based on the strengths,
weaknesses, opportunities for improvement,
and other critical health topics identified.
Phase II involves implementation of the plan.
CBHEP staff train or facilitate training of the
medical staff of the local health center either
on-site or at Angkor Hospital for Children.
Community leaders are also identified as
Village Health Volunteers and Supervisors
(VHV and VHVS), and they receive medical
training on the topics of issue that are per-
vasive, vital, and specific to that village.
The VHV and VHVS, in turn, spread their
new knowledge to the villagers. CBHEP
also facilitates communication and relation-
ship development and maintenance between
the villagers and their health centers.
Phase III focuses on monitoring and evaluation
of plan implementation under the supervision of
CBHEP staff. Mid-term evaluations of current
health centers in 2007 have proven successful,
and project indicators continue to be improved.
Phase IV is transferring the responsibility back
to the local health center, as they are now better
equipped with the tools to provide improved
health care to the villagers.
16
VOICES
“It has been very significant to continue providing optimum
continuum of care to the patients in their houses, increasing
health awareness to the patients and patients’ families in the
communities and seeking a partnership with local authorities,
health centers, and local organizations to cooperate with the
hospital.” PENG KHUNCHAN – NURSING MANAGER OF HIV/HOMECARE UNIT.
Research
A
HEALTH, PURE WATER AND
LITERACY FOR CAMBODIA
65% of Cambodia’s population has sustainable
access to improved drinking water sources,
and the lack of such sources contribute to
the poor health of the country’s people, par-
ticularly the children. Rotary Clubs worldwide
have partnered with CBHEP to address this
problem. In 2007, over 1,000 bio-sand filters
were built and installed in the rural villages
of Siem Reap. Additionally, basic literacy
classes that meet the Cambodian Ministry of
Education requirements were put in place. A
vital and salient purpose of the literacy pro-
gram is to educate the primary caretakers of
the children on the importance of safe drinking
water, and on how to use the filters and to
prepare food for their families. By the end
of 2007, 178 (out of 200) students success-
fully completed the program. To ensure the
effectiveness of the filters, a water testing
laboratory—the only such facility outside of
Phnom Penh—was made operational in July,
2007. Test results, to date, indicate that the
efficiency of the filters at removing E. coli
averages about 92%.
Health, Pure Water and Literacy for Cambodia
has given the means of personal and economic
growth to nearly 200 villagers, and an additional
22,000 now have access to clean, disease-free
water. The success of this program inspires
Rotarians and CBHEP to continue this impor-
tant work.
WATER4LIFE
As part of community health development,
CBHEP has also partnered with Sjovegan
High School in Norway to deliver water filters
and education on water-borne diseases to the
villagers of Trapang Roeusey, Ka Ek Tom, and
Tropean Svay. CBHEP staff provides training
twice a month, and has drawn attention and
participation from local authorities and villagers.
Amra PhoeurkProgram Manager
We are happy to report that we have thus far
successfully recruited the participation of 12
health centers out of the 60 currently in the
Siem Reap into our Capacity Building and
Health Education Program (CBHEP), and we
continue to receive inquiries from the remain-
ing centers to enter our program.
With the departure of our former man-
ager, Nhean Sakhem in December 2006, we
had big shoes to fill. However, we remain
optimistic that we can continue the program
smoothly. Between us, we have many years
of experiences with CBHEP. We also pos-
sess knowledge in the medical field, as well
as effective communication experience with
government officials and health center staff.
Our backgrounds in community and rural de-
velopments, and project cycle management
with international organizations have also
been very conducive to the transition.
Cambodia is very proud of Friends
Without A Border, with its projects of AHC,
MEC, and CBHEP working alongside the
country’s Ministry of Health to combat the
lack of healthcare still plaguing our children.
We are confident that, with continued fund-
ing, we can carry on to expand our programs
and extend our reach to ensure our children
will enjoy happy, healthy lives.
Mao KungAdministration Coordinator
17
Research
AHC research has been presented at four international conferences over the past year, and in 2007, a
study on Anti-Retroviral Therapy effectiveness in children with HIV was published in a peer-reviewed
international medical journal, Pediatrics. Research at AHC has elevated in recent years, and its expansion
has necessitated a full-time Research Assistant Volunteer. Additionally, our research has attracted the
attention of several international groups who have independently requested collaboration. Such groups include WHO,
MSF (Doctors Without Borders), the Wellcome Trust from Oxford University, USAID, the World Bank, and medical institutions
such as Brown University and University of Victoria.
