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Index

Message from the Director 2

Our Vision, Mission and Core Values 4

Strategic Framework 6

Programs and Projects 10

Education 10

Health 13

Sustainable Economic Development, Food Security and Nutrition 16

IV. Integrated Water Resource Management 19

V. Governance and Extractive Industries 22

VI. Emergency Risk Management 25

Financial Report 28

Recognition 30

I.

II.

III.

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Message from the Director

On August 15, 2007 an earthquake measuring eight on the Richter scale struck the south coast of Peru, in Lima (Cañete), Ica (Chincha – Pisco) and Huancavelica (Huaytará and Castrovirreyna). This was an important historical event for the country as it caused the loss of nearly 600 lives, while more than 4,000 were injured and more than 300,000 people’s homes were destroyed. Across the whole region, water and electricity services collapsed, and food and medical assistance were initially limited. The lack of shelter and the fear of aftershocks forced people to sleep outdoors amid the rubble, highlighting the poverty and extreme vulnerability which characterize the living conditions of rural and peri-urban communities. On the other hand, it also highlighted the capacity of public and private institutions to respond to the emergency, as well as creating synergies with international donors, while authorities, government officials, and organized groups at the local, regional and national level pooled resources to provide an immediate response to the emergency.

Through our Institutional Report, we would like to share with you CARE Peru’s experiences during the emergency response, which taught us invaluable lessons for the future. Hours after the earthquake, we already had teams in place in Cañete, Chincha and Huancavelica. Our humanitarian aid, rehabilitation and reconstruction program, to which we remain committed, has involved a permanent working relationship with local and regional authorities and other key organizations, enabling a response that has been synchronized, effective and timely. This was made possible by the solidarity, commitment and responsibility of CARE Peru’s workers, who always showed respect for the human dignity of the affected people with whom they worked.

For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417), through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or dissatisfaction with the service received – so ensuring respect for and adequate dissemination of international humanitarian aid codes and norms that we put in place. These “complaints” had a rapid effect in that they ensured a quality and dignified service to everyone. The reports on the calls were published on our website, on council notice boards, and weekly notices conveyed the most important events of this initiative.

In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this phase of the immediate response, CARE provided humanitarian aid to 12,019 families, totaling 60,500 people in the provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access for those most in need.

CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were

Message from the Director

On August 15, 2007 an earthquake measuring eight on the Richter scale struck the south coast of Peru, in Lima (Cañete), Ica (Chincha – Pisco) and Huancavelica (Huaytará and Castrovirreyna). This was an important historical event for the country as it caused the loss of nearly 600 lives, while more than 4,000 were injured and more than 300,000 people’s homes were destroyed. Across the whole region, water and electricity services collapsed, and food and medical assistance were initially limited. The lack of shelter and the fear of aftershocks forced people to sleep outdoors amid the rubble, highlighting the poverty and extreme vulnerability which characterize the living conditions of rural and peri-urban communities. On the other hand, it also highlighted the capacity of public and private institutions to respond to the emergency, as well as creating synergies with international donors, while authorities, government officials, and organized groups at the local, regional and national level pooled resources to provide an immediate response to the emergency.

Through our Institutional Report, we would like to share with you CARE Peru’s experiences during the emergency response, which taught us invaluable lessons for the future. Hours after the earthquake, we already had teams in place in Cañete, Chincha and Huancavelica. Our humanitarian aid, rehabilitation and reconstruction program, to which we remain committed, has involved a permanent working relationship with local and regional authorities and other key organizations, enabling a response that has been synchronized, effective and timely. This was made possible by the solidarity, commitment and responsibility of CARE Peru’s workers, who always showed respect for the human by the solidarity, commitment and responsibility of CARE Peru’s workers, who always showed respect for the human dignity of the affected people with whom they worked.dignity of the affected people with whom they worked.dignity of the affected people with whom they worked.

For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417), For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417), For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417), For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417), through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or dissatisfaction with the service received – so ensuring respect for and adequate dissemination of international dissatisfaction with the service received – so ensuring respect for and adequate dissemination of international dissatisfaction with the service received – so ensuring respect for and adequate dissemination of international dissatisfaction with the service received – so ensuring respect for and adequate dissemination of international dissatisfaction with the service received – so ensuring respect for and adequate dissemination of international humanitarian aid codes and norms that we put in place. These “complaints” had a rapid effect in that they ensured a humanitarian aid codes and norms that we put in place. These “complaints” had a rapid effect in that they ensured a humanitarian aid codes and norms that we put in place. These “complaints” had a rapid effect in that they ensured a quality and dignified service to everyone. The reports on the calls were published on our website, on council notice quality and dignified service to everyone. The reports on the calls were published on our website, on council notice quality and dignified service to everyone. The reports on the calls were published on our website, on council notice boards, and weekly notices conveyed the most important events of this initiative. boards, and weekly notices conveyed the most important events of this initiative. boards, and weekly notices conveyed the most important events of this initiative.

In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this phase of the immediate response, CARE provided humanitarian aid to 12,019 families, totaling 60,500 people in the phase of the immediate response, CARE provided humanitarian aid to 12,019 families, totaling 60,500 people in the phase of the immediate response, CARE provided humanitarian aid to 12,019 families, totaling 60,500 people in the provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil provinces of Cañete, Chincha, Castrovirreyna y Huaytará. Together with the local authorities, CARE strengthened Civil Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access

CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were

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removed, 1,000 temporary homes were built using reinforced plastic, and 6,397 pit latrines, ecological latrines and flush toilets were installed. In this phase of rehabilitation, our efforts targeted 8,455 families and 3,000 primary and secondary students.

In 2008, in a joint effort with the Catholic University of Peru [Pontificia Universidad Católica del Perú] (PUCP) and international donor agencies, as well as with national and international NGOs, CARE set about improving reconstruction methods for safe and healthy earthquake-proof buildings for families in rural and periurban communities. A project was set up with PUCP to train people to build earthquake-proof homes using adobe reinforced with “geogrid” meshing. Training in these practices was given to construction workers and male and female heads of household. Access to subsidies provided by the government will allow these families to build houses with technical assistance provided by workers trained in the above techniques.

At the same time, reconstruction efforts were focused on Castrovirreyna and Huaytará, in the department of Huancavelica, the poorest region in Peru, with a poverty rate of 88,7% and an extreme poverty rate of 72,3%, and where chronic malnutrition in children under five stands at 53,4%. A more comprehensive approach is being adopted, including training in rebuilding skills, in other words, water and sanitation infrastructure; rural housing infrastructure; improvement of family incomes through productive chains, as well as promoting democratic governance and gender equity. In this way, local post-disaster capacities are built on to facilitate and initiate rehabilitation and reconstruction. The link between the immediate response to the emergency and sustainable development interventions has ensured ongoing stakeholder participation, while maintaining the proper respect due to formal and informal local institutions.

Overall, these efforts allowed us to channel US$8,838,940 in assistance; approximately US$3.5 million on humanitarian aid and rehabilitation, and more than US$5.3 million on reconstruction. Performing this monumental task was made possible by the people and institutions who trusted in our ability to carry out the work and in our commitment. Our gratitude and recognition goes out to every one of them.

Milo StanojevichNational Director

CARE Perú

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Vision

We seek a world of hope, tolerance and social justice, where poverty has been overcome and people live in dignity and security. CARE International will be a global force and a partner of choice within a worldwide movement dedicated to ending poverty. We will be known everywhere for our unshakable commitment to the dignity of people.

Mission

To serve individuals and families in the poorest communities in the world. Drawing strength from our global diversity, resources and experience, we promote innovative solutions and are advocates for global responsibility. We facilitate lasting change by strengthening capacity for self-help, providing economic opportunity, delivering relief in emergencies, influencing policy decisions at all levels, and addressing discrimination in all its forms.

Values

Respect: We affirm the dignity, potential, and contribution of participants, donors, partners and staff.

Integrity: We act consistently with CARE’s mission, are honest and transparent in what we do and say and accept responsibility for our collective and individual actions.

Commitment: We work together effectively to serve the larger community.

Excellence: We constantly challenge ourselves to the highest level of learning and performance in order to achieve greater impact.

Our Vision, Mission and Core Values

CARE is a nonprofit organization, without religious or political affiliation, created to improve quality of life for those least well off. The work of CARE has expanded to more than 70 countries worldwide, supporting integral development programs and influencing policymakers with the aim of eradicating poverty. CARE has been operating permanently in Peru for 38 years, starting with the provision of humanitarian assistance to people left homeless by the 1970 earthquake. Over the years CARE has progressed from providing humanitarian aid to facilitating social, economic and environmental development in many regions of Peru, working to serve the poor and excluded.

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Our Principles

Promote empowerment and more equal power prelationships. We stand in solidarity with poor and marginalized people, and support their efforts to take control of their own lives and realise their rights, responsibilities and aspirations. We ensure that those people who are affected are involved in the design, implementation, monitoring and evaluation of our work.

Work in partnership with others. We work with others to maximise the impact of our work, building alliances and partnerships with those who take similar or complementary approaches, are able to work on a larger scale, and/or who have responsibility to fulfil rights and alleviate poverty through policy change and enforcement.

