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IA RED CROSS - ANNUAL REPORT 2008 NAMIBIA RED CROSS - ANNUAL REPORT 2008 NAMIBIA RED CROSS - ANNUAL REPORT 2008 NAMIBIA RED CROSS - 1 Message from the Secretary General 2 Introduction 3 Health and care 4 HIV and AIDS 4 Community TB Care Program 8 Water and Sanitation 8 First Aid 10 Disaster Management 10 Disaster Risk Reduction 10 Flood Response 11 Food Security 14 Tracing 15 Organisational Development 17 Principles and Values 19 Working in Partnership 19 Contributing to long-term Impact 20 Coordination and Partnership 20 Looking Ahead 20 Financials 21 Cash Flow 21 Balance Sheet 22 Income Statement 22 Supplimentary Information 23 Abbreviations 24 Fundamental Principles 25 table of contents
Transcript

IA RED CROSS - ANNUAL REPORT 2008 NAMIBIA RED CROSS - ANNUAL REPORT 2008 NAMIBIA RED CROSS - ANNUAL REPORT 2008 NAMIBIA RED CROSS -

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Message from the Secretary General 2

Introduction 3

Health and care 4

HIV and AIDS 4

Community TB Care Program 8

Water and Sanitation 8

First Aid 10

Disaster Management 10

Disaster Risk Reduction 10

Flood Response 11

Food Security 14

Tracing 15

Organisational Development 17

Principles and Values 19

Working in Partnership 19

Contributing to long-term Impact 20

Coordination and Partnership 20

Looking Ahead 20

Financials 21

Cash Flow 21

Balance Sheet 22

Income Statement 22

Supplimentary Information 23

Abbreviations 24

Fundamental Principles 25

table of contents

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As we reach our 17th year of existence, we are proud we have continued to focus on the important mission of alleviating human suffering in Namibia. Our services have reached to thousands of people who have been challenged by such disasters and epidemics as drought, floods, fires, evictions, HIV/AIDS, TB and the like.

This year, Namibia witnessed the flood disaster in the four northern regions, Kavango and Caprivi Regions. Our responses with health intervention and relief distribution were timely and acceptable to the community. Our interventions have not only been in the form of food items or first aid, we have made efforts to engage in HIV/AIDS programs embracing holistic OVC services, food security and the promotion of humanitarian values. Namibia Red Cross with support from its partners both locally and internationally has attained significant results in its humanitarian services reaching thousands of beneficiaries.

In every emergency, Namibia Red Cross Society aspires at all times to be the first to arrive, and the last to leave, when the dust has settled. We shall endeavor to serve each community regardless of their race, colour, creed, religious beliefs, political affiliation and ethnic background. I am happy to note that our National Society has been tried and tested as a truly community oriented organization, able to serve according to the needs of the vulnerable.

We extend our profound gratitude to our partner communities for tirelessly working with us in accessing resources from local and international donor partners for developmental relief. Our partnership with the Red Cross Movement under the banner of the IFRC and the ICRC has shown that universality is a valuable principle for

message from the secretary general

developmental relief. We equally, have enjoyed the respect and cooperation of the Government of Namibia in our humanitarian mandate. The positive relationship between our National Society and our Government allows us to play a meaningful role, especially at regional and community levels. The de-centralized partnership facilitates a rapid and flexible response. In fact, Namibia Red Cross Society staff and volunteers contribute a great deal of time to support the over-burdened health care system. Volunteers are exemplary, as they continue to serve in their dedicated and selfless manner.

I would like to end my remarks by thanking all our volunteers, members of staff, donors, individuals, Governance, who rose to the magnitude of flood disaster experienced for the first time in the living memory. We have been able to meet the humanitarian needs of the Namibian people and truly fulfilled our mandate of alleviating human suffering countrywide.

We are confident that Namibia Red Cross Society will continue to be the most respected Humanitarian Organization in Namibia.

Thank you

Dorkas Kapembe-Haiduwa

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Namibia has experienced one of its worst floods in

over fifty years in the northern regions of the country

at the beginning of 2008. The response to the floods

was one of the major activities of the NS during 2008.

The HIV and AIDS baseline survey conducted by the

NS as part of the southern Africa zone initiative was

the highlight of 2008. The baseline was conducted in

seven regions implementing home based care. The

baseline‘s objective is to collect data where the success

of the HIV and AIDS will be measured against at the

end of the current programme running 2006-2010.

The baseline survey for the new phase of the OVC

project in Kavango was also done. Under disaster

management, the winding up of the final activities

of the floods response in Caprivi took place. As part

of the recovery intervention for the people affected

by the floods in 2008, the Namibia Red Cross in

partnership with Swedish Red Cross has started a

food security programme in Ohangwena region, with

the financial support of European Commission for

Humanitarian Aid Office (ECHO). The programme

focuses on the provision of agricultural inputs to

the most vulnerable households. In the area of

organisational development, the NS successfully

applied for Intensified Capacity Building Fund. The

fund will support the integration of Community Based

Health and First Aid (CBHFA) into the HIV programme

and strengthen the regional branches structures.

Many people with different social needs benefited

from the social assistance fund.

introduction

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In response to HIV and AIDS, the NS introduced a 5-year (2006-2010) strategy which is in line with the government framework and aims at scaling up its HIV and AIDS response to reach more vulnerable populations such as People living with HIV (PLHIV) , Orphans and Vulnerable Children (OVC), youth, women and rural populations. By 2010, the NS aims to contribute significantly to the reduction of further HIV infections and reduce stigma and discrimination in Namibia. Under the HIV and AIDS programme, different activities are undertaken, such as care, treatment & support for PLHIV and OVC; promotion of behaviour change related to access to Voluntary Counselling and Testing (VCT), Anti-retroviral therapy (ART) services and reduction of stigma and discrimination. The Home Based Care (HBC) programme targets people infected and affected by HIV and AIDS, TB and Malaria. The total population of the sites covered by NRCS home-based care programme is just over a million, of which, those reached by NRCS services is only 4955. There are 95 HBC supervisors, 475 care facilitators and 2195 care providers responsible for home-based care and OVC beneficiaries.

