friends without a border 2015 annual report
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2015 Annual Report
Healing Children, Healing AsiaHealing Children, Healing Asia
2015 was the year of another dream come true for me. Friends Without A Border opened a new hospital in a new country…Lao Friends Hospital for Children (LFHC)!
I am happy to report that LFHC is not only open, but off to an amazing and successful start. As 2015 came to a close, LFHC has successfully opened its Inpatient and Outpatient Departments, Pharmacy, Laboratory, Radiology, and its around-the-clock Emergency Department. In addition, works are in progress for Outreach, including Homecare and HIV programs so that we can bring compassionate and international-standard of primary healthcare to children throughout Northern Laos. The critical need for our hospital has also been confirmed by a consistently increasing number of children being treated at LFHC on a daily basis. The lives of many children have been saved.
The challenges faced in successfully opening LFHC are simply too numerous to mention. It is important
for me to identify and thank the selfless and dedicated team that continues to make this success possible. I begin by naming and thanking our primary partner in Laos, the Lao Ministry of Health and Health Department of Luang Prabang. As most of you know, our model for LFHC is different from the model we used in Cambodia for Angkor Hospital for Children. LFHC is a free-standing and independent children’s hospital built on the campus of the Luang Prabang Provincial Hospital (LPPH). LFHC has essentially become the Pediatric Department for LPPH. We have designed LFHC not only as a center of compassion and international medical excellence, but as a children’s hospital that will be locally sustainable. Our plan is to successfully integrate LFHC within 10 years to be managed by LPPH. The success of this fundamental goal requires close coordination and cooperation with LPPH and the Lao Ministry of Health, and I wish to thank the leadership at these institutions for the important role they have played in the opening of LFHC.
Message from our Founder
I would also like to thank the board of directors and staff of Friends Without A Border New York and Friends Japan, who worked tirelessly alongside the staff of LFHC. We are fortunate to have such highly-qualified and dedicated leadership that contribute experience from working in pediatric hospitals and clinics from around the world. Under the leadership of our Executive Director Dr. Cheri Nijssen-Jordan, the expat leadership staff has exceeded our expectations. Our Laotian staff is also quite impressive. The amount of work put in by these young doctors, nurses, technicians, and support staff is something to be seen. Not only are they learning to provide compassionate and international-standard care to the children, but they spend many hours beyond their duty to learn advanced medicine and nursing together with learning English. I can already see them growing into the leaders of the future Lao healthcare system, inheriting the spirit of Friends Without A Border.
Needless to mention, there are many people responsible for the initial success of LFHC. But one important part of the team remains, and it consists of the generous donors listed at the end of this Annual Report. Not only have you given generously to create Lao Friends Hospital for Children, but you have trusted us to invest those donations efficiently and effectively. We appreciate the trust, and we hope you can see through this Annual Report that your trust has been well placed. We are always so excited and gratified when our donors make the long trip to Luang Prabang to visit our hospital. Many of you attended our Grand Opening in early 2015, and others visited throughout the year. Please know that you are always welcome to see our staff treating every child as if their own child at LFHC. Lao Friends Hospital for Children could not be there without you.
Kenro Izu Founder and Honorary President
2
2015 was another busy and productive year for
Friends Without A Border. We continued our
financial support for Angkor Hospital for Children
(AHC) and The Lake Clinic (TLC) while opening and
growing Lao Friends Hospital for Children (LFHC).
Over the course of the year, LFHC grew from an
outpatient only facility to a 24-hour facility that
included Inpatient and Emergency Departments.
We strengthened our relationships with the local
community and Lao government by developing a
reputation for high-quality medical service and
continuing to share information and best practices.
In the coming year, we look forward to building
our Surgery and Neonatal Departments, as well
as implementing partnerships with local medical
schools to provide pediatric training for the next
generation of Lao doctors, nurses and physician
assistants. These education initiatives combined
with the expansion of our Outreach Programs will
ensure that Friends Without A Border will be able
to help even those children and families unable
to travel to LFHC.
As we approach the 20th anniversary of Friends
Without A Border, there is much to celebrate. With
the support of thousands of donors, medical
professionals, staff members, volunteers and
strategic partners, we have delivered compassionate
care to millions of children in the Mekong Region
and high-quality training to thousands of medical
professionals. As Chair of the Board of Directors of
Friends Without A Border, I would like to express
our heartfelt thanks to everyone who has made
this possible.
The last year has also reminded us that there
remains much work to be done. With families
traveling up to eight hours to receive care at LFHC
and children arriving with advanced and previously
undiagnosed serious medical conditions, we are
more aware than ever of the need for our services.
We look forward to the continued support of old
friends and to engaging with new friends as we fulfill
our mission of delivering the highest quality and
most compassionate care to the children of
Cambodia and Laos.
Matthew Magenheim
Chair of the Board of Directors
Message from our Chair
3
Lao Friends Hospital for Children is now a reality.
This Annual Report shares some of the successes
and challenges of the first year of operations. As the
management team reviewed the goals that Friends
Without A Border aspired to when designing the
hospital, the full LFHC team took a great deal of
pride in bringing such a special concept to life.
LFHC is now delivering care, free of charge, to any
child in Northern Laos who needs it.
The doors to the hospital opened on February 12th,
2015 for outpatient consultation and treatments.
The numbers of visits in outpatients doubled those
previously seen at the Luang Prabang Provincial
Hospital (LPPH). The pace continued as the Inpa-
tient Department opened in August followed by the
Emergency Department in November. As of Decem-
ber 31, LFHC treated over 10,000 children from the
ages of 1 day up to 15 years. These children came
from every district in the province of Luang Prabang
as well as 8 other provinces (out of 17) in Laos.
