2014 Edition

in briefDoctors of the World

Also cares for injustice

Providing care and bearing witnessAs an international humanitarian organisation, Doctors of the World/Médecins du Monde (MdM) provides care to the most vulnerable populations, including victims of armed conflict or natural disasters and those whom the world gradually forgets. MdM’s work depends on the commitment of volunteers, logisti-cians, doctors, nurses, midwives...

As an independent organisation, Doctors of the World goes further than providing healthcare. We draw attention to human rights violations and fight to improve the situation of populations.

our identitya word FroM our chair

describing doctors of the world’s activities for the 2014 annual report is like making a list of the world’s problems and how they have evolved. The multiplication of humanitarian crises and the ongoing economic crisis in Europe have meant continued growth in our humanitarian operations.

This growth is necessary but only possible thanks to the unfailing support of our individual donors and successful grant applications to institutional funders. our donors know and recognise the quality of MdM’s work on the ground as well as the resilience and relevance of its associative model. This will enable doctors of the world to continually adapt to global turmoil and open new programmes in countries faced with major public health crises or war.

In december, doctors of the world presented a budget for 2015 showing growth for the third year running. we need it to be able to intervene in the ever expanding list of grey zones. when states crumble so does the law and a climate of violence reigns. The health of the most vulnerable is merely seen as insignificant, collateral damage. This increase in resources creates the right environment for our staff to deal with the expansion of activities. It also allows for more investment to rally new donors in France and across Europe.

we are faced with the pressing challenge of giving more meaning to our work, more power to our testimony, and greater emphasis on our solidarity.

By stabilising its social mission and redrafting its plan, doctors of the world’s associative model demonstrates its vitality and robustness. By facilitating this model and ensuring we stay close to beneficiaries in project planning, tomorrow we can help to build the right to health.

Dr Thierry Brigaud Chair, Doctors of the World France

2014 In BrIEF2

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at hoMe and abroadDoctors of the World works all over the world: interna-tionally in more than 40 countries, but also in France.

for today and toMorrowAs well as emergency response projects, Doctors of the World runs long-term development programmes. We extend our activities beyond crises to support reconstruction efforts within each country. In the field, training for medical teams and links with local partners guarantee the sustainability of these pro-jects in the long term.

Iraq © Guillaume Pinon

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All the information in this document is from the 2014 annual and financial reports, which are on our website:www.medecindumonde.org, or are available on request.

MDM FRANCE hUMAN REsoURCEs

 » 2,000 volunteers

 » 300 employees (hQ and France)

 » 90 expatriates, including 20 volunteers

 » 1,390 national employees

2014 In BrIEF 3

2014 In brIef4

PrIorITy theMes

Sexual and reproductive health (SRH) covers various aspects of women’s and couples’ health: maternal and child health; preven-tion and management of unwanted pregnancies; the fight against sexually transmitted diseases; responses to gender-based violence, etc. The organisation runs more than 25 MdM projects on this theme. The organisation is keen to increase its focus in order to give women control over their choices and free access to quality sexual and reproductive health services. In this context, MdM adopted a multi-year strategy in 2014 and reaffirmed its intention to promote sexual and reproductive rights of women and girls, reduce gender inequalities and promote uni-versal access to SRH services. Our focus has been on prevention and care for unwanted pregnancies (contraception and termination of pregnancy), mainly in Latin America and the Caribbean and, most recently, in French speaking Africa. Work has also begun on strengthening our capacity to respond to violence carried out in the conflict zones where we work.

Doctors of the World is an NGo that supports social change. It acts in emergencies, but also creates long-term programmes. over and above ensuring access to care for the most vulnerable, MdM has identified four priorities for its work in the field: crises and conflicts, sexual and reproductive health, harm reduction and migrants.

Haiti © Benoît Guénot

Sexual and reproductive healthCrises and conflictsA conflict or a natural disaster leads to an interruption in access to care. In order to respond to the immediate health needs of those affected, Doctors of the World swiftly sends emergency teams and supplies to the field. Our actions are planned in partnership with civil society and health ministries, and if there are already collea-gues present in the country working on long-term projects they are called on for support. Emergency programmes generally include support for the health system and reconstruction when needed, long after media interest has faded.The organisation has a joint committee (the CUI). This group ensures a swift response, acting as a short cut to bring together six people to agree on intervention and activate a group entitled ERUC, which brings members together to reflect on emergencies and crises, meeting regularly to discuss cross-cutting issues. In 2014, Doctors of the World responded to typhoon Haiyan in the Philippines, floods in Bosnia-Herzegovina, displaced populations in Iraq, Gaza bom-bings, crises in Syria and Central Africa, and the fight against the Ebola epidemic in West Africa.