“Much of the research being done at AHC will help improve national and even international med-
ical policy and also help with public health policies, such as WHO-funded vaccination programs.
The research has already changed practices at AHC, and has led to the development of several
AHC treatment protocols, and moreover has even led to changes in medical treatment protocols
in Laos. Also, our research has allowed AHC to form stronger ties with the Cambodian Ministry
of Health by helping the government with their various surveillance projects, and has brought
in funds in the form of numerous research grants.” VARUN KUMAR, MD – SENIOR PEDIATRICIAN
Mao KungAdministration Coordinator
18
Volunteers
The time and talent of 304 volunteers from 23 nations in 2007 were indispensible. Medical professionals such as
pediatricians, nurses, surgeons and other specialists participated, among many roles, as educators. Some have
been involved with AHC from the very beginning, and their repeated efforts have facilitated the continuity and
enhancement of AHC’s education programs; this process has allowed health professionals to improve their own
teaching skills to the extent that they do become teachers of the next generation of health professionals. Non-medical
volunteers also serve integral roles providing support and expertise within the numerous programs at AHC. We are also
fortunate that many volunteers subsequently become ambassadors for Friends as they raise awareness, forge extended
relationships, and fund-raise in support of the programs at AHC.
“The success of HVO’s training programs
is due not only to the extraordinary
efforts of all the health professionals who
volunteer, but also to the efforts of the
on-site personnel. The staff at Angkor
Hospital for Children has been extraor-
dinary in their efforts to effectively and
productively utilize the volunteers and
make them feel so welcome. The number
of volunteers who request return assign-
ments at AHC is testimony to the positive
experience, both personally and profes-
sionally, which volunteers have at Angkor
Hospital for Children.”
NANCY A. KELLY, MHS, EXECUTIVE DIRECTOR,
HEALTH VOLUNTEERS OVERSEAS
VOLUNTEER STORY
Kathy Parker
Professor of Medical Radiation Technology (Canada)
Barbara Cahill, ARDMS
Radiographer and Ultrasound Technologist (Canada)
We spent the month of July volunteering
at AHC and it has been a humbling experi-
ence. We initially came to work and teach in
Ultrasound and X-Ray, but feel we have
been the ones who have learned the most.
We worked with the wonderful and gracious
Radiology staff, Dr. Luy Lyda and Vongsa.
This is a very busy and efficient department.
We observed excellent work being done with
sometimes rudimentary equipment in the
X-ray room. Vongsa is a wizard with the wet
developing; producing the best quality images
he can with that technology.
The staff in all departments exhibited great
compassion and care towards the patients
and their families. Our donations of medical
and x-ray equipment were gratefully received
and utilized immediately. This wonderful
institution has made us feel so welcome, and
has stolen our hearts. It offered an opportu-
nity for us to visit distant villages to help us
understand the plight of the people here and
why it is so difficult for them to access health
care. The beautiful children and their families
demonstrate such gratitude for the quality
work being done here.
Suzanne Werner, RN, BSN (USA)
Returning to Cambodia is even more of a feel-
ing than relocation. I volunteered at AHC for
nine months in 2000-2001, a little more than
a year after its opening. I revisited in 2002 for
the anniversary celebration, but five years
have passed before I could return again.
Of course, Siem Reap has changed dramati-
cally, from the new airport to the temple road.
My old landmarks are buried between big
buildings. The people and the countryside
remain the same, thankfully, as they are the
soul of the place. This is more than evident at
AHC. The children coming in from the country
are still quite ill, getting here remains a chal-
lenge to the village folk. But, the care they
receive at AHC has progressed to meet the
needs of increasing numbers and more com-
plex diagnoses.
Personally, I am encouraged to see so many
of the staff that I knew in 2001 still here to
teach the next generation. All departments
show the same commitment for the goal of
better healthcare for the children of Cambo-
dia through education, resources and support
of their families. I am proud to be a small part
of it, and I congratulate all who have worked
here so hard for so long.