The LFHC team numbered over 60 Lao staff includ-
ing nurses, doctors, x-ray technicians, laboratory
technicians, pharmacists, sterilization technician,
physiotherapy, administrative personnel, security,
Friends Visitor Center staff, and infection control
& cleaning staff. They are actively engaged in
providing services as well as taking English lessons
and continuing their clinical curriculum. Almost 100
expat volunteers from around the world helped to
provide high quality service and teaching. Both staff
and volunteers alike added flavour and an enthusi-
asm that echoed the mission of providing compas-
sionate quality care to the children of Northern Laos.
A significant highlight for operations was the
implementation of an Electronic Medical Record
utilizing OpenMRS, an open source IT medical
record system. This system will allow not only clinical
documentation, but will assist in monitoring and
evaluation for research and operational management.
Additional site commissioning will continue in 2016
with Operating Theatre preparation for the surgical
program as well as opening a newborn unit to
expand inpatient care to include infants under 28
days of life. The ultimate plan of integration of our
children’s hospital into the fabric of the Lao Ministry
of Health has been taken very seriously by the
team. Every decision was made using a lens of
sustainability in the Lao environment of future and
vetted with our Lao Ministry of Health partners.
The collaboration has been very successful!
As a final comment to this summary of LFHC’s first
year, we want to tell the story of one of our patients.
A small 4-month-old baby came in looking very blue,
not breathing well, and his heart was about to stop.
The LFHC Lao and expatriate team provided oxy-
gen, breathing support, thiamine, supportive medi-
cations, IV fluids, antibiotics, nursing care, cuddling,
and a lot of parental counselling and teaching. The
team were very proud to discharge this baby home
with his smiling parents a few days later. The care
provided to this small child was second to none in
the world, and it was provided here at Lao Friends
Hospital for Children. This story is one of many that
already dot the short history of a growing, caring
place with a mission statement that “every child
has the right to a healthy and loving life.” A very
heartfelt thanks is extending from the LFHC staff to
all of our donors, partners and supporters for your
help in bringing this dream to life!
Cheri L. D. Nijssen-Jordan, MD FRCPC FAAP MBA
Executive Director, Lao Friends Hospital for Children
Message from the Executive Director of LFHC
Friends Without a Border • 2015 annual report
4
Every child has the right to a healthy and loving life. We accomplish this by providing high-quality and compassionate medical care to the children of Southeast Asia; by creating community health education programs; and by training local healthcare professionals.
Friends Without A BorderFriends Without A Border
5
Friends Events
Channapha Khomvongsa,
Executive Director and Founder
of Legacies of War. The tireless
efforts of Channapha and
her team have helped raise
awareness about unexploded
ordinance remaining from the
Vietnam War-era bombing of
Laos. As a result of their work,
countless lives have been
saved and devastating injuries
have been avoided. Friends
also recognized Gregory
Wakabayashi along with George
and Dori-Ann Stubos for their
many years of dedication and
support with the Best Friend of
Friends Award.
Friends Photography AuctionThe Annual Friends Photography
Auction is the signature event of
New York GalaOur Annual Spring Gala
celebrates Friends Without A
Border and honors those with
tremendous dedication to our
work. The theme of the 2015
Gala, “Realizing the Dream,”
commemorated the Grand
Opening of Lao Friends
Hospital for Children. The
Gala runs concurrently with the
Cambodian and Laotian New
Year and is a festive evening
dedicated to celebrating
Southeast Asian culture, with
delicious food, live and silent
auctions, and a market of
unique Asian-inspired gifts.
Over 200 guests attended the
13th Annual Friends Gala in
April and helped raise over
$270,000 to support healthcare
programs in Cambodia and Laos.
Friends was proud to present
its highest honor, the fourth
Healing Asia Award, to
Friends, symbolizing our belief
that “Art Can Make a Difference,”
and has raised over $2 million
since 1997. The 18th Annual
Friends Photography Auction
was held on October 6th in New
York City. Over 250 photography
enthusiasts joined Friends to
bid on over 150 pieces by
photographers around the
globe. Friends inaugurated the
Best Artist of the Year Award by
presenting this honor to Elliott
Erwitt, a renowned Magnum
photographer whose iconic
images are widely recognized.
With prints from artists like
Annie Leibovitz, Steve McCurry,
Richard Misrach, Daido
Moriyama, and Hiroshi
Sugimoto, the event raised
over $170,000 for children’s
healthcare.
Friends Without a Border • 2015 annual report
6
Friends expresses our sincere gratitude to the many supporters around the world who organized creative initiatives to support our cause and help children across Southeast Asia. Here are some of them.
Friends of FriendsOn October 10th, Friends of
Friends (FoF) New York held their
annual fundraiser for the 16th
year. The Cambodian-American
supporters of Friends were
delighted to raise over $16,000
for Angkor Hospital for Children
while having a fun-filled event
with Khmer-style dance and
music. On December 9th, com-
mittee members Dr. and Mrs.
Samrang Kchao visited AHC and
presented a check on behalf of
all the FoF supporters.
Diana’s Ice SkatingDiana Cheung and the Asian
Pacific American Medical Student
Association (APAMSA) hosted
an ice skating fundraiser for
LFHC, with over 136 students
from the NYIT College of
Osteopathic Medicine in
attendance. Diana and the
group raised enough money to
purchase a Continuous Positive
Airway Pressure (CPAP) machine
for Lao Friends Hospital for
Children - used for premature
births or babies born with
breathing problems.
Friends in the Community
7
Berger Family’s RunAdri Berger, Luang Prabang-
based videographer who
creates great footage for
Friends, and co-owner of the
Big Tree Café, is a big advocate
of LFHC in the local community.
