2014 Annual Report. Contact Details:

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1 The Adventist Development and Relief Agency Cambodia is registered with the Ministry of Foreign Affairs since Contact Details: #4, Street 554 Khan Toul Kork Phnom Penh, Cambodia Tel: ; Fax:

2 in Review 2014 has been a year of blessings for the Adventist Development and Relief Agency Cambodia. During 2014 ADRA staff and partners worked with over 20,000 persons in Kompong Thom, Preah Vhear, Pursat and Siem Reap provinces in various projects, most focused on nutrition. Donors have visited the project from Australia, Canada, New Zealand and Korea to monitor progress. Funding support has continued and expanded from our ADRA office and government partners in Australia, Canada, Korea, New Zealand, Norway, USA and Cambodia. With a new CHOICES for Children project started in July, now 110 staff work in 14 projects. During volunteer groups also worked with ADRA s projects in various capacities with many more planned for The new Strategic Plan for was completed which included choosing new Mission and Vision statements. In this Strategic Plan, ADRA Cambodia staff and stakeholders have worked together to voice a joint vision of happy families having healthy children. They have envisioned the need of empowering families with hope to support the true needs of their children before their birth, in their early years and through adolescence. As we are working towards our new vision, we are seeking for more partners to participate in and support the process. We thank God for His many blessings in 2014 and continue to ask Him to guide ADRA Cambodia into the future. Mark Schwisow Country Director December 2, 2014 Table of Contents 2014 in Review... 1 Identity... 2 Mission... 2 Vision... 2 Development Principles... 2 Our Programs... 2 Health... 3 Rural Livelihoods... 5 Human Development & Empowerment... 6 Projects Health Projects... 7 WASH... 7 Food Security Projects... 7 Education Projects... 7 Connections Groups Achievements during Partnerships in Organogram Members of the Governing Body Finances

3 2 Identity Mission ADRA Cambodia is a humanitarian and development organization of the Seventhday Adventist Church that works with people in poverty and distress to create positive change through empowering partnerships and responsible action. Vision ADRA Cambodia reflects God s character of love for the poor and vulnerable through development and relief projects based on inclusive, trust-based community relationships that lead to improved quality of life. Development Principles ADRA Cambodia is an organization that Actively supports communities through a portfolio of development activities which are planned and implemented cooperatively Provides assistance in situations of crisis or chronic distress, and works toward the development of long-term solutions with those affected Works through equitable partnerships with those in need to achieve positive and sustainable change in communities Builds networks that develop indigenous capacity, appropriate technology, and skills at all levels Develops and maintains relationships with our partners and constituents that provide effective channels for mutual growth and action Promotes and expands the equitable and participatory involvement of women in the development process Advocates for and assists in the increased use of communities capacities to care for and responsibly manage the natural resources of their environment. Facilitates the right and ability of all children to attain their full potential, and assists in assuring the child s survival to achieve that potential. Our Programs ADRA Cambodia has been operating in Cambodia for 23 years. It has a diverse program across several sectors that focuses on sustainable community development and advocacy for strong community relationships and capacity. ADRA Cambodia currently works with communities in Siem Reap, Preah Vihear, Kompong Thom, and Pursat. The focus on the central and northern areas of the country will continue, based on the ongoing partnerships with communities, and development needs in that region.

4 3 ADRA Cambodia has a diverse portfolio of projects across several sectors, with the following three priority sectors identified: Health - (Nutrition, Water Sanitation & Hygiene, Non-Communicable Diseases) Rural Livelihoods - (Food Security) Human Development & Empowerment - (Early Childhood Development, REFLECT) ADRA Cambodia has also identified Disaster Risk Reduction/Emergency Management as a sector to be mainstreamed throughout the entire community development program and has made a commitment to incorporate the community participation approach used in the REFLECT methodology wherever possible in ADRA Cambodia's community development program. ADRA Cambodia includes consideration of all cross-cutting issues in the implementation of projects, but special focus is being made on the cross-cutting issues of migration and gender-based violence. Health ADRA Cambodia's health program has helped rebuild health clinics and train rural health providers. Projects have also trained community members in rural villages as primary health care promoters building the capacity of many to become Reflect facilitators. Special attention continues to be given to supporting Mother and Child health, including nutrition education and rehabilitation, and safe pregnancy and childbirth awareness. ADRA Cambodia employs a holistic approach to health issues, working with communities to discuss health from the perspective of nutrition, access to clean water, sanitation and hygiene practice, and health behavior that prevents problems by building awareness. One key area within a focus on lifestyle health includes raising awareness of the negative effects of tobacco and alcohol use. An area of key success for ADRA Cambodia is to use rural program results to advocate with key lawmakers to legislate tobacco control regulations to support those efforts. Nutrition Education ADRA s integrated program on nutrition uses facilitation as a key for higher involvement and motivation. It involves parents, children, community leaders, health care providers and law makers for the greatest impact on nutrition. It includes prevention action on related disease and provides options for improved livelihoods that can help behavior change for nutrition to be more sustainable. The Royal Government of Cambodia has recently identified gaps in providing adequate nutrition for children. This is highlighted in the 2014 release of its Fast Track Road Map for Improving Nutrition ADRA has secured projects focused in nutrition increasing ADRA s ability to respond to these gaps. ADRA s priority areas in child nutrition include rehabilitation, food fortification and behavior change on child feeding practices.