Ensure accountability and promote responsibility. We seek to be held accountable to poor and marginalized people whose rights are denied. We identify those with an obligation toward poor and marginalized people, and support and encourage their efforts to fulfil their responsibilities.

Address discrimination. In our programmes and offices we oppose discrimination and the denial of rights based on sex, race, nationality, ethnicity, class, religion, age, physical ability, caste, opinion or sexual orientation.

Promote the non-violent resolution of conflicts. We promote just and non-violent means for preventing and resolving conflicts, noting that such conflicts contribute to poverty and the denial of rights.

Seek sustainable results. Working to identify and address underlying causes of poverty and rights denial, we develop and use approaches that ensure our work results in lasting and fundamental improvements in the lives of the poor and marginalized with whom we work.

We hold ourselves accountable for enacting behaviours consistent with these principles, and ask others to help us do so, not only in our programming, but in all that we do.

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Through its programs, CARE Peru contributes to significant and wide reaching impact on the underlying causes of poverty and social injustice. In order to bring this about we strive in our projects and programs to implement innovative ways to move forward in the attainment of national and international objectives (MDGs), support the government and other stakeholders in the replication or adaptation of validated and successful strategies, and influence change in public policy and its implementation. We always work with partners and allies on multiple levels, reinforcing and promoting efforts through networks and alliances. In all our interventions, we seek to promote the empowerment of excluded populations, the fulfillment of responsibilities and accountability, and elimination of discrimination in all its forms, as well as generating sustainable, lasting results.

Strategic Framework

New Models and High Impact Strategies

Model for Intercultural Bilingual Education with Social Participation. The EDUBINA project, funded by Canadian CIDA, finished in mid 2008, with clear evidence of having contributed to an improvement in access to quality and relevant education for boys and girls in rural communities in the rural highlands of Ancash. Implemented as an official regional pilot program with the endorsement of the Ancash Regional Education Authority, EDUBINA pursued a strategy of community participation, curricular planning based on a Community Education Plan, and mentoring for teachers in the application of the intercultural bilingual education approach, as well as the promotion of gender equity. Working in 18 primary schools and benefiting a total of 1,465 children, the project increased access to education and increased the enrolment rate: from 89% to 90% in boys, with an even higher increase of 83% to 88% in girls.

According to the final evaluation, between 2003 and 2006, the average score on a scale of 1 to 20 in reading and writing in Spanish rose by 229% and 156%, respectively, with increases of 219% and 186% in reading and writing in Quechua. At the beginning of the project only 15% of children achieved pass grades in Spanish reading (meeting expectations or exceeding expectations) and only 10% did so in Quechua. By the end of the project, 99% of children achieved pass grades in both languages. In comparison with other similar rural schools where the project was not implemented, the average scores in reading and writing in Spanish in EDUBINA schools was more than double, and in Quechua between triple and fivefold. The successes of the bilingual intercultural education model are now being expanded to other schools in Ancash, thanks to the support of the Antamina Mining Fund and Credit Suisse.

As this report attests, over the last two years our programs have contributed to impacts that represent significant change for excluded people in Peru. Here we highlight a few of these.

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Model for Development of Rural Production. The “Income and Employment Generation in Family Production Units in the Altiplano” project, funded by FondoEmpleo has developed the beef cattle value chain in Quechua- and Ayamara-speaking communities in 10 districts in Huancañe and Azángaro provinces, in Puno. This project has validated a successful initiative that combines valuing and disseminating traditional local knowledge, increasing productivity in cattle rearing, the creation of an available supply of technical assistance provided by 62 local producers, and direct marketing of livestock by rural producers. The project has more than surpassed its targets, generating an average increase of 84% in the incomes of 3,187 producers, which in turn has dynamized the local economy. The donor’s initial investment of S/. 1.193.000 has made it possible to fatten and sell 13,047 head of cattle, valued at S/. 20.261.471, a sales return of nearly 17 soles for every sol of project budget. Of no less importance, is the impact on the self-esteem of the producers, who now sell their cattle directly to the principal markets in Lima and Arequipa, where they are seen as highly valued and appreciated clients.

Other innovative strategies validated during the last two years include the financial services model to facilitate access to improved sanitary services, in the project “Alternative Sanitation Solutions”, a revolving fund established by EDYFICAR for persons with HIV to expand their micro businesses, in association with the Consorcio Fortaleza led by Asociación Solas y Unidas, or the innovative accountability system designed by CARE Peru in the framework of its emergency response program following the earthquake of August 15, 2007. Other noteworthy models CARE has validated include: the innovative model by PROPILAS aimed at improving access to water and sanitation services in dispersed rural communities and rural district capitals; the Regional Agreement promoted in Apurimac as a means of decentralizing the Acuerdo Nacional (National Agreement between political parties, government and civil society); the model for earthquake-proof and healthy housing implemented during the reconstruction in Chincha and Huancavelica, based on the technique of adobe reinforced with meshing to increase integrity which had been validated by the Catholic University of Peru; or the model to promote access for producers in the rural areas of Ayacucho to irrigation systems through credit from formal microfinance providers

Support to Government and Other Institutions in Replicating Validated Strategies

The FEMME project (Foundations for Enhancing Management of Maternal Emergencies) was implemented by CARE Peru in Ayacucho between 2000 and 2005, with funding from the Averting Maternal Death and Disability Program (AMDD) of the University of Columbia´s School of Public Health and from the Bill and Melinda Gates Foundation. The project supported the efforts of the Ayacucho Regional Health Authority and the national Maternal and Perinatal Institute in Lima in improving the standard of emergency obstetric care, increasing access to timely health services through the referral and counter-referral system in neonatal and obstetric emergencies, and through promoting greater civil society participation in favor of safe and secure motherhood.

Given the evidence of project impact in reducing maternal mortality (by 49%), as shown in the external final evaluation comissioned by the Ministry of Health and CARE, which highlighted the strategies implemented by the project as “an effective model to be implemented in regions with high levels of maternal mortality…”, the project’s standardized guidelines for obstetric emergencies were taken as the basis for developing new national guidelines. These new guides for clinical practice in obstetric

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emergencies, by levels of problem-solving capacity, and for clinical practice in attending newborn infants, were launched by the Minister of Health in 2007, and are now being applied at a national level. During 2008, CARE also worked with the Ministry of Health in developing a detailed systemation of the eight FEMME strategies, with the aim of converting them into eight modules that make up the Intervention Model for Improving Availability, Quality and Use of Emergency Obstetric and Newborn Care in Peru, with a view to their implementation in 2009. Similarly, together with the Ministry of Health and the Ayacucho Regional Health Authority, CARE is supporting Bolivia´s Ministry of Health and Sport in strengthening the organization of its obstetric care networks, following the model developed in Ayacucho.

Other examples of evidence-based interventions taken to scale include the support to the Ministry of Health in the development of - and financing through the National Health Insurance (SIS) - of a Package of Cost-Effective Interventions for Reduction of Neonatal Mortality, in the framework of the Health Rights and Participatory Voices projects, in conjunction with the Newborn Health Collective, or support by CARE and other partner institutions in the Child Malnutrition Initiative for local level implementation of the national CRECER strategy to reduce chronic malnutrition in children, or the role played by CARE as Principal Recipient for HIV and TB programs funded by the Global Fund to Fight AIDS, Tuberculosis and Malaria, which are focused on nationwide implementation of a significant part of the national multisectoral strategies against HIV and TB in the country.

Advocacy on the Development and Implementation of Public Policy

The Child Malnutrition Initiative (CMI) was formed in 2006 to position the issue of malnutrition with candidates for the Presidency and later Regional Presidencies, in the national and regional elections, highlighting the urgent need for a multi-sector strategy to combat chronic child malnutrition, a condition affecting almost one quarter of children under five throughout the country and almost 40% of children in rural areas, statistics that had remained virtually unchanged for over 10 years. We believe that advocacy by the Initiative has significantly contributed to the strong prioritization by the present government of the goal of reducing chronic malnutrition, setting an ambitious target for a 9 percentage point reduction during their term in office, and setting up the national strategy “CRECER” and the Articulated Nutrition Strategic Budget Program in the framework of results based budgeting. At the regional, provincial and district level, participating organizations in the initiative have promoted the approval of public policies and programs aimed at reducing chronic malnutrition. This advocacy work is combined also with technical support to government at all levels, to ensure the effective implementation of these norms and policies.

Other results of CARE Peru and its partners´ advocacy activities include: the approval of the Co-Management and Citizen Participation Law for primary healthcare facilities, and later its implementing regulations; congressional approval of the Healthcare Rights Law campaigned for by ForoSalud; CARE’s main partner on its health Program approval of the public policies on water and sanitation for 2006 – 2015 in Cajamarca, and reactivation of the Florecer Network to ensure effective implementation of the Law on Education of Girls and Adolescents in Rural Areas.

