2005 A

NN

UA

L REPORT

Saving Lives and Building Healthy Com

munities

Photo by Dana Bessenecker

miss

ion

& v

ision

“Hope is one of those things in life you cannot do without.”- LeRoy Douglas

Photo by Mary Lynn & Larry Weitzen

roject Concern International’s mis-sion is to prevent disease, improve

community health, and promote sustain-able development.

otivated by our concern for the world’s most vulnerable chil-

dren, families, and communities,Project Concern International envisions aworld where abundant resources are shared,communities are able to provide for thehealth and well-being of their members, andchildren and families can achieve lives ofhope, good health, and self-sufficiency.

p

m

Bolivia and Nicaragua that provide a nutritious meal to over 133,000 chil-dren every day. Our work in Zambia and expansion into Ethiopia helpprovide critically needed health care, food, shelter, and education fororphans and vulnerable children, many of whom live on the streets. Ouryear-long AIDS Walk for Life delivered counseling, health services, andmessages of prevention to over a million people throughout India.

Together we’re making a difference. Project Concern International is ded-icated to providing a full lifetime of good health and hope for the future tomillions in need. We could not do it without your support.

Thank you for sharing our commitment and turning your concern intoaction.

George Guimaraes John Collins Judy EttingerPresident & CEO Chairman, Managing Director,

Board of Directors Board of Directors

executive message

ooking back at the last year, we’re reminded of the many natural disasters the world witnessed in 2005 and the extraordinary generosity of so many people around the world to help in every way they could.

Project Concern International’s efforts to provide both immediate reliefand long-term solutions to communities affected by the Asia tsunamibecame one of our major areas of focus in 2005. Within days of the disas-ter, we provided emergency health services, water, and food to survivors inIndia and Indonesia and continue, today, to help rebuild lives and liveli-hoods there. We were also among the first to respond to Hurricane Stan inGuatemala, a country we’ve worked in for more than 30 years, where mud-slides destroyed many rural villages and left thousands homeless. Finally,we helped raise money for our colleagues providing emergency relief to vic-

tims of Hurricane Katrina along the Gulf.

But our lifesaving work around theworld involves much more than

humanitarian assistance fordisaster-stricken areas. Wework in countries experienc-ing a different kind of crisis;where children die every day

of easily preventable diseases,suffer the life-threatening

effects of malnutrition or dehy-dration, have lost parents and loved

ones to AIDS. We can’t stop anearthquake or hurricane, but we

can stop the spread of HIV,malaria, TB, of childhood dis-eases. We know what works. The

solutions are inexpensive andreadily available.

For example, Project Concern ishelping to improve the health of

undernourished children throughour school feeding programs in

1Photo by Janine Schooley

l

2

Project Concern also responds to emergency situations worldwide, firstproviding immediate assistance and then addressing longer-term healthand development challenges facing affected communities. In addition to asection highlighting our efforts in humanitarian assistance, this year'sannual report also features case studies of our programs in Asia, LatinAmerica, and Africa that illustrate Project Concern's transformationalimpact.

Because our programs effectively address the interwoven issues of healthand poverty, Project Concern offers real hope for a healthier, more produc-tive future for the children, families,and communities we serve.

“”

Project Concern’s philosophy is rooted in the

concept of transformational development, an approach

emphasizing low-cost interventions that are innovative

and flexible, participatory and community-driven,

culturally sensitive and technically appropriate.

abou

t our

pro

gram

s

overty leaves millions of families and children around the world without adequate food, shelter, or clean water, and vulnerable to

disease and malnutrition. Project Concern International recognizes the inseparable link between poverty and health, as well as our obli-

gation to promote integrated, effective, and lasting solutions address-ing the complex health challenges facing impoverished communitiesaround the world.

Project Concern's community-based programs in developing coun-tries and along the US/Mexico border are the heart and soul of theorganization. We make the greatest long-term impact where our pro-grams are integrated, and when communities have the education,tools, and financial resources to care for themselves. ProjectConcern's philosophy is rooted in the concept of transformationaldevelopment, an approach emphasizing low-cost interventions thatare innovative and flexible, participatory and community-driven,culturally sensitive and technically appropriate.

p

Photo by Camille Lopez

humanitarian assistance

have proven successful in our longer-term health and development pro-grams. Strong relationships with local and national governments enable usto cut through bureaucracy and respond quickly. We collaborate with otherorganizations to provide coordinated short- and long-term assistance. Mostimportantly, we engage communities as active agents in their own recovery.