Adri took his support even
further to his homeland of
The Netherlands, where his
extended family participated in
a marathon to raise money for
LFHC. More than ten members
of his family visited LFHC over
the summer and presented a
symbolic check to the hospital.
Luang Prabang Half MarathonMore than 500 participants took
to the streets of Luang Prabang
on October 18 in the run that
has been voted among Asia’s
top destination runs by CNN.
An unexpected shower did
not dampen the enthusiasm of
the runners from 23 countries,
who made their way past the
Mekong and Nam Khan rivers,
beautiful temples, and markets.
The runners raised over $60,000
for three Lao charities: a girls’
hygiene program, a literacy
organization, and Lao Friends
Hospital for Children.
VolunteersWe are so grateful for the
tremendous support we receive
from our volunteer community.
Over 150 volunteers helped
us with events, mailings, office
duties, and outreach in 2015.
Thank you to each and every
one of our amazing helpers!
Friends Without a Border • 2015 annual report
8
Improving children’s health and survival is a top priority in Laos. Many years of conflict and widespread poverty have stalled health care development, and poor public infrastructure combined with high mountainous terrain present a constant barrier for children and families to access high-quality health care. Among the most crucial of these challenges is a lack of health workers in Laos.
LAo Friends hospitAL For ChiLdrenLAo Friends hospitAL For ChiLdren
9
With 62.6% of the population
under the age of 18, and an
average population age of 20.7
years, children are the most
vulnerable and affected popula-
tion by these challenges. It is
common for children to suffer
from preventable and treatable
diseases such as malaria,
pneumonia and diarrhea. The
prevalence of malnutrition is
high, and rates of immunization
are low. Approximately 74 out
of every 1,000 children born
will not live to see their fifth
birthday. These astounding
statistics are what brought
Friends to the region.
Friends remains committed to
meeting these challenges and
delivering evidence-based care
through the successful model
implemented in Cambodia:
Treatment + Education +
Prevention.
LFHC was inaugurated on
February 11.
Throughout 2015, the clinical
team delivered care to increas-
ing numbers of children with
dedication, smiles, and a caring,
compassionate attitude. LFHC
implemented a phased opening;
with provision of care starting
with the Outpatient Department
(OPD). 47 children were seen
on opening day - since then, a
range from 30 to 90 outpatients
were seen each day by our
Lao medical staff, alongside
mentorship of our international
medical volunteers.
With increased training and
capacity, the doctors and nurses
were ready for the next mile-
stone: the Inpatient Department
(IPD). On August 11, the IPD
admitted its first patient: a
young girl named Yong Wa
with typhoid fever requiring IV
therapy. She came from a poor
Hmong family with 21 children
who traveled 8 hours by bus to
receive treatment. On the first
day there were 17 inpatients,
and the department has since
consistently been at capacity.
LFHC has seen an increasing
number of referrals from district
hospitals, as well as other
hospitals in the city and from
other provinces.
The opening of the Emergency
Department (ED) in November
marked the start of 24/7 care for
all children, including newborns,
medical, surgical, and trauma
victims. An average of 10
emergency patients per day are
treated for a variety of illnesses,
with infectious diseases
accounting for over 80% of
patient presenting illness.
Diagnoses also included sea-
sonal illnesses such as typhoid
and dengue fever; as well as
malnutrition, Thalassemia, and
nephrotic syndrome (kidney
diseases). The most commonly
prescribed medications
dispensed by the pharmacy
included Vitamin B1, folic acid,
multivitamins, zinc, and Tylenol.
Treatment
Friends Without a Border • 2015 annual report
10
The Laboratory focused on
simple tests like a CBC (hemo-
globin test) and rapid tests to
treat frequently seen diseases
such as malaria, HIV, strepto-
coccus, dengue, and typhoid.
These tests provided immediate
results and helped direct care in
the appropriate way. The staff
became more proficient in read-
ing blood smears, gram stains
and malaria tests, and also
completed the training for HIV
testing. In total, 2,609 laboratory
tests were completed, with 13%
leading to a diagnosis of den-
gue fever and 4% diagnosed
with malaria.
The Diagnostic Imaging
Department opened in May,
with help from RAD-AID
International, who sent a
radiologist, an ultrasound
technician, and a radiology
technician to LFHC. They
were able to set up the digital
radiology machine as well as
teach in both ultrasound and
x-ray modalities to the new Lao
x-ray technician. The teaching
from RAD-AID volunteers was
instrumental to the ability to
provide high quality diagnostics.
An additional highlight for the
year was the installation of PACS
(patient archiving system) which
allowed images to be uploaded
and stored rather than needing
to print films. This technology
enabled reading of the informa-
tion anywhere over the hospital’s
network, plus easy transmission
to outside consultants.
LFHC was awarded the TEAM
Grant (Training, Economic
Empowerment, Assistive
Technology, Medical Rehabilita-
tion) as a sub grant from USAID.
The grant allowed LFHC to
develop its Therapy Program
and employ a local Lao
education professional. The play
therapist will be instrumental in
creating a neurodevelopmental
screening tool and measuring
cognitive stimulation and gross
motor development.
Meet Sith, a 14-month-old boy from Xayaboury Province in northern Laos. Sith is the youngest of five siblings and the son of rice farmers. Brought into LFHC by his parents, he was tired, weak, and
irritable. A blood test showed that his hemoglobin level, a measure of red blood cells, was dangerously low—less than 1/3 the level that is usually considered “low.” Sith suffers from Thalassemia, a genetic red blood cell disorder extremely com-mon in Laos. Children with Thalassemia require routine blood transfusions, frequently as often as every month. Sith received a blood transfusion and food supplementation to bring him back to health, and was sent home in a few days time with renewed energy. He will need to make the 3 hour journey from his home to LFHC every few months to make sure that he maintains a healthy red blood cell count. We look forward to seeing him back!