Several of these and other impacts and results have been recognized by other organizations. The experience of implementing an accountability system was included in the Case Book on Civil Society

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and Aid Effectiveness published by the World Bank at the Third High Level Forum on Aid Effectiveness in Accra, Ghana. The work of the Health Rights Project was included in a special edition of the international medical journal, The Lancet, devoted to Human Rights and Health, published in December 2008, as well as in reports on Accountability and the Right to Health Care and Human Rights and International Cooperation in Sexual and Reproductive Health, published by Essex University´s Centre for Human Rights. At the PERUSAN 2008 Conference, we presented seven innovative experiences from our Integrated Water Resource Management program. The Livestock Fattening Project in Puno won the 2008 MORAY Prize for Quality in Agricultural Innovation Projects, in the category of participation of organized producers and solidity of strategic partnerships.

However, the most important recognition of the impact achieved by our programs comes from the local stakeholders that work with us in the promotion of their processes of development and social justice: the girls and women, boys and men, with whom we work, particularly in communities in the rural highlands and jungle regions. Their words of appreciation for the changes achieved inspire us to keep on persevering in implementing our vision and mission in the country. We hope too that they will encourage you to read this report and that we can continue to work together to build a collective vision and redouble our efforts to eradicate poverty and social injustice in Peru.

“The work of the women volunteers in Azángo and Ayaviri has been fundamental in extending the scope of our work in defense of human rights”.

Luz Herquinio, Regional Human Rights Ombudswoman’s Commissioner, Puno

“The program has helped us craftswomen to work together…now thanks to the project we have a business that buys from us and as a result we have more profit,because the business that buys from us is

an exporter, and this has enabled us to increase our incomes”.

Rebeca, Craftswoman, Sumak Maki Association, Huancavelica

“After my first experience I felt encouraged to buy another old cow from the Cátac campesino community. The cow only produced 2 to 3 liters of milk per day. It was in a sorry state: thin, infested with parasites,

had no appetite, of little value. After treatment the cow has increased its production up to 8 liters of milk per day”.

Faustino Espíritu Huerta, Cátac, Ancash

“With the help we have received we have become more united. As neighbors we now work together, we have been trained, we are all working together well”.

Emma Prado, Community Leader, 25 de Diciembre, Settlement Villa Maria del Triunfo, Lima

“Thanks to the training we have received from CARE we have been able to compile a map highlighting the most vulnerable zones in the school, and now have developed a School Emergency Plan. Our eyes have been

opened and we are now able to use these new tools to develop and promote a culture of prevention”.

Prof. Rosario, Director, Reyes School, Huaytará, Huancavelica

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Programs and Projects

I. Education

Most significant impacts and achievements 2007 – 2008

leaders and representatives of private and public-sector institutions, aimed at improving education quality.

Leadership and gender equity training has also been provided to 1,252 girls.

In Ancash and Puno we have provided technical assistance to 121 schools in rural areas, seven local municipalities, and the regional education authorities.

We have developed of a network of 50 communicators in Puno, who have initiated campaigns publicizing the benefits of quality education.

CARE Peru develops decentralized education management proposals, linked to local and regional development processes, with a focus on gender equity and interculturality. We demonstrate how quality Intercultural Bilingual Education can be applied in practice, in schools based in the Andean and Amazonian regions. CARE Peru also seeks to promote and strengthen intercultural education experiences and proposals in private and public schools. All these efforts promote community participation, including parents and children in developing and implementing new educational proposals. Similarly, the education program promotes spaces for participation of indigenous, peasant and community organizations, as well as of other civil society organizations, in the development, implementation and evaluation of public policy. CARE Peru also advocates for the promotion of policies, strategies and increased public spending by national, regional and local government, to improve the quality of education for the most impoverished groups, and to overcome the barriers of linguistic, social, ethnic and gender discrimination.

Project spending during this period:US$ 964.133,33

In the rural areas of Ancash and Puno, 256 girls and boys are attending primary schools who would not otherwise be, thanks in part to the education projects undertaken by CARE Peru. This statistic reflects a 3% increase in the enrolment of boys and a 5% increase for girls, since the projects started their work.

The Kawsay project in Puno, has improved learning outcomes of 109 boys and girls in 10 schools, as shown through the comparison of the intermediate evaluation results with the baseline. Reading and writing in Quechua has improved from a score of 2,2 to 9,8 and in Spanish from 4,85 to 8,7, while scores in mathematics increased from 3,8 to 13,99.

CARE has trained 10,122 individuals, including students, teachers, school directors, community

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Projects in Education Program

TITLE OF PROJECT PERIOD BUDGET DONOR(S)

1. New Bilingual Intercultural Education in November 2008 - 776.942 Credit Suisse Carhuaz Mushuq Naanintsik - Our October 2010 New Road

2. New Intercultural Education in the July 2008 - 1.833.625,44 Antamina Mining Fun(FMA) Andes - EDUBINA / HATUN YACHAY June 2010

3 Observatory on Rural Girls and June 2008 - 200.000 Patsy Collins Fund - CARE USA Adolescents Education June 2010

4. New Quechua Secondary Education for the October 2007 - 200.000 KELLOGG Foundation, Municipality of Puno Region October 2010 Azángaro, Arapa and Chupa, CARE Peru

5. Advocacy towards the IFIS on Intercultural February 2006 - 456.005 CARE International UK /DFID and Bilingual Education in Bolivia, Ecuador September 2008 and Peru

6. Quality and Equity in Intercultural January 2006 - 1.148.582,66 European Commission, CARE France, Education in Puno - Kawsay December 2010 Marshall Jr. foundation, CARE Peru

7. New Bilingual Education in the July 2003 - 468.850 CIDA Canada Andes - EDUBINA May 2008

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“Education in their mother tongue, in this case Quechua, makes it much easier to learn Spanish. After four years of work I noticed that the children were speaking Spanish correctly, making no more mistakes than children who had begun learning to read and write in Spanish, and using Quechua to

help them understand difficulties in Spanish. This system of teaching has not corrected the problems of interferences that the students have, and which they will not be able to correct for a long time; what it does is separate the two languages to facilitate learning and teaches Spanish as a second

language. The approach I used was initially to teach Spanish orally, including the grammatical aspects that distinguish Spanish from Quechua, usually starting with the use of the article”.

Eulalia Hazaña Deza, Schoolteacher, San Miguel, Puno

This testimonial, originally collected in Quechua and translated into Spanish, tells the story of a woman leader from a community from the area of the EDUBINA project, who initially was involved in designing the Community Education Plan. In the process she demonstrated her leadership qualities

and was later democratically elected on to her district Council.“…Nuqaqa huqta wamrakunapa mamanmi kaa, manam yachaywayiman aywarqatsu,

kichwayachawmi rimaytapis yachaa, tsaypitam mana alli rikayamarqam. Wapra markaapa lideresam kayta yachakurquu, Plan Educativo Comunal Nishqanta rurarmi, kanannam marka mayiikuna

churayaamashqa San Miguel de Aco Municipalidadpa rigidoram, tsaymi marka mayiikuna kusshishqa kayan”… “Proyecto EDUBINAWAN kananqa wamraakuna kushishqa yachakuyan kichwachaw

kastillanuchawpis, Kananga komunidaaniipis alli ayllukashqam tsaymi yachaywayichaw yachatsikuyta yanapayan”.

“… I am a mother of six. I never went to school and I only speak Quechua. I have endured discrimination and rejection. I learned to be a leader by getting involved in the Community Education Plan in Huapra, the village where I live. Now the village has elected me councilwoman for my district (San Miguel de Aco) and they are happy with me … The EDUBINA project allows our children to learn

in Quechua and Spanish, and our community is better organized to support education”.

Lidia Isidro, Councilwoman of the Municipality of Aco

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“Education in their mother tongue, in this case Quechua, makes it much easier to learn Spanish. “Education in their mother tongue, in this case Quechua, makes it much easier to learn Spanish. “Education in their mother tongue, in this case Quechua, makes it much easier to learn Spanish. After four years of work I noticed that the children were speaking Spanish correctly, making no more After four years of work I noticed that the children were speaking Spanish correctly, making no more After four years of work I noticed that the children were speaking Spanish correctly, making no more mistakes than children who had begun learning to read and write in Spanish, and using Quechua to mistakes than children who had begun learning to read and write in Spanish, and using Quechua to mistakes than children who had begun learning to read and write in Spanish, and using Quechua to

help them understand difficulties in Spanish. This system of teaching has not corrected the problems help them understand difficulties in Spanish. This system of teaching has not corrected the problems help them understand difficulties in Spanish. This system of teaching has not corrected the problems of interferences that the students have, and which they will not be able to correct for a long time; of interferences that the students have, and which they will not be able to correct for a long time; of interferences that the students have, and which they will not be able to correct for a long time; what it does is separate the two languages to facilitate learning and teaches Spanish as a second what it does is separate the two languages to facilitate learning and teaches Spanish as a second what it does is separate the two languages to facilitate learning and teaches Spanish as a second

language. The approach I used was initially to teach Spanish orally, including the grammatical aspects language. The approach I used was initially to teach Spanish orally, including the grammatical aspects language. The approach I used was initially to teach Spanish orally, including the grammatical aspects that distinguish Spanish from Quechua, usually starting with the use of the article”.that distinguish Spanish from Quechua, usually starting with the use of the article”.that distinguish Spanish from Quechua, usually starting with the use of the article”.