After an agreement with the Ministry of Health and Social Services (MoHSS) in March 2005, the Namibia Red Cross Society has positioned over 500 Community Counsellors in all the public health facilities countrywide. The aim is to reduce the counselling burden on the health workers due to HIV and AIDS because the Community

health and careHiv and Aids

Photograph: Olwen Evans

reach more vulnerable populations

Counsellors serve as aides to doctors, nurses, social workers, and other professionals in public health facilities in all 13 regions of Namibia. During the period under review the total number of Community Counsellors was brought to 523 from 323 reported during the previous year. Currently the Community Counselling program has counsellors placed in 258 health facilities country wide. These Community Counsellors are working in 270 sites. The sites vary from TB wards/clinics, to Paediatric, Outpatients departments, Antenatal, STI’s sites and ARV clinics.

The programme’s impact is felt at all levels ranging from health care workers to clients and this can be attributed to the thorough training that Community Counsellors received during initial and refreshers trainings and effective service delivery. The year under review brought forth a lot of progress ranging from improved working relationship between health care workers and Community Counsellors, increased number of clients tested and intensified capacity building for coordinating team members.

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PREVENTION Progress

Peer educators played a significant role of educating peer groups between the age of 18 – 30 years on prevention measures, topics covered vary from HIV and AIDS, STI, condom use, and reproductive health. Close to 85 000 people from peer groups benefited from peer education sessions conducted by Red Cross volunteers and the target for the reporting period was exceeded, while in 2007, only 37 500 people were reached. With regard to community mobilization, 3 900 people of which 43 and 57 percentages were males and females respectively, were reached through community meetings, bars and churches. It is also worth noting that, NRCS managed to distribute 5 272 information, education and communication (IEC) materials to the communities, 150 000 IEC materials were distributed in 2007 with the efforts of Dessert Soul project. Role plays have become an interesting strategy that contributes significantly to the prevention component and some regions moved towards training their volunteers on drama.

About 340 beneficiaries were referred to Voluntary and Counselling Testing (VCT) Centres across the seven regions through the home based care programme. A total number of 130 646 condoms, of which 8 300 were femidoms, were distributed to the communities. The female condom has been accepted in the communities but the challenge faced is only its accessibility.

Stand-alone VCT Site in Caprivi Region: Over 900 Voluntary Counseling and Testing leaflets were distributed on world AIDS Day including 50 Playing Cards. A number of 1008 clients of which 469 were females and 539 were males, visited the VCT centre at Katima Mulilo, Caprivi region during the period under review.

Of the 1 008 clients, 25 percent tested positive while a large proportion (75%) tested negative. The MOHSS in collaboration with NGOs, private sector, development partners and other stakeholders including Namibia Red Cross Society (NRCS) organized Namibia’s first national counseling and testing event. The response from the public was overwhelming and as a result a total of 33 833 people got tested and received their results during the event. The response from the public during the National counselling and testing day demonstrates the willingness of people to know their status.

Output

Although the programme continued to bring improvements in the health of beneficiaries, the number of beneficiaries cared for has slightly increased from 5 977 in 2007 to 6 606 during the year under review. A significant decrease in prevention measures is indicated by the condoms distributed in 2007 (182 726) as compared to 130 646 in 2008. Only 529 women received PMTCT services in 2008 as compared to 750 in 2007.

PLWA/Support Groups supported on Positive Prevention: There are 167 HBC Support Groups in Caprivi, Oshikoto, Ohangwena and Khomas regions. These groups make up a total of over 3 240 members.

Condom Distribution, Jan - Dec 2008

male condomfemidom

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EXPANDING CARE, TREATMENT AND SUPPORT

Progress

The National Society managed to maintain all the home-based care projects across the 7 regions. The number of home-based care clients has been increasing throughout the period, an indication of the new intakes of the clients into the programme and possibly that the old clients remain under the care due to their conditions. Interestingly, more females are enrolled in the programme as compared to their male counterparts. This is illustrated in the chart below.

During the reporting period, the progarmme supported 6606 beneficiaries through the home based care project with over 3 900 beneficiaries registered as new beneficiaries. A total number of 1 633 beneficiaries were discharged from the programme, while it was unfortunate for 292 beneficiaries who did not make it. Out of 6 606 beneficiaries, 75 percent of them were on HAART/ART treatment. This is a an achievement as only about 29 percent of the 5 977 beneficiaries in 2007 received ART treatment. People living with HIV have established support and advocacy groups and these groups are reported to be 171 in total, 200 support groups in 2007. The National Society received a total of 2195 home based care kits from the Ministry of Health and Social Services (MoHSS) over the period under review, used by volunteers that are responsible for home visits.

The members are involved in promoting positive living amongst their membership while they continue advocate for reduction of stigma and discrimination as well as promoting importance of HIV testing.

In Caprivi region the 123 Support Groups, part of a PLHIV Network called TUSANO (Helping Hand).

Media Events : Through this network the groups are trained in 20 week sessions on psycho-social support and positive living. The Support Groups conducted 128 live broadcast sessions on the community radio in Caprivi region on various topics. Through this radio broadcasts, the group is estimated to have reached over 220 000 people.

Community Mobilization: Furthermore the Support Groups have undertaken to conduct Community mobilization activities which happened during the year 2008. During these activities the Support Groups covered over 180 sites in the Caprivi, Ohangwena, and Oshikoto and Khomas regions. The main purpose of these talks was to promote tolerance towards people living with HIV (PLHIV), health education, promoting people to know their HIV status and general HIV/AIDS awareness. During these activities a total of 1 500 people were reached.