Patient Story
11
The Baseline Medical Survey
(BMS) conducted by Dr. Jeff
Measelle, started in 2014 and
continued research and analysis
throughout 2015. The BMS is
among the most comprehensive
child health studies conducted
in Luang Prabang. A total of
630 households were surveyed,
producing health data on more
than 900 children ages 0-to-5
years. The BMS focused on
developing an accurate picture
of children’s health in the
Province, in particular children’s
physical growth rates, immuni-
zation status, general health
status, rates of communicable
and non-communicable disease,
oral health, nutritional status,
familial reproductive health
practices, and maternal perinatal
health status. The collection of
both biological and survey data
has helped to prioritize medical
services at LFHC, and will
provide a baseline from which
to gage the impact of LFHC
going forward. The BMS also
provides LFHC staff the oppor-
tunity to collaborate on health
research and to develop grant
proposals with government and
NGO partners.
Friends Without a Border • 2015 annual report
AGE
GENDER
ETHNICITY
DISTRICTS
30% Under 1 year old
46% Male
67% Lao
74% Luang Prabang
7% Chomphet
6% Pak Ou
4% Xiengngeun
9% Other
17% Khmu
16% Hmong
54% Female
18% 1-2 years old
25% Over 5 years old
27% 2-5 years old
LFHC Patients
COMMON DIAGNOSES
54% Infectious Diesease
35% Other
5% Malnutrition
3% Thalassemia/anemia
1% Epilepsy
1% Renal conditions
1% Injury
12
Workshop at Angkor Hospital
for Children. Nurses were
trained on combining clinical
information with the essentials
of pediatric care, and also
completed an Emergency
Triage Assessment and Treatment
(ETAT) course in preparation for
the inpatient and emergency
department openings. Rather
than delivering care according
to an arbitrary set of calcula-
tions, the medical team was
encouraged to think of the
patient holistically, and to
understand the disease for
which they were giving
medication. These ideas were
warmly welcomed and helped
genuinely foster a sense of com-
passionate care in the hospital.
The team also undertook
English-language classes taught
by an ESL-certified and native
English speaker. Our medical
library continued to grow, allow-
ing the staff to consistently learn
new skills and further develop
their English. Improving the lan-
guage skills of our doctors and
nurses is a component of our
capacity-building and sustain-
able approach to medical care:
it allows each and every practi-
tioner to become international
medical professionals.
In preparation for the opening
of the Operating Theatre in
2016, LFHC welcomed various
international medical profes-
sionals, including teams from
Germany and Singapore, as well
as U.S. Board Member, Dr. Tim
Weiner. The surgeons worked
hard to increase the capacity of
the Lao staff through training
and education on everything
from anesthesia, operations,
and pre- and post-operative
care. Our collaboration with
the Luang Prabang Provincial
Hospital (LPPH) was essential,
as LFHC began to take on the
post-operative care for surgical
patients from LPPH. In addi-
tion, two of our Lao nurses
underwent a 5-month training
at Angkor Hospital for Children
on anesthesiology. We couldn’t
be any happier to see our two
hospitals working together!
Education
LFHC’s education pillar focuses
on patient education, medical
education, English-language
education, and community
health education. The primary
emphasis was with patients
and their family members, and
ensuring that educators consid-
ered family dynamics, housing
environments, village resources,
and other influential factors.
Patient education is given daily
to patients’ families including
nutrition, vaccinations, breast-
feeding support, oral health,
family planning, and disease-
specific information.
Ongoing medical education
for Lao staff included a seven-
module program following
World Health Organization
(WHO) guidelines. There were
four opportunities for staff to
attend continuing education
workshops, including a Capacity
Building and Health Education
13
LFHC 2015 by the Numbers
10,800Total patient visits
252Patients admitted
over 50Post-operative patients
11Lao doctors
805X-rays and ultra-
sounds performed
67,806Total medications dispensed
2,609Lab tests
performed
115Homecare patients
21Lao nurses
less than 1 day to 61 daysLength of stay
14
launch an “Integrated Pediatric
HIV/AIDS Care Program” at
LFHC. Four clinical staff trained
as HIV counselors, and the team
conducted homecare visits for
4 HIV positive patients. Project
activities support improved
quality of life as well as prolon-
gation of life.
The Model Village project is
designed as a community
approach to providing health
care, with a major emphasis
on prevention and education.
Three “Health Promotion Days”
in the village provided needed
immunizations and health
education, covering hand wash-
ing, nutrition, food hygiene,
personal hygiene, head lice, and
growth and development. The
Model Village is led by LFHC’s
overarching goal to promote
empowerment and autonomy,
rather than complacency.
Our PartnersThrough the support of our
generous partners, we received
life-saving medicine and equip-
ment that allowed us to con-
tinue expanding LFHC to care
for more children in Laos. Our
partners included Direct Relief
International, Vitamin Angels,
Rotary Club Australia, RAD-AID
Our Outreach Program is
designed to care for children
who may not have access to
medical services, and to teach
preventative health to local
Lao communities. The LFHC
Outreach Program has three
components: a Homecare
project; HIV/AIDS care, and
a Model Village project.
Homecare focused on regularly
visiting chronically ill patients,
and provided services to 116
children and their families in 9
districts across Luang Prabang
Province. Care was designed
Preventionto involve a holistic approach
to support autonomy and
independence of both patients
and families, while providing
needed medical care for
children diagnosed with ill-
nesses such as cerebral palsy,
developmental delays, and
congenital heart disease.