Eulalia Hazaña Deza, Schoolteacher, San Miguel, PunoEulalia Hazaña Deza, Schoolteacher, San Miguel, PunoEulalia Hazaña Deza, Schoolteacher, San Miguel, Puno

This testimonial, originally collected in Quechua and translated into Spanish, tells the story of a This testimonial, originally collected in Quechua and translated into Spanish, tells the story of a This testimonial, originally collected in Quechua and translated into Spanish, tells the story of a woman leader from a community from the area of the EDUBINA project, who initially was involved in woman leader from a community from the area of the EDUBINA project, who initially was involved in woman leader from a community from the area of the EDUBINA project, who initially was involved in designing the Community Education Plan. In the process she demonstrated her leadership qualities designing the Community Education Plan. In the process she demonstrated her leadership qualities designing the Community Education Plan. In the process she demonstrated her leadership qualities

and was later democratically elected on to her district Council.and was later democratically elected on to her district Council.and was later democratically elected on to her district Council.“…Nuqaqa huqta wamrakunapa mamanmi kaa, manam yachaywayiman aywarqatsu, “…Nuqaqa huqta wamrakunapa mamanmi kaa, manam yachaywayiman aywarqatsu, “…Nuqaqa huqta wamrakunapa mamanmi kaa, manam yachaywayiman aywarqatsu,

kichwayachawmi rimaytapis yachaa, tsaypitam mana alli rikayamarqam. Wapra markaapa lideresam kichwayachawmi rimaytapis yachaa, tsaypitam mana alli rikayamarqam. Wapra markaapa lideresam kichwayachawmi rimaytapis yachaa, tsaypitam mana alli rikayamarqam. Wapra markaapa lideresam kayta yachakurquu, Plan Educativo Comunal Nishqanta rurarmi, kanannam marka mayiikuna kayta yachakurquu, Plan Educativo Comunal Nishqanta rurarmi, kanannam marka mayiikuna kayta yachakurquu, Plan Educativo Comunal Nishqanta rurarmi, kanannam marka mayiikuna

churayaamashqa San Miguel de Aco Municipalidadpa rigidoram, tsaymi marka mayiikuna kusshishqa churayaamashqa San Miguel de Aco Municipalidadpa rigidoram, tsaymi marka mayiikuna kusshishqa churayaamashqa San Miguel de Aco Municipalidadpa rigidoram, tsaymi marka mayiikuna kusshishqa kayan”… “Proyecto EDUBINAWAN kananqa wamraakuna kushishqa yachakuyan kichwachaw kayan”… “Proyecto EDUBINAWAN kananqa wamraakuna kushishqa yachakuyan kichwachaw kayan”… “Proyecto EDUBINAWAN kananqa wamraakuna kushishqa yachakuyan kichwachaw

kastillanuchawpis, Kananga komunidaaniipis alli ayllukashqam kastillanuchawpis, Kananga komunidaaniipis alli ayllukashqam kastillanuchawpis, Kananga komunidaaniipis alli ayllukashqam tsaymi yachaywayichaw yachatsikuyta yanapayan”.tsaymi yachaywayichaw yachatsikuyta yanapayan”.tsaymi yachaywayichaw yachatsikuyta yanapayan”.

“… I am a mother of six. I never went to school and I only speak Quechua. I have endured “… I am a mother of six. I never went to school and I only speak Quechua. I have endured “… I am a mother of six. I never went to school and I only speak Quechua. I have endured discrimination and rejection. I learned to be a leader by getting involved in the Community Education discrimination and rejection. I learned to be a leader by getting involved in the Community Education discrimination and rejection. I learned to be a leader by getting involved in the Community Education Plan in Huapra, the village where I live. Now the village has elected me councilwoman for my district Plan in Huapra, the village where I live. Now the village has elected me councilwoman for my district Plan in Huapra, the village where I live. Now the village has elected me councilwoman for my district (San Miguel de Aco) and they are happy with me … The EDUBINA project allows our children to learn (San Miguel de Aco) and they are happy with me … The EDUBINA project allows our children to learn (San Miguel de Aco) and they are happy with me … The EDUBINA project allows our children to learn

in Quechua and Spanish, and our community is better organized to support education”.in Quechua and Spanish, and our community is better organized to support education”.in Quechua and Spanish, and our community is better organized to support education”.

Lidia Isidro, Councilwoman of the Municipality of AcoLidia Isidro, Councilwoman of the Municipality of AcoLidia Isidro, Councilwoman of the Municipality of Aco

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II. Health

CARE Peru designs its strategies to improve the health of the population, in particular those who are particularly vulnerable, in the poorest areas of the country. It applies focuses on inclusion, interculturality, gender equality, citizenship exercise, health rights and responsibilities; it develops and validates models with high impact on public policies, works with figures from political classes and public management and contributes to the fulfillment of the health MDGs. In all levels of government, it develops and promotes strategic public-private alliances which enrich the civil – State – private sector social dialogue, as support to the institutionalism of interventions. Also, it strengthens the development of civil society networks and promotes the organization of surveillance systems and citizen participation; it promotes the strengthening of clinical training, of prevention and promotion of health, contributing fundamentally to reducing maternal new born mortality and child malnutrition. It works also on the prevention and control of emerging infectious diseases, HIV/AIDS and Tuberculosis, in association with the health sector and civil society, to give an articulated and public-private inter-sector response.

Amount invested in this period:US$ 33.537.987,53

approved by the Committee for Health, Population, Family and People with Disabilities. Its debate is pending.

The bill containing the regulations for Law 29124 was put to Congress. The bill contains contributions from the Local Health Management Committee, which were gathered at macro-regional meetings held with the support of the European Commission.

The National Health Council incorporated the proposals of ForoSalud in the bill amending Law 27813, which creates the coordination bodies of the National Health System.

With the technical assistance of CARE and other institutions, the Ministry of Health (2007) has institutionalized the Clinical Practice Guidelines for Neonatal Care and the Clinical Practice Guidelines for Emergency Obstetric Care according to handling capabilities. 50 health professionals act as regional facilitators.

1,825 health staff have been trained in dealing with neonatal of obstetric emergencies through workshops in the participating health regions. Also 3,500 guides and 6,000 flowcharts have been handed out.

(*) These figures reflect progress for 2003-2008

16552 people receive Highly Active Anti-retroviral Therapy (HAART). 91% of people with HIV remain alive for 12 months after HAART and 87% adhere to antiretroviral treatment*.

The percentage of homosexual men with HIV (+) has declined from 13,9% to 10,8%.*The percentages of children of HIV+ mothers who do not contract HIV at 18 months has gone down from 24% (estimation) to 5,50%*.The rate of cases of TB BK+ has been reduced from 68,8/100,000 to 62,9/100,000*.The mortality rate from TB in any form has declined from 3,95/100,000 people to 3,18/100,000*.The cure rate for MDR TB rose from 46,9% to 91,2%*.96% of cases of TB have been detected. 28,313 people have been trained in citizen health surveillance, State reform capacities, maternal-child mortality, prevention of child malnutrition and control of emerging infectious diseases, HIV/AIDS and TB.

The Healthcare Services Law was introduced in Congress with the backing of more than 100,000 signatures to congress and



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Projects in Health Program

TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)

1. No woman left behind: closing the gaps November 2008 - 40.000 International Initiative on Maternal between rights and obligations for October 2009 Mortality and Human Rights (IIMMHR) ensuring Safe Motherhood

2. Citizen surveillance initiative for October 2008 - 12.000 Physicians for Human Rights - USA maternal health care services in three March 2009 areas of Puno

3. MCC - USAID THRESHOLD IMMNIZATION October 2008 - 3.393.398 Millenium Challenge Corporation, PROGRAM September 2010 Threshold Program - USAID

4. Participatory Voices April 2008 - 741.567 CARE International UK / DFID March 2011

5. Huancavelica Youth for Responsible January 2008 - 120.000 CARE USA, CARE Peru, Huancavelica Masculinity (AHMAR) September 2009 Regional Education Authority

6. National Multisectoral Plans: Pooling October 2007 - 40.848.622 Global Fund to Fight AIDS, TB and Resources to Fight HIV/AIDS September 2012 Malaria in Peru - VI Round

7. Foundations for Enhancing Management August 2007 - 95.500 Christy Turlington, CARE Peru of Maternal Emergencies December 2008

8. Strengthening Obstetric and Neonatal August 2007 - 1.649.045 Antamina Mining Fund (FMA) Emergency Care at Health Services June 2010 and Promoting Coordinated Work with Civil Society in the Ancash Region - ALLI MAMA ALLI WAWA

9. Closing gaps: Toward the Millennium September 2006 - 32.545.545 Global Fund to Fight AIDS, TB and Development Goals for Tuberculosis August 2011 Malaria in Peru: Project with a Participatory Multiagency Decentralized Approach - V Round

10.Closing gaps: Toward the Millennium September 2006 - 12.697.865 Global Fund to Fight AIDS, TB and Development Goals for HIV/AIDS in August 2011 Malaria Peru: Project with a Participatory Multiagency Decentralized Approach - V Round

11.Improving the Health of the Poor: April 2005 - 2.318.800 CARE International UK / DFID, CARE USA, A Rights-Based Approach March 2008 Physicians for Human Rights PHR USA

12.Strengthening Prevention and Control December 2003 - 25.552.603 Global Fund to Fight of TB in Peru - II Round December 2008 AIDS, TB and Malaria

13.Strengthening Prevention and Control December 2003 - 22.166.497 Global Fund to Fight of HIV/AIDS in Peru - II Round December 2008 AIDS, TB and Malaria

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“I think the greatest achievement is to have grown as a person, above all through the work that we are doing. By gaining experience we can do our jobs better”.