Support Groups: Also conducted activities aimed at their members aimed at helping the members to deal with the day to day challenges of living with HIV and AIDS.

House to House: The groups also endeavoured in conducting house to house mobilization. During the period under review the 123 Support Groups in Caprivi conducted 6 campaigns where they were able to reach 15 locations/places and visited 200 houses.

4500

4000

3500

3000

2500

2000

1500

1000

500

0Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Month

Males

Females

Num

ber

of B

enef

icia

ries

Home Base Care Beneficiaries ReachedJanuary 2008 - December 2008, NRCS

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Orphans and Vulnerable Children: The number of OVC that received RC services totalled to 5442 of which 2179 were boys while 3 263 were girls. Out of those OVC, 2 929 children received educational support that ranged from school fees, books and uniforms. Of the OVC that received educational support, only 455 children were provided with school uniforms as compared to 4 957 in 2007. 193 children were supported with school fees, a slight increase from 2007 whereby 153 children were supported in that regard. 177 children were exempted from paying school fees as a result of Red Cross efforts, and 92 children benefited by having their examination fees paid while, 5 were assisted with tertiary application fee for the 2009 enrolment. Again, 2 150 OVC received mosquito nets, while few (177) benefited from food (soup kitchen), psychological support (166) and school tours and camps (20). Distribution of school uniforms to OVC: A total number of 133 volunteers were trained in basic OVC module, to be equipped with skills to better care for the OVC, only 57 were trained in the previous year. The project managed to establish two grannies and two kiddies clubs in Otjozondjupa and Kunene regions, these are platforms created to support peers, in overcoming their fears, build and assist each other to go through trauma. Youth volunteers in Khomas region managed to visit the children’s ward at Katutura state hospital and

provided psychosocial support to the children within the hospital, this included the volunteers playing with them and supporting them emotionally.

The picture below shows the youth volunteers pictured with the kids and the nurse in charge at the hospital.

During the reporting period, through the home-based care programme, a total number of 40 958 mosquito nets were distributed to the target beneficiaries namely; PLHIV, OVC, children under 5 years and volunteers.

The regions covered were Ohangwena, Omusati, Oshikoto, Kavango and Caprivi. Since, long distances have been reported to be a problem for the volunteers to move from one beneficiary to another, the National Society distributed 940 bicycles

educational support for OVC

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Community Tuberculosis Care Programme

Progress

The Tuberculosis (TB) programme in the two regions of Ohangwena and Omusati continued although the implementation of community activities continued and there are 1 014 patients under Community based - Directly Observed Therapy short course (DOTS).

Out of the 68 TB patients who defaulted in 2008, 57 were traced and put back on treatment. The 11 which could not be traced were those who migrated to Angola.

1 269 TB patients received nutritional supplement during the reporting period. 75 Field Promoters are continuing the promotion of community based DOT as well as community sensitization among the targeted communities. The plans are underway to scale up the TB work to Caprivi region next year, with the support of Global Fund. The HBC volunteers will also be trained on TB to strengthen the community TB control activities with the support of the Federation.

Water and Sanitation

Progress

During the period under review, the implementation of the watsan activities was scaled up to Ohangwena region. The baseline surveys were conducted in the two regions where the project is being implemented.

A ten day Trainer of Trainers (ToT) training in Participatory Hygiene and Sanitation Transformation) (PHAST) was conducted by Ms. Florence Matonhodze from IFRC/Harare. The training took place in Opuwo with 24 participants from Kunene, Ohangwena and Caprivi regions participants included Red Cross staff and volunteers, staff members of the Directorate of Rural Water Supply (DRWS) and MoHSS. The DRWS assisted the 7 NRCS volunteers and 2 NRCS staff with the formation and training of the first 21 Water Points Committees (WPC). Thereafter, the volunteers and staff gained enough confidence to carry out the activities themselves. Currently, 37 Water Point Association /Water Point Committee (WPA/WPC) have been formed.

The following Watsan trainings took place during the year:

Training Participants Month

ToT PHAST 24 January 08

PHAST volunteer training Kunene

20 February 08

PHAST volunteer training Ohangwena

20 July 2008

WPC/WPA ToT Kunene

7 April 2008

Pump caretaker ToT Kunene

4 April 2008

First Aid 40 August 08

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The total number of bush pumps repaired during the first year is 29. Three elephant pumps will be installed in Ohangwena and three are already constructed in Kunene to test the acceptance of this technology by the communities. The two Watsan Technicians and the Watsan delegate visited Zimbabwe to familiarize themselves with the production and usage of elephant pumps.

30 latrines for 5 schools have been completed. 8 latrines for 2 schools are under construction. 110 VIP latrines with superstructures have been constructed in Kunene.

The PHAST volunteers in Kunene region started to implement the seven steps of hygiene promotion. The first group of 20 PHAST volunteers was allocated to 4-5 villages each (in total 86 villages). They have finished the seven steps and they are

continuing with another 4-5 villages each, where they have completed 2 steps. The second group of 10 volunteers in Kunene have finished 2 steps in their villages. The third group of 15 volunteers in Ohangwena has just started the implementation.

Drama group performances have been carried out in 22 villages. The performances have addressed issues such as hygiene, HIV/AIDS and alcohol abuse. On average, 35 people attend each of these drama performances. Drama performances take place in 10 villages per month.