2014 in brief 5

MigrantsFor almost 30 years MdM has been working with migrants in France, Europe and, most recently, in Africa and the Middle east with the aim of assessing and testifying on the negative impact of European policies on the health of migrants.To do this, Doctors of the World has developed a number of pro-jects, mobilised primary healthcare centres and outreach teams that reach out to migrants where they are living, and specific projects that take account of mental suffering and post-traumatic stress.The projects offer a place to rest, talk, the chance of a therapeutic break, holistic care and welfare guidance. They also provide an opportunity to bear witness to the diversity of migrant journeys as well as the main obstacles encountered.

Harm reductionFor many years, Doctors of the World has worked with populations at risk, including people who use drugs and sex workers. Subject to discrimination, marginalisation and criminalisation, these people are exposed to numerous risks, including disease, violence and police harassment. Since 1989, to meet these challenges, MdM has run harm reduction programmes, related on the one hand to the use of psychoactive substances and on the other to sexual practices, providing medical, psychosocial and community responses.In this context, for the past four years MdM has been developing a cross-cutting programme to improve the quality and visibility of harm reduction projects and to strengthen the involvement of beneficiaries, civil society and the authorities, with social change as the ultimate goal. The priorities are to promote harm reduction in Africa, where services are virtually non-existent, and to increase advocacy for access to diagnosis and treatment of hepatitis C.

Calais © Sarah Alacalay

2014 In brIef6

advoCaCy caMPaigns

© DR/MdM

Doctors of the World has led major advocacy and communication campaigns to ensure the voices of those marginalised by exclusion or by poverty are heard and their human rights are upheld. Whether by campaigning on access to care for all, promotion of sexual and reproductive health, or harm reduction policies, the organisation was more active than ever in 2014.

Doctors of the World’s 2014 year end campaign spoke out against the injustice that deprives one in five people in the world of healthcare, and limits access for one in six people in France. Conceived with the support of three great figures from the French music scene — Maxime Le Forestier, the group IAM and Serge Gainsbourg’s estate — a series of posters, films and radio advertisements use words from popular songs set against the backdrop of the harsh reality of poverty.

france»

doctors of the world also cares for injustice

Guided by data gathered in its reports on access to rights and healthcare, Doctors of the World maintains its commitment to promoting vulnerable people’s rights. On 17 October, International Day for the Eradication of Poverty, the organisation held a major exhibition in Paris. In the Hotel de Ville square, 12 portraits of ‘heroic figures’ taken by photographer Denis Rouvre were displayed on a series of totems, inviting the public to look poverty in the face, in order to better fight it.

Amongst the faces Imre, Armelle, Najat, Marco, Jean-Michel and Constantin agreed to be the ambassadors of all those who share their fate. Each illustrates both a personal journey and a flaw in our healthcare system and access to care. Here, absence of health-care coverage and delays in care for migrants, asylum seekers and homeless people. There, the loneliness of foreign minors or the high rates of mental health problems and hepatitis amongst vulnerable people.

france

Face up to poverty»

© Denis Rouvre

2014 in brief 7

© DR/MdM

Following the campaign launched by MdM in 2013, WHO adopted a resolution in 2014 on viral hepatitis and directives for testing and treatment of people with hepatitis C (HCV). At the same time, new, more effective and better tolerated medicines have arrived on the market. But their price is exorbitant. MdM defended universal access to treat-ments against hepatitis C by publishing a report on strategies to put in place and by co-hosting the first international meeting of

the community-based consultation group on hepatitis C during which civil society groups met pharmaceutical industry repre-sentatives to discuss access to treatment. In 2014, MdM also published a report on the importance of integrating drug users into HCV treatment programmes. For more than 20 years, MdM has been developing a harm reduction approach among people who use drugs and sex workers.