The HIV Project aimed to
integrate all HIV-related care
into one pediatric facility with
pre- and post-test counseling,
treatment, homecare visits, and
prevention education. The team
worked closely with the Center
for HIV/AIDS and STIs in Vien-
tiane, as well as Luang Prabang
Provincial Hospital’s HIV clinic to
Bapphavadee was admitted to LFHC with a severe case of typhoid fever. Typhoid fever is spread through contaminated water, and most often affects children from rural villages with poor sanitation
systems. It is one of the many infectious diseases we deal with at LFHC that are rarely, if ever, seen in the developed world. Patients with dengue fever, malaria, hepatitis, and parasitic worms are unfortunately common sights at LFHC. Bapphavadee received a heavy dosage of antibiotics and supportive care to bring down her fever and treat her headache and diarrhea. After nearly a week in the Inpatient Department, she started feeling better and was sent home within a few days.
Patient Story
15
International, and the United
States Agency for International
Development (USAID).
In addition, a partnership with
the local branch of the Swiss
Red Cross (SRC) was initiated at
the start of Outreach program-
ming. Other coordination
on HIV/AIDS care, homecare
nursing visits, and the Model
Village project was held with
a variety of governmental and
non-governmental organiza-
tions, including Korean Inter-
national Cooperation Agency
(KOICA), Save the Children, the
Luang Prabang Provincial Health
Department, the Luang Prabang
District Hospital, and local
health centers.
LFHC VolunteersEstablishing a sound volunteer
program at LFHC was a fun-
damental part of the hospital’s
success. In 2015, we welcomed
medical and non-medical volun-
teers from across the world that
were essential in helping lay
the groundwork for the future
success of LFHC. 85 volunteers
came from 4 continents and 8
countries, including Australia,
Canada, Germany, India, Japan,
Myanmar, the United Kingdom,
and the United States. Each and
every volunteer brought with
them a strong commitment to
teaching our Lao staff and build-
ing LFHC’s capacity. They came
from professions such as nurses,
doctors, surgeons, pharmacists,
physical therapists, radiologists,
English teachers, and biomedical
and IT Technicians. We extend
our sincere gratitude to every
volunteer for donating their
time, talent, and knowledge to
Lao Friends Hospital for Children.
Friends Visitor CenterThe Friends Visitor Center (FVC)
opened in September 2014
in downtown Luang Prabang
as a way to spread awareness
of LFHC and the health care
situation in Laos among tourists
and the general public. The first
floor contains information on
our programs, souvenirs, and
an informative film about our
project; while the second floor
houses photography and art
related to Lao culture - all
available for donation with
proceeds going toward patient
care at LFHC.
FVC also plays an integral role
in community engagement. The
third floor is open to the local
community for various events,
such as yoga classes, while the
rooftop provides an incred-
ible view of Luang Prabang for
receptions or special occasions.
The FVC staff also works to
increase outreach by visiting
hotels and businesses to
introduce LFHC to international
tourists or Luang Prabang locals.
CanadaU.S.A.
AustraliaIndiaJapanMyanmarNew Zealand
ASIA
17
NORTH AMERICA
48
2015 Volunteers at LFHC
U.K.Germany
EUROPE
9
Friends Without a Border • 2015 annual report
Angkor hospitAL For ChiLdren
16
Angkor hospitAL For ChiLdren
17
Opened in 1999 with just an
Outpatient Department,
Angkor Hospital for Children
(AHC) has developed into an
internationally recognized
pediatric teaching hospital. As
the Cambodian staff continues
to elevate the standard of
pediatric care in Cambodia,
the Outpatient Department
has gone from seeing 20,000
patients a year to 132,000 in
2015. AHC now provides Out-
patient, Inpatient, Emergency/
Intensive Care, Cardiac and
other surgical services, Physio-
therapy, Social Work, HIV, Eye
Cancer, and Neonatal Care, in
addition to ancillary services
including an on-site laboratory
and a wide variety of medical
educational programs. In 2014,
the Outpatient Department was
renovated to accommodate the
increase in patients, and in early
2015 the Emergency Room/In-
tensive Care Unit was renovated
to provide more patient privacy
and reduce in-hospital infec-
tions. AHC is one of only a few
hospitals with a standardised
Intensive Care Unit, and the only
hospital in Cambodia with a
Neonatal Intensive Care Unit.
AHC aims to provide high
quality, compassionate care to
all Cambodian children regard-
less of their ability to pay. For
patients who cannot afford to
pay, AHC provides free health-
care, as well as food support,
round-trip transportation
reimbursement and a safe space
for their families to stay during
treatment. Through their strong
network of referral partners,
AHC is able to refer patients to
other facilities should they be
more convenient or should they
require services that AHC does
not provide, such as routine
vaccinations, which are provided
at no cost by the Cambodian
government.
AHC became independent
in 2013 and is now staffed by
98 percent Cambodians.
AHC 2015 by the numbers
132,133Outpatient Department
3,411Inpatient Department
27,035Emergency Room
880Intensive Care Unit
27,190Satellite Clinic
>186,000Total Treatments
Top Diagnoses: Lower respiratory infection, upper respiratory infection, sepsis, and gastroenteritis.
For more information, visit
www.angkorhospital.org
Friends Without a Border • 2015 annual report
18
the LAke CLiniCthe LAke CLiniC
19
Founded in 2007 by former
Executive Director of AHC,
Jon Morgan, The Lake
Clinic (TLC) provides medical
care and health education to
families living in remote and
isolated areas on the Tonle Sap
Lake and its tributaries in
Cambodia. TLC is the only
sustained hope of medical care
for these families; other medical
care centers are over 70 miles
by boat. TLC has continued to
grow and now includes 5 float-
ing clinics (in 5 of 9 villages) and
a small “fleet” of boats provid-
ing transport and support for
two clinical teams. Each team,
composed of an all Cambodian
staff, makes rounds every single
day, providing medicine and
education, and creating strong
bonds in the local community.
