MSF Canada Annual Report 2006

MSF in Action

Annual Report 2006

Médecins Sans Frontières ⁄ Doctors Without Borders Canada

Message from the President and the General Director

[Zambia] cover and this page MSF doctor Christos and patient at the hospital in

Kapiri Mposhi, where MSF provides comprehensive treatment for HIV/AIDS.

Photos: Cover and this page © Julie Rémy

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As always, the paramount objective of Médecins Sans Frontières (MSF) is to respond to emergencies according to the greatest needs. We strive to keep Canadians informed about our actions and also about the struggles we face in delivering humanitarian medical assistance.

The ongoing conflict in Darfur, Sudan continued to threaten millions of lives in 2006. Though rising insecurity reduced MSF’s ability to provide aid in some areas at times, our presence in the region was and is important to people trapped in camps, living like prisoners and dependant on aid for their very survival. By the end of 2006, MSF was working in 14 locations throughout Darfur and was providing care – including basic healthcare, surgery, paediatric care, vaccinations, high-risk prenatal care, mental health services and nutritional support – to approximately 685,000 local residents and displaced people.

Seven months after the earthquake in Pakistan in October 2005, MSF continued to provide orthopedic consultations in its inflatable medical tents in Mansehra as well as give support to the district hospital as it returned to normal functioning.

Following the conflict between the Israeli army and the Hezbollah militia in July 2006, MSF intervened in southern Lebanon, mainly through the distribution of basic non-food items (toiletry items, cooking sets and blankets) in addition to mobile health clinics, all in collaboration with local Lebanese medical teams.

Many of the populations to whom we provide assistance live in places affected by or emerging from periods of armed conflict or internal instability. Our presence and work in Sri Lanka has often been particularly challenging in this regard. When peace talks failed and hostilities restarted in 2006, MSF tried to gain access to those in need of assistance but was not allowed to do so. After much negotiation with the government, by the end of the year we succeeded in sending medical and surgical teams to Point Pedro, Vavunya and Mannar.

Intense bursts of violence characterised life in Somalia last year as the 15-year-old internal conflict raged on. Drought and flooding plagued different regions. In a country where a quarter of children die before their fifth birthday, malnutrition increased as livestock and crops were destroyed. Against this difficult backdrop, MSF actions included providing nutritional support and tuberculosis (TB) treatment, as well as primary and secondary health services in locations including Bay region, Galgalduud, Puntland and Mogadishu.

Despite a peace agreement signed in 2002, a democratic election process in 2006 supported by the international community and the presence of UN forces, violence is still raging in North Kivu, Democratic Republic of Congo. Armed conflicts between dissident brigades, foreign militia and government forces mean the civilian population continues to face danger on a daily basis. MSF provided medical care to 3,500 female survivors of sexual violence in 2006 in North Kivu, some travelling 18 hours by motorcycle to come to our clinic within 72 hours of being raped to receive antiretroviral medicine to protect against HIV. MSF works in two referral hospitals in Rutshuru and Kayna and in October 2006 opened an emergency programme for malnourished children and rape survivors.

There are many other critical battles we push through every day, including the fight for access to essential medicines for neglected diseases such as TB, AIDS and malaria.

Wherever the crisis might be, it is the nature of MSF to respond, to get on that plane, in that car, or boat, or on that motorcycle, and go out and act, reaching out to populations in need of healthcare around the world.

Joanne Liu MD Marilyn McHarg RN President, MSF Canada General Director, MSF Canada

Message from the President and the General Director A Year in Review

MSF Canada Annual Report 2006 �

CanadiansMSF provides emergency medical care to people at risk

in close to 70 countries worldwide. Every year, our

national and international staff around the world give

life-saving assistance to those who would otherwise

be denied access to even the most basic healthcare.

In performing this work, MSF staff bring professional

abilities, practical experience, as well as a commitment

to and concern for the people they help.

MSF recruits medical and non-medical staff to work

in its projects. Last year, Canadians departed on 188

field missions with MSF. Of these, 62 were new staff

participating in their first mission.

Canadians worked on 261 missions in the field with MSF in 2006, with some

joining their teams before January 2006.

Medical Professionals 42 Physicians * – 16 % 53 Nurses * – 20.3 % 12 Mental Health Specialists – 4.6 % 9 Laboratory Specialists – 3.4 % 3 Nutritionists – 1 % 2 Midwives – 1 %

Non-medical Professionals 49 Logisticians – 18.8 % 13 Administrators – 5 %

Coordinators 78 Medical and Non-medical – 29.9 %

* Manystaffwithamedicalbackgroundholdadministrativepositions.

Where are they From? 22 Alberta 48 British Columbia 2 Manitoba 3 New Brunswick 1 Newfoundland 81 Ontario 1 Prince Edward Island 100 Quebec 3 Saskatchewan

[DRC] Jean-François (left), a logistician from Canada, and Chris, a doctor from Germany, both members of

an MSF team in Katanga. © Per-Anders Pettersson/Getty Images

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1. angolaFrank BoyceAnne Henderson2. armeniaRobert Parker3. BangladeshKevin BarlowGabriele Pahl4. BurundiFrancine BelisleMichel DumontCatherine MasonFanny MorelRichard PoitrasDiane RachieleIsabelle RiouxRaghu Venugopal5. CambodiaNicole TanguayCarlo Testa6. Central african

republic (Car)Marie-Claude AllyLaura ArcherNoah BernsteinGeneviève CôtéAnnie DesiletsSylvain DeslippesBenoît ÉmondIvan GaytonSherri GradySylvain GroulxJean-François HarveyDawn KeimPierre KronstromMélanie MarcotteJean-François NouveauxGabriele PahlJacinthe Pressé7. ChadChristine BonneauMaryse BonnelJacques CaronIsabelle ChotardKevin CoppockGeneviève Côté

Marise DenaultMario FortinLori HuberMichelle LaheyBarbara LeblancMarie-Claude LemayClaudine MaariPaul N’guyenOmar OdehGabriele PahlDavid PonkaFrançois RiffaudJames SquierGrace TangGislène TélémaqueBenoît Wullens8. ChinaMichelle ChouinardYvan MarquisPeter Saranchuk9. ColombiaTyler FainstatDarryl Stellmach10. democratic

republic of CongoNathalie BelleauLindsay BrysonMatthew CalvertMonica ChaudhuriErwan ChenevalHeidi ChestnutStéphanie FerlandAndré FortinMario FortinGisèle FournierJean-François HarveyThomas KelleyDolores LadouceurWendy LaiBarbara LeblancSonia LessardMichael LewisJoanne LiuJudy MacConneryFrédéric ManseauElisabeth Martel

Jean-Sébastien MatteJohn Paul MorganAndré MungerDaniel NashIvik OlekAlexis PorterMarlene PowerDominique ProteauIsabelle RiouxLeslie ShanksJames SquierJulienne TurcotteSophie VillemaireFred Wiegand11. ethiopiaIsabelle AubryJaroslava BelavaClaude TrépanierIvan Zenar12. haitiRosianne AyotteAdam ChildsDave De BoldVincent ÉchavéSteve St-Hilaire13. indiaKaren AbbsIndu GambhirGordon Hutton14. indonesiaJacques CaronAsha GervanAsit MitraDiane RachieleVivienne RowanHidayat UllahBerverly Winder15. iranMagdalena Gonzalez16. ivory CoastPenny BayfieldAndrea BoysenMatthew CalvertDenise ChouinardKevin CoppockSteve Dennis

Vincent ÉchavéAsha GervanHélène LessardClaudine MaariJean-Pierre PagéElaine SansoucyArun SharmaBeverly Winder17. JordanLouisa Zebic18. KenyaTiffany MooreSylvain Groulx19. lebanonAdam Childs20. lesothoPeter Saranchuk21. liberiaBrian BakerDon ChambersIndu GambhirPatrick GouldPatrick LaurentMiguel MendozaAlanna ShwetzHidayat Ullah22. MalawiFarah AliEva LamChantal St Arnaud23. MalaysiaAdrienne Carter24. MyanmarNadine CrosslandFrédéric DubéVinay JindalJim Newton