Public Relations
E
19
“I am very proud that we have received a lot of donated drugs and nu-
tritious formula in 2007. Due to the large quantities of drugs and ac-
cess to some new drugs in this donation we now have more flexibility
in treatment options. Because of donation drugs we can decrease our
spending and also get more experience in using the new drugs for the
first time.” THOURK BOPROEK – CHIEF PHARMACIST
he time and talent of 304 volunteers from 23 nations in 2007 were indispensible. Medical professionals such as
pediatricians, nurses, surgeons and other specialists participated, among many roles, as educators. Some have
been involved with AHC from the very beginning, and their repeated efforts have facilitated the continuity and
enhancement of AHC’s education programs; this process has allowed health professionals to improve their own
teaching skills to the extent that they do become teachers of the next generation of health professionals. Non-medical
volunteers also serve integral roles providing support and expertise within the numerous programs at AHC. We are also
fortunate that many volunteers subsequently become ambassadors for Friends as they raise awareness, forge extended
relationships, and fund-raise in support of the programs at AHC.
“The success of HVO’s training programs
is due not only to the extraordinary
efforts of all the health professionals who
volunteer, but also to the efforts of the
on-site personnel. The staff at Angkor
Hospital for Children has been extraor-
dinary in their efforts to effectively and
productively utilize the volunteers and
make them feel so welcome. The number
of volunteers who request return assign-
ments at AHC is testimony to the positive
experience, both personally and profes-
sionally, which volunteers have at Angkor
Hospital for Children.”
NANCY A. KELLY, MHS, EXECUTIVE DIRECTOR,
HEALTH VOLUNTEERS OVERSEAS
VOLUNTEER STORY
Kathy Parker
Professor of Medical Radiation Technology (Canada)
Barbara Cahill, ARDMS
Radiographer and Ultrasound Technologist (Canada)
We spent the month of July volunteering
at AHC and it has been a humbling experi-
ence. We initially came to work and teach in
Ultrasound and X-Ray, but feel we have
been the ones who have learned the most.
We worked with the wonderful and gracious
Radiology staff, Dr. Luy Lyda and Vongsa.
This is a very busy and efficient department.
We observed excellent work being done with
sometimes rudimentary equipment in the
X-ray room. Vongsa is a wizard with the wet
developing; producing the best quality images
he can with that technology.
The staff in all departments exhibited great
compassion and care towards the patients
and their families. Our donations of medical
and x-ray equipment were gratefully received
and utilized immediately. This wonderful
institution has made us feel so welcome, and
has stolen our hearts. It offered an opportu-
nity for us to visit distant villages to help us
understand the plight of the people here and
why it is so difficult for them to access health
care. The beautiful children and their families
demonstrate such gratitude for the quality
work being done here.
Suzanne Werner, RN, BSN (USA)
Returning to Cambodia is even more of a feel-
ing than relocation. I volunteered at AHC for
nine months in 2000-2001, a little more than
a year after its opening. I revisited in 2002 for
the anniversary celebration, but five years
have passed before I could return again.
Of course, Siem Reap has changed dramati-
cally, from the new airport to the temple road.
My old landmarks are buried between big
buildings. The people and the countryside
remain the same, thankfully, as they are the
soul of the place. This is more than evident at
AHC. The children coming in from the country
are still quite ill, getting here remains a chal-
lenge to the village folk. But, the care they
receive at AHC has progressed to meet the
needs of increasing numbers and more com-
plex diagnoses.
Personally, I am encouraged to see so many
of the staff that I knew in 2001 still here to
teach the next generation. All departments
show the same commitment for the goal of
better healthcare for the children of Cambo-
dia through education, resources and support
of their families. I am proud to be a small part
of it, and I congratulate all who have worked
here so hard for so long.
xpansion of the operations of the Angkor Hospital
for Children and other programs of Friends Without
A Border gave rise to the need for a public relations
team on-site. In 2006, the Public Relations Depart-
ment was created to help raise even more awareness and
funding, as well as to continue building the good reputation
of our programs locally and internationally. Additionally,
developing clear PR policies for matters such as hospital
tours and keeping track of donations have helped the
departments at our hospital work more efficiently.
As the work of our mission draws in more attention, additional staff
members and volunteer support have not only increased our PR
capacity for the programs per se, but have also allowed community
members and organizations to partner, participate, be engaged and
contribute to better their communities. Every step of such developments
brings AHC closer to the goal of self-sustainability.
Some PR highlights in 2007 serve as testament to the presence of Angkor
Hospital for Children:
■ Goodwill Ambassador to UNESCO, Christina Owen-Jones, visited
HIV/AIDS and Home Care Program.
■ Princess Sisowath Kanthireth, President of Hope of Cambodia, visited
AHC, and donated nutrition supplies.