37 Water Point Association /Water Point Committee have been formed. The target of the project in Kunene is to form 225 WPA/WPC. With the current rate of implementation of 6 per month, the total at the end of the project will be about 170. One way of reaching the target, could be to increase implementation rate to 12 WPC per month, during a ten month period, by hiring an additional vehicle. Another way could be to encourage the DRWS to contribute more to the WPC training during 2009 and 2010.

hygiene promotion

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First Aid:

424 people from different companies went through first aid training, level one. 57 volunteers in Kunene and Kavango were part of the people trained on first aid. The Belgian Red Cross will be conducting Instructors course during February 2009 in Botswana, and NRCS was offered to send four candidates to this training. This has however proven to be a challenge due to the high requirements of the Ministry of Health for people to be trained as Instructors. The search for the right candidates is continuing. The plans are underway to roll out the Community Based First Aid (CBFA) next year through the Intensified Capacity Building project of the NS.

disaster managementDisaster Risk Reduction

Progress:

The implementation of the Disaster Risk Reduction (DRR) continued up to the month of April 2008, when the project came to an end. The following activities took place during the period of four months.

A contingency planning workshop was held in Caprivi region with the relevant stakeholders at the beginning of the year. Seeds and agricultural inputs were distributed in Tsumkwe constituency benefiting close to1 000 beneficiaries. (180kg of groundnut seeds were distributed to 36 households (HH). As part of food security, NRCS procured 65 chickens and distributed to 32 households (HH). 46 goats had been procured and distributed to 24 HH.Poultry project was introduced to 144 HH in Omega III, 82 HH in Chetto and 62 Chetto in total 447 chickens were distributed.In terms of mitigation activities, more chillies had been procured and distributed to villages around Tsumkwe and ongoing trainings are done on the use of chilli bombs. In partnership with the Nyae-Nyae conservancy, NRCS protected 2 water points in two villages. In Caprivi, tree planting project was identified as an effort to address the effects of climate change. A workshop on tree planting and vegetable preservation was held. 20 volunteers trained are responsible for training and guiding communities in tree planting and care. 765 fruit trees in total were distributed in Chetto and Omega III and the Ndoro Memorial Primary School in Omega III. Three fruit trees (paw-paw, lemon and guava) were given per household and the school received 45 trees.

Constraints or Challenges in Health Care

Food insecurity among HBC and TB patients is a major challenge; hence the need to have livelihood activities integrated into all HBC activities. Care providers are constantly complaining because of lack of incentives.Lack of IEC materials in local languages (leaflets, brochures, posters).Long distances and unavailability of public transport in some areas; make it difficult for some Field Promoters to support treatment supporters regularlyWith most villages flooded, it was difficult for staff and volunteers to carry out their work in some villages.Unavailability of cement and bush pumps in the local market hampered the construction work of the Watsan project.

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There is a Zambezi River Basin Initiative by the Federation zone office and seven National Societies to develop a proposal addressing common issues for the communities living along the Zambezi river basin, with the aim of strengthening their resilience. The NRCS greatly participated and contributed to the development of the government Disaster Risk Reduction Policy and has its role and responsibilities clearly spelt out in the policy document.

More and more households now have access to food throughout the year even though it is not sufficient. Through the different trainings the communities gardening skills are being improved and they are able to produce more from the back yard gardens.

The San communities have started with crop production and backyard gardens and they have started building permanent structures through the DRR project. Collaboration between the NRCS, Ministry of Agriculture at the regional level has greatly improved.

Floods Response

The Namibia Red Cross assisted more than 40,000 people during the floods operation. All the beneficiaries moved to their households by the end of August 2008 in north east, while in the north western part beneficiaries went back to their households in June 2008. Selection of beneficiaries was based on level of damage to property and loss. A particular focus was on elderly, disabled, pregnant women and children as well as the vulnerability of the households affected.

Table 1: The number of household resettled per region:

Region No. of Households

People Resettled

OSHANA 1009 3212

OMUSATI 71 510

OHANGWENA 114 534

CAPRIVI 506 1564

Total Number of People Resettled

1,700 5,820

Table 2: Items distributed during the whole operation Caprivi region

Items Number of items

distributed

Households benefited

Number of beneficiaries

Tarpaulins 139 139 695

Bar Soaps 3193 532 2660

Blankets 3129 1564 7,820

Water Makers 217,734 2419 12,095

Buckets 81 81 405

Jerry Cans 702 702 3510

Kitchen sets 636 636 3180

Mosquito nets 9281 4640 23200

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The Watsan kit donated by Belgium RC – Flanders could however not be used as it arrived late and secondly there was a training needed on the usage of the kit for staff and volunteers. This was however conducted in November 2008 with the support of the IFRC zone office.

According to the assessment conducted by World Food Program (WFP) and the Namibian Government 54% of the population in the north central regions is food insecure or moderate food insecure. This is rather a chronic condition, but due to the floods the coping mechanisms have been severely exhausted, especially through failed harvest (over 65% drop compared to 2007) and loss of livestock. In addition to the floods, crop pests have further reduced the harvest considerably this year.

receiving relief stock

Table 3: Distribution table – North-western regions (Oshana, Ohangwena, Omusati, Kunene and Oshikoto)

Items Number of items distributed

Households benefited

Number of beneficiaries

Tarpaulins 1260 630 3150

Hygiene Kits 951 - 951 ( school children)

Tents 0 40 200

Bar Soaps 5089 1272 6361

Blankets 3635 1817 9087

Water Makers 360,000 8000 40000

Buckets 1548 1548 7740

Jerry Cans 3230 3230 16150

Mosquito nets 12000 4000 20,000

Kitchen sets 1599 1599 7995

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Food Security

As part of the recovery intervention for the people affected by the floods, the Namibia Red Cross in partnership with Swedish Red Cross started a food security programme in Ohangwena region, with the financial support of ECHO (European Commission for Humanitarian Aid Office). Considering that Ohangwena is the largest affected region and that this coincides with the fact that NRCS has structures in place there led to the decision to operate in this region to optimise the outcome of the effort. The principal objective of the programme is to provide support for an increased food security in Ohangwena region.