Manisha Rajora25. NepalKatja Mogensen26. NigerFarah AliMarise Cutrone27. NigeriaFredédéric BeaudoinStephanie GeeMichel LacharitéGabriele PahlRichard PoitrasJohn PringleLuke Shankland28. PakistanIan AdairSusan AdolphJustin ArmstrongJoe BelliveauDavid CroftSteffen De KokMarise DenaultFahreen DossaMike FarkStephanie GeeDawn KeimCara KosackThierry Petry29. Papua

New GuineaAdam Childs30. PeruYanik Delvigne31. republic of CongoAhmed AlasBrenda HoloboffJessika Huard

Kurt JansenSophia KapellasPikka LamJudy MacConneryGabriele PahlGrace TangNicolas VerdyMartine Vézina32. sierra leoneConcetta BuonaiutoLaura LauLara SergovichJennifer Yeo33. somaliaReshma AdatiaViolet BaronLindsay BrysonSylvain DeslippesNaomi FecteauJosé GodboutMegan HunterBruce LampardTabata MaloDavid MichalskiOmar OdehAudrey St-ArnaudDarryl Stellmach34. south africaCheryl McDermid35. sri lankaViolet BaronAdam ChildsMegan HunterDoug Kittle36. sudanLori BeaulieuSteffen De KokStephanie FaubertDiane GriceJoni GuptillJohn HazletonCaroline KhoubesserianEva LamHarry MacNeilZayd MajokaJean-Sébastien Matte

Tiffany MooreAmy OsborneJulia PaysonAnu SharmaArun SharmaJoli ShokerKathleen SkinniderLuella SmithSheila StamSusie TectorDanielle TrépanierVanessa Van SchoorGreg Willson37. tanzaniaMireille Roy38. turkmenistanRhiannon HughesSerena KasparianSafo Visha39. ugandaLynne ChobotarMathieu LéonardEileen SkinniderHeather ThomsonClaude Trépanier40. uzbekistanMichelle Tubman41. ZambiaIan AdairFarah AliHeather FerrisEva LamSima PatelPaulo RottmanChris WarrenVanessa Wright42. ZimbabweJoe BelliveauCarmen BellowsDon ChambersDavid CroftCara KosackJean-François LemaireCheryl McDermidJoel MelansonJoannie Roy

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Canadians on Mission in 2006[Kenya] Torential rains and floods affected over 300,000 people in 2006.© Lieuwe Montsma

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August 2006, Toronto: MSF delivers experiences at international conference

while progress to tackle the pandemic lumbers

XVI International AIDS Conference

“Thedisappointingsideoftheconferencewasfromthe

politicalsideastheCanadianprimeministerfailedtoattend.

TheCanadiangovernmenthasnotbeenabletodeliveron

theirpledgetoproducegenericformulationsevenwith

alltheencouragementandassuranceofparticipationbyMSF.”

~IbrahimUmoru,peercounsellorMSFHIV/AIDSprojectLagos,Nigeria

Time to deliver. That was the aptly named theme of the XVI International AIDS Conference (IAC) held in Toronto in August 2006. Expectations remain high for the unmet promise to deliver medicines, know-how, funding and support for the 40 million people living with HIV/AIDS worldwide in 2006. An estimated 80 per cent of them lack access to life-saving antiretroviral (ARV) treatment.

Thirty-five international representatives of Médecins Sans Frontières (MSF) programmes for HIV/AIDS in 14 countries attended the IAC, sharing information, giving media interviews, holding major and numerous smaller sessions and presenting data on such topics as treating children in resource-poor countries and the adverse consequences of user fees for patients.

As it has at previous IACs, MSF demonstrated that delivering treatment and care to people living with HIV/AIDS is possible in developing countries,

despite the constraints. Once again, MSF demanded paediatric ARV formulations for our youngest patients, and that treatment be made affordable and available to the poorest patients. MSF also raised the alarm bell about the need for affordable new medicines.

At the time of the IAC, MSF was treating more than 57,000 patients with life-prolonging antriretrovirals in 32 countries. By the end of 2006, MSF was treating more than 80,000 patients living with HIV/AIDS.

Millions of people, however, are still not getting the treatment they need to stay alive. As medical humanitarians we do not accept that time is running out for them. © Kenneth Tong

[Toronto] MSF staff from projects around the world

presented at the IAC in August, 2006.

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[Kenya] The HIV/AIDS and TB clinic

called Blue House was founded in 2001,

and started providing antiretroviral

therapy to people living in the

adjacent slum, Mathare, in 2003.

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1. Angola

2. Bolivia

3. Burundi

4.Cameroon

5. Chad 6. Colombia

7. Democratic Republic of Congo

8. Ethiopia 9. Haiti 10. India

11. Indonesia 12. Ivory Coast

13. Lebanon 14. Liberia 15. Mozambique

16. Nigeria 17. Pakistan 18. Republic of Congo

19. Russian Federation 20. Sierra Leone

21. Somalia 22. Sudan 23. Uzbekistan

24. Zambia 25. Zimbabwe

Project Profiles 2006MSF in Action

[Pakistan] In the first six months following

a massive earthquake in India and Pakistan in October 2005, more

than 50,000 people living in mountainous areas received

assistance from MSF. This aid included basic health care, surgical

interventions and vaccinations against measles and tetanus.

© Ton Koene

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1. angolaAfter three decades of civil war, Angola’s health infrastructure is slowly re-establishing itself. The worst cholera outbreak ever recorded in the capital city of Luanda took place in February 2006. More than 53,000 people were infected and an estimated 2,100 people died between mid-February and early September. During its intervention, MSF treated more than 26,000 people and sent more than 400 tonnes of medical and logistical supplies to affected areas.

The country’s increasing stability has led MSF to hand over many of its activities. In 2006, projects in eight locations were transferred to either Ministry of Health staff or other organisations.

MSF has worked in Angola since 1993.

international staff: 100 national staff: 962 private funds: $210,375

2. BoliviaBolivia is home to a large indigenous population, many of whom are poor, geographically isolated and have little access to healthcare. MSF has focused on helping Bolivians with Chagas, a deadly parasitic disease. Up to 40 per cent of people are affected by Chagas in some rural areas, the highest prevalence of the disease in Latin America. As Chagas currently cannot be effectively treated in adults, emphasis is on diagnosis and treatment in youth under 18 – with good results. MSF also continues to support the Ministry of Health’s Chagas prevention activities, trains medical and community health staff and conducts community education. Lobbying and advocacy to improve access to diagnosis and treatment for Chagas is ongoing.

MSF has worked in Bolivia since 1986.


3. BurundiMSF supports a number of hospitals throughout Burundi, where health services are provided for very low fees and with free access for the most vulnerable. Malaria, a treatable but otherwise potentially fatal disease, represents up to 50 per cent of MSF medical consultations at health centres countrywide.

In Kazanza province, MSF currently works in a hospital and three basic health centres. Activities in these facilities include emergency surgery, tuberculosis treatment, ante-natal and post-natal care, identifying and referring HIV-positive patients to the national programme (and following up with them once they begin antiretroviral therapy), as well as treatment for survivors of sexual violence. Similar MSF activities in Ruyigi district were handed over to the Ministry of Health in 2006.

MSF has worked in Burundi since 1992.


The profiles in this report offer details about the countries and projects MSF Canada funded in 2006. In keeping with our principle of independence,

81 per cent of funding in Canada for MSF’s work came from private donors, with the remaining 19 per cent coming from institutional donors,

including the Humanitarian Assistance, Peace and Security division of the Canadian International Development Agency (CIDA). The numbers

of international and national staff indicated represent all members of MSF teams working on different projects in the country profiled

at one point in 2006, and not only the staff in the project MSF Canada funded. The information presented here describes our work and the

realities in each country context during 2006. These realities may have changed since the publication of this report.