■ Goodwill Ambassador to the United Nations, Midori Goto, made a
special performance at AHC.
■ Local business support has increased, as the number of donation
boxes and leaflet stations throughout Siem Reap reaches 61.
■ The average number of visitors per month reaches 245.
■ Former U.S. President Bill Clinton shared his experiences at AHC in
Conde Nast Traveler’s 20th Anniversary August issue.
■ Pediatrics, Official Journal of the American Academy of Pediatrics,
published a research study conducted by a group that included AHC
staff members.
■ Seven senior doctors of AHC graduated from the Diploma in Child
Health (DCH) program. DCH is sponsored by the Children’s Hospital
at Westmead in Australia, and aims to provide continued education for
medical staff.
■ Dr. Soeung Seitaboth, AHC’s senior resident HIV specialist, qualified
as a national trainer for The Clinical Training on Management of
Opportunistic Infections and Anti-Retroviral Therapy in Children. One
of only 75 qualified trainers in the country, Dr. Seitaboth will educate
government doctors at AHC, as well as in Phnom Penh.
■ Dr. Sing Heng, OPD staff at AHC, was named Deputy Chairman of the
Cambodian Hemophilia Association.
■ AHC signed Memoranda of Understanding with prestigious organi-
zations, acknowledging the institutions’ desire to exchange knowledge
and skills between their organizations. Such organizations include
Brown University, Stony Brook Medical Education Center, The
University of British Columbia-Canada, The University of Pittsburgh,
and Fukuoka Wajiro Hospital Chiyukai Medical Corporation-Japan.
■ Dr. Luy Lyda, AHC’s radiologist, becomes a founder of the Siem Reap
Chapter of Rotary Club.
■ Kenro Izu received the Pacesetter Award. This honor is granted
annually by the New York Hospital Queens to individuals for their
outstanding contributions to the advancement of patient care,
medical education and research, and for humanitarian efforts to
promote the health and well-being of the human community.
Public Relations 2007 Highlights
E
VOICES
20
Statement of Activities For the years ending December 31, 2007 and 2006
2007 2006REVENUES
Grants & contributions $ 2,270,489 $ 1,744,941
In-kind contributions - 44,121
Income from services & programs 134,859 224,760
Other income 59,169 67,204
Special events (net) 437,945 441,941
TOTAL REVENUES 2,902,462 2,522,967
EXPENSES
Program Services
Hospital operations 1,510,813 1,386,921
HIV/AIDS, community education & support 155,685 164,191
Medical education center 448,592 307,606
Capacity building & health education 199,039 130,502
Total program services 2,314,129 1,989,220
Fund-raising 43,823 14,168
Management & general 348,150 324,091
TOTAL EXPENSES 2,706,102 2,327,479
CHANGES IN NET ASSETS 196,360 195,488
NET ASSETS AT BEGINNING OF YEAR 2,483,745 2,288,257
NET ASSETS AT END OF YEAR $ 2,680,105 $ 2,483,745
Management & Fundraising $391,973
Capacity Building & Health Education Program $199,039
Medical Education Center $448,592
Hospital Operations (incl. Homecare/
HIV-AIDS 10.3%) $1,666,498
14%
7%
17%62%
HOW RESOURCES WERE SPENT IN 2007
Other Income $194,028
Special Events $437,945
Grants & Contributions $2,270,489
7%
15%
78%
SOURCES OF REVENUE IN 2007
21
“AHC has achieved a worldwide
reputation and has a vast net-
work of radiology contacts. We
are contributors to internation-
al radiology societies and next
year will host a major radiology
conference. Our new ultrasound
machines from Canada have im-
proved the facility for diagnostic imag-
ing and special treatment for cardiac patients, such as PDA
ligation, can now be done in AHC with help from cardiac
surgery teams from Singapore, Australia and USA.” DR. LUY
LYDA, HEAD OF RADIOLOGY DEPARTMENT
“My job is to monitor the nursing care
of the staff to ensure that they
provide high quality of care. My
mission is to ensure that every
patient that comes to the hos-
pital receives health education
before leaving the hospital to meet
the goal of ‘ prevention is always
better than cure’.” SENG PHEARUM,
IPD NURSING UNIT MANAGER
“It is very important that nurses
have to make sure patients and
families receive a quality of
nursing care and health
education before they
go home. Since AHC
is well-known as a
paediatric teaching
hospital, we have trained
more and more nurses and nursing students
throughout the country each year.” SOM SOPHAL,
NURSING DIRECTOR
VOICES
“Caring for sick children is quite
challenging, but with the commit-
ment and good cooperation of
the staff we can overcome this
problem. We do get a lot of positive
feedback from patients’ families
and we are very happy that they
are satisfied with our care.” DR. KHENG
CHHENG, CHIEF OF IPD
“After the OPD renovation in 2007,
the numbers of patients flowing
through OPD have been increasing
and quality of the management
of care and hospital services for
children are satisfactory. These
make the hospital well-known
throughout Cambodia.” DR. SING HENG,
CHIEF OF OPD.