In 2015, TLC focused on the
idea that “nutrition is key,” and
village health volunteers visited
local schools to encourage
these ideas among local school
children. In the village of Pek
Chikrey, children learned the
basics of nutrition by describing
food as either “body building
food,” “body maintenance
food,” or “body energy food.”
When asked to prioritize their
food tastes between fish,
TLC 2015 by the numbers
4,843Pediatric patients treated
7,152General medicine provided
488Antenatal care patients
705Dental patients
211Eye care patients
1,951Immunizations provided
55Home care visits
44Referrals
120Birth spacing
1,172Visual acuity exams for
school children
For more information, visit www.lakeclinic.org
meat, vegetables and rice, the
children ranked vegetables the
highest—they learn quickly!—
with fish at the bottom.
To bring these lessons home,
TLC started a “bottle garden”
project with the school children,
initiated by one of TLC’s
cooks, Si Sathya, an avid home
gardener. From just a couple of
bottles filled with local soil, she
expanded the idea from just
basil and chili, to local spinach
and green onions along with
mint and even tomatoes.
20
U.S.CAMBODIALAOS
TOTAL POPULATION
POPULATION 0-14 YEARS
GNI PER CAPITA (CURRENT US$) ATLAS METHOD
UNDER 5 MORTALITY RATE
MATERNAL MORTALITY RATIO
HEALTH EXPENDITURE PER CAPITA (CURRENT US$)
BIRTHS ATTENDED BY SKILLED MEDICAL STAFF
$9,146
$55,200
$76
$1,020
$32
$1,600
318,857,05615,328,1366,689,300
197/100,000births
67/1,000births
161/100,000births
29/1,000births
14/100,000births
7/1,000births
99%
19%
42% 74%
32%35%
Health Statistics*All data from World Bank, 2013-2015
21
Statement of Activitiesand Changes in Net Assets for 2015 (Unaudited)
Friends Without a Border • 2015 annual report
Temporarily 2015 2014 Unrestricted restricted Total Total
REVENUE
Contributions $ 1,760,291 $ 703,268 2,463,559 1,697,643 Government contract grants – – –Special events 594,955 594,955 456,215 Less: direct expenses (222,311) (222,311) (187,097)Patient income, fees etc. – – –Sales 37,488 37,488 4,482 Collection boxes 4,131 4,131 1,024 Investment income 1,477 1,477 1,602 Other income 2,284 2,284 92 5 Net assets released from restrictions 451,011 (451,011) – –
Total revenue 2,629,326 252,257 2,881,583 1,974,794
EXPENSES
Program servicesAHC & TLC support 364,392 364,392 350,402 LFHC 1,232,897 1,232,897 492,270 Program development 17,209 17,209 4,500
Total program services 1,614,498 – 1,614,498 847,172
Supporting servicesFundraising 217,389 217,389 202,928 Management and general 177,863 177,863 162,232
Total supporting services 395,252 – 395,252 365,160
Total expenses 2,009,750 – 2,009,750 1,212,332 Change in net assets 619,576 252,257 871,833 762,462 Net assets at beginning of year 1,552,166 248,228 1,800,394 1,037,932
Net asset at end of year 2,171,742 500,485 2,672,227 1,800,394
Sources of Revenue in 2015 How Resources Were Spent in 2015
85%Grants & Contributions
62%LFHC Program
2% Other Income
9% Management &
General13% Special Events 11%
Fundraising
18% AHC & TLC
Programs
The work of Friends Without A Border would not be possible without our generous donors. From all of us at Friends, we would like to extend our deep gratitude to all our caring supporters all over the world. We apologize for any omissions or errors as we acknowledge the following individuals and organizations that made significant contributions in 2015.
22
supporterssupporters
23
$100,000+Simon Franks
Hartmut & Ayako Giesecke
Edward Stone
Andrew Wolff
Mija Yang
$50,000+Build Cambodia
(Ed & Laurie Bachrach)
Nina & John Cassils
$25,000+Asia Brokers Asset Managers
Charity Ltd.
The Shemesh Joester Foundation
David & Joan Pritchard
Pua Foundation
World of Children Award
$10,000+Avenue Capital
The Big Wood Foundation
(Marjorie & Michael Stern)
Caroline & Jorge Camuñas
David & Tamana Chang
Gary Cornell
The Derfner Foundation
Robert Ellis & Jane Bernstein
Seiichi & Maho Fukuyama
Estate of Lino Gobbi
Corey S. Goodman &
Marcia Barinaga
Greater Houston Community
Foundation
Kurt Forrest Foundation
Monica Rich & Rod Kosann
Willy & Eileen Ma
Michael & Carolyn Rossip Malcolm
The Marshall Family Foundation Inc
Marily Mearns
Microsoft Matching Gifts Program
Dany & Mark Ramsay
Muhit Rahman
Stamos Capital Partners
Ungar Foundation
$5,000+Carlos Belmonte
Roberto Camacho
Barry & Naomi Cohen
Jeff & Carla Cole Foundation, Inc.