© John Fiddler

[Burundi] MSF nurse John administers a meningitis vaccine.


4. CameroonBuruli ulcer is a tropical disease caused by bacteria that destroys tissue just beneath the skin. It is difficult and expensive to treat as little is known about how the disease is transmitted or how it progresses. Since 2004, MSF has been treating patients in the city of Akonolinga both surgically

and with medicines for Buruli ulcer, while also innovating diagnostic techniques. MSF is working with the Ministry of Health to ensure the continuation of the project over the long term.

MSF has worked in Cameroon since 2000.


5. ChadSeveral attempted coups and continued fighting between government forces and rebels resulted in hundreds of civilian and military casualties in 2006 in Chad. Despite gaps from other aid actors, MSF increased its operations in the country in an attempt to meet ongoing needs. Every week, MSF teams treat approximately 1,600 patients in health centres and mobile clinics in 15 locations. The organisation provides about 200,000 litres of safe drinking water to more than 23,000 people every day and has given basic relief goods, such as blankets, plastic sheeting, buckets and soap to about 50,000 displaced persons in eastern Chad.

MSF provides basic healthcare and basic and emergency surgery to residents and an estimated 80,000 people who have fled neighbouring Darfur, Sudan and are now living in refugee camps in Chad. Teams are involved in addressing the consequences of sexual violence, treating malnutrition, providing health education and controlling communicable diseases.

MSF has worked in Chad since 1981.


6. ColombiaNow in its fifth decade, ongoing violent conflict in Colombia has caused the displacement of more than two million people. While many people in remote villages find themselves cut off from basic healthcare services, those who have fled to urban shantytowns are subject to poverty, disease and rampant violence. Many people throughout the country are also suffering from mental disorders including acute trauma caused by witnessing or being victims of violent events.

MSF continued in 2006 to provide essential medical services in numerous urban and rural areas of Colombia, using both fixed health posts and mobile clinics. In addition to basic healthcare, many programmes include vaccinations, reproductive healthcare, emergency dentistry and psychosocial support.

In the northeastern department of Norte de Santander, MSF conducted medical outreach activities in isolated rural areas where approximately 750 patients were seen each month. In the provinces of Córdoba, Chocó and Antioquía, MSF expanded its activities in 2006. Mobile clinics were used to provide healthcare to people living in outlying villages, treating approximately 900 patients monthly. MSF also established a clinic for displaced persons living in the urban slums of Sincelejo. On average, 1,250 patients were treated per month, the most common ailments being respiratory infections, diarrhoeal diseases and acute viral infections.

MSF has worked in Colombia since 1985.


[Cameroon] Young clinic patients with MSF nurse Pat.© Michael Goldfarb

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7. democratic republic of Congo (drC)Millions of people continue to live in crisis throughout Democratic Republic of Congo (DRC) and the medical situation remains grave. The eruption of violence and disease is frequent in DRC and MSF teams are required to be mobile and react on short notice, often on a large scale.

In places such as Pweto and Walikale in the provinces of Katanga and North Kivu, MSF continues to provide primary and secondary health services to displaced and resident populations affected by violence. In addition to running a makeshift hospital and a network of health centres, MSF launched measles vaccination campaigns, treated outbreaks of cholera, cared for victims of rape, and distributed supplies such as plastic sheeting, blankets and cooking utensils for displaced families.

HIV/AIDS is also a major focus for MSF in DRC and 2006 saw an expansion of treatment programmes across the country.

MSF has worked in DRC since 1981.

international staff: 207 national staff: 1933 private funds: $1,050,625 cida: $1,000,000

8. ethiopiaKala azar is still a widespread disease in many parts of Ethiopia. Transmitted by the sandfly, the disease attacks the immune system causing fever, wasting, an enlarged spleen, anaemia and death if left untreated. While national treatment guidelines for kala azar (also known as visceral leishmaniasis) are being reviewed, the disease remains a huge challenge in Ethiopia. There is still a very limited availability of the necessary drugs, even in areas where the disease is endemic.

In the northeastern Amhara Region, MSF treats patients co-infected with HIV and kala azar in the towns of Humera and Abdurafi. More than 1,800 patients with kala azar were treated in 2006.

MSF has worked in Ethiopia since 1984.


9. haitiFear, lack of infrastructure and high healthcare costs prevent more than half of Haiti’s population from accessing basic medical services. The enormous civilian cost of the country’s violence caused MSF to speak out in January 2006, calling on all parties to respect the safety of civilians and allow immediate access to emergency medical care. MSF also called on all armed actors to respect the safety of national and international aid workers after a wave of kidnappings.

In the capital Port-au-Prince, in one of the city’s most violent areas, Cité Soleil, MSF operates the 75-bed Choscal Hospital as well as the Chapi Health Centre. More than 3,000 consultations are carried out monthly, including maternal and child healthcare and surgical consultations. Haiti has the highest level of maternal mortality in the Americas, with 523 deaths per 100,000 births. In March 2006, MSF opened the 60-bed Jude Anne Hospital in the capital’s Delmas area, where emergency obstetric care services are available around the clock. Between March and June 2006, the team performed more than 1,200 deliveries and 450 surgical interventions, including 250 caesarean sections. In June 2006, MSF handed over the activities of its primary healthcare project in the Decayette area to a local nongovernmental organisation.

MSF has worked in Haiti since 1991.

international staff: 29 national staff: 327 private funds: $1,575,550

[DRC] Administering care in the volatile Ituri region.

© Spencer Platt/Getty Images

[Haiti] Anaesthetist at St. Catherine Hospital in Cité Soleil.© Pep Bonet


10. indiaMSF offers mental healthcare to people living in Jammu-Kashmir state, a conflict-prone region claimed by both India and Pakistan. Working from various locations in and near Srinagar, MSF addresses mental health problems related to the area’s tensions and conflict.

Malaria is an illness of concern in Assam region and teams have used artemisinin-based combination therapy to treat approximately 10,000 malaria patients a month. Mobile clinics are used to reach people in more than 50 camps where MSF sees many children with respiratory infections, diarrhoea and malnourishment. In early 2006, MSF carried out a measles vaccination campaign in the camps,

trucked in clean water and installed taps on water tanks.

MSF is also active in neighbouring Manipur state, operating four primary healthcare clinics in the district of Churachanpur as well as a clinic to treat people with sexually transmitted infections. Because of the state’s high rate of HIV infection, in March 2006 MSF began integrating HIV/AIDS care into the state’s existing health programme.

MSF has worked in India since 1999.


11. indonesiaIn June, MSF emergency team members responded on the day of the Yogyakarta earthquake, and trucks filled with emergency supplies soon followed. With hospitals overwhelmed, an MSF surgical team worked alongside other Indonesian and international teams to help clear the backlog of patients waiting for surgery, and a post-operative ward was assembled to ease overcrowding in the hospitals and provide care to patients from all over the city. Psychologists providing counselling to those traumatised by the earthquake and training to Indonesian medical staff continued to work in the region.

MSF has worked in Indonesia since 1995.

international staff: 99 national staff: 1,016 private funds: $236,112

12. ivory CoastThe civil war that erupted in 2002 continues to effectively cut Ivory Coast in two. Despite the slow return of Ministry of Health staff since the signing of a peace agreement in 2003, there remains little or no healthcare for most of the population due to sporadic violence and general instability.

At hospitals in Danané, Bouaké and Man, MSF continues to provide essential medical care, including paediatric consultations, emergency medicine, obstetric and gynaecological care and surgery. Mobile clinics provide services in more isolated areas, including the buffer area between warring factions. MSF is pioneering new ways of delivering HIV care to remote areas by training nurses and clinical officers in health clinics, extending the reach of counselling, testing and free antiretroviral therapy for those in need. Through its creation of a new hospital unit for pregnant women with HIV in Danané, MSF is also providing treatment to prevent the transmission of HIV from mother to child.