“Education in 2007 was challenging
for me. I applied the knowledge
from the course I took in Bang-
kok in 2006 to the real situation.
I am thankful that AHC provided
me a good opportunity to share
my knowledge with 20 nursing
instructors from Cambodian nurs-
ing schools at an advanced level. With-
out the course in Bangkok, I might have had a hard time to
get to this success in my role. 250 nursing students and 40
nursing instructors have completed this training course at
AHC in 2007 (and this is just one project amongst many).”
MANILA PRAK, NURSING EDUCATION COORDINATOR
“I meet more than 300 children
everyday at OPD. My job is to make
sure that those children receive
good quality care and lovely ser-
vices. OPD staff are very happy
to work for sick children and
provide health education to their
parents in order to promote chil-
dren’s health.” MR. DUONG VIBOL, OPD
NURSING MANAGER
“We are very proud of working at
Angkor Hospital for Children, be-
cause this hospital is not only
for hospitalized patients,
it is also a standard
training hospital
and the only one
like it in Cambo-
dia. We often hear that
our staff at Angkor Hospital for Children are
very kind, generous and very patient to the
children and their families.” HOR PUTCHHATH,
LABORATORY DIRECTOR
n behalf of the children of
Cambodia, Friends and AHC
give enormous thanks to all
our supporters worldwide.
The following individuals and organi-
zations deserve special recognition for
their generosity in 2007.
Dr. Andre and Sheila Anzarut
Australian Dental Association (NSW Branch)
Ltd
Edgar Bachrach
Dr. Laurie Bachrach
Shindy Bains
Robert Bardin
Anne H. Bass
Better Way Foundation
Nina and John Cassils
Nana Booker and David Lowe
Peter Braun
Build Cambodia
Dean and Rosemarie Buntrock
Veronica and Ron Campanelli
Dorothy Carpenter
Michael Clinton
Mr. and Mrs. Cummerford
Eaton Arrowsmith School
Niko Elmaleh
Alan and Bonnie Engle
Friends of Friends District of Columbia
Friends of Friends New England
Friends of Friends New York
Friends of Friends Philadelphia
Dr. Bevin and Tanya Frizzell
Hartmut & Ayako Giesecke
Frank Giustra
Carol Gleason
Gerald Goodman
James Goodwin
Grambrindi Davies Charitable Fund
Karl Grobl
Renee Haugerud and John Murphy
Dr. Richard P. Haugland
The Korea Heart Foundation
Frederic Hurteau
International School Singapore
Elizabeth Ross Johnson
Cheryl Klauss and Curtis Jensen
Sue Lehmann
Vikki Levine
Thomas Lovejoy
Dr. Naomi London
David MacNaughtan / Dentalvision (Australia)
Marx-Stark Family Foundation
Middletown Rotary Club
Louise Myers
Loletta Napaule
Penny and Riccardo Nardelli
Bernard Nelson
Jon Norris
John & Jeaneen O’Donnell
Stefano Oltolini
Dr. Jack Pacey
Esther Petrie
Dr. Daniel J. Piorier
Suresh Prabhu
David and Joan Pritchard
Donna Ramsden
Colin and Dot Read
William and Emily Reedy
Donald and Shelley Rubin
Jeff Scavron M.D. and staff of the
Brightwood Health Center
Patrick Schuenemann
Nicholas L. Seaver and Michelle Limantour
St. George’s Church of England Infant
School
Dr. Basil P. Stamos
Christopher Stamos
Peter Stamos and Dr. Soonmee Cha
Spiro P. and Katherine Stamos
Sterling Stamos Capital Management
Michael and Marjorie Stern
Alex Strecker
George Stubos
Anne Swope and Mr. Jansen Herb
Dr. Eugene Tragus
The Tudor Foundation
Walther H. Schuenemann Fund
Drs. Chris and Melissa Weren
Suzanne M. Werner, R.N., B.S.N.