Darryl Goveas & Valerie Chow
Foto Care
RJ Hutton Charitable Trust
George Kanas
David Kronn
Philip Lajaunie
Bernard Liberman
Celia Morrissette
Susan Rafte
Nirit Resnick
The Shelley & Donald Rubin
Foundation
Jake & Ewi Shafran
Traloun Song
Jane Tjian
Ayako H. Weissman
$1,000+Ronald & Judith Ablow
John Andresen
Marsha Askins
Michael Astendig
Ben Baccash
Tony & Gay Barclay
Susan Barrett
Hazel Bercholz
Terry Best
Stephana Bottom
Jean A. Briggs
Sheri Brooks
Steve & Suzanne Brown
Alexis & Steven Burakoff
Kristen Campana
Paul & Helaine Cantor
Willie & Mika Chang
Nieves B. & Alex S. Chanthasoto
Charities Aid Foundation
Nerou N. Cheng
Diana Cheung
Jae Chun
Dan & Sally Connolly
Ellen & Richard Cook
William Cottingham
Jeffrey Cunard & Mariko Ikehara
Pushpak Damodar & Salina Maharaj
Malcolm Daniel
Aaron Day
Ellen Dodge
Walter & Caroline Dueger
Tom Finke
Andrea Franchini
Michael Freeborn
Friendship With Cambodia
Juliana Gamino
Michael Gilmore
Lucy Goldman
Marty & Kathy Goossen
Howard & Ellen Greenberg
Don & Joy Haley
Lee & Mary Hamilton
Omar Hansrod
Patrick Hogan
Steven Holl & Solance Fabiao
The Honickman Foundation
Horizon Kinetics
International Society for
Children with Cancer
Friends Without a Border • 2015 annual report
24
Helen Jessup
Melissa Jones
Brice Karsh
Phonesouda Khamvongsa
David Kistenbroker
Gera-Lind Kolarik
David Krestin
Varun Kumar
Hal Kussick
Ken & Rosalind Landis
Lang Foundation Trust
Corina Larkin
Jennie Lebowitz
Veronique Lee
David & Pia Ledy
William & Stephanie Lemke
Olivier Letessier
Brian Li
Matthew H. Magenheim
Steven B. Malkenson
Patrick Maloney
Barbara & Fred Marcus
Andrew Massat
George McClintock
Siobhan McNally & Mark Liponis
John Meditz
Bruno Mejean
Kendall Messick & Paulette Wilson
Edward Messikian
Nippon Steel U.S.A., Inc.
Chris O’Connell
Gary O’Connor
Michael O’Connor & Susan Leon
Nouanenith & Bob Paiva
David Park
Robert Pascoe
Scott Pearson
Rebecca Perrin & Michael Gulas
Tatiana Pouschine
Elizabeth Pritchard
Matthew & Elizabeth Quigley
Joseph Rokacz
William Rogers
Travis & Julie Rushing
Kathryn Salisbury
Sidney & Janet Sass
Aileen Brody Schiro
Kylie Schuyler
Karen & Douglas Seidman
Bob Shaye
Allan Silverstein
Francoise Simon
David & Kathryn Snell
Diane Steiner
St. Thomas Aquinas Parish,
St. John Church & Student Center
Jayashree Srinivasan
Jasmine & Mark Swope
Harumi Tai
Daisuke Takahashi
David & Sylvia Teitelbaum Fund Inc.
Miwako Tezuka
Craig Tooman & Jillian Crawford
Francois Turner &
Marie-Michele Desfosses
Julian Tyacke & Kristiane Traffa
Wing Tsan & Mieko Wong
Paul & Sylvie Vaccari
Kathy Valko & Alexander Cook
Louis & Kimiko Vigden
Gregory & Teresa Wakabayashi
Jeffrey Waltcher & Timely Rain
Atsuko Watanabe
Audrey Weaver & Michael Vogan
Barbara & Frank Weiner
Jack Weiner
Timothy M. Weiner
Steven Williamson
Won Chong Trading Inc.
Asaf Yogev
Beverley Zabriskie
Local SupportersAmantaka
Apsara Hotel
Belmond La Residence Phou Vao
Luang Prabang International Airport
Luang Prabang View Hotel
Ma Te Sai
Sala Prabang Hotel
Sofitel Luang Prabang
Sonphao Japanese Restaurant
Trails of Indochina Company
Xiengthong Victoria Hotel (Palace)
3 Nagas by M Gallery
In-Kind Donors ($1,000+)William Abranowicz
Alberta Health Services
Mariette P. Allen
Altour International
Avenue Capital Management II, LP
Rachel Barlow
Robyn Beeche
Adri Berger
Big Brother Mouse
Phil Borges
Campbelltown Hospital, Sydney
Canadian Society of Registered
Orthopeadic Technologists
(Calgary Chapter)
William Carter
Paul and Gabriel Chaleff
Alisa Eva Chazani
Nerou N. Cheng
Commerce Graphics
Ellie Davies
Margo Davis
25
Dominic DeFrancis
Monica Denevan
Deonne Dersch-Mills
Direct Relief International
Celine Drean
Steve Dunning
Edgewood College
Ashley Emmerton
Brian English
Elliott Erwitt
Estate of James Karales
Millie Falcaro
Tom Finke
Frank Fournier
Daniel Glico
Howard Greenberg
Hakujyuji Co.,ltd
Rose Hartman
Herb Ritts Foundation
Eikoh Hosoe
Kenro & Yumiko Izu
Stephen Joester
Bill Kane
Michael Kenna
Laura Labelle and Aimee DeLeon
Michael Lang
Philippe E. Laumont
Le Sen Boutique Hotel
Annie Leibovitz
Saul Leiter Foundation
Elaine Ling
Liverpool Hospital, Sydney
Christophe Lunn
Jenny Lynn
Ellen Kaplowitz
Rob Kinmonth
KunSik
Masatomo Kuriya
Michael Maher
Hiroyuki Matsuoka
Steve McCurry
Siobhan McNally
Amanda Means
Barbara Mensch
Marilee Miner
Daniel Mintz
Richard Misrach
Daido Moriyama
Marvin Newman
Stefano Nicolini
Cheri Nijssen-Jordan
Hank O’Neal
Wendy Paton
Ed Pfizenmaier
Sue Phim
José Picayo
Andy Plager
Robert Polidori
RAD-AID International
Beatrix Reinhardt
Dave & Marnie Rickards
Saul Robbins
Sheila Rock
Michael Sabo
Sand & Stories
Tomoko Sawada
Robert Schaefer
Leanne Schanzer
Scheinbaum & Russek Ltd.