» hePatitis c

Pills cost nothing, profits cost lives

Globally, there are 80 million unwanted pregnancies every year and close to 22 million unsafe abortions. These risky abortions are one of the main causes of maternal mortality. Close to 50,000 women die every year.In 2014, ahead of the Cairo+20 meeting focusing on health and sexual and reproductive rights to empower women and girls, MdM ran a campaign on prevention and access to care for unwanted pregnancies. A campaign entitled Names not Numbers was launched on 8 March, calling for the public to get involved through a dedicated website or by joining in events organised in four towns in Europe and in New York. 20,000 people signed a petition for women’s right to choose

whether or not to have children. It was sent to United Nations General Secretary Ban Ki-Moon, who backs the protection of women who choose to have an abortion. Following Doctors of the World’s appeal, 416 doctors also signed a manifesto calling for the worldwide right to abortion, published in Le Nouvel Observateur. At the same time, a constructive dialogue was developed with key French stakeholders involved in health-care and sexual and reproductive rights, good relationships were established with ministries and technical advisors and the integration of MdM’s key messages in official communication documents.

names not numbers: for the right to abortion

» sexual and reProductive health

© DR/MdM

Algeria

Tunisia

Mali

Peru

Mexico

Colombia

NigerChad

CAR

DRC

Turkey

Romania

MoldovaBosnia

Bulgaria

Russia

Philippines

Rwanda Kenya

SomaliaEthiopia

Tanzania

BurkinaFaso

Guinea

Madagascar

Burma

Liberia

Haiti

Côte d'Ivoire

India

Pakistan

Georgia

Jordan

PalestineLebanon

Iraq

Uruguay

Laos

NepalEgypt

Syria

2014 In brIef8

to promote access to healthcare for vulnerable populationsThis is our primary aim. It is absolutely crucial in emergency situations and it is fundamen-tal to our development programmes. Howe-ver, the security situation in the countries where we operate is often unstable and the way we work varies. Thus, in the Gaza Strip, during operation ‘Protective Edge’, as soon as it was possible to move around, we deployed mobile teams to reach the civilian population. When there were floods in Bos-nia, we were able to work with the support of the civil protection service. Thanks to long standing and reliable partnerships, we were able to develop our project in Iraq, working with displaced populations. In Syria, we have continued to provide medicines and medical equipment for the civilian popula-tion with the support of medical solidarity networks within the country.

develop people’s capacity to take actionWe were taken by surprise by the rapid spread of the haemorrhagic fever epidemic due to the Ebola virus. Overwhelmed by the outbreak of this disease and by the heavy toll paid by health personnel, the health systems had difficulty in dealing

InTErnaTIonal PrograMMes

with the epidemic. Doctors of the World opted for a community approach and for strengthening the health system to enable populations to cope.

encourage a joint approach to common causes The development of cross-cutt ing approaches (over several countries) in sexual and reproductive health and harm reduction has allowed us to forge partnerships and to develop advocacy organisations in civil society, which, working shoulder to shoulder with us, form a legitimate lobbying voice.In Latin America, for example, under the auspices of our regional programme on unwanted pregnancies, we rely on locally obtained results to enhance healthcare deli-very, to improve population information and to support regional and national advocacy.

Political and financial independenceIncreasingly, Doctors of the World’s work takes place in crisis situations. The public are less generous when faced with these events than in the case of large-scale natu-ral disasters. So, it is institutional donors (ECHO, British and German government aid, etc.) who put their trust in us when there are these ‘forgotten’ crises.

Because of the growing number of opera-tions, however, and our launch of more needs assessments abroad, we really must endea-vour to diversify our funding sources so that we are able to maintain our independence.

commitment and activismOur positioning vis-a-vis the anti-immigra-tion policies of countries in the northern hemisphere is more valid than ever. Doctors of the World’s international network has been approached to work on a project in the Mediterranean to bear witness to the inhumane conditions of migrant crossings.

In the countries where Doctors of the World has chosen to come to the aid of vulnerable populations, adaptability is an important factor. We must remember to retain this strength when the time comes to write our strategic plan.

the year 2014 was beset by natural disasters, linked to climate change, and by armed conflict. In every country where we operated – in Bosnia, Palestine and in syria where working conditions continue to deteriorate – Doctors of the World has endeavoured to remain true to its values.