The programme is focusing on the provision of agricultural inputs (to the most vulnerable households to 7 300 households in eight constituencies affected by the floods. The inputs provided per household:

Millet – Mahangu ( okashana no.2) 6kg Red Sorghum 2 kgBeans ( Nakare) 1 kg Pumpkins 0.2 kg Fertilizers 50 kg Hoes 2 per householdGoatsChicken

INCOME GENERATING ACTIVITIES/FOOD SECURITY INITIATIVES

The Namibia Red Cross Society with its funding partner the Spanish Red Cross society has been implementing Income Generating Activities targeting disadvantaged groups within the communities of Ohangwena and Caprivi regions. The project targets the marginalised san communities (Ohangwena) and, people living with HIV/AIDS, Orphans and vulnerable children and women in both regions. .

Progress:

Ohangwena region has four associations in Omukukutu, Ohakafiya, Oondunda and Epembe villages. All these associations concentrate mainly on crop farming. Each association was provided with food and an amount of money for ploughing services. All four associations managed to harvest mahangu, even though the harvest was not that much satisfying due to various reasons.

In Caprivi region there are four associations in the region and two - Kanono and Kikiya are engaged in crop farming and each ploughed 15 hectares of maize.

Kanono harvested end of April and managed to get 6 x 50 kg bags of maize seeds from 15 hectares that was ploughed. The association ploughed15 hectors in December 2008, but there is a great concern of potential floods in this area.

Kikiya managed to harvest only 1x 50kg bag and half of maize seeds. Delayed ploughing and bad ploughing contributed to poor harvest. Due to floods, Kikiya Association was not be able to plough this year, instead the members opted to do chicken project.

Sachinga and Kaliyangile associations are doing goat keeping project. Sachinga has managed to purchase 30 goats, and reproduction increased the number to 44. The association was unable to pay the loan on the agreed date because the

food security

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goats were stolen during repayment process. The members however repaid the goats of which 9 are still outstanding. The goats repaid were passed on to the new association of Ikumwe. Kaliyangile - Purchased 30 goats and total amount of goats have increased to 50, the association managed to pass on 21 goats to Ioma association (new association), 9 goats still pending for hand over.

The small component of this project in Ohangwena is to bring portable clean drinking water to household members of the associations and prevent water borne diseases among the association members, their families and the surrounding community members. The well at Ohakafiya was rehabilitated in October 2008 with the full participation of the communities.

Peer educators and health awareness in Ohangwena - about 123 community members as peer educators who act as resource persons within their communities. Peer educators organised a successful social mobilization in communities. The awareness covered topic such as HIV/AIDS, TB, Malaria and other health related issues. The annual health awareness sessions were carried in conjunction with MOHSS.

Health Education Component in Caprivi region - 100 peer educators were identified in Kanono, Kikiya, Sachinga and Kaliyangile. They were trained: TB, Malaria, HIV and AIDS, Domestic violence and OVC support. All trained peer educator conduct health community awareness in their communities.

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Tracing

The Namibia Red Cross Society with the support of International Committee of the Red Cross (ICRC) has successfully carried out tracing as well as other related activities. With regard to activities that were planned for implementation during 2008, the Namibian Red Cross Society, has implemented the following activities:

Re-establishing family links -tracingCoordination of exchange of RCM’s Networking with government and other stakeholdersInformation disseminationFamily Visit Programme

The tracing activities concentrated mainly in three areas which are Caprivi and Kavango regions as well as in the Osire refugee camp.

EXCHANGE OF RED CROSS MESSAGES The situation in the refugee camp remains peaceful. An influx of refugees from Democratic Republic of Congo, Burundi and Zimbabwe has been reported at the rate of about forty 40 asylum seekers per month. The majority were reported to be young men and women as well as a few unaccompanied children. The latest UNHCR statistics on the number of refugees living in the camp stands at 6 718. Another 1 368 refugees are living outside the camp.

The main activity in the camp is the exchange of Red Cross Messages between family members from Burundi, Kinshasa, Zambia, Zimbabwe, Namibia, Angola and Botswana. The total numbers of messages exchanged to and from Osire refugee camp were five hundred and forty (540) messages.

REPATRIATION

During November 2008, a delegation that comprised of the Namibia Red Cross Society, the Ministry of Home Affairs and Immigration paid a visit to returnees repatriated from Dukwe refugee camp. These people are now resettled in Omega II .Donations in the form of clothes, shoes, soccer kits and balls were given to the returnees.

The Caprivi branch region represented the UNHCR to receive Namibian returnees from two neighboring countries namely Botswana and Zambia. In March 2008 the NRC received 17 Namibian returnees from Mayukwayukwa refugee camp in Zambia. On Friday, the 22nd August 2008 the NRC in the Caprivi region received another 4 Namibian returnees from Dukwe refugee camp in Botswana.

FAMILY VISIT PROGRAM (FVP)

The NRCS, with the support of the ICRC arranged two family visit programs for the Caprivi detainees. The first one was for detainees in the centre of illegal immigrants in Botswana- Francis town (CII) now who live in Dukwe refugee camp. The second Family visit programme was for political detainees in Namibian prisons.

Botswana: In August 2008 the Namibian Red Cross society organized the family visit programme for sixteen 16 Namibians detained in Centre for illegal immigrants in Botswana. In total, a number of fifty-five family members were registered and were paid the necessary allowances to travel. However, only 53 visitors actually took part in the programme.

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Namibia: During 2008, the NRCS with support of ICRC organized two family visit programs for 122 conflict detainees in Namibian prisons. During April 2008, a number of 341 visitors participated in the first FVP. During December 2008, a number of 344 visitors took part in the second family visit program. Constraints or Challenges Disaster Management

The implementation of the DRR activities was hampered by the response to the floods in north western and north eastern parts of the country. DRR project staff were fully involved in the response activities, which compromised the implementation of the disaster risk reduction activities. Most of the chicken distributed in Omega and Chetto died of unknown disease. The school garden at Ndoro Memorial Primary School in Omega, need constant support before the teachers and pupils take its full ownership.