Our rapid response following Hurricane Stan in October was facilitated byour decades-long presence in many of the affected communities. Almost13,000 people in Guatemala’s highlands are working with us to rehabilitatewater systems and repair or construct latrines. Families are also learninghow to stay healthy and prevent disease in the aftermath of a disaster.

The key to an effective and immediate response is having cash-in-hand. Withthe necessary resources, Project Concern can continue to mobilize quicklyand provide lifesaving aid to children and families in desperate need.

3

uring a year of unprecedented disasters, beginning with the December 26, 2004 tsunami, Project Concern rushed lifesaving aid to some of the hardest-hit communities in the world. While

Project Concern’s main focus is building healthy communities, wealso respond to emergency situations – earthquakes, flooding, and foodcrises – to alleviate suffering, prevent the spread of disease, and help peo-ple rebuild their lives.

Within days of the tsunami, for example, Project Concern had mobilizedthe largest relief effort in its 44-year history – reaching tens of thousandsof people in India and Indonesia with emergency medical care and sup-plies. Project Concern is now helping more than 200,000 survivors reclaimtheir lives.

Project Concern’s humanitarian assistance strategies include those that

TSUNAMI RECOVERY: A Year of Results

● Over 27,500 people are benefiting from our shelter activities.

● At least 35,000 people have access to lifesaving care from ourmobile health clinics.

● Almost 20,000 people are back to work again, supporting 60,000 family members.

The President’s Emergency Response andHumanitarian Assistance Fund

Project Concern established the President’s Emergency Response andHumanitarian Assistance Fund in 2005, with initial funding fromlong-time supporters Larry and Jan Pritts and Project ConcernPresident and CEO George Guimaraes. Contributions to the President’sFund will enable Project Concern to continue to respond with speed andefficiency to emergencies as they occur.

Photo by Dana Bessenecker Photo by Dana Bessenecker

d

asia overty is India's greatest chal-

lenge. Despite dramatic eco-nomic growth in recent years, more

than 400 million of India's one billionpeople live on less than a dollar a day.Preventable diseases that have all but dis-appeared elsewhere in the world stillpose significant health threats: India ishome to 80 percent of the world's poliocases and 70 percent of remaining lep-rosy cases. The number of people infect-ed with HIV is expected to rise from 5million to 20 million in the next fiveyears, and the Indian government esti-mates that 90 percent of those infectedare unaware of their status.

Project Concern began working in Indiain 1997, and today is a leading healthand development organization targetingthe country's most vulnerable popula-tions through action-oriented programsimplemented at the individual, commu-nity, and national level.

Reaching India's Most VulnerableOn an individual level, Project Concern has been improving the quality oflife for some of New Delhi's most destitute and at-risk children since 2000.Thousands of street and working children are receiving counseling, meals,health care, and basic education through PCI/India drop-in centers.Vocational training and income-earning opportunities are helping thesechildren improve their ability to take care of themselves. A Project Concernresidential center provides shelter for those most in need, and works toreintegrate children living on the streets back into families.

Home-based care teams and a mobile clinic are the cornerstones of ProjectConcern's efforts to improve the quality of life for the growing number ofpeople living with HIV/AIDS in India. These programs provide basic

4

health care, treatment for sexually transmitted infections, tuberculosis casemanagement, and voluntary HIV counseling and testing in India's poorestcommunities.

Empowering CommunitiesAt the community level, Project Concern is promoting economic empow-erment through microenterprise programs that provide people with theeducation and access to capital they need. For example, PCI/India hastrained more than 1,000 people in microcredit, savings, and vocationalskills in New Delhi and Rajasthan. Clients include families who live inrural areas without access to credit, and women and children whose sur-vival has depended on picking through garbage in city slums.

We work with communities to improve water, sanitation, and environmen-tal health through the installation of water systems and latrines for homes,

Photo by Jeffrey Lamont Brown

Phot

o by

Jef

frey

Lam

ont B

row

n

Photo by Jeffrey Lamont Brown

p

schools, and communities. By col-laborating with local leaders on thedesign and management of thesenew systems, Project Concern pro-motes both self-sufficiency andcommunity empowerment.

Building a Healthy IndiaAt the country level, ProjectConcern participates in NationalImmunization Days through itsPolio Eradication Initiative in Biharand Uttar Pradesh with the supportof six partner organizations.Through this program, PCI/India isworking intensively with 50,000families to increase routine immu-nizations against polio.