Algeria

Tunisia

Mali

Peru

Mexico

Colombia

NigerChad

CAR

DRC

Turkey

Romania

MoldovaBosnia

Bulgaria

Russia

Philippines

Rwanda Kenya

SomaliaEthiopia

Tanzania

BurkinaFaso

Guinea

Madagascar

Burma

Liberia

Haiti

Côte d'Ivoire

India

Pakistan

Georgia

Jordan

PalestineLebanon

Iraq

Uruguay

Laos

NepalEgypt

Syria

2014 in brief 9

GeoGraPhical breakdown of programmes

4,100,000beneficiaries of our programmes

» 66 programmes

» 40 countries

28 Africa .............................. in 14 countries13 North Africa

and Middle East ............... in 9 countries8 Latin America

and the Caribbean .......... in 5 countries17 Eurasia ............................ in 12 countries

Emergency programme

Long-term programme(one colour for each region)

Nepal

Guinea

Laos

Turkey

Bulgaria

2014 In brIef10

PrograMMES in france

three million people suffer from poverty in France, representing 14.3% of the general population.1 since 2008, the number of vulnerable people continues to rise and social inequalities in health keep widening. In such circumstances, MdM programmes which cater for the most vulnerable (e.g., rough sleepers, squatters or shantytown inhabitants, sex workers, people who use drugs, migrants in transit…) have seen increasing numbers in the last few years with a significant increase in the number of unaccompanied minors.

fighting social exclusion and discriminationIn most cases, service users face multiple financial problems and poor housing condi-tions and 80% of households are food inse-cure due to a lack of income.2 The most vulnerable groups struggle more and more to access healthcare. With other organi-sations, MdM denounces the complexity of the system which is further impaired by regular abusive practices or dysfunctional bureaucracy which generate delays (36%) in accessing healthcare or can even prevent people from seeking care at all (20%) among people who came to our clinics. These indi-cators demonstrate a worsening in access to healthcare for the most vulnerable groups.In 2014, vulnerable migrants, who repre-sent the majority of the MdM service users, were still victims of a repressive immigra-tion policy which aims to push them out of the French territory, at the cost of ris-king their lives or discriminating against certain communities. Migrants in transit on the Nord-Pas-de-Calais coast, irregular migrants in Mayotte or vulnerable Roma migrants experience serious oppression

which impacts badly on their living condi-tions and access to healthcare.The Pluriannual Plan against Poverty and for the Promotion of Social Inclusion, offi-cially passed in January 2013, demons-trates a political will to fight social and geographic inequalities in health. However, the concrete impact of such measures is taking a long time to manifest and remains inadequate. For example, although the threshold of the complementary Universal Health Insurance (CMU-c) has been slightly raised, it still excludes many of those living below the poverty line.

Protection and housingAs far as housing is concerned, the government has promised, among other things, to abolish seasonal accommoda-tion arrangements. This measure, however, has not yet been translated into concrete action in some regions. Once again, MdM calls on the government to urgently abo-lish the seasonal management of housing and to provide enough adequate, long-term, concrete and innovative solutions to housing for rough sleepers. Further-

more, the policy of shantytown reduction announced in early 2014 must respect the wishes of the people living in them.At a time when the right to asylum is under discussion, MdM, with other organisations, is calling for a policy change away from an approach based on control and oppression towards one based on protection, comp-lying with international law and disregarding the concerns of immigration management.It is also particularly urgent and necessary to re-instate both elements of the protection of seriously ill migrants: non-deportation and a right to remain when the necessary treat-ment for their condition is not appropriately accessible in their country of origin.

Mobilising for better legislation in 2015The April 2015 public debate in the French National Assembly presented an opportu-nity for MdM to develop its advocacy on the need for more effective action to tackle health inequalities given the inadequate content of the bill.Despite certain measures, like the widening of the third-party payment or trials for low-

2014 in brief 11

risk drug consumption rooms, the draft law does not go far enough to streamline bureaucratic processes to access health-care (e.g., no proposal to merge the State Medical Aid (AME) and the complementary Universal Health Insurance CMU-c). Nor does it provide enough safeguards to pro-tect current healthcare services (mother and child protection, health centres, heal-thcare access offices) which face many difficulties and are, in some cases, under threat. With the arrival of prohibitively expensive treatments, it is also urgent and necessary that we have a public debate about price fixing and transparent mecha-nisms to ensure the principles of a health democracy are respected.MdM wants the bill to better reflect the objectives set in the national health strategy and to take this opportunity to strengthen the fight against health inequalities.

» 71 PrograMMES in

» 33 TownS

» 120 EMPloyEES

» 2,000 volunTEErS

1. INSEE. Les revenus et le patrimoine des ménages. 2014, 136 pages2. MdM. L’alimentation des personnes en situation de grande précarité en France: quel impact sur leur état de santé. June 2014.