Westcott Foundation
Dr. Richard Widmer
Charles Wilson
Alicia Yeh
Emma Youngs
Richard and Corrine Youngs
Daniel M. Ziff
WFriends Supporters
O
22
FOR GENEROUS GRANT SUPPORT
AND COLLABORATIVE EFFORTS
Abbott Laboratories
Alaska Regional Hospital
American Community
Americares
Asian Development Bank
Auitare I Bambini
Australian Youth Ambassadors
Development (AYAD)
Belgian Technical Cooperation
Better Way Foundation /
Louise Meyer
Cambodian Poor Children
Support Organization
CARE
Cassils-Wettstein Asia Fund
Collegue de Gynecologie, France
Direct Relief International
Douleurs Sans Frontieres
Faculty of Tropical Medicine,
Mahidol University, Thailand
Foundation Carraresi
Friends Without A Border France
Gesellschaft fur Technische
Zusammenarvert
Goldman Sachs (Hong Kong)
Gunz Dental
Halo Trust
Hans Wolf
Hartmut Giesecke
Health Partners International of
Canada
Health Volunteers Overseas
The Korea Heart Foundation
Inoue Foundation
KK Women’s and Children’s
Hospital, Singapore
Magna Children at Risk
Main First Bank (Germany)
The McKnight Foundation
Medical Teams International (MTI)
Mercy Malaysia
Ministry of Health, Cambodia
Mission Angkor
Morgan Stanley
MSF/Doctors Without Borders
Operation Smile
Osmose
Pediatric Dumoude
Pfizer Inc.
Reproductive Health Association
of Cambodia (RHAC)
Richard P. Haugland Foundation
Room to Read
SEVA
Shimizu Corporation
Siem Reap Operational District
Sihanouk Hospital Center for Hope
St. Luke Hospital, Japan
Sun Rise Orphanage
The Tudor Foundation
Tyco Healthcare
University of California San Diego
University of Minnesota – Twin Cities
University Research Co./Health
Services Strengthening in
Cambodia
US Agency for International
Development
Variety Lifeline – University of
California San Diego
Vaseline
World Health Organization
FOR GIFTS IN-KIND
Advanced Paediatric Life Support
Angkor Kinder
Australian Cardiac Team
Azimi Farhad
Direct Relief International
Hairdressers Without Borders
Hope International Development
Agency
Marvin E. Lang, M.D.
Sue Lamb
Karen McHugh
Ministry of Health, Cambodia
MSF/Doctors Without Borders
Ogilvy & Mather
Dr. Robert Peresen
Sam Relief International
Sihanouk Hospital Center for Hope
Nancy Storrow and Bob Nassau,
M.D.
Susan Grossfeld Group
Christian Wolf
FOR SUPPORT WITHIN THE SIEM
REAP COMMUNITY
A & K Tour
Abacus Garden Restaurant & Bar
Amansara
Angkor Century Resort and Spa
Angkor Diamond Hotel
Angkor Holiday Hotel
Angkor Pa Pa
Angkor Palace Resort and Spa
Angkor Reach Restaurant
Angkor Supper Market
Angkor What? Bar
Artisants d’Angkor
Auberge Mont Royal d’ Angkor
Balcony Café
Borei Angkor Resort and Spa
Casa Angkor Hotel
Chhorvyvorn Guesthouse
Chilli Si-dang
City Angkor Hotel
City Royal Hotel
Diethelm Travel (Siem Reap)
Earthwalkers Guest House
Explore Tour
Freedom Hotel & Restaurant
Garden Village Guest House &
Restaurant
Golden Banana Boutique Hotel
Golden Temple Villa
Goldiana Angkor Hotel
Green Garden Home Guest House
Green Village Palace Guest House
Hotel de la Paix
Ivy Bar and Guesthouse
John McDermott Gallery
Khmer Kitchen Restaurant
La Noria Hotel
La Residence d’Angkor
Little India Restaurant
Lóasi Italiana Restaurant
Lyon Travel
Maisa Restaurant
Manager of Vietnam Airline
Monarch Angkor Hotel
Monoreach Angkor Hotel
Potted Palm Garden Guesthouse
& Restaurant
Preah Khan Hotel
Prince d’ Angkor Hotel and Spa
Raffle Grand Hotel D’ Angkor
Reaksmey Bopha Angkor I and II
Rosy Guesthouse, Bar and
Restaurant
Shadow of Angkor Guesthouse &
Restaurant
Siem Reap Airport
Somadevi Angkor Hotel
Soria Moria Hotel
Soup Dragon Restaurant
Steung Siem Reap Hotel
Ta Prohm Hotel & Restaurant
The Villa Siem Reap
Trail of Indochina
Travel Indochina
Victoria Angkor Resort and Spa
WatsUp Guest House
AHC and CBHEP Collaborations
W
e owe special thanks to the following indi-
viduals and organizations, whose efforts and
friendships have become invaluable.