On World AIDS Day (December 1)2004, Project Concern launchedone of the most ambitious nationalAIDS awareness campaigns ever

undertaken in India. This unprecedented and pioneering year-long AIDSWalk for Life educated millions about HIV/AIDS in 13 states and over300 cities, towns, and villages during the course of the year. Throughoutthe walk, PCI/India held AIDS awareness events; distributed educationalmaterials; and provided general medical care and treatment, AIDS coun-seling, testing, and referrals.

Another national level effort underway is through the BEACON Initiative,which links together Project Concern's HIV/AIDS programs around theworld. In India, local organizations are empowering high-risk groupsthroughout the country to avoid HIV infection, providing care and sup-port for HIV positive people and their families, and helping protect andimprove the well-being of highly vulnerable children. The BEACON part-nership with the Indian Network of Positive People has resulted in positivepeople's advocacy and support networks in eleven states.

Turning Point

“My happiness knew no bounds when I married Prem,” Hemasays. “We had a happy and peaceful marriage for two years anda beautiful baby girl. But suddenly my husband started falling sickand could not work.”

When Prem became so ill he could no longer swallowfood, Hema insisted he take an HIV test. The resultswere positive. Hema tested positive too, but fortu-nately, their daughter’s test was negative.“The results shattered our life anddreams,” Hema recalls. “Finally I cameto terms with reality and thanked Godfor protecting my daughter fromthe virus.”

Still, Hema felt helpless andfrustrated, having to depend onher family for everything. That’swhen a neighbor referred herto Project Concern’s home-based care program for peo-ple living with AIDS. Trainedvolunteers monitored Prem’sphysical and emotionalhealth, provided him with basicmedical care, and helped cooknutritious meals.

Because of her experience,Project Concern recruited Hema towork as a peer educator. “This hasbeen a turning point in my life.After my husband died, I overcamethe grief with support from ProjectConcern’s team and my family,”she reflects. “Today I am confi-dent and proud that I am self-reliant and wish the same formy daughter.”

Photo by Jeffrey Lamont Brown

Many of the things we need can wait.The child cannot.

Right now is the timebones are being formed, blood is being made,

senses are being developed.To the child we cannot answer "Tomorrow."

The child's name is "Today."

- adapted from a poem by Gabriela Mistral,

Nobel poet from Chile

p

latin

am

erica

overty in developing communities directly and profoundly affects the health status of its residents. For example, poverty limits people

from having access to adequate amounts of food, and the means ofbuying the agricultural products and equipment necessary to produce

their own food. Poverty results in malnutrition, the single most importantrisk factor for disease. Many people living in impoverished communitieslack access to potable water and therefore are at a greater risk of diarrhealand intestinal disease and nutritional depletion.

Transforming the health of an entire community involves employing mul-tiple interventions to address complex yet interrelated challenges such asaccess to clean water, nutritious food, health services, education, and eco-nomic opportunities.

Improving Health in Rural NicaraguaJinotega is a rural state in northern Nicaragua where residents live inextreme poverty: 38 percent of children are chronically malnourished, andless than eight percent of people have access to a water source inside theirhomes. Nearly half of all adults never attended school. And tragically,

6

Jinotega’s child mortality rate is the highest among all regions in Nicaragua.

Project Concern is addressing Jinotega’s health challenges by implementingprograms on multiple fronts. PCI/Nicaragua works to improve women andchildren’s health and nutrition and helps rural families gain ‘food security’by improving farming and sanitation practices. These integrated programsalso promote literacy, community empowerment, and gender equity.

PCI/Nicaragua has been working with small-scale farmers in Jinotega since2003 – helping them grow better crops, sell their crops for the best price,and maximize their overall productivity. One way Project Concern helpsfarmers prevent crop loss is by building grain silos for post-harvest storage,which in turn affords them more time to negotiate a fairer price at market.

Improving Nutrition and School Attendance

Jacqueline, 12 years old, lives with her mother, stepfather, and three littlebrothers in Jinotega, Nicaragua. As the oldest child, Jacqueline takes care ofher brothers when their mother is working.

Every morning, whether they had eaten or not, Jacqueline would convinceher brothers – and herself – that missing school was not an option. Manytimes they would only be able to share a tortilla between the four of them.

“My brothers would complain they were too hungry to study. I told themthey were just lazy in an effort to get them out the door each day but in myheart I knew exactly how they were feeling, because each morning I forcedmyself to overcome those same feelings to go through each day on an emptystomach.”