20 healthcare,

referral and advice clinics

40,790 medicalconsultations1

1. Excluding the clinic in Ajaccio where no data were available for 2014.

AlsaceFranche-Comté

Languedoc-Midi-Pyrénées

Rhônes-Alpes,Bourgogne,Auvergne

Provence-Alpes-

Côte d’Azur

Pays dela Loire

Poitou-Charentes

Nord-Pas-de-Calais

Aquitaine

Lorraine

Île-de-France

Normandy

Healthcare Referraland Advice Centres

Paediatric care centre

Buddying of childrenin hospital

Projects in rural areas, on the streets, in shantytowns,with migrants...

Sex workerprojects

Projects withpeople who use drugs

Project withprisoners

Outreach projects

Projects inMdM premises

SPAIN

ITALY

SWITZERLAND

GERMANY

BELGIUMUNITED KINGDOM

LUX.

Nantes

Toulouse

Marseille

Nice

Aix-en-Provence

Bordeaux

AngoulêmeCombrailles

Grenoble

Poitiers

Paris

Saint-Denis

ColombesStrasbourgNancy

Montpellier

Lyon

Metz

Valenciennes

Dunkirk

Hénin-Beaumont

Calais

Rouen

Le Havre

BayonnePau

AngersBesançon

Ajaccio

Corsica

Reunion

Mayotte

Saint-Denis

Saint-Pierre

Mamoudzou

Guiana

BRAZIL

AMSURINA

Cayenne

Jordan © Thierry du Bois

2014 in brief 13

The income and expenditure account highlights the organisation’s macro-economic model.

Doctors of the World is a medical humanitarian NGO which runs healthcare and advo-cacy programmes in France and overseas. Depending on the context, particularly in armed conflict situations or during major natural disasters, these programmes require considerable financial resources.

The majority of MdM’s income is raised from the general public, through donations and legacies totalling €38.9M, and in the form of our volunteers’ efforts and gifts-in-kind valued at €6.1M in 2014.

In order to have greater impact in our work with vulnerable populations, to ensure long-term sustainability of our work and to be able to carry out a large number of programmes, MdM also seeks grants from institutional or private funders.Donations contribute to programme coordination, enabling us to ensure the quality and effectiveness of MdM’s work.

The income and expenditure account shows that, not only do donations from the general public directly finance our operations, they also have a multiplier effect by complementing institutional funding and in this way fund more numerous and larger-scale programmes.

doCTorS oF THE world’SeconoMic Model

Public generosity is essential to Doctors of the World’s economic model

2014 In brIef14

rigorous ManageMent and transParencyMdM is approved by the Comité de la charte (the Charter Commit-tee on Donating with Confidence) and is particularly committed to following the charter’s principles, including rigorous management and financial transparency.

controls by external organisationsMdM is subjected to control by the Cour des Comptes (French public finance court) and the organisation’s accounts are certified by an auditor, Deloitte. Detailed audits are carried out by French, European and international institutional donors (such as ECHO, the European Commission’s humanitarian agency) or the United Nations.

the donors’ coMMitteeMdM relies on an independent donors’ committee, which regularly analyses and examines the organisation’s work.

financial scoPeThe financial results of MdM France include transfers to and from the other organisations in the Doctors of the World network, where MdM France has oversight in relation to those transfers: MdM Belgium, MdM Canada, MdM Germany, MdM Greece, MdM Japan, MdM Netherlands, MdM Spain, MdM Sweden, MdM United Kingdom and MdM United States.

a detailed financial report is available from our website:www.medecinsdumonde.org.

doCTorS oF THE world’S financial ManageMent PrinciPles

pooling donations: a fundamental principleMdM has always adhered to the principle that it does not allocate donations to specific projects, unless specifically requested by the donor, but rather pools all donations received. This policy allows us to intervene according to real needs on the ground, without being influenced by financial considerations or extensive media coverage of individual emergency situations. we regularly remind our donors, and all those who support our work, that we pool donations in this way.

Haiti © Benoît Guénot

2014 in brief 15

doCTorS oF THE world’S financial ManageMent PrinciPles

The balance sheet shows an overview of our finan-cial position on 31 december 2014. The changes from one year to the next reflect the changes in our activities in 2014.The current assets (stocks, creditors/receivables and cash) of €49M is significantly higher than the liabilities (short term debts) of €15M, showing that the organisation carries out its work with a view to sustainability and quality.