5 4 Nutrition programs in 2014: PROVINCE/ PROGRAM GOAL Preah Vihear/ Reduced mortality of mothers and children under five Siem Reap/ Improved nutrition and food security, particularly WRA and children under-5 Pursat/ To improve child nutrition and wellbeing through increased protective care and sustainable livelihoods in poor and vulnerable households Kompong Thom/ To increase improved agriculture livelihood production methods CONTEXT U5 child mortality at 146 in Preah Vihear Province 94% of deliveries take place at home. High levels of anaemia caused by the effects of communicable diseases and poor dietary practices Stunting rate 50% for Siem Reap Province and underweight children 35% High levels of anaemia (60% for children in the province) Limited dry season livelihood diversification leading to high rates of absentee migrant parents. Child malnutrition rate is 44.8% in Pursat 29% of households live below or near the poverty line in Bakan district Over 75% of households in Bakan do not have sanitary latrines 50% of family members with no access to potable water 85% of rice farming totally dependent on natural rainfall with frequent floods and droughts causing significant damage Low average output of 1.7 tons of rice per hectare INTERVENTIONS IN HEALTH & LIVELIHOODS 35,891 Health Systems Learning sessions with families o Growth monitoring o NERP o Fortified foods WASH Agriculture 21,600 Learning sessions with families o Growth monitoring o Nutrition, education, rehabilitation program (NERP) WASH Agriculture 12,400 Learning sessions with families o Growth monitoring o NERP Agriculture Vocational skills Livelihood skills WASH 5,900 Learning sessions with families Agriculture Vocational skills TARGET POPU- LATION PART- NER- SHIPS Madai Reakreah, Kone Reakreah, Hincks Dellcrest, *Ministry of Health (MOH) *MOH WatSan suppliers *Farmer Association s MOH MOAg Ministry of Agriculture (MOAg)

5 Water, Sanitation and Hygiene (WASH) ADRA builds capacity of community partners in technical construction and hygiene promotion methods with a focus on sustainable change and investment.

dams. Improved sanitation has resulted in the construction of over 7500 quality water sealed latrines, and has complimented families learning the importance of hygiene and being able to access clean

As a leader in the WASH sector in Cambodia, ADRA is committed to ongoing learning and development in this sector to further improve best practice.

infectious diseases epidemic. The country has therefore to deal with this 'double burden' of diseases that has a long term economic risk for Cambodia.

for noncommunicable diseases are relatively high including tobacco smoking, alcohol consumption, and increasing weight. This survey revealed that 8 in every 10 people (82.

6 5 Water, Sanitation and Hygiene (WASH) ADRA builds capacity of community partners in technical construction and hygiene promotion methods with a focus on sustainable change and investment. Technology and behavior change strategies have been improved through supporting households to install over 7700 open ring and bored wells, 5000 water collection tanks and pumps, and several community dams. Improved sanitation has resulted in the construction of over 7500 quality water sealed latrines, and has complimented families learning the importance of hygiene and being able to access clean water for drinking and washing including assisting over 9,000 families to obtain ceramic water filters. As a leader in the WASH sector in Cambodia, ADRA is committed to ongoing learning and development in this sector to further improve best practice. Non Communicable Diseases Cambodia, like many developing countries, is facing the threat of emerging obesity and noncommunicable diseases (NCD) while still struggling with malnutrition, endemic and infectious diseases epidemic. The country has therefore to deal with this 'double burden' of diseases that has a long term economic risk for Cambodia. Although the prevalence of diabetes and hypertension are found to be relatively low in comparison with many countries in the region, the first large survey in 2010 revealed that major risk factors for noncommunicable diseases are relatively high including tobacco smoking, alcohol consumption, and increasing weight. This survey revealed that 8 in every 10 people (82.4% of the surveyed population) had one to two risk factors for developing non-communicable diseases. Currently Cambodians struggling with poverty spend a large part of their income on health costs. ADRA Cambodia has a long history of working with World Health Organisation, government departments and other organisations in tobacco control and health promotion. The promotion of a healthy lifestyle is also historical key focus for the Seventh-day Adventist Church, the parent organisation of ADRA Cambodia. ADRA Cambodia is committed to projects that promote protective health habits and practices. Smoke Free Cambodia Rural Livelihoods A primary focus over the years has been to ensure families have basic food security along with water, health and other basic needs. Starting with support for rice production and water supply, families are supported with access to high quality seeds and introduced to methods of farming that provide greater yields. Through these programs families learn to grow better vegetable gardens, make money from fruit trees, and fish farms, and learn how to raise livestock. ADRA programs acknowledge the need to address a broad range of key factors leading to families gaining sustainable ownership of their own food security. These include integration of adult literacy, technical agriculture skills, small business management, small loans, community cooperative groups, and access to resources such as water supplies. ADRA Cambodia has integrated livelihood training into programs for many years and is committed to improving Community Key Messages about 2nd hand smoke Community Smoke Free Night Shows National Smoke Free Area Advocacy