MSF has worked in Ivory Coast since 1990.

international staff: 51 national staff: 940 private funds: $600,000 cida: $700,000

[India] Outside MSF clinic in Manipur.© Irene Slegt

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13. lebanonIn July 2006, civilians in Lebanon were trapped by an intensifying war between Lebanese Hezbollah fighters and the Israeli Defense Forces. Ongoing fighting and bombings caused hundreds of thousands of people to flee their homes and left many with a limited capacity to meet basic needs, including healthcare. While assistance was offered on the Israeli side the nature of the conflict was such that there were greater needs and less available assistance in Lebanon.

During the conflict MSF helped replenish needed supplies, sending more than 300 tonnes of material to Lebanon including relief items, medical supplies and medicines, surgical kits, and logistical materials such as sanitation equipment and water bladders. MSF teams also worked with local medical teams to set up mobile clinics. When a ceasefire came into effect on Aug. 14, the majority of displaced people returned home within a few days. Throughout and following the conflict, Lebanese health staff and facilities addressed the majority of the medical needs, with MSF playing a supportive role.

Once the acute phase of the emergency ended, organisations began to arrive to help reconstruction efforts and MSF ended its activities. MSF continues to monitor the situation closely.

MSF has worked in Lebanon intermittently since the 1980s.


14. liberiaRehabilitation efforts are starting to bear fruit in this country, now rebuilding after a 14-year civil war, but Liberia still lacks functional health facilities and personnel. In Saclepea, Nimba county, MSF runs a health clinic, four health posts and mobile clinics. In 2006, more than 25,650 outpatient medical consultations were conducted there. A new women’s health unit was also created, offering family planning services and treatment for sexually transmitted infections. MSF also runs several health clinics and provides care to survivors of sexual violence in Grand Bassa and River Cess counties, and runs a hospital providing free care. A community-based programme in Grand Bassa treated 271 malnourished children from January to July 2006.

MSF has worked in Liberia since 1990.

international staff: 96 national staff: 1,288 private funds: $780,000

15. MozambiqueEstimates indicate that 16 per cent of the population in Mozambique are affected by HIV. In the northern provincial capital of Lichinga, MSF provides medical care for people with HIV/AIDS that includes voluntary HIV screening, antiretroviral therapy, prevention of mother-to-child HIV transmission, treatment for opportunistic infections and prevention programmes. In 2006, MSF cared for more than 900 people in Lichinga, 400 of whom continue to receive antiretroviral therapy.

MSF has worked in Mozambique since 1984.


[Lebanon] Emergency mobile clinic.© Kadir van Lohuizen

[Ivory Coast] Canadian MSF nurse Dominique checks blood transfusion.

© Peter Casaer

[Liberia] Healthcare in Nimba county.© Alan Meier

MSF Canada Annual Report 2006 ��

16. NigeriaIn Lagos, MSF has established a comprehensive HIV/AIDS programme, providing care to more than 1,500 people infected with HIV. More than 1,000 patients are receiving the antiretroviral medicines they need at General Hospital Lagos.

In 2006, MSF research in the Lagos project showed an acute and growing need for affordable second-

line medications. These medications are the newer AIDS drug formulations for patients who develop resistance to a first combination of medicines and must change their treatment. MSF and civil society groups publicly urged pharmaceutical companies to make AIDS drug formulations immediately available to patients in Nigeria, achieving some success with initial shipments of the heat-stable, second-line drug

lopinavir/ritonavir to Nigeria in July 2006.

MSF has worked in Nigeria since 1996.


17. PakistanDespite the intense activity required in the aftermath of the October 2005 earthquake in the north, MSF’s regular programmes in Pakistan continued throughout 2006.

MSF handed over its basic healthcare projects in the Mohammed Kheil Afghan refugee camp in western Baluchistan province to a local foundation in April 2006, after performing approximately 40,000 consultations. At the same time MSF started a project in Kuchlak, a slum at the outskirts of Quetta, where tens of thousands of Pashtuns from Afghanistan reside after having fled their country. Here MSF conducts about 130 mother and child consultations a day and screens for malnutrition. By July 2006, permission for MSF to work near the Line of Control was retracted and activities in Leepa valley came to an end. By then, MSF had conducted almost 15,000 consultations, of which several hundred were for pregnant women.

MSF has worked in Pakistan since 2000.


18. republic of CongoRenewed fighting between government forces and rebels in Republic of Congo’s southern Pool region has caused increased hardship for civilians living in this war-torn country. As a result, most people living in the region today cannot obtain basic medical care.

In 2006, MSF performed more than 2,400 consultations monthly at regional referral hospitals and through mobile clinics in Kindamba and Mindouli. The team offers in- and outpatient care, emergency surgery, maternal and child care, and immunisations, as well as mental healthcare to help people overcome violence-related trauma. MSF also assists HIV-positive patients by providing access to antiretrovirals and counselling services, and its advocacy work has led to a change in the treatment of malaria to more the effective artemisinin-based combination therapy.

MSF has worked in Republic of Congo since 1997.


[Republic of Congo] Post-conflict healthcare. © Jiro Ose

[Nigeria] HIV/AIDS testing facility.

© Ton Koene

[Pakistan] Aid after the earthquake.

© Eddy Van Wessel

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19. russian FederationFollowing years of violence, many Chechens remain internally displaced and face grim conditions in overcrowded, temporary accommodation centres. Access to the republic remains a pressing problem for MSF.

In the rural region around Grozny, MSF primary care mobile teams offer healthcare in 10 different villages. Mental health services are a large component of MSF’s programmes, and counsellors work closely with the mobile medical teams, offering services for patients and staff in the republic’s main trauma hospital. MSF also provides treatment for tuberculosis (TB) and supports the existing TB dispensary system with drugs, equipment and specialised lab services. MSF continues to provide medical and psychosocial care to internally displaced persons from Chechnya living in Ingushetia.

MSF worked in the Caucasus from 1993 to 1997, and resumed activities in 1999.


20. sierra leoneMany women in Sierra Leone die from complications during pregnancy or delivery, and close to one out of five babies dies during or just after birth. MSF is helping mothers and babies by reducing medical risks and making needed medical care more available. Women often live far from hospitals, so in Kambia and Tonkolili districts MSF has established “maternity houses” where women in their final weeks of pregnancy can stay until they deliver. In these facilities, MSF treats HIV-positive pregnant women to prevent mother-to-child transmission of the virus.

MSF staff is also integrating HIV and tuberculosis care in MSF-supported public health units, and in the maternal and paediatric wards of secondary health facilities. Teams train and supervise staff and supply medicines and other medical materials. MSF clinics see approximately 2,000 patients per month in each district.

MSF has worked in Sierra Leone since 1993.


21. somaliaIn February 2006, the new government of Somalia met for the first time and in April the old capital of Mogadishu imploded into all-out war. The Union of Islamic Courts took control of south and central Somalia in July only to flee the country soon after, leaving the Transitional Federal Government the job of rehabilitating a country ripped apart by rival warlords and suffering some of the worst health indicators in the world. Unpredictable and regular outbreaks of violence have forced MSF to temporarily evacuate its missions on a regular basis.

Even in a “normal” year, malnutrition is a chronic problem in many parts of Somalia. MSF projects in Galkayo, Marare, Bakool, Galgaduud and Dinsor contain nutritional components that treat children year-round. In early 2006, the MSF-run hospital in the town of Dinsor bolstered its team to provide mobile outreach activities, while the therapeutic feeding centre treated more than 600 children for severe malnutrition between January and June. That figure was almost 10 times higher than the previous year because of a severe drought. MSF opened new projects in the towns of Dhusa Mareb and Guri El in the Galgaduud region in early 2006.

MSF has worked in Somalia since 1991.

international staff: 41 national staff: 487 private funds: $900,000 cida: $700,000

[Somalia] A patient receives follow-up care for kala azar, a deadly disease affecting the immune system.© Espen Rasmussen

[Russian Federation] Basic healthcare in Grozny.© Misha Galustov


22. sudanSudan is the site of MSF’s largest operations. Due to continuing violence in the western (Darfur) and southern regions, the health needs of the population remain staggering.