Tonica Antón, Community Delegate for Goal 1. Macro Región North

“I was one of those doctors who steadfastly refused to actively manage the third stage of childbirth. However, now that I have been trained I am convinced that all that is needed

is the right technique”.

Dr. FernandoTurrizaga, Gynecologist/Obstetrician, La Caleta Hospital, Ancash

“I am HIV positive. When I received the diagnosis (2003), I thought I was about to die. All I could think about was my children because when I separated from their dad they told me that

they didn’t want me to have another partner, that I should stay single. And now that my kids are teenagers, well, that was what killing me: thinking how they would take the news. But thanks to the Global Fund, which sent us free antiretroviral treatment, we’ve had a second chance in life and I am

here thanks to that. My friend Jonathan invited me to ASIPO+. It is an association that provides support and information to recently diagnosed people. I arrive at work at 9.30, help out in the

kitchen, and then I’m in the office answering calls. My goals in life are to work because all of us at the Association are volunteers, and to be a great activist to help more people with HIV”.

Nelly, Representative of the association ASIPO, Lima+

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“I think the greatest achievement is to have grown as a person, above all through the work that we “I think the greatest achievement is to have grown as a person, above all through the work that we “I think the greatest achievement is to have grown as a person, above all through the work that we are doing. By gaining experience we can do our jobs better”.are doing. By gaining experience we can do our jobs better”.are doing. By gaining experience we can do our jobs better”.

Tonica Antón, Community Delegate for Goal 1. Macro Región NorthTonica Antón, Community Delegate for Goal 1. Macro Región NorthTonica Antón, Community Delegate for Goal 1. Macro Región North

“I was one of those doctors who steadfastly refused to actively manage the third stage of childbirth. “I was one of those doctors who steadfastly refused to actively manage the third stage of childbirth. “I was one of those doctors who steadfastly refused to actively manage the third stage of childbirth. However, now that I have been trained I am convinced that all that is needed However, now that I have been trained I am convinced that all that is needed However, now that I have been trained I am convinced that all that is needed

is the right technique”.is the right technique”.is the right technique”.

Dr. FernandoTurrizaga, Gynecologist/Obstetrician, La Caleta Hospital, AncashDr. FernandoTurrizaga, Gynecologist/Obstetrician, La Caleta Hospital, AncashDr. FernandoTurrizaga, Gynecologist/Obstetrician, La Caleta Hospital, Ancash

“I am HIV positive. When I received the diagnosis (2003), I thought I was about to die. All I “I am HIV positive. When I received the diagnosis (2003), I thought I was about to die. All I “I am HIV positive. When I received the diagnosis (2003), I thought I was about to die. All I could think about was my children because when I separated from their dad they told me that could think about was my children because when I separated from their dad they told me that could think about was my children because when I separated from their dad they told me that

they didn’t want me to have another partner, that I should stay single. And now that my kids are they didn’t want me to have another partner, that I should stay single. And now that my kids are they didn’t want me to have another partner, that I should stay single. And now that my kids are teenagers, well, that was what killing me: thinking how they would take the news. But thanks to the teenagers, well, that was what killing me: thinking how they would take the news. But thanks to the teenagers, well, that was what killing me: thinking how they would take the news. But thanks to the Global Fund, which sent us free antiretroviral treatment, we’ve had a second chance in life and I am Global Fund, which sent us free antiretroviral treatment, we’ve had a second chance in life and I am Global Fund, which sent us free antiretroviral treatment, we’ve had a second chance in life and I am

here thanks to that. My friend Jonathan invited me to ASIPO+. It is an association that provides here thanks to that. My friend Jonathan invited me to ASIPO+. It is an association that provides here thanks to that. My friend Jonathan invited me to ASIPO+. It is an association that provides support and information to recently diagnosed people. I arrive at work at 9.30, help out in the support and information to recently diagnosed people. I arrive at work at 9.30, help out in the support and information to recently diagnosed people. I arrive at work at 9.30, help out in the

kitchen, and then I’m in the office answering calls. My goals in life are to work because all of us at kitchen, and then I’m in the office answering calls. My goals in life are to work because all of us at kitchen, and then I’m in the office answering calls. My goals in life are to work because all of us at the Association are volunteers, and to be a great activist to help more people with HIV”.the Association are volunteers, and to be a great activist to help more people with HIV”.the Association are volunteers, and to be a great activist to help more people with HIV”.

Nelly, Representative of the association ASIPO, Lima+Nelly, Representative of the association ASIPO, Lima+Nelly, Representative of the association ASIPO, Lima+

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III. Sustainable Economic Development,Food Security and Nutrition

CARE Peru promotes food security, nutrition and sustainable economic development. Sustainable economic development provides the balance for economic, social and environmental wellbeing. In order to make an impact in reducing poverty, CARE validates models and sustainable experiences of market access, promotes the development of private technical assistance, and uses methods which provide access to credit for small rural producers. At the same time, it promotes the organization of producers, public-private work alliances, and partnership with businesses on corporate social responsibility. Also, it promotes climate change adaption and mitigation methods, with and emphasis on the participation of the poorest and most excluded people. It provides technical assistance and mentoring for policy advocacy measures and strengthening of public management, with an emphasis on promotion of public and private investment to implement strategies against child malnutrition and make this issue a priority at the national, regional and local level. CARE plays an important part in the Child Malnutrition Initiative.

3,504 men and women producers accessed credit in the amount of S/. 4,315,888, or S/. 1,232 per producer, through 10 projects.

The finance entity EDYFICAR has 178,806 clients; 54% of whom are women with average loans of S/. 3,219 (US$1,073)

5,090 people have been trained in strengthening production chains and in private technical assistance for businesses and communities.


3,892 men and women producers increased their revenue by an average of 85% - with an average increase of S/. 1,531 per producer (US$510), through 8 projects.

11,763 men and women producers increased their sales turnover by 568%, with an annual sales increase of S/. 3,611 per producer (US$1,204), through 12 projects.

668 women producers increased their sales turnover by 496%, with an increase in sales of S/. 2,952 per producer (US$ 984), through 9 projects.

63 companies increased their sales by 2,193%, with an increase in annual sales of S/. 519,638 per company (US$173,213), through three projects.

81% of companies have teamed up for sales, out of a total of 398 associations that participated in 14 projects.



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Projects in Sustainable Economic Development, FoodSecurity and Nutrition Program

1. Leveraging Information from the Field to July 2008 - 52.903 CARE USA - Bill and Melinda Gates Transform U.S. Policy toward Developing June 2010 Foundation Countries (LIFT UP)

2. Improvement of Livestock Production for June 2008 - 673.238,20 Ministry of Economy and Finance, Small Farmers in the Districts of LARAMATE September 2010 Ayacucho Regional Government and LLAUTA in the Province of LUCANAS

3. Strengthening Local Management April 2008 - 170.625 USAID, Caritas Peru, CARE Peru to Reduce Malnutrition June 2009

4. Empowering Women in the Community December 2007 - 10.000 Tom and Zantha Warth (USA) of Paucara in Huancavelica to Participate September 2008 in Local Economic Development through Small-Scale Traditional Textile Production

5. Seedlings for spineless artichoke November 2007 - 25.000 Peru Opportunity Fund production in Ancash October 2009

6. Productive Chain Program for Poverty August 2007 - 2.311.683 Antamina Mining Fund (FMA) Reduction in Ancash - ALLI ALLPA August 2012

7. Financing for Agricultural Irrigation July 2007 - 125.144 USAID, AED Systems February 2009

8. Services for Socially Responsible for June 2007 - 45.046,54 CARE Canada, CARE USA, Lions Club Business Development February 2009 International

9. Informed Decisions June 2007 - 202.722,51 USAID June 2008

10.Sustainable Pea and Improved Guinea Pig April 2007 - 100.000 Jeff Peierls - USA Production in the Districts of Tambillo February 2009 and Acocro

11.Influencing Multilateral Bank Policy January 2007 - 357.981 CARE International UK / DFID, CARE for Reducing Child Malnutrition in Peru March 2008 Peru

12.Improvement of Family Incomes in January 2007 - 101.680 European Commission, Program of the Acobamba – Mayocc Road Corridor May 2007 Support for Socioeconomic Development and Decentralization in the Ayacucho and HuancavelicaRegions (AGORAH)

13.Dairy Production Development with Small December 2006 - 112.660,63 PRODELICA Program - European Producers in the Cajabamba - San Marcos July 2007 Community Economic Corridor

14.Pilot Microcredit Program for Families in June 2006 - 100.000 Morris Williams Extreme Poverty February 2008

15.Capacity Building for Products: Limes, May 2006 - 56.540 Ministry for Women and Social Prickly Pears, Guinea Pigs, Mangoes October 2007 Advancement (MIMDES), FONCODES Huaraz Zone

16.Innovative Use of Multiagency Partnerships January 2006 - 100.000 CARE International UK / DFID to Promote Market Access for Poor December 2007 Communities

17.Income and Employment Generation December 2006 - 352.959 FONDOEMPLEO in Family Production Units in the November 2008 Altiplano through Development of the Beef Value Chain in Puno


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“They have helped all of us craft workers to work and make better things together. Before, we all used to work separately and no one knew about sales. But now, thanks to the project, we have a company that buys from us, and we make more money because the company buys our things to

export, which bring us more income. We all have our own tools and now we can produce”.