One of the other constraints the National Society was faced with was the big number of affected people and inaccessibility to most affected parts. The registration of the beneficiaries was difficult to the magnitude of the disaster. The vastness of the affected area also posed as a great challenge to the response team as the National Society capacity was stretched to the limits. The non availability of relief items in the warehouse as well lengthy process of acquiring the necessary relief items from suppliers also hampered the effective implementation of the response activities. Most of the items arrived at the time when most of the vulnerabilities have been reduced and the situation was almost under control.

To address the lack of relief stock problem during the response, the minimum stock procured will be pre-positioned in the high risk regions for immediate response to save lives. The relief stock has already been received from the Federation. The plan is also underway to conduct the National Disaster Response Training (NDRT) to increase the disaster management capacity in the country.

Lack of commitments from some members of the San who sometimes do not turn up for the activities. Too much rain received destroyed crops, affecting the harvest in Ohangwena region. In most instances the land donated to the associations by the headmen is not fertile enough. Due to floods in the areas of Kikiya, ploughing could not be done.

Lack of funds for social tracing while the demand for the service is high Kavango/ Caprivi). Lack of material assistance for repatriated returnees and unaccompanied children e.g. blankets and cosmetics (Kavango/Osire).

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organisational developmentCapacity Building

The governance and management orientation workshop was conducted with the support of the IFRC. The workshop orientated participants on the roles and responsibilities of governance and management in the National Society. Emphasis was also given on the characteristics of a well functioning NS. Twenty staff members including volunteers were trained on Project Cycle Management through an external consultant to improve their project management skills. Training on resource mobilization that included 16 staff members and volunteers took place. Two staff members received training on financial management. Two youth volunteers attended the 10th International Youth camp in Abuja – Nigeria.

The NS did not have a system of capturing its members, which made it difficult to know the exact number of its members. To address that challenge, the NS successfully developed and

installed volunteer and membership database system that captures the information of volunteers and members recruited by NRCS such as personal information, training provided, involvement areas. This will improve the record keeping of the members as well as the income generated out of the membership recruitment.

The two year Recovery Plan of the NS recommended the filling of some critical positions, such as the Personal Assistant to the SG; Youth and Branch Development Officer and Resource Mobilisation Coordinator. All three positions were filled during 2008.

The NS applied for Intensified Capacity Building (ICB) fund in order to support its organisational development work, which was approved for implementation from 2009- 2011. The focus areas of the programme will be:

Development of CBHFA as the core program of Namibia Red Cross Society by building on the existing HIV/AIDS program.Establish local governance structures in 4 branches (Caprivi, Oshikoto, Khomas and Otjozondjupa) and develop a training design for the newly ushered leaders to ensure clear understanding of their roles and responsibilities in branch development. Strengthen the human resources of the Namibia Red Cross by significantly increasing the number of members and volunteers, improving volunteer management, and enhancing staff capacity. This includes establishing youth structures and programs in 2 branches (Khomas, Oshikoto).Review and/or develop supportive policies and guidelines to create an enabling environment for the first 3 strategies.

The implementation of ICB will gear up the efforts of the NRCS to meeting the characteristics of the well functioning NS.

The Society continued to provide social assistance to the beneficiaries in all the branches. Families were provided with items such as blankets for the reported house burnt down by the fire. The gospel team Hompa Mugameni Gwetu was given N$1000. 00 to visit the site of the Rundu accident.

The Kavango regional branch supported the family that lost six children from with food, tarpaulins as well as funeral financial support. Volunteers also provided first aid during the burial service.

social assistance

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Membership Recruitment

The National Society developed the membership recruitment plan, to boost its membership and volunteer base; the following members were recruited in different branches:

Region Members Recruited

Male Female

Khomas 10 42

Ohangwena 215 320

Kavango 12 20

Kunene 27 12

Total: 264 394

The IT and communications set up of the NS which suffered from malfunctioning was assessed by an IT expert deployed from the Zone and major changes were made resulting in a much better and improved communication.

Development of policies and strategies

For past years the NS did not have tools and instruments in place to support its programme service delivery, which has negatively affected its operations. To change this picture, the Society embarked on the development of policies and guidelines. A consultative meeting with regional, head office staff and volunteers was held to review a number of policies. The Human Resource Policy and Procedures and Board Election manual were endorsed by the Governing Board in 2008. The Finance and Administration, Volunteer and Disaster Management Policies are in the final stages of development.

Establishment of local youth structures

One of the main challenges that the NS has been facing is poor involvement of youth in the activities of the Red Cross. During 2008 the NS set up youth structures in three regions namely, Kavango, Ohangwena and Kunene with the involvement of constituency, district and regional levels, this will ensure the participation of the youth in the services of the NS at all level.

Resource mobilisation

The National Society received monetary donations from companies and individuals amounting to N$ 2 966 361.16. Donations in kind were made to the national society in terms of water purifications tablets, mosquito nets, clothing, blankets and hygiene kits. The monetary value of the goods is estimated to more than N$ 500 000.00.

The National Society conducted a garage sale in December 2008 for goods that were kept in the warehouse and could not be distributed to the vulnerable communities. Most of the goods were wine glasses and crockery. The funds generated will be used for social assistance. The garage sale generated N$ 4 297.00.