In Darfur, where people are completely reliant on humanitarian aid for survival, numerous attacks against humanitarian workers have drastically reduced the ability to deploy aid and reach people in need. MSF provides primary healthcare, treats violent trauma and addresses malnutrition in numerous clinics across the region. In Kalma – one of the largest displacement camps in the world – MSF runs a primary health clinic with close to 1,000 consultations weekly and a women’s health centre that includes treatment for sexual and gender-based violence.

In the south MSF operates in several regions, addressing the healthcare needs of hundreds of thousands of Sudanese returning from the north or from camps in surrounding countries. In Kajo Keiji, a team operates a 200-bed hospital – the only hospital in southern Sudan providing HIV treatment – while in Abyei, MSF supplies medicines to the local hospital and provides staff to handle consultations.

MSF has worked in Sudan since 1979.

international staff: 313 national staff: 6,242 private funds: $1,400,000 cida: $1,200,000

23. uzbekistanMSF is one of the few humanitarian organisations present in Uzbekistan, where a combination of increasing economic hardship and deterioration of tuberculosis (TB) services since the 1990s has led to an increased incidence of multi-drug-resistant tuberculosis (MDR-TB).

MDR-TB treatment has very unpleasant side effects and involves hospitalisation for six to 12 months. By May 2006, a total of 246 MDR-TB patients in Nukus City and Chimbay District in the autonomous republic of Karakalpakstan were enrolled in MSF’s treatment programme. The MSF team continues to try to improve the quality of life for patients by offering psychosocial assistance to them and their families.

MSF has worked in Uzbekistan since 1997.


24. ZambiaApproximately 1.6 million of the 11 million people living in Zambia are estimated to be HIV-positive, and more than 100,000 people die there each year from the disease. In response to this crisis, MSF runs projects in the poor and rural northeastern Nchelenge district in Luapula province and in the Kapiri Mposhi district of Central province. MSF recently built a specialised antiretroviral (ARV) clinic inside Kapiri District Hospital. Testing activities are finding between 30 and 40 per cent of people infected with HIV in these locations. By mid-2006, approximately 6,000 people were receiving HIV/AIDS-related care from MSF at these locations, and an estimated 2,000 were receiving ARV treatment.

In March 2006, MSF was able to close its cholera intervention in Zambia, having treated 3,028 patients.

MSF has worked in Zambia since 1999.


[Sudan] Outpatient nutrition programme in Kalma camp.

© Stephan Grosse Rueschkamp

[Uzbekistan] MDR-TB laboratory.© Donald Weber/Atlas Press

[Zambia] Cholera intervention in Lusaka. © Julia Kourafa

��

25. ZimbabweIn early February 2006, heavy rains spread cholera to urban and rural areas of Zimbabwe. MSF assisted the Ministry of Health by setting up cholera treatment centres in the provinces of Manicaland, Mashonaland East and the Epworth section of Harare. Teams also provided medical and logistical supplies, transported patients and trained health workers. MSF installed and repaired water systems in health centres and organised health promotion activities. By July 2006, more than 900 cases of cholera had been treated.

Almost one quarter of the adult population of Zimbabwe is infected with HIV and more than 3,200 people die from HIV/AIDS-related illnesses each week. MSF provides HIV/AIDS-related care to thousands of people and treats close to 3,000 with antiretroviral medicines in the southern city of Bulawayo, Matabeleland province; in Gweru in Midlands province; in the Tsholotsho district of Matabeleland, North province; and in the Buhera district of Manicaland province.

MSF has worked in Zimbabwe since 2000.


Canada Volunteers Project the objective of this domestic initiative is to strengthen

the capacity of MsF in Canada to recruit, train, prepare

and send staff to our field projects around the world.

in 2006, Canadians departed on 188 field missions

with MsF. of these, approximately one quarter benefited

from Cida’s humanitarian assistance programme.

cida: $400,000

[Zambia] Eva, a Canadian team member, works on a study about the prevalence of

malaria in HIV -positive patients.© Julie Rémy [P

roje

ct P

rofil

es 2

006]

MSF Canada Annual Report 2006 �5

MSF Canada in Action[Spotlight]

MSF Canada opened its doors in 1991 with a mandate to recruit medical and logistical

personnel, raise funds for international work and increase public awareness about the

populations we treat and care for around the world. 2006 represented a new era for

MSF Canada as we assumed direct responsibility for the management of projects in five

countries: Colombia, Haiti, Ivory Coast, Nigeria and Republic of Congo.

ColombiaIn Colombia MSF provides essential medical services in numerous urban and rural areas of the country, using both fixed health posts and mobile clinics. In addition to basic healthcare, many programmes include vaccinations, reproductive healthcare, emergency dentistry and psychosocial support. In the northeastern region of Norte de Santander, MSF conducted medical outreach activities in isolated rural areas. Approximately 750 patients are seen each month at two fixed sites and through mobile activities.

haitiSince the opening in March 2006 of Jude Anne Hospital, MSF teams have assisted more than 8,000 births and conducted more than 7,400 consultations with expectant mothers. The project specifically targets women living in the most violent parts of the city who have difficulty accessing appropriate care, in part because of poverty and violence. Medical care is provided to women who have high-risk pregnancies, as well as treatment to help prevent mother-to-child transmission of HIV.

Patients at Jude Anne Hospital in Port-au-Prince receive care in MSF’s emergency obstetrics programme.

Women in the violent slums lack access to maternity care and often die during pregnancy and childbirth.

�6

ivory CoastAs well as providing basic healthcare, MSF is pioneering new ways of delivering HIV care in the west of Ivory Coast, proving this type of treatment is possible in a zone where fighting may erupt at any time. In Danané, MSF built a new hospital ward for pregnant women who are HIV-positive. The ward is dedicated to preventing mother-to-child transmission of the disease. In Bin Houye, MSF is supporting Ministry of Health HIV/AIDS treatment programmes in three health centres and has started voluntary counselling and testing services.

NigeriaIn Lagos, MSF has established a comprehensive HIV/AIDS programme, providing care to more than 1,500 people infected with HIV. MSF and civil society groups advocated for access to free treatment and actively promote the use of lower cost, generic antiretroviral medication to help expand this treatment to more patients. While progress has been made to increase the availability of first-generation AIDS medicines, access to newer, field-adapted AIDS drugs is an ongoing challenge.

republic of CongoMSF returned to work in Republic of Congo in 2003 at the end of the conflict to assist the population of the Pool region. In Kindamba district, MSF performs more than 2,400 consultations monthly, at regional referral hospitals and through mobile clinics. The team manages hospitals and mobile clinics, emergency surgery, maternal and child care and immunisations. In Mindouli district, 2,400 patients are seen monthly at mobile clinics and in the district hospital. Mental health services are also offered through local counsellors and social workers, who help people overcome trauma related to the region’s violent past.

[Spo

tlig

ht]Photos from opposite left:

[Haiti] Emergency obstetrics at Jude Anne Hospital. © MSF

[Colombia] MSF clinic. © Jesus Abad Colorado

[Haiti] Maternity care at Jude Anne Hospital. © Isabelle Jeanson

[Ivory Coast] Grandfather, grandson visit MSF clinic. © Ton Koene

[Nigeria] Aminat Alli, secretary for the local HIV treatment action movement. © Ton Koene

[Republic of Congo] A patient receives drugs for TB. © Jiro Ose


It’s Time to Act Summer 2006 | Ontario and Quebec

© P

ette

rik W

igge

rs

[DRC] A young boy living in a camp

for internally displaced persons

in Dubie. Access to healthcare

and medicines in many parts of

DRC is precarious to non-existent.[MSF

in

Acti

on]

“With so many organisations looking to cure disease in our world, it’s inspiring to see one seeking to cure apathy as well.”