23
AHC & Friends TeamMao KungAdministration Coordinator CBHEP
ANGKOR HOSPITAL FOR CHILDREN, MEDICAL EDUCATION CENTER, AND CAPACITY BUILDING AND HEALTH EDUCATION PROGRAM
William Housworth, M.D., M.P.H.Executive Director
David ShoemakerMedical Education Center Director AHC Deputy Director
Nguon Chan Pheaktra, M.D.Medical Director
Long SedthaAdministrative Director
Neou Leakhena, M.D.Medical Education Coordinator
Som SophalDirector of Nursing
Prak ManillaNursing Education Coordinator
Tep NavyAssistant Director of Nursing
Kazumi AkaoDirector of HIV/Homecare Program
FRIENDS WITHOUT A BORDER
Honorary Advisors:
Yasushi Akashi
Kong Seung
Advisors:
Peter Grilli
Michèle R. Haines
Yoshiaki Ishizawa
Sidney Sass
Board Members:
Ronald Ablow, M.D.
Nerou Cheng, C.P.A.
Michael Cohn, O.D.
Tadao Fujimatsu
Kenro Izu
Véronique Maryse Lee
Tina Patterson
David J. Pritchard, Esq.
David L. Pugatch, M.D.
Nicholas L. Seaver
Basil P. Stamos, M.D.
Christopher Stamos
Michael Stern
Eugene Tragus, M.D.
Medical Advisors:
Ashwin Balagopal, M.D.
Rethy K. Chhem, M.D., R.R.C.P.C.
Michael Cohn, O.D.
G.A.P. Ganepola, M.D., F.A.C.S.
Masao Iwasato, M.D.
Masumi Kamachi, M.D.
Nal Oum, M.D.
B. Allen Weiss, M.D., F.A.C.S.
Suzanne M. Werner, R.N., B.S.N.
Architectural Advisors:
Mamoru Kai
Jeffrey Kapec
Kan Morimoto
Kazuna Tanaka
Counsel:
Robert D. Bring, Esq.
Staff:
Akiko Arai
Chief Operating Officer
Mayanna Prak
Director of Development &
Communications
Lauren Wilkerson
Administrative Associate
Amra Phoeurk Program Manager CBHEP
© 2008 FR
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Arun SinkethDirector of Public Relations
24
OFFICES
Friends Without A Border/Headquarters
1123 Broadway, Suite 1210
New York, NY 10010
Tel 212-691-0909 Fax 212-337-8052
Friends Without A Border/Japan
5-1-18 Nakameguro
Meguro-ku, Tokyo 153-0061 Japan
Tel 03-5722-2381 Fax 03-5722-2060
Friends Without A Border/France
c/o Chez Docteur Narathib Nay
Résidence Tokyo – Apt. 2151
20, avenue d’Ivry – 75013 Paris
Tel 06-14-41-41-07 (Saytry)
Angkor Hospital for Children
Friends Without A Border/Cambodia
Center for Friends Without A Border
Acha Mean Road, Svay Dangkum Commune
Siem Reap, Cambodia
(mailing: P.O. Box 50, Siem Reap, Cambodia, Attn: PR Dept.)
Tel 063-96-3490 Fax 063-76-0452
Angkor Friends Fund/Fukuoka
c/o Wajiro Hospital/Administrative Department
2-11-17 Wajirogaooko, Higashi-Ku
Fukuoka-shi 811-0213 Japan
Tel 092-609-1210 Fax 092-608-1241
IBC
Every child has the right to a healthy and loving life.
1123 Broadway Suite 1210 New York NY 10010 tel: 212-691-0909 fax: 212-337-8052 [email protected] www.fwab.org
Enclosed please find the Friends Without A Border’s
Annual Report. We welcome your participation in our
work and invite you to share your ideas with us.
On behalf of the children of Cambodia, thank you.
Kenro IzuFounder/President