Constraints or Challenges

The funds are limited to cover most of the organisational development work in all the regions. It is a challenge to fundraise for the National Society as the country is classified as middle income

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Principles and ValuesAchievements

International volunteer’s day was commemorated both at national and regional levels. In Windhoek, Namibia Red Cross with other organisations as well as National Planning Commission celebrated the day. This is the first time in Namibia that the day was celebrated jointly. The commemoration was aimed at building common understanding of volunteerism and a shared appreciation of its values; identifying and proposing ways of addressing obstacles that prevent the full harnessing and utilization of the power of volunteerism in Namibia

The communication department throughout the year was involved in activities such as :

Induction of staff membersMonthly website updateProducing quarterly newsletterProducing leaflets for membership, volunteers and Food SecurityRadio talk shows on Red Cross activities in all vernacular languages

Constraints or challenges:

Lack of funds for the Red Cross dissemination activities. There is general little knowledge about the Red Cross in Namibia, requiring the strengthened information dissemination.

Working in partnership The Ministry of Health and Social Services remains the primary partner in the implementation of the HIV and AIDS programmes. This partnership financially supports areas of counselling and testing through CDC; and prevention, OVC and home based care through Global Fund. Technical Committees on both HIV and AIDS and TB programmes have been established and meet quarterly to strengthen the activities. Other partners include NGO’s in the Health sectors such as the VCT franchise holders, IntraHealth Capacity Project (USAID funded). The National AIDS Executive Committee (NAEC) through the Ministry of Health and Social Services co-ordinates and monitors all HIV/AIDS related programmes in the country, Other partners include World Food Programme funding the livelihood activities for the food security project, Legal Assistance Centre supporting the OVC. The NS is also supported by other PNS such as Swedish RC funding the Floods Agricultural Recovery programme (supported by ECHO) , Japanese and Icelandic RC funding home-based care project in Caprivi region, Belgium RC Flanders and Netherlands RC funding the National Society’s Organizational Development and also OVC in Kavango region, Federation through RNE funding the overall HIV programme. The European Union (EU) together with Belgium RC-Flanders and Swedish RC are funding the Water and Sanitation (WATSAN) project in Kunene and Ohangwena region German RC and Swedish RC are supporting the Home-based care in Ohangwena region, co-funding with the European Union. The Ministries of Gender and Child welfare as well as Ministry of Home Affairs provide support to the OVC programme. Local businesses such as, OK shop and Spar continue to support the Red Cross with food for OVC. In the area of disaster management the NS collaborates with the Directorate of Emergency Management. The Ministry of Water and Agriculture gives technical support to the NS in the areas of food security and Watsan issues.

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Contributing to longer-term impactThe NS programmes endeavour to find synergies within national and international strategies, in order to improve the quality of lives of the vulnerable, through the implementation of programmes in the core areas: promotion of Humanitarian Values and Fundamental Principles, health and care, food security, disaster management, organisational development, resource mobilisation and development of partnerships. Livelihood programmes will continue to target more women than men following the increase of female headed households, as a result of HIV related mortality. Incorporation of messages targeting gender violence is being encouraged by all health educators.

Coordination and partnershipsThe Ministry of Health and Social Services remains the primary partner in the implementation of the HIV and AIDS programmes. This partnership financially supports areas of counselling and testing through CDC; and prevention, OVC and home based care through Global Fund. Technical Committees on both HIV and AIDS and TB programmes have been established and meet quarterly to strengthen the activities. Other partners include NGO’s in the Health sectors such as the VCT franchise holders, IntraHealth Capacity Project (USAID funded). The National AIDS Executive Committee (NAEC) through the Ministry of Health and Social Services co-ordinates and monitors all HIV/AIDS related programmes in the country, Other partners include World Food Programme funding the livelihood activities for the food security project, Legal Assistance Centre supporting the OVC. The NS is also supported by other sister national societies such as Swedish RC funding the Floods Agricultural Recovery programme

(supported by ECHO) , Japanese and Icelandic RC funding home-based care project in Caprivi region, Belgium RC Flanders and Netherlands RC funding the National Society’s Organizational Development and also OVC in Kavango region, Federation through RNE funding the overall HIV programme. The European Union (EU) together with Belgium RC-Flanders and Swedish RC are funding the Water and Sanitation (WATSAN) project in Kunene and Ohangwena region German RC and Swedish RC are supporting the Home-based care in Ohangwena region, co-funding with the European Union. The Ministries of Gender and Child welfare as well as Ministry of Home Affairs provide support to the OVC programme. The Spanish Red Cross supports Social Empowerment Program in Caprivi and Ohangwena regions. Tracing and family visits activities are supported by ICRC. The repatriation activities are carried out with the support of UNHCR. Local businesses such as, OK shop and Spar continue to support the Red Cross with food for OVC.

Looking ahead The priority next year will be the integration of CBHFA into the HIV and AIDS programme. Strengthening disaster preparedness of the NS is also one of the top priorities of the NS. The strengthening of the monitoring and evaluation at all levels will also be the main focus of 2009, to improve the quality of the services being delivered to the vulnerable communities. The national society will strive strengthen its branch development activities and to work on increasing its resource base so that it becomes self sustainable.

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balance sheetfinancials

Figures in N$ Note(s) 2008 2007

Assets

Non-Current Assets

Investment property 3 792,205 812,990

Property, plant and equipment 4 5,173,590 3,941,336

Other financial assets 5 968,528 2,868,750

6,934,323 7,623,076

Current Assets

Receivables and prepayments 7 1,740,393 2,169,922

Cash and cash equivalents 8 10,892,596 6,523,162

12,632,989 8,693,084

Non-Current Assets 6,934,323 7,623,076

Current Assets 12,632,989 8,693,084

Total Assets 19,567,312 16,316,160

Equity and Liabilities

Capital and reserves

Fair value reserve for available for sale financial assets (34,932) -

Accumulated funds 15,467,136 13,143,320

15,432,204 13,143,320

Liabilities

Current Liabilities

Trade and other payables 9 3,368,406 2,894,575

Bank overdraft 8 766,702 278,265

4,135,108 3,172,840

Current Liabilities 4,135,108 3,172,840

Equities 15,432,204 13,143,320

Liabilities 4,135,108 3,172,840

Total Equity and Liabilities 19,567,312 16,316,160

Namibia Red Cross Society (Registration number 21/79/115)Financial Statements for the year ended 31 December 2008