The cash available (€22M), related to the diffe-rences in timing of collection and payments, allows us to make short term investments. our investment policy favours monetary investments (short term deposits, SicaV/FcP) which are among the most secure assets on the market.Taking the 2014 deficit (€2.9M) into account, the organisation’s equity on 31 december corresponds to about 2.4 months of activity.

2014 BalanCE SHEET analySIS

2014 BalanCE SHEET

assets net 2014 net 2013

FIxEd aSSETS 5 285 478 4 889 901

SToCkS 268 444 138 178

rECEIvaBlES 25 974 328 12 691 529

CaSH 22 297 356 22 860 439

PrE-PaId ExPEnSES 711 751 700 371

total assets 54 537 357 41 280 418

equity and liabilities 2014 2013

EquITy 15 699 793 18 645 117

ProvISIonS For lIaBIlITIES & CHargES 1 049 247 673 557

dESIgnaTEd FundS 227 745 276 416

dEBTS 15 493 188 10 596 408

dEFErrEd InCoME 22 067 384 11 088 920

total equity & liabilities 54 537 357 41 280 418

This represents 2.4 months of operating costs, thus ensuring our autonomy and our financial independence.

»

2014 In brIef16

2014 expenditure ratiosThe ratios are calculated on the basis of a sub-total of expenditure recorded in the profit and loss account (Total I) from the annual expenditure account.

social programmesThese have reached €62M and repre-sent 81% of expenditure, a ratio which is better than in the previous year (79% in 2013). The social programmes budget line encompasses all our pro-grammes in France and overseas, Head Office departments linked to pro-gramme co-ordination and expenses linked to communication and advocacy.

fundraising costsThese costs represent 13% of expen-diture, equivalent to €10M, and have slightly increased. In fact, the organi-sation has invested in order to seek growth in income from the general public, foundations, businesses and public institutions. Such investment also enables us to maintain our finan-cial independence.

operating costsThese represent 6% of expenditure in 2014, at €4.4M. Operating costs include expenditure linked to the admi-nistrative and legal division, the finance division (comprising IT, accounts payable and cash), personnel adminis-tration and general services.

annual incoMe and ExPEndITurE aCCounT

2014 ExPENDItURE Allocation of funds raised from the general

public

SoCIal PrograMMES 62 411 144 28 373 788

FundraISIng 10 201 103 9 728 787

oPEraTIng CoSTS 4 366 787 3 350 564

i - total exPenditure recorded in the Profit and loss account 76 979 034

II - CHargES To ProvISIonS 673 497

III - ouTSTandIng CoMMITMEnTS on alloCaTEd FundIng 227 745

Iv - SurPluS

general total 77 880 276 41 453 139

in kind contributions

SoCIal PrograMMES 6 076 151

FundraISIng

oPEraTIng CoSTS

total 6 076 151

For 1 euro invested in fundraising, nearly 4 euros were collected in 2014 from public generosity.

Expenditure»

2014 in brief 17

public generosityIn 2014, income collected from the general public represented 52% of MdM’s income at €38.9M.In France, donations reached €34.3M. Legacies and other gifts totalled €3.5M. Donors from the MdM international network contributed €1M to Doctors of the World France projects.

annual incoMe and ExPEndITurE aCCounT

to fund its work MdM depends on:

2014 INCoME Follow up of funds raised from the public

incoMe collected froM the general Public unallocated and unused at the start of the financial year 7 640 323

InCoME raISEd FroM THE gEnEral PuBlIC 38 856 282 38 856 282

oTHEr PrIvaTE InCoME 2 834 580

granTS and oTHEr InSTITuTIonal FundIng 31 562 518

oTHEr InCoME 1 128 796

i - total incoMe for the financial year recorded in the Profit and loss account 74 382 176

II - rEvErSalS oF ProvISIonS 297 807

III - Carry Forward oF alloCaTEd InCoME noT uSEd In PrEvIouS yEarS 276 416

Iv - CHangES In dEdICaTEd FundS raISEd FroM gEnEral PuBlIC (SEE dEdICaTEd FundIng TaBlE) - 136 023

v - dEFICIT For THE FInanCIal yEar 2 923 877

total (i+ii+iii+iv+v) 77 880 276 38 720 259

total exPenditure financed by funds raisedfroM the general Public 41 453 139

BalanCE oF unalloCaTEd FundS raISEd FroM THE gEnEral PuBlIC and noT uSEd aT THE End oF THE yEar 4 907 443

in kind contributions

volunTary work (on naTIonal PrograMMES) 4 892 151

gIFTS In kInd 593 000

volunTary work (on InTErnaTIonal PrograMMES) 591 000

total 6 076 151

Income»

100% of donations received in 2014 were used during the year.