~NoteleftinExpoguestbook

The summer of 2006 saw the launch of the MSF Expo. The travelling exhibit, encased in a 14.6-metre (48-foot) trailer, was designed to provide insight into MSF missions in Bolivia, Sierra Leone, South Africa and Uzbekistan, and more specifically to inform the public about the realities of people suffering from neglected diseases such as Chagas, malaria, HIV/AIDS and tuberculosis.

From May 17 to Aug. 17, MSF Expo volunteers and staff greeted 17,645 visitors in 23 locations in eight cities across Ontario and Quebec. Expo volunteers included dozens of association members – MSF field staff who brought to life the myriad contexts around the world where MSF works, sharing stories about the reality of patients’ lives and what it is like to work in the field.

Although we were impressed with the number of visitors who learned about how a lack of access to essential medicines affects millions of people

in developing countries, many things about such a large-scale public awareness effort are difficult to quantify. For those staff and volunteers who committed so much time and spirit to the Expo, success was measured beyond the click of the counter as each person entered. The people we met, the engaging conversations and the thoughtful questions always impressed us.

Seeing the light bulb of consciousness brighten was thrilling. Sensing that a person made a connection with a patient or an issue presented in one of the Expo displays was very rewarding.

Witnessing their awareness compel them to action – perhaps to support MSF further by becoming a donor, by signing a petition, or by considering work in the field – was humbling.

It’s Time to Act Summer 2006 | Ontario and Quebec

The MSF Expo:

[Ottawa] The MSF Expo, a travelling exhibit about neglected diseases, toured

eight cities in Ontario and Quebec. © linda o. nagy


© Espen Rasmussen

A Word about MSF’s Fundraising and Administration Costs

In 2006, MSF’s expenditures were as follows:

83 % Programme activities Costs that relate directly to MSF’s mission to provide humanitarian medical assistance

to people in need and to alleviate suffering. These expenses include the costs of running our overseas projects, as well as those associated with our recruitment and awareness-raising activities in Canada.

13.6 % Fundraising All expenses associated with raising and processing donations from

supporters in Canada. Costs associated with contacting donors by mail, phone, or canvassing are included as well as reporting to donors through our biannual newsletter, thank you letters and project updates.

3.4 % administration Costs include management and general office expenditures,

management and finance salaries, bank fees, professional fees, and common office expenses not related to programmes or fundraising.

Thanks to your support, MSF is able to provide emergency medical aid to populations in need in

close to 70 countries around the world. MSF is committed to being transparent and accountable in the

way we raise and spend funds. We want to keep you informed about how we spend your gift.

[Somalia] A father and child at the MSF health centre in the southwestern town of Huddur. The area has a high level of violence, with regular clashes between different clans. Somalia has

been without a functioning healthcare system since 1991.

20

[Aud

itor

s’ Re

port

]

We have audited the statement of financial position of Doctors Without Borders Canada/Médecins Sans Frontières Canada as at December 31, 2006 and the statements of operations, changes in net assets and cash flows for the year then ended. These financial statements are the responsibility of the Organization’s management. Our responsibility is to express an opinion on these financial statements based on our audit.

Except as explained in the following paragraph, we conducted our audit in accordance with Canadian generally accepted auditing standards. Those standards require that we plan and perform an audit to obtain reasonable assurance whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.

In common with many non-profit organizations, the Organization derives revenue from donations, the completeness of which is not susceptible of satisfactory audit verification. Accordingly, our verification of this revenue was limited to the amounts recorded in the records of the Organization and we were not able to determine whether any adjustments might be necessary to donations, excess of revenue over expenses, assets and net assets.

In our opinion, except for the effect of adjustments, if any, which we might have determined to be necessary had we been able to satisfy ourselves concerning the completeness of the revenue referred to in the preceding paragraph, these financial statements present fairly, in all material respects, the financial position of the Organization as at December 31, 2006 and the results of its operations and its cash flows for the year then ended in accordance with Canadian generally accepted accounting principles. As required by the Canada Corporations Act, we report that, in our opinion, these principles have been applied on a basis consistent with that of the preceding year.

Chartered Accountants

Toronto, Canada March 15, 2007

Auditors’ ReportTo the Members of Doctors Without Borders Canada/Médecins Sans Frontières Canada

MSF Canada Annual Report 2006 2�

statement of Financial Position December31,2006,withcomparativefiguresfor2005

2006 2005

ASSETS

Current assets:Cash and cash equivalents $ 9,332,463 $ 5,445,650Accounts receivable(note2) 1,789,158 1,506,046Prepaid expenses 24,768 43,344Investments (note3) 68,368 1,508,588

11,214,757 8,503,628

Capital assets(note4) 52,778 48,482

$ 11,267,535 $ 8,552,110

LIABILITIES AND NET ASSETS

Current liabilities:Accounts payable and accrued liabilities (note5) $ 5,689,194 $ 629,410Deferred contributions (note6) 7,896 157,266

5,697,090 786,676

Net assets:Invested in capital assets 52,778 48,482Unrestricted 5,517,667 7,716,952

5,570,445 7,765,434

$ 11,267,535 $ 8,552,110

Seeaccompanyingnotestofinancialstatements.

On behalf of the Board:

Joanne Liu MD Charles Wong President, MSF Canada Treasurer

statement of operations YearendedDecember31,2006,withcomparativefiguresfor2005

2006 2005

REVENUE:

Donations $ 17,027,884 $ 22,286,878Support from Canadian International

Development Agency (note7) 4,000,000 2,250,000Interest 349,845 251,760Other 57,396 78,371

21,435,125 24,867,009

EXPENSES (note9):

Program services:Emergency, medical, nutrition and

health projects(notes7and8) 17,145,519 16,315,720Public education 948,924 535,414Program support and development 1,520,105 1,095,505

19,614,548 17,946,639

Supporting services:Management and general 811,539 850,368Fundraising 3,204,027 3,026,997

4,015,566 3,877,365

23,630,114 21,824,004

Excess of revenue over expenses(expenses over revenue) $ (2,194,989) $ 3,043,005


doctors Without Borders Canada/Médecins sans Frontières Canada (IncorporatedunderthelawsofCanada)

22

[Aud

itor

s’ Re

port

]

statement of Changes in Net assets YearendedDecember31,2006,withcomparativefiguresfor2005

2006 2005 Invested

IncapItal UnrestrIcted assets total total

Net assets, beginning of year $ 7,716,952 $ 48,482 $ 7,765,434 $ 4,722,429Excess of revenue over expenses

(expenses over revenue) (2,161,498) (33,491) (2,194,989) 3,043,005Purchase of capital assets (37,787) 37,787 – –

Net assets, end of year $ 5,517,667 $ 52,778 $ 5,570,445 $ 7,765,434


statement of Cash Flows YearendedDecember31,2006,withcomparativefiguresfor2005

2006 2005

CASH PROVIDED BY (USED IN):

Operating activities:Excess of revenue over expenses

(expenses over revenue) $ (2,194,989) $ 3,043,005 Amortization of capital assets which

does not involve cash 33,491 47,164Change in non-cash operating working capital:Accounts receivable (283,112) 2,464,033Prepaid expenses 18,576 1,260Accounts payable and accrued liabilities 5,059,784 (134,357)Deferred contributions (149,370) (2,074,862)

2,484,380 3,346,243

Investing activities:Sale of investments, net 1,440,220 (907,553)Purchase of capital assets (37,787) (23,622)

1,402,433 (931,175)

Increase in cash and cash equivalents 3,886,813 2,415,068

Cash and cash equivalents, beginning of year 5,445,650 3,030,582

Cash and cash equivalents, end of year $ 9,332,463 $ 5,445,650


Notes to Financial statements YearendedDecember31,2006

Doctors Without Borders Canada/Médecins Sans Frontières Canada (“MSF Canada”) actively commenced operations on January 1, 1992. MSF Canada offers assistance to populations in distress, victims of natural or man-made disasters and victims of armed conflict, without discrimination and irrespective of race, religion, creed or political affiliation.