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income statementfinancials

Figures in N$ Note(s) 2008 2007Revenue 11 45,892,690 34,246,839

Other income 12 1,469,390 1,191,921

Total income 47,362,080 35,438,760

Project and administrative expenses (45,189,391) (33,289,296)

Operating Surplus 12 2,172,689 2,149,464

Finance income 13 205,760 222,396

Finance costs 14 (54,633) (8,790)

Surpus for the year 2,323,816 2,363,070

Figures in N$ Note(s) 2008 2007Cash flows from operating activities

Cash receipts from donors and customers 46,299,933 34,523,496

Cash paid to suppliers and employees (42,582,330) (31,253,279)

Cash generated from operations 15 3,717,603 3,270,216

Interest income 205,760 222,396

Finance costs (54,633) (8,790)

Net cash from operating activities 3,868,730 3,483,822

Cash flows from investing activities

Purchase of property, plant and equipment 4 (2,112,653) (827,199)

Sale of property, plant and equipment 4 259,630 -

Net movement in Investments 1,865,290 (1,310,955)

Net cash from/ (to) investing activities 12,267 (2,138,154)

Total cash movement for the year 3,880,997 1,345,668

Cash at the beginning of the year 6,244,897 4,899,229

Total cash at end of the year 8 10,125,894 6,244,897

Namibia Red Cross Society (Registration number 21/79/115)Financial Statements for the year ended 31 December 2008

cash flow statementfinancials

Namibia Red Cross Society (Registration number 21/79/115)Financial Statements for the year ended 31 December 2008

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1. Project IncomeProject Name Health and Disaster Organisational Core activities Total

care Management DevelopmentDisaster risk reduction - 1,139,942 - - 1,139,942Disaster - Floods - 937,066 - - 937,066Food security - 4,742,146 - - 4,742,146Food security - Spanish - 529,936 - - 529,936World food program - 388,747 - - 388,747Tracing - 1,018,859 - - 1,018,859Global Fund 2,887,100 - - - 2,887,100Tuberculosis 2,899,876 - - - 2,899,876Water and sanitation 6,476,570 - - - 6,476,570Voluntary testing centre 536,285 - - - 536,285Home based care (468,828) - - - (468,828)Enhana home based care 1,147,288 - - - 1,147,288Desert soul 1,072,861 - - - 1,072,861

Community counselling project 12,906,204 - - - 12,906,204HIV AIDS 3,219,484 - - - 3,219,484Kune Watsan 161,622 - - - 161,622Orphans and vulnerable children 2,415,069 - - - 2,415,069Post test club 34,200 - - - 34,200Social assistance - - - 207,319 207,319Organizational development - - 726,029 - 726,029Red Cross - Non project income - - - 2,914,915 2,914,915

33,287,731 8,756,696 726,029 3,122,234 45,892,690

2. Project ExpensesProject Name Health and Disaster Organizationa Core activities Total

care Management I developmentDisaster risk reduction - 798,113 - - 798,113Disater-Floods - 1,387,888 - - 1,387,888Food aid - 220,286 - - 220,286Food security - 915,198 - - 915,198Food security - Spanish - 299,435 - - 299,435World food program - 114,998 - - 114,998Tracing - 1,099,052 - - 1,099,052Community Empowerment - 201,057 - - 201,057Global fund 3,764,772 - - - 3,764,772Tuberculosis 2.439,670 - - - 2,439,670Water and sanitation 4,088,963 - - - 4,088,963Voluntary testing centre 723,336 - - - 723,336Home based care 527,995 - - - 527,995Enhana home based care 1,513,498 - - - 1,513,498Desert soul 1,941,736 - - - 1,941,736Community counselling project 13,166,650 - - - 13,166,650HIV AIDS 2,965,251 - - - 2,965,251Kune Watsan (225,258) - - - (225,258)Orphans and vulnerable children 1,172,762 - - - 1,172,762Post test club 92,356 - - - 92,356Communications - - 119,417 - 119,417Social assistance - - - 26,432 26,432Organizational development - - 920,737 - 920,737Intenisified capacity training - - 241,775 - 241,775Red Cross: Non project - - - 6,673,272 6,673,272expenditure

32,171,731 5,036,027 1,281,929 6,699,704 45,189,39135 The supplementary information presented does not form part of the financial statements and is unaudited

supplementary informationNamibia Red Cross Society (Registration number 21/79/115)Financial Statements for the year ended 31 December 2008

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abbreviations

AIDS Acquired Immunodeficiency Syndrome

ANC Antenatal Care / Clinic

ART Antiretroviral Therapy

ARV Antiretroviral

CBEWS Community Based Early Warning System

EMU Emergency Management Unit

EWS Early Warning System

DOTS Directly Observed Treatment – Short Course

DRR Disaster Risk Reduction

HAART Highly Active Anti-Retroviral Therapy

HBC Home-Based Care

HH Household

HIV Human Immunodeficiency Virus

IEC Information, Education and Communication

ICRC International Committee of the Red Cross and Red Crescent

IFRC International Federation of Red Cross and Red Crescent

MOHSS Ministry of Health and Social Services

MOGECW Ministry of Gender Equality and Child Welfare

NRCS Namibia Red Cross Society

NS National Society

PHAST Participatory Hygiene and Sanitation Transformation

PLHIV People Living with HIV

PMTCT Prevention of Mother-to-Child Transmission

PMER Planning, Monitoring, Evaluation, Reporting

OVC Orphans and Vulnerable Children

RDRT Regional Disaster Response Training

TB Tuberculosis

TOT Trainer of Trainees

VCT Voluntary Counselling and Testing of HIV

WPC Water Point Committee


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