6 the linkages between beneficiaries livelihood training and access to capital and credit, and on diversifying livelihood training provided through extended value chain analysis and identification of

Human Development & Empowerment ADRA Cambodia has dedicated itself to developing projects that ensure that adults and young people have opportunity to gain skills that allow them to adapt as economic

7 6 the linkages between beneficiaries livelihood training and access to capital and credit, and on diversifying livelihood training provided through extended value chain analysis and identification of new opportunities. Human Development & Empowerment ADRA Cambodia has dedicated itself to developing projects that ensure that adults and young people have opportunity to gain skills that allow them to adapt as economic and social times change. Participatory methods such as Adventure Learning and REFLECT have been used to expand local community members' opportunities to learn and grow from one another based on local knowledge. Key areas of learning have included functional literacy, family communication and planning, health, how to increase family income, avoiding the dangers of human trafficking, and developing good parenting skills. Early Childhood Development/Learning through Play ADRA Cambodia's Early Childhood Education opportunities for children have been instrumental in giving children in the communities basic life skills, and ensure that families actively participate in their child s early development and education. Additional positive impact has been seen in reduction of domestic violence, improved nutrition and income security. A key methodology in the Early Childhood Development (ECD) program is Learning through Play In My Own Way (LTP-IMOW). ADRA Cambodia is committed to strengthening internal linkages between projects to allow more communities access to the methodologies, seeking to formalize support for the curriculum with the Ministry of Education, improved social inclusion through targeting activities for children with disabilities, and strengthening the quality of the nutrition education provided through the program. REFLECT Methodology REgenerated Freirean Literacy through Empowering Community Techniques (REFLECT) is a participatory approach to adult learning that combines the philosophy of Brazilian educator Paulo Freire with Participatory Rural Appraisal methods. It focuses on linking adult literacy with empowerment. REFLECT provides an ongoing democratic space for people to be supported by a local facilitator to meet and discuss issues relevant to them, according to their own priorities Early Childhood Education has been integrated with adult learning using the REFLECT methodology. Child Reflect Circles aim to provide a rich learning environment for pre-school children. While parents meet in adult REFLECT Circles to learn key parenting skills, including child health and development, trained facilitators lead the children in a variety of activities, songs, games, stories and physical activities. Parents learn these activities and are encouraged to continue them at home. ADRA Cambodia is utilizing the skills developed in using this methodology across the community development program. Adventure Learning ADRA Cambodia s Jombok Hoas Adventure Learning programs are designed to create positive and lasting changes. Thousands of youth and adults have participated in its programs focused on nurturing leadership and team building skills in addition to personal growth and self-confidence.

8 7 Projects 2014 Health Projects OPERATING DATES BUDGET Name of Project Location Start End US$ Donor Saving Mothers' and Infants' Preah Vihear 10/1/ /9/2015 2,532,700 DFATD, ADRA Canada Lives with Equity (SMILE) "CHOICES" for Children: Child Pursat 1/7/ /6/2019 2,324,545 DFAT, ADRA Australia Health Outcomes Improved through Community Empowered Solutions Varin Integrated Nutrition for All Siem Reap 1/11/ /10/ ,000 CFGB, ADRA Canada Cambodians Opposing Risky Environments for Tobacco or Health (CORE TOH) Family Nutrition: Better Lives Through Social Enterprise National 1/10/ /3/ ,000 ADRA Canada, ADRA Australia, SED Funds Preah Vihear 1/5/ /4/ ,000 ADRA Australia, Sanitarium WASH OPERATING DATES BUDGET Name of Project Location Start End US$ Donor Chieb Household Initiative for Empowerment Building (CHIEB) Preah Vihear 1/9/ /6/ ,766 ADRA Australia Private Donors, Community Contributions Bakan WAter and Sanitation for Health (BWASH) Pursat 21/8/ /2/ ,348 MFAT, ADRA New Zealand, ADRA Norway Food Security Projects OPERATING DATES BUDGET Name of Project Location Start End US$ Donor Agriculture Livelihood Improvements through Village Empowerment (ALIVE) Pursat 1/7/ /6/ ,800 DFAT/ANCP, ADRA Australia ENabling Households to Apply Necessary Cultivation for Economic Development (ENHANCED) Kompong Thom 1/2/ /5/ ,300 DFAT/ ADRA Australia Private Funds, SED Funds Keep Girls Safe Kompong Thom 1/6/ /1/ ,433 ADRA International Livelihoods for Life Kompong Thom 1/3/ /2/ ,074 MCIC, ADRA Canada Varin Food Security for All Siem Reap 1/6/ /10/ ,000 CFGB, ADRA Canada Education Projects OPERATING DATES BUDGET Name of Project Location Start End US$ Donor Adventure Training Program - Jombok Hoas (JBH) Preah Vihear 1/1/ /12/ ,779 User contributions, Avondale College, ADRA Australia, Transforming Lives in Cambodia ADRA International Preah Vihear 1/7/ /6/2014 2,627 ADRA International Gift Catalog Pursat Child Sponsorship Pursat 1/7/ /10/ ,940 ADRA Korea Prasat Model Preschool Kompong Thom 1/8/ /7/ ,617 Kindercare, ADRA New Zealand PAPSDA Tuol Thmea Pursat 1/4/2014 1/4/ ,710 PAPSDA, ADRA New Zealand