MSF Canada is a registered charity under the Income Tax Act (Canada) and, while registered, is exempt from income taxes.

1. significant accounting policies: These financial statements have been prepared in accordance with Canadian generally accepted accounting principles. The significant accounting policies are summarized as follows:

(a) Cash and cash equivalents: Cash and cash equivalents consist of cash on hand and short-term investments with original maturities of less than 90 days.

(b) Investments: Investments are recorded at market value.

(c) Revenue recognition: MSF Canada follows the deferral method of accounting for contributions. Unrestricted contributions are recognized when received or receivable if the amount to be received can be reasonably estimated and collection is reasonably assured. Donations are recognized on a cash basis since pledges are not legally enforceable claims. Externally restricted contributions are recognized as revenue in the year in which the related expenses are incurred.

(d) Capital assets: Capital assets consist of office equipment and leasehold improvements. These costs are capitalized and amortized on a straight-line basis using an estimated useful life of three years.

(e) Contributed materials and services: Doctors and other volunteers contribute a significant amount of time in support of MSF Canada. However, as this time cannot be easily valued, contributed services are not recognized in the financial statements. Contributed materials are also not recognized.

(f ) Use of estimates: The preparation of financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the year. Actual results could differ from those estimates.


2. accounts receivable: 2006 2005

Donations receivable $ 1,260,730 $ 1,091,498MSF Holland 144,043 188,901Other MSF organizations 236,743 150,334Other 147,642 75,313

$ 1,789,158 $ 1,506,046

3. investments: 2006 2005

Deposit note $ – $ 584,000Equities 68,368 99,588Real estate – 825,000

$ 68,368 $ 1,508,588

The deposit note in 2005 is a variable rate Dow Jones Industrial Average Linked Deposit Note from a chartered bank with a minimum annualized compound rate of return of 2.83% and a maturity date of November 2, 2006.

Equities represent gift in kind donated at year end and sold in the new year.

In 2005, the Organization received a major gift of real estate. The real estate property was sold in 2006.

4. Capital assets: 2006 2005

accUmUlated netbook netbook cost amortIzatIon valUe valUe Office equipment $ 300,249 $ 252,770 $ 47,479 $ 42,071 Leasehold improvements 15,146 9,847 5,299 6,411

$ 315,395 $ 262,617 $ 52,778 $ 48,482

5. accounts payable and accrued liabilities: Included in accounts payable and accrued liabilities is $5,464,312 (2005 - $485,873) in amounts owing to other MSF organizations.

6. deferred contributions: Deferred contributions represent funds received for special projects. The continuity of this balance is as follows:

2006 2005

Deferred contributions, beginning of year $ 157,266 $ 2,232,128Receipts from other sources – 149,370Program expenditures (149,370) (2,222,242)Refund of unspent amount – (1,990)

Deferred contributions, end of year $ 7,896 $ 157,266

In 2004, the Organization received an extraordinary amount of funds related to the Asian Tsunami, which were reflected in deferred contributions in the amount of $2,198,309. These contributions were sent to emergency projects in 2005.

7. Canadian international development agency: MSF Canada solicits funds for projects being undertaken by MSF worldwide from Canadian International Development Agency (“CIDA”). CIDA funds a number of these projects and grants the funding to MSF Canada. MSF Canada retains 5% (2005 - 5%) of the CIDA funds to cover its project coordination, administration and overhead costs. MSF Canada enters into an agency agreement with the operational MSF section that will carry out the project and passes on the CIDA funds to that section. At the conclusion of the project, the operational section accounts for the funds to MSF Canada. MSF Canada reviews these accounts and presents them to CIDA. To the extent that the funds are not fully spent, they are returned by the operational section to MSF Canada and by MSF Canada to CIDA.

2006 2005

New grants recognized as revenue $ 4,000,000 $ 2,250,000Grants disbursed by country:Ivory Coast $ 665,000 $ 665,000Democratic Republic of Congo 950,000 –Liberia – 475,000Sudan 1,140,000 617,500Canada Volunteers Project 380,000 380,000Somalia 665,000 –

$ 3,800,000 $ 2,137,500

The grants disbursed are included in program services expenses - emergency and medical projects.

For the year ended December 31, 2006, the difference between net grants recognized as revenue and grants disbursed represents project coordination, administration and overhead expenses totalling $200,000 (2005 - $112,500).

2�

[Aud

itor

s’ Re

port

]

8. emergency, medical, nutrition and

health projects by country: 2006 2005

Projects funded by CIDA(note7) $ 3,800,000 $ 2,137,500Angola 210,375 330,921Bolivia 280,500 329,660Burundi 300,000 500,000Cameroon 170,000 250,000Republic of Congo 600,000 500,000Caucasus - Russia 300,000 –Chad 200,000 200,000Colombia 800,000 900,000Democratic Republic of Congo 1,050,625 1,664,771Ethiopia 400,000 500,000Guinea – 200,000Haiti 1,575,550 400,000Honduras – 300,000India 700,000 500,000Indonesia 236,270 650,000Ivory Coast 600,000 –Lebanon 15,003 –Liberia 780,000 650,000Mozambique 250,000 –Niger – 553,000Nigeria 400,000 800,000Pakistan 300,000 1,800,000Somalia 900,000 –South Sudan 900,000 700,000Sierra Leone 700,000 700,000Sudan 500,000 700,000Uzbekistan 300,000 –Zambia 300,000 250,000Zimbabwe 300,000 350,000Other: Access to essential medicines and DNDi 273,362 364,837 Other field activities 3,834 85,031

$ 17,145,519 $ 16,315,720

9. expenses: MSF Canada has allocated its common expenses to the following accounts:

Public education 15%Program support and development 40%Management and general 20%Fundraising 25%

This allocation is supported by Médecins Sans Frontières International.

10. Commitments: MSF Canada has commitments for its leased premises and equipment. The future minimum annual lease payments are as follows:

2007 $ 235,0002008 193,0002009 50,0002010 46,000

$ 524,000

11. Fair values of financial instruments: The fair values of cash and cash equivalents, accounts receivable and accounts payable and accrued liabilities approximate their carrying values due to the short-term nature of these instruments.

The fair values of investments are based on quoted market values, as disclosed in note 3.

MSF Canada Annual Report 2006 25

thefollowinglistincludesindividuals,organisationsandcommunitygroupswhomadegiftsof$500ormoretomsFbetweenJan.1,2006anddec.31,2006.Weapologizeforanyerrorsoromissions.

a

a.b.lucasclubFunda.t.storrsltd.arunabbilewisabbottraafatb.abdel-shahidnadineabdullahabe&ruthFeigelsonFoundationanjumabediarnoldb.abermanalanablesohnHelenaabou-khatercherrieabrahame.Jeanabramsron&Janabsonmaruti&JanetachantaadaidforpakistanadhocresearchHowardGopsill&deborahadamsmarcyadamsstephenadamscharlesr.&marilynadamsonJamesadamsonsusanaddariopauladdisondavidaddlemanneillk. J.adhikariJohn&merilynadleradobesystemsInc.aero-dynerepairservicesaeroplankatherineaertspeteragharahmedr.docratprof.corp.dianaainslieGrahamaitkenkennethaitkenpeterajelloJasminet.akbaraliYvesalainnajmaalamrealalariepeterW.albertimartin&Joycealbrightnancyaldrichelizabethr.alexandertimothyW.alexanderloism.algerGeorgealig

mohammedazharalikhank.valerieallanJanetallemangdellaallenJackW.allenlauretteallenmarianallenraeallenrogerallenalliedresearchInternationalInc.bradbatten&marlaallisonmichaelb.almsthealternativeboardeduardoalvarez-diazJaneamannamecamericasltd.aliyaamershizianabameryalexander&barbaraamesamsIndustriesltd.Johnanczurowskichristiane.&kathyl.andersendouglasandersonGloriaJuneandersonGrantd.andersonkirkandersonp.m.andersonphillisandersonsusanandersontomanderssoncharlesandisonchristineandressandrewJ.Grahamprof.corp.theandy&bethburgess