MdM depends on the commitment of 2,000 volunteers to carry out its work and advocacy activities.

other private funds These represent 4% of income, coming from associations, foundations or pri-vate businesses.

public institutional grantsThese represent 42% of income. MdM has a variety of funders in France and internationally (mainly the French Development Agency, humanitarian aid from the European Union through ECHO or the EU development agency, DFID, German ministry of foreign affairs, regional and district councils, United Nations and the Global Fund to Fight Aids, Tuberculosis and Malaria, etc.).

In kind contributionsDoctors of the World benefited from in-kind contributions worth €6.1M in 2014, mainly in the form of volunteers’ work on national programmes (€4.9M). Our work depends on 2,000 volunteers on our national programmes. A software tool has enabled us to collect data on the number of hours of voluntary work declared. These are valued using the MdM salary scale.Gifts or services in kind (€0.6M in 2014) are added to the hours of voluntary work and the contributions of volunteers working on interna-tional programmes (€0.6M in 2014). These are calculated as follows: each volunteer ‘s professional profile is combined with a role at Doctors of the World in order to be able to calculate a theoretical salary level, according to the internal salary scales. The amount of allowances and in-kind benefits given to volunteers are then deducted from the theoretical salary level.

2014 In brIef18

Argentina | Belgium | Canada | France | Germany | Greece | Japan | Luxembourg | Netherlands | Portugal | Spain | Sweden | Switzerland | United States | United Kingdom

THE InTErnaTIonal network

In 2014, Doctors of the World’s international network mobilised as one to fight the Ebola epidemic, help syrian populations, confirm women’s right to choose freely what to do with their bodies and continue its European project on access to healthcare.

a strong response to the ebola crisisThe Doctors of the World network faced a major humanitarian crisis with the Ebola epidemic in West Africa. Due to our long-term presence in Liberia and Sierra Leone, the organisation was able to act quickly on the ground by training health professionals and providing information to communities. The teams of MdM France and MdM Spain, backed by MdM UK, tackled urgent needs in a high-risk environment.

supporting syrian refugees and displaced personsFor the third consecutive year the Doctors of the World’s network supported millions of refugees fleeing the Syrian conflict. Most of our help was provided at Syria’s borders with Lebanon, Jordan and Turkey. Doctors of the World also supports the activities of doctors in Syria by sending them supplies and providing training.The Syrian conflict also affects Europe where tens of thousands of victims seek refuge. Doctors of the World calls on European governments to take in these victims.

campaign for women’s right to decide whether and when they want a childEvery year, 250,000 women die from com-plications related to pregnancy and another

50,000 die from unsafe abortions. In res-ponse to this intolerable situation, the Doc-tors of the World network ran an advocacy campaign during the global Cairo+20 sum-mit. Before the summit, street demons-trations were carried out in Paris, London, Amsterdam and New York to raise aware-ness about women’s right to choose freely. The campaign, called Names not Numbers, demonstrated that behind the statistics there are women, and that each of them has a life, a story, a freedom of choice which was trampled.

the international network’s european projectSince 2004, Doctors of the World’s interna-tional network has been working on a joint project which was started in order to protect seriously ill migrants unable to access heal-thcare in their country of origin. In addition, the project also carries out routine and spe-cific surveys to bear witness to barriers to access healthcare and to the health condi-tions suffered by those who visit our national programmes on a daily basis. We call this project the international network’s Observa-tory on access to healthcare.

In 2014, during the network annual mee-ting held in Madrid, the organisation star-

ted a discussion to define a shared vision, mission statement and common values. Following up on this, the network members will spend a few months in 2015 to deve-lop a common strategic plan, in order to increase the impact of our actions.

In 2014, the 14,177 people involved in the doctors of the world international network implemented:

MdM international network budget:

€135M (including the €77.9M MdM France budget)

» 355 programmes in...

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