8 Connections Groups 2014 Connections group trips are arranged with partner ADRA offices as small projects that support the goals and objectives of larger sustainable projects, filling gaps that the

Every trip has lots of opportunities for interaction between the community members and volunteers, resulting in an appreciation for each other, good memories and sometimes lasting friendships.

9 8 Connections Groups 2014 Connections group trips are arranged with partner ADRA offices as small projects that support the goals and objectives of larger sustainable projects, filling gaps that the current project does not meet. Every trip has lots of opportunities for interaction between the community members and volunteers, resulting in an appreciation for each other, good memories and sometimes lasting friendships. Each group does the fundraising for their own project. Activities that the groups have participated in during 2014 include: Constructing and installing latrines, wells and water tanks Building trails a shelter and zip lines for a community forest Constructing a community preschool Constructing playgrounds Doing artwork at schools Conducting hygiene, health and education activities with kids and communities. Conducting positive deviant hearth nutrition rehabilitation programs. A big thank you to Sanitarium, Kindercare, PAPSDA, Vic Conference, Hughes and Korean VOLUNTEERS! You bring positive change, hope and joy! Achievements during 2014 Conducted a Training of Trainers in Disaster Risk Reduction Completed contextualization of the Hincks Dellcrest Learning through Play In My Own Way Calendar and Training of Trainers in 73 villages resulting in over 1,600 mothers and fathers trained in parenting skills Facilitated Positive Deviant Hearth behavior change nutrition programs with children under 5 in over 110 villages. Held awareness events on World Health Organization World No Tobacco Day. Constructed 2 waiting and delivery rooms Worked with Vissot and Sanitarium to produce healthy porridge Completed Strategic Planning for 2014 to 2017 which 1) identified strategic program priorities for targeted strengthening over the next two years, 2) prioritized disaster risk reduction and emergency management to be mainstreamed throughout all development programs and 3) committed to address the issues of migration and genderbased violence during the next two years. Actively participated in CCC, MEDiCAM, NEP, CCFIN collaborative organizations for NGOs working in Cambodia including the sectors of health, education and micro-finance. Completed project surveys, participatory evaluations and a gender audit. Hosted fundraisers from ADRA New Zealand at the Bakan WAter Sanitition and Hygiene project who were the winners of the ADRA Charity run in New Zealand!

10 9 Partnerships in 2014 CCC * MEDiCAM * NEP * CCFIN * AMNEP * Vissot * Sanitarium * Hincks Dellcrest * MRKR * Avondale

11 10 Organogram 2014 Members of the Governing Body 2014 Deane Jackson-Chairman, Mark Schwisow-Secretary, Lim Pheng, Hang Sayaneat, Sharyn Davis, Tim Maddocks, Hang Dara, Im Touch, Se Kimseng, Chhun Savoeun, Horn Sopheap, Ann Stickle (non-voting member).

12 11 Finances 2014 Education 13% Food Security 20% WASH 10% Health 57% 2014 Expenses by Sector 2014 Expenses by Funding Country 1,200,000 1,087,000 1,000, , , , , , ,000 36,000 56, ,000 Canada Australia Cambodia US Korea New Zealand 25,000 Norway Thank You!

2015 Annual Report. Contact Details:

2015 Annual Report. Contact Details: The Adventist Development and Relief Agency Cambodia is registered with the Ministry of Foreign Affairs since 1991. Contact Details: #4, Street 554 Khan Toul Kork Phnom Penh, Cambodia Tel: 023 880 693;