Ken Schles
Peter Serling
Michael Shapiro
Saschy Singh
Alex Smith
South Austral Pty Ltd
Jonathan & Marci Spector
Harvey Stein
Peter Steinhauer
Kai Stuht
Hiroshi Sugimoto
Jasmine Swope
Eric Taubman
The Children’s Hospital at
Westmead, Sydney
Charles Traub
Brian Tseng
Richard Tuschman
Setthy Ung
Carolyn Usher
Vitamin Angels
Lisa Walsh
Hiroshi Watanabe
William Wegman
Timothy Weiner
Susanne Werner
Greg Wright
George S. Zimbel
LFHC Co-FoundersAct Against AIDS
「THE VARIETY」Ed Bachrach &
Laurie Bachrach, MD
Nina & John Cassils, MD
David & Tamana Chang
Drs. Jay J. & B. Hyun Choi
Edward E. Stone Foundation
Franks Family Foundation
Hartmut & Ayako Giesecke
Houryuji in honor of
Houmyo Saito
Kenro & Yumiko Izu
Yollanda Cheung &
Rupert Christopher Li
Nakayama Shingosho-shu
Gratitude Campaign Fund
Friends Without a Border • 2015 annual report
26
hoW you CAn heLphoW you CAn heLp
27
Every single day, children die
from preventable diseases and
treatable illnesses such as
malnutrition, pneumonia, and
diarrhea, simply because they
don’t have access to medical
care. Our holistic model of
“Treatment + Education +
Prevention” ensures that
your support not only treats
children in need, but promotes
long-term and sustainable
development.
Heal a Child, Save a LifeGive a gift to support our efforts
to provide international-quality
and compassionate healthcare
to the children of Southeast
Asia. Make an instant, secure,
and tax-deductible donation
online by visiting www.fwab.
org/donate, or give us a call
at 212.691.0909, or by mail to
Friends Without A Border.
Honor a Loved OneHonor someone special with a
tribute gift, a donation made
in someone else’s name. Your
tribute gift can be in honor of,
or in memory of, a friend, family
member, colleague, loved one,
or just someone special. Your
honoree will receive a personal-
ized letter introducing them to
the children that their gift was
able to impact.
Create a Lasting LegacyConsider including Friends in
your estate plans. A gift to
Friends Without A Border in your
will or living trust allows you to
retain assets during your lifetime,
minimize estate taxes, and is a
lasting investment in advancing
our mission and ability to
respond to future challenges.
Give the Gift of StockDonating stock or mutual funds
to Friends Without A Border is a
tax-wise approach for caring for
children in need. Making a gift
of securities is simple and offers
a number of valuable financial
benefits. We encourage you
to consult your personal tax
advisor to evaluate your best
options when making a dona-
tion of securities.
Start a FundraiserCelebrating a birthday, wed-
ding, or other big event? We
can assist in organizing com-
munity events from bake-offs
to bike races. Simply start
a fundraiser on Crowdrise,
GoFundMe, or FirstGiving, and
select Friends Without A Border
as your charity of choice.
Friends Without A Border1123 Broadway, Suite 1210
New York, NY 10010
Tel: 212.691.0909
Fax: 212.337.8052
email: [email protected]
www.fwab.org
Friends Without a Border • 2015 annual report
28
BoArd / stAFF
Goodwill AmbassadorYo-Yo Ma (2016)
BoardRonald D. Ablow, MD
David Chang
Nerou Cheng, CPA
Kenro Izu,
Founder and Honorary
President
Stephen Joester
Philippe Lajaunie
Matthew Magenheim, Chair
Michael Malcolm
Tina Patterson
David J. Pritchard
Jonathan Spector, MD MPH
Michael Stern
Timothy M. Weiner, MD
Ayako Weissman
Medical AdvisorsDavid L. Pugatch, MD
Charles F. Craft, DDS
Young AmbassadorsDiana Cheung (2016)
Todd Joseph (2016)
Friends Without A Border New YorkCHIEF OPERATING OFFICER
Akiko Arai
DEVELOPMENT & EVENTS
MANAGER
Juan Carlos Uribe Vega
DONOR RELATIONS
ASSOCIATE
Stephanie Lowry
1123 Broadway, Suite 1210
New York, NY 10010
Tel: 212.691.0909
Fax: 212.337.8052
email: [email protected]
www.fwab.org
Friends Without A Border Japan1-7-5-203 Shimo Meguro
Meguro-ku, Tokyo
153-0064 Japan
Tel: 81.(0)3.6421.7903
Fax: 81.(0)3.5722.2060
www.fwab.jp
Lao Friends Hospital for ChildrenEXECUTIVE DIRECTOR
Cheri L. D. Nijssen-Jordan, MD
FRCPC FAAP MBA
MEDICAL DIRECTOR
Siobhan McNally, MD
DEPUTY DIRECTOR
Jennifer Brown
MEDICAL EDUCATION
DIRECTOR
Michael Maher, MD
DIRECTOR OF NURSING
Jessica Dwyer, RN
CLINICAL OUTREACH
COORDINATOR
Kazumi Akao, RN
DIRECTOR OF
ADMINISTRATION
Rodney Miller
Located on the grounds of the
Luang Prabang Provincial Hospital
P.O. Box 873, Luang Prabang,
Lao PDR
Tel and Fax: 856.(0)71.254.247
email: [email protected]
Photo credits: Adri Berger, Diana Cheung, Shigemi Hirano, Geoff Ridenour, Paul Wager, Ellen Wallop, Bryan Watt
www.fwab.org