Rebeca, Craftswoman, Asociación Sumak Maki, Huancavelica

“With the Productive Water Project the more proactive of us fruit farmers have been building a community reservoir and installing advanced irrigation systems for our crops. CARE provides us

with technical assistance and EDYFICAR loans us the money to buy the irrigation equipment and materials. This is how we’ve always wanted to work, but in our community there are people who

are complacent and instead of actively looking for this support, they have simply been waiting for handouts and donations from some institution to install their irrigation systems”.

Rubén Víctor Huapaya V., Community of Seccllas Alto, Huanta, Ayacucho

“In this way the bulls quickly put on weight. A bull gains 1.5 kg a day. Previously we used to sell on an annual basis but now we sell quarterly. We have broken into the Lima and Arequipa

markets. I never imagined that one day I’d bring my cattle for sale directly to Lima. However, when we arrived, we realized that the quality of Puno beef is superior. In a little over three years we

have sold more than 12,000 head of cattle, equivalent to nearly 17 million nuevos soles (US$ 5.6 million). The most important thing in all of this is the expertise; the project hasn’t given us money

or bulls, but something much more important: expertise. And nobody can take that away from us. It is something that we will have til our dying day”.

Pedro Ccacca de Samán, Lourdes Saavedra, Cattle Breeders, Huancané, PunoIII. S

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18.Strengthening the Milk and Cheese December 2005 - 593.003 Ministry of Economy and Finance Production Chain in the Province of June 2007 Bolognesi

19.Increasing Incomes for Canary Bean June 2005 - 123.031 PRODELICA - European Commission Producers in the Condebamba Valley, July 2007 in the Provinces of Cajabamba and San Marcos

20.Poverty Relief and Alleviation Program July 2004 - 1.487.502,42 USAID, Chemonics (PRA) August 2008

21.Combining and Replicating Technologies January 2004 - 42.000 International Potato Center (CIP), for Low-Income Potato Producers June 2007 International Fund for Agriculture Development (IFAD)

Projects in Sustainable Economic Development, FoodSecurity and Nutrition Program


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IV. Integrated Water Resource Management

CARE Peru seeks to intervene at local, regional and national levels to ensure that the issue of the environment is included in plans, projects, program and politics, based on validated experiences of strategic partners. To that end, it develops innovative models in areas such as payment for environmental services, or new practices for the sustainable use of natural resources which redress the loss of these resources and generate economic and social benefits for poor families. It also develops and disseminates validated models for the provision and management of water and sanitation in isolated rural communities, district capitals and small villages. It promotes alternative sanitation initiatives, solid waste management, and waste water treatment in small cities, as well as consensualized participatory design of regional and provincial policies, thereby strengthening the sanitation sector in a decentralized framework. CARE Peru supports governmental sectors to ensure the effective execution of water and sanitation programs in the country, as well as to broaden the coverage of water services and collective sewerage systems in periurban areas of Lima.

Assistance given to 71 local governments, 11 regional governments and 14 State institutions or programs.

Promotion of the promulgation of 21 regional bylaws which promote access to water and sanitation services, which contribute in a direct manner to improved health conditions.

80 families have accessed technology to solve their sewage problems, either through loans or cash payment


Facilitated access for 21,522 families to safe water; 19,067 families to improved sanitation; and 700 families to sewage treatment.

Organization strengthening in rural zones jointly with local governments and the active participation of 325 Water Boards (JASS) with around 1,000 members, of which 257 are women, 113 of whom presently occupy management positions.

In Cajamarca, prevalence of chronic diarrhea has dropped from 22% to 0% in Cedro; from 15% to 0% in Loropampa; and from 16% to 0% in Maqui.



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ProgramaTITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)

1. Formulation of Regional Plans and March - In La Libertad World Bank-Water and Sanitation Provincial Pilot Plans on Water and November 2008 124.423 Program Sanitation in La Libertad and Cajamarca In 123.063,09

2. Alternative Sanitation Solutions September 2007 - 372.824,97 Fund for the Americas (FONDAM), May 2009 CARE Peru/ ENSEMBLE foundation

3. Technical Advisory Services to the July 2007 - 341.017 Swiss Agency for Development and Regional Government of Cuzco for June 2009 Cooperation (COSUDE) Implementation of Phase V of the Basic Environmental Sanitation Project in the Southern Highlands(SANBASUR)

4. Domestic Waste Water Treatment at the May 2007 - 100.000 Jeff Pierls Foundation Headwaters of the Santa River May 2009 Watershed in Ancash

5. Equitable Payments for Watershed April 2006 - 1.408.732 DANIDA - DGIS and Environmental Services December 2011

6. Outreach, Training, Design and Construction April 2006 - 1.639.487,92 World Bank - SEDAPAL Supervision of Conventional and Collective February 2009 Secondary Water and Sewerage Systems, as well as Fountains Latrines in Various Districts of the Southern Cone of Lima.

7. Waste Water Treatment in Rural August 2005 - 266.573 ENSEMBLE Foundation Districts of Puno October 2007

8. Pilot Project to Strengthen Regional July 2005 - 1.323.721 Swiss Agency for Development and and Local Management of Water and December 2008 Cooperation (COSUDE) Sanitation Services in the Framework of Decentralization - PROPILAS IV

9. National Rural Water and Sanitation Ayacucho: 1.860.409,39 Ministry of Housing, Construction and Program in Ayacucho, Piura, September 2004 - Sanitation (MVCS), World Bank Huánuco y Huancavelica December 2008 Piura: April 2005 - 2009 Huánuco: April 2005 - January 2008 Huancavelica: October 2005 - January 2009

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“I think that having real, accurate information is important for people to understand how the project works. People are used to handouts and with this project we managed to get people to

contribute, to play their role in achieving change for themselves. Having everything given away can´t work, and it is important that the community contributes and so changes

the way we work to benefit the population”.

Julio Tello Flores,, Mayor of Rosario de Polloc Community, La Encañada, Cajamarca

“Now, with the project, we are more united. Neighbors are working together. We have received training and are all working steadily. There have been more

people to prepare the land and the roads”.

Emma Prado, Community Leader, A.H. 25 de Diciembre. Villa María del Triunfo, Lima

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“I think that having real, accurate information is important for people to understand how the “I think that having real, accurate information is important for people to understand how the “I think that having real, accurate information is important for people to understand how the project works. People are used to handouts and with this project we managed to get people to project works. People are used to handouts and with this project we managed to get people to project works. People are used to handouts and with this project we managed to get people to

contribute, to play their role in achieving change for themselves. Having everything given contribute, to play their role in achieving change for themselves. Having everything given contribute, to play their role in achieving change for themselves. Having everything given away can´t work, and it is important that the community contributes and so changes away can´t work, and it is important that the community contributes and so changes away can´t work, and it is important that the community contributes and so changes

the way we work to benefit the population”.the way we work to benefit the population”.the way we work to benefit the population”.

Julio Tello Flores,, Mayor of Rosario de Polloc Community, La Encañada, CajamarcaJulio Tello Flores,, Mayor of Rosario de Polloc Community, La Encañada, CajamarcaJulio Tello Flores,, Mayor of Rosario de Polloc Community, La Encañada, Cajamarca

“Now, with the project, we are more united. Neighbors are working together. We have “Now, with the project, we are more united. Neighbors are working together. We have “Now, with the project, we are more united. Neighbors are working together. We have received training and are all working steadily. There have been more received training and are all working steadily. There have been more received training and are all working steadily. There have been more

people to prepare the land and the roads”.people to prepare the land and the roads”.people to prepare the land and the roads”.

Emma Prado, Community Leader, A.H. 2Emma Prado, Community Leader, A.H. 2Emma Prado, Community Leader, A.H. 2555 de Diciembre. Villa María del Triunfo, Lima de Diciembre. Villa María del Triunfo, Lima de Diciembre. Villa María del Triunfo, Lima

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V. Governance and Extractive Industries

CARE Peru promotes good governmental practices based on empowerment of the poor, civil society participation, and capacity building in public institutions, seeking greater awareness, responsibility and transparency vis a vis the public. It implements strategies for strengthening the processes of decentralization and regionalization, through capacity building for local and regional government and civil society. It also promotes consensus building and citizen participation, emphasizing the participation of women and indigenous people in decision making. It provides technical support on regulations for democratic institutions within the framework of decentralization, implementing approaches to raise awareness about gender, multiculturality, the environment and watershed management. In the area of mining, CARE endorses constructive relations between the communities, local government, and mining companies, so that potential conflicts are properly addressed in the interests of collective understanding and good local government.