FamilyFoundationannieangerslauretteangerstheanglicansynodofthe

dioceseofbcpaulanglinsherronanglinsueanglinstephenm.veltman&thayre

m.anglissanne’ssocialJusticeFund,

victoriaFoundationsusanantolicknatalieantonricharda.Horsley&lindaantonJerryantonykedgarappelmanapplecroftpublicschoolaqualibriumthérèsearchambaultsusanarchibaldbettym.argueYaseminarikan

clayton&Whilheminaarkesteyn-vogler

karinarkinstallG.margaretarmbrusterdonaldJ.armstrongHenryarmstrongmarionarmstrongkathleenarnallrichardc.&veronicaarnoldlorisaromichaelarsenaultlynearseneauadamarshinoffart&bowenJudym.arterartesaniarudolfartsolaf&deirdrec.arzheimerdavidasburybarry&sharonashtonWilliamashwellkathleenaspassociatedHebrewschoolsJoelbrettatallahdavidatkinsdonald&barbaraatkinsdrewatkinskathrynatkinsonnancyatkinsonWendya.atkinsonteresaatterburydorothym.attonalvin&FionaauclaudeaubanelFrancineaudetmichèlel.auffredoupierreaugere.augusteijnaugustineYip&monica

skrukwaprofessionalcorp.katherineaustinJean&mikeaustrenglouiseauthierbernicer.avruskinaxispharmacyInc.Johnm.ayresB

Floralee&arnep.baartzc.baasrudybaayGurubabladmariannebaboudermargaretbackmarionbaechlerbarrymatthewbagdanleslieHaroldbaileymamiee.bailey

We want to thank you, our donors,

for supporting the work of MSF

and allowing us to provide

independent humanitarian

medical aid to people in need.

In 2006, more than 70,000

Canadians donated financially,

organised fundraising events and

assisted us with our activities. We

are grateful to all of our supporters

whose generosity makes

our work possible.

Thank You

[Central African Republic] A young boy receives care at an MSF

mobile clinic in the Ouham district.

© To

n Ko

ene

26

[Tha

nk Y

ou]

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[Pakistan] Emergency care and support following the earthquake.© Ton Koene


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The Sans Frontières Society includes those who have made a commitment to humanitarian relief work in the future by naming MSF as a beneficiary in their will. MSF is grateful to each of these members – and to all who wish to remain anonymous – for creating a meaningful legacy of support.

betsyWilliamsondavidWilliamsonkentWilliamsontriciaWillinkmarianneWillisv.Willisrichard&loisWillsallanWilmotalaneWilsonalenaWilsonchristineWilsondavidF.Wilsondebra&bruceWilsoneugeneWilsonGordonc.WilsonHughr.WilsonJuliad.WilsonleslieWilsonmarciaWilsonmargaretWilsonmarkWilsonmurielWilsonpatriciaF.Wilsonphillipe.WilsonthomasWilsonandrewc.WiltonJamesWindsorbrentWindwickHarveyWinfielddaphneWingJanetWinhalldorisWinklertheodoreWinstonchristaWintermarkWintherFrankc.WirrellalfredWirthJenniferWisecaronWishartraymondJ.r.WissalanJ.Witherspoon

Walterb.WitowskiJeanWittenbergbrianWolfeJudithWolfedon&GloriaWolffHendrikJ.WolffWilliam&marieWolfsalices.l.WongbenjaminWongFrankF.WongleslieWongpuiHungWongstanleyWongYewkeongWongnevaWooarthurWooddessalensklarWoodedwarda.WoodFayWoodGordonG.WoodJulieWoodlaurenWoodlucilleWoodmarjorieWoodpaulm.WoodstephenWoodtanya&bradleyWooddouglasWoodallJeanWoodcockmargaretWoodcockIrenee.WoodfieldJamesWoodgerGeorginaWoodscyrilWoolfJaniceWoolfordGeoffrey&michelineWormellJamesWorralbeatricecohenWrightcatherineWrightedgarWrightHaroldWright

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W. J.poznanskipaul&margaretreeveclarenevillesmithlauraspillermaryannetangneyronaldWalkerbarbaraaucionWood

Sans Frontières Society

MSF is honoured to have been remembered in 2006 by the following individuals with a legacy gift in their will:

doreenabbott-smithnilsadlermargaretbelcherannabillInezemmaagnesbrouwersarthurcharlesbryanIsabellelambertcharestdaram.cochraneGisèledugas

IluGabrielGhislainGendronJeanmaryGileselizabethHallidayGillespieIvorrossHarringtonmargaretHopwoodconstancecicelyJonesthomasliquornikviviennemccabeJosephcarmelmifsud

zeldarockWalterp.spenceWinnifredpearlsprouleJulianaYukYeetamarievanvelzenandrévezinaernestcasebourneWademarylouiseWilliamsonkatherinem.Wood

Legacy Gifts

[Tha

nk Y

ou]

MSF remains accountable to the public and our stakeholders,

including patients and donors. The annual report is produced in order to fulfill this

commitment; it is also a means to raise awareness about our work.

MSF strives to makes conscious, responsible decisions concerning the expense and

environmental impact of this report. Colour enlivens the report yet adds almost no extra cost.

A portion of the paper was donated by the manufacturer. The report is printed on 100 per cent

post-consumer recycled, chlorine-free paper manufactured with renewable energy together

with vegetable-based inks, and printed at a low-emission, waterless facility.

[Brazil] In 1996, MSF delivered emergency aid

to the Yanomami Indians, who were threatened

with extinction due to a malaria epidemic.

© Remco Bohle


MSF Charter

Joanne Liu, MD, PresidentChristopher Doll, Vice-presidentCharles Wong, TreasurerDavy Dhillon, MDJoni Guptill, MDDouglas Kittle, MDWouter KokEric-Viet Laperrière-Nguyen, MDRoy Male, MDJason Peat

Marilyn McHarg, RN, General Director

Board of DirectorsMédecins Sans Frontières is a private international organisation. Most of its

members are doctors and health workers, but many other professions contribute

to MSF. All of them agree to honour the following principles:

Médecins Sans Frontières offers assistance to populations in distress, to victims

of natural or manmade disasters and to victims of armed conflict, without

discrimination and irrespective of race, religion, creed or political affiliation.

Médecins Sans Frontières observes neutrality and impartiality in the name

of universal medical ethics and the right to humanitarian assistance and demands

full and unhindered freedom in the exercise of its functions.

Médecins Sans Frontières’ volunteers promise to honour their professional

code of ethics and to maintain complete independence from all political,

economic and religious powers. As volunteers, members are aware of the

risks and dangers of the missions they undertake and have no right to

compensation for themselves or their beneficiaries other than that which

Médecins Sans Frontières is able to afford them.

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Board of Directors

© J.

B. R

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[DRC] An MSF team returning from a mobile clinic cross a river in the

southeastern province of Katanga.

National office720 Spadina Avenue, Suite 402

Toronto, Ontario, M5S 2T9

Tel: (416) 964-0619 Fax: (416) 963-8707

Toll free: 1-800-982-7903

E-mail: [email protected]

Western office45 Dunlevy Avenue, Suite 230

Vancouver, British Columbia, V6A 3A3

Tel: (604) 732-0673 Fax: (604) 732-0671


Eastern office1470 Peel, Suite 220

Montréal, Québec, H3A 1T1

Tel: (514) 845-5621 Fax: (514) 845-3707


Please visit our web site for up-to-the-minute information on our work around the world as well as:› blogs from MSF field workers

› news on upcoming events and activites

› information on working with MSF overseas

› special ways of getting involved

www.msf.ca[Uzbekistan] To help make their tuberculosis treatment more palatable, some patients use yoghurt, juice or oranges to wash down their fistfuls of pills.

© Donald Weber/Atlas Press Médecins Sans Frontières ⁄ Doctors Without Borders Canada

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MSF Canada Annual Report 2006

Documents