Close to 100 documents have been recorded at the national, regional and local level institutionalizing CARE Peru’s policy advocacy contributions through its programs and projects.


Technical assistance is given to four regional governments and 29 local governments, to improve good governance. 90% have a consensualized development plan in place and received advice on participatory budgeting.

In coordination with the RENIEC (National Registry of Identification and Civil Status), 4,638 people from excluded zones have obtained national identity documents; of these 1,920 are women and 256 are children.

Over 6,000 community leaders, youth leaders, and representatives of private and public institution, among others, have been trained in good governance, accountability, organization and leadership.



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Projects in Governance and ExtractiveIndustries Program

1. Capacity Building and Strengthening February 2005 - 947.618 CARE International UK, Project for Decentralization and Democracy March 2008 Counselling Service (PCS) FORTALECE

2. Insertion of the Excluded CHOPCCA May 2005 - 383.404 Deparment of State - USA Population of Huancavelica in the March 2007 Institutionalization of Democracy

3. New Voices Piura February 2006 - 9.886,25 World Bank - Peru June 2008

4. Capacity Building for Management April 2006 - 262.955 OXFAM GB of Social and Environmental April 2009 UK / DFID Conflicts in Mining Activities

5. Governance, Mining and Sustainable June 2006 - 200.000 USAID Development June 2008

6. Building Multiagency Partnerships for November 2006 - 100.003 CARE International UK / DFID Development with Equity on the Zone March 2007 Targeted for Mining Investment, Las Bambas, Apurímac

7. Local Governments and Civil Society November 2006 - 60.754 CARE International UK / DFID Organizations in Small Rural Towns and May 2007 their Relationship with Good Governance

8. Rights, Cultural Identity, and Participation February 2007 - 747.666 European Commission, CARE Peru for Amazonian Indigenous Peoples: December 2009 The Case of the Aguaruna People

9. Empowerment, Capacity Building, and March 2007 - 28.000 CARE USA, Sexual Explotation and Prevention of Sexual Violence in Puno December 2008 Abuse (SEA), CARE Peru

10.Consensualized Land Planning in May 2007 - 27.572 Peru Germany Counterpart Fund (FCPA) the Bigote and Serrán Sub-Watersheds October 2007

11.Governance in the Andes April 2008 - 133.000 CARE International UK / DFID, Benala / March 2009 Canadian LWR

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“Now I can guide and train my organization, the Bartolina Sisa de Caravilque Mothers’ Association. I have got over my fear of public speaking. Also my Spanish has improved

also as a result of taking part in these training activities”.

Matilde Juárez de Arenas,

“At the “Glass of Milk” organization we talked about what we do, but we did not know that we could also have a say in the municipal budget plan. When we went to the budget meeting to

support our co-worker, Rosa, in presenting our proposal, we met the Mayor, all the council members, and the district mayors. We felt important and were delighted when

they commended us on our proposal and approved it”.

Yaneth Canaza. Glass of Milk , Puno

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“Now I can guide and train my organization, the Bartolina Sisa de Caravilque Mothers’ Association. “Now I can guide and train my organization, the Bartolina Sisa de Caravilque Mothers’ Association. “Now I can guide and train my organization, the Bartolina Sisa de Caravilque Mothers’ Association. I have got over my fear of public speaking. Also my Spanish has improved I have got over my fear of public speaking. Also my Spanish has improved I have got over my fear of public speaking. Also my Spanish has improved

also as a result of taking part in these training activities”.also as a result of taking part in these training activities”.also as a result of taking part in these training activities”.

Matilde Juárez de Arenas, Matilde Juárez de Arenas, Matilde Juárez de Arenas,

“At the “Glass of Milk” organization we talked about what we do, but we did not know that we “At the “Glass of Milk” organization we talked about what we do, but we did not know that we “At the “Glass of Milk” organization we talked about what we do, but we did not know that we could also have a say in the municipal budget plan. When we went to the budget meeting to could also have a say in the municipal budget plan. When we went to the budget meeting to could also have a say in the municipal budget plan. When we went to the budget meeting to

support our co-worker, Rosa, in presenting our proposal, we met the Mayor, all the council members, support our co-worker, Rosa, in presenting our proposal, we met the Mayor, all the council members, support our co-worker, Rosa, in presenting our proposal, we met the Mayor, all the council members, and the district mayors. We felt important and were delighted when and the district mayors. We felt important and were delighted when and the district mayors. We felt important and were delighted when

they commended us on our proposal and approved it”.they commended us on our proposal and approved it”.they commended us on our proposal and approved it”.

Yaneth Canaza. Glass of Milk , PunoYaneth Canaza. Glass of Milk , PunoYaneth Canaza. Glass of Milk , Puno

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A timely response to emergencies is essential in the fight against poverty and injustice, since the impact of disaster is the cause and consequence of both. CARE Peru permanently strives to analyze the underlying causes of vulnerability and works to reduce them. Through humanitarian assistance, it helps individuals to overcome the crisis. It applies measures for the reduction of risk from disasters, to support the rehabilitation and reconstruction processes post-crisis, strengthening capacity for resilience and local response in the affected population. It acts towards the preparation and prevention for of emergencies in its programs, and it incorporates the concept of reconstruction building back in the post-emergency scenario, so that affected familiar gain access to better basic services, to safe and healthy homes, as well as the means to live with greater food security and better income. By CARE’s mandate the response to an emergency must satisfy the basic necessities of the affected population, above all in the poorest and most needy areas, respecting the humanitarian principles and international standards that recognize the right to personal dignity for those affected by a crisis or emergency; the code of conduct of the International Federation of the red Cross and Red Crescent, and the regulations of Sphere Project. It also develops initiatives and account management within the frame of own membership to the International Mandate Humanitarian Accountability Partnerships Responsibility- HAP.

and non-structural aspects for risk mitigation within the framework of earthquake reconstruction.

78 temporary classrooms were installed in Chincha and Cañete

Four safe water systems have been rehabilitated, promoting the strengthening of the Water Boards (JASS) and good sanitary practices, and above all for hand washing with soap.

6.65 km of irrigation canals have been rehabilitated.

200 earthquake-proof houses of mud bricks and adobe are currently being built with the participation of affected families, in Chincha and Huaytara.

100 houses affected by the earthquake have been restored.


Immediate response in providing assistance to families affected by the earthquake in 2007, benefiting 12,019 families with humanitarian aid, water bottles, canned foods, blankets, individual and family-sized tents, medicines, coffins, flashlights, lanterns, candles, tools, brooms, soaps, kettles, dishes, spoons, etc.

Over 13000 families in the areas worst hit by the earthquake of August 2007 have received information and guidance on constructing earthquake-proof houses made of reinforced adobe and strengthened mud bricks, as well as management and maintenance issues, through radio, television and other alternative communication media in Chincha.

Over 2,055 families have been trained in the structural aspects of construction of earthquake-proof housing,



VI. Emergency and Risk Management

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Projects in Emergency and Risk Management Program

1. Socioeconomic Development and September 2008 - 128.918 Government of Navarra, PROPERU Restoration of Livelihoods for Poor Families May 2009 Struck by the 2007 Earthquake in the Province of Huaytará

2. Huancavelica Reconstruction Project June 2008 - 4.879.000 CIDA Canada January 2011

3. Capacity Building for Reconstruction of June 2008 - 400.000 USAID OFDA Homes in Chincha February 2009

4. Program on Humanitarian Response to August 2007 - 1.060.117,50 Bill & Melinda Gates Foundation, private the August 2007 Earthquake June 2008 donors to CARE USA, Edpyme EDYFICAR, Minera IRL Minera Minera San Juan, JCB

5. Project on Immediate Response to August 2007 - 243.305,71 European Commission Humanitarian the August Earthquake (PRISA) October 2007 Aid Office (ECHO)

6. Restoration of Livelihoods and Access August 2007- 461.215,02 European Commission Humanitarian Aid to Basic Services for Families Affected October 2007 Office (ECHO) by the Earthquake in Huancavelica

7. Temporary Housing, Sanitation, August 2007 - 367.500 USAID OFDA Institutional Strengthening December 2007

8. Aid and Reconstruction for Excluded e September 2007 - 460.500 ELMA Foundation Communities after the August 2007 February 2009 Earthquake

9. Improvement of Sanitation Conditions September 2007 - 20.000 Fund for the Americas (FONDAM), for School Communities in Huaytará November 2007 CARE Peru Affected by the Earthquake

10.Rehabilitation of Sanitation Services fpr September 2007 - 961.903,80 UK Government, (DFID), in the framework Families Affected by the Earthquake in Cañete, February 2008 of the UN Flash Appeal Chincha and Provinces of Huancavelica

11.Landslide Risk Management December 2006 - 163.165 Swiss Agency for Development and June 2009 Cooperation (COSUDE)

12.Binational Capacity Building for Disaster Risk March 2006 - 437.711,24 European Commission Humanitarian Aid Reduction: Tumbes - El Oro May 2007 Office (ECHO), DIPECHO Programme

VI. E

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“Thanks to CARE and the European Union for the humanitarian aid that reached us…you were the first to support us after the earthquake”.

President of community of Amaylla,

“At last we have a working Emergency Operations Center and very soon we will have our own building for this. The volunteers are in good spirits because they have their own rescue

equipment and will no longer have to depend on the Machala Civil Defense. We want to hold a binational drill very soon”.

Alfredo Tamayo, Civil Defense, Huaquillas, Tumbes

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“Thanks to CARE and the European Union for the humanitarian aid that reached us…you “Thanks to CARE and the European Union for the humanitarian aid that reached us…you “Thanks to CARE and the European Union for the humanitarian aid that reached us…you were the first to support us after the earthquake”.were the first to support us after the earthquake”.were the first to support us after the earthquake”.

President of community of Amaylla, President of community of Amaylla, President of community of Amaylla,

“At last we have a working Emergency Operations Center and very soon we will have our own “At last we have a working Emergency Operations Center and very soon we will have our own “At last we have a working Emergency Operations Center and very soon we will have our own building for this. The volunteers are in good spirits because they have their own rescue building for this. The volunteers are in good spirits because they have their own rescue building for this. The volunteers are in good spirits because they have their own rescue

equipment and will no longer have to depend on the Machala Civil Defense. equipment and will no longer have to depend on the Machala Civil Defense. equipment and will no longer have to depend on the Machala Civil Defense. We want to hold a binational drill very soon”.We want to hold a binational drill very soon”.We want to hold a binational drill very soon”.

Alfredo Tamayo, Civil Defense, Huaquillas, TumbesAlfredo Tamayo, Civil Defense, Huaquillas, TumbesAlfredo Tamayo, Civil Defense, Huaquillas, Tumbes

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Financial Report

GENERAL BALANCE 2008

Total Support

Comparison of Administrative Costs 2006 - 2008

0.005,000.00

10,000.0015,000.0020,000.0025,000.0030,000.00

2006 - 2007 2007 - 2008

Budget Execution

In the period 2006-2007, at 50%, the principal source of financing for programs and projects executed by CARE Peru was the Global Fund against AIDS and Tuberculosis, of which CARE is the principal recipient. Next was the European Commission, with 19%; the remaining 31% came from private donors, the Peruvian Government and Institutions, the United States Government, and other bilateral donors. Just like the previous period, in the 2007-2008 the main source of financing was the Global Fund against AIDS and TB with 45%. After it came bilateral funds with 27%, the Peruvian Government and institutions with 5%, the European Commission with 10%, and the remaining 3% from a few private donors, the U.S. Government and the World Bank.

The accounting and finance information of CARE Peru has accounting mechanisms in conformity with the policies of institutional transparency. It abides fully with all the regulations of the Peruvian State, as well as those of CARE International and other donor governments. In the period 2006-2008, the status of CARE Peru’s accounts was as follows:

The expenses effected during the period 2006-2007 came to US$ 15.614.368,16, which represents 93% of total expenses generated by programs and projects. US$ 1.081.227,81, that is to say 7% of the total, was channeled for administrative expenses. In the period 2007-2008, total expenses came to US$ 26.292.876,11, with 5%, that is US$ 1.388.485,59, used for administrative expenditure. Even though the budget increased in comparison with the previous period, the percentage allocated to administrative expenses was 2% lower.

Funding Sources

CARE Peru maintains a commitment to its donors with respect to the good use of resources, according to the budgets approved in programmed activities. For this reason, its accounting system is organized by funds, ensuring an efficient and effective method of control.

Bilateral funds Global Fund to Fight AIDS, TB, Malaria

European Commission Peruvian Government or institutions

Government a the U.S. Private donations

World Bank Serie8

0

5000

10000

15000

20000

25000

30000

Millares

2006 - 2007 2007 - 2008

Years 2006- 2008

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In the period 2007-2008, the main source of was also the Global Fund for HIV/AIDS and TB programs. Accordingly, Health has received the most funding. Following it are DESAN, and GREM. In contrast to the previous period, the latter received significant financing from diverse donors, since humanitarian aid interventions were implemented, as well as rehabilitation and reconstruction for the areas affected by the earthquake of August 2007. Following it are GIRH, Health, GOB, and EDU.

Distribution of Expenses by Programmatic Priority

CARE Peru, through five regional offices and five offices in the nation, comes implementing projects in six programmatic areas. For the significant amounts moved by the programs against HIV/AIDS and Tuberculosis carried by the Global Fund, as already mentioned, the health axis has received greater resources, followed by Sustainable Economic Development, Nourishment and Nutrition Security (DESAN) [Desarrollo Económico Sostenible, Seguridad Alimentaría y Nutrición]. Without including the Global Fund in this distribution, the majority of expenses executed in the period 2006-2007 corresponded to the axis of DESAN. Following it is the Integrated Management of Water Resources (GIRH) [Gestión Integrada de Recursos Hídricos]; Health, Governance and Extractive Industries (GOB) [Salud, Gobernabilidad e Industrias Extractivas], Risk and Emergency Management (GREM) [Gestión de Riesgos y Emergencias], and Education (EDU).

2 0004 0006 0008 000

10 00012 00014 00016 000

2006 - 2007 2007 - 2008

DESAN EDU

GREM GOB

GIRH Health / Global Fund

Implementation Programmatic Priority

Thousands -

500.00

1,000.00

1,500.00

2,000.00

2,500.00

3,000.00

3,500.00

4,000.00

Thousands

2006 - 2007

DESAN EDUGREM GOBGIRH Health

2007 - 2008

Implementation by Programmatic PriorityWithout the Global Fund

2006-2008

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The Regional Government of Ayacucho through the Regional Management of Agriculture, awarded first prize the Niño Jesus de Neque Association of Agricultural Producers for the high genetic quality of its animals in the category of reproducers and Second Place to the In the New Dawn of San Juan de Frontera Women´s association in the category of guinea pig meat. Both associations received technical assistance from CARE Peru through the pilot project of Microcredit for families in extreme poverty. 2007.

The NGO KIWANIS International and the network of television radio and press representatives in Ancash in the Eco Prize Ceremony for Competitiveness and Business Quality 2007, awarded CARE Peru, through project EDUBINA, the acknowledgement of best NGO 2007.

The Regional Education Directorate of Ancash gives acknowledgement and awards the support of the region’s education for the successful results achieved in Project EDUBINA, through the Canadian Agency for Development ACDI and CARE Peru. Office number 0958-2007-ME/RA/DREAD May 2007.

Credential Merit awarded to CARE Peru by the District Council of Huasmín for the project Increase of Income for Producers of Beans from the Valley of Condebamba and the provinces of Cajabamba and San Marco. Cajamarca 2007.

The experience of CARE Peru with the Foro Salud in Puno and the Regional Human Rights Ombudsman Office of the town was selected from 800 applications and presented in the framework of the Annual

Reunion of the Global Health Council, dedicated to Community Health: Promoting, Strengthening, Linking. May 2007.

Acknowledgement for the Project Generation of Work in productive units of the altiplano through the development of the value chain of cows for meat. “For me, in so many years of promoting all kinds of initiatives for development, this has been one of the best moments, a true prize for which I give thanks to life and to all those who have made this development miracle possible”. Nick Nolte, AGRONOTICIAS Magazine No.320, April 2007.

The Cattle Fattening Project in Puno also won First, Second and Third place in the Brown Swiss Cattle category, in the XXIV Livestock National Competition, in the Experimental and Auction Center, Buena Vista, Lurin. October 2008.

The same Project won First place in the II National Competition for Rewarding Quality MORAY 2008, No. 003-2008-PIEA-INCARGO, in the category: Participation of Organized Producers and Strength of Strategic Alliances. Auditorium of the Antonio Ruiz de Montoya University, Lima, December 2008.

The medical magazine The Lancet published a special edition about health rights and public policies which included a study called “The Right to Health and Health Systems: an evaluation of 194 countries” with CARE Peru as co-author. There figures also a comment about health Peru and the initiative which CARE Peru developed with female leaders in Azángaro, Ayaviri y Puno. December 2008.

Recognition

In this period CARE Peru has received acknowledgement for quality, consequences and results in its work. Here are some of them:

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Judith Bueno de Mesquita and Paul Hunt, ex Special Speaker at the United Nations for Health Rights included the experience of the Health Rights Project, as an example of the aspects to take into account during the promotion and realization of sexual and reproductive rights, in the international publication “Assistance and Cooperation in Sexual and Reproductive Health: A Human Rights Responsibility for Donors.” Our health rights work was also quoted in publications about participation (Participation and the right to the highest attainable standard of health) and accountability (Accountability

and the Right to the Highest Attainable Standard of Health). Centre for Human Rights, University of Essex, December 2008

Acknowledgement for good institutional accountability practice. Quoted in the publication Civil Society and Aid Effectiveness. Case Book. Section Accountability to disaster affected People in CARE’s 2007 Earthquake Response in Peru (68-71). Susan Taylor-Meehan, Jacqueline Wood and Real Lavergne. 2008.

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index [] · based on sex, race, nationality, ethnicity, class, religion, age, physical ability,...

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