Life changed for the better when Project Concern started a program atJacqueline’s school that provides a school breakfast of potatoes, beans, tor-tillas, rice, and a cereal drink.

“My brothers don’t ever complain about being too hungry to study any-more and this is a great relief to me. Mymother is so much more at ease know-ing that we will always have some-thing to eat, no matter what, everymorning.”

Jacqueline does her best atschool to organize study groupsand motivate other children. “Mydream is to continue studying andbecome a doctor or a nurse so Ican continue to help othersthe way Project Concern hashelped my family andme. I want to thankProject Concernfor the schoolbreakfast pro-gram; it hastruly helpedto changeour lives.”

PCI/Nicaragua’s Center for Rural Development is an important resourcefor agriculture producers and provides a ‘living laboratory’ where they canlearn from other farmers and receive practical training in advanced agricul-tural techniques.

PCI/Nicaragua is also increasing school attendance and raising studentachievement levels in Jinotega by providing a nutritious meal every day to33,000 children and more than 900 teachers and parents. Schools partici-pating in the program are required to create a parent-teacher association,through which parents donate their time to grow and prepare food andlearn about proper nutrition. The program is also establishing school gar-dens, providing supplies and equipment, building kitchens and latrines,and ensuring that each school has clean water.

Photo by Dana Bessenecker

Photo by Dana Bessenecker

Addressing the Needs of Orphans andVulnerable Children in ZambiaAlarmed by the growing numbers of children taking to the streets inZambia, Project Concern launched Africa KidSAFE (Shelter, Advocacy,Food, and Education) in 2000 with 10 grassroots organizations in the cap-ital city of Lusaka. Linking these organizations together in a network,KidSAFE is helping to rebuild the "social safety net" that has been brokenby poverty and HIV/AIDS. KidSAFE's family tracing, foster care, andshelter services return children to safe and caring living environments, anddrop-in centers provide counseling, medical care, nutritious meals, andstructured recreation. Small business training and loans help caretakersprovide for children and keep them off the streets. KidSAFE is now beingexpanded to include other major urban centers in Zambia.

In 2003, PCI/Zambia and the KidSAFE network, with support from theWorld Food Programme, launched the first major community school feed-ing program for families and children who are affected by AIDS in urban

ub-Saharan Africa is home to over 25 million people living with HIV and more than 12 million children who have lost one or both

parents to the disease. This pandemic is devastating entire communi-ties; families are losing their income earners, many of whom leave behindpartners also infected and in need of care. As parents succumb to AIDS,children are sent to relatives or, worse, left to fend for themselves in orderto survive.

Project Concern has been responding to the HIV/AIDS crisis since theearly 1990s, providing care and support for those living with the disease,promoting prevention efforts, and offering a range of services and supportto children affected by HIV/AIDS. We also work with local partner organ-izations to strengthen their ability to deliver sustainable, effective programswithin their communities. Project Concern's respected portfolio of pro-grams targeting orphans and vulnerable children in Zambia has served as amodel to expand to other countries in Africa, starting this year with theestablishment of a new country presence in Ethiopia.

s

8

afric

aPh

oto

by J

anin

e Sc

hool

ey

Photo by Sean Carpenter

Photo by Sean Carpenter

Photo by Sean Carpenter

Zambia, and is now reaching70,000 children every day. Thesecommunity schools enable at-risk children to continue theirbasic education and eventuallyreturn to formal schools.PCI/Zambia works with theschools to meet children's dailyneeds, providing life skills,HIV/AIDS education, recre-ation, and other support services.

Expanding to EthiopiaProject Concern established itspresence in Ethiopia in 2005 andis working with local organiza-tions and schools to provide crit-ical support services to orphansand vulnerable children.

The BELONG Project (BetterEducation and Life Opportun-

ities for Vulnerable Children through Networking and OrganizationalGrowth) was so named to reflect the concept that children "belong"in supportive homes, families, and communities, as opposed to beingon the street or in institutionalized care. The project builds on successfulmodels developed by Project Concern and our partners to expandand improve services to orphans and vulnerable children through existingcommunity channels, including formal and informal schools, women'sgroups, community-based and faith-based organizations and networks,and cultural and religious bodies such as Idirs (local funeral societies)in Ethiopia.

The BELONG Project is allowing Project Concern to transfer a numberof "best practices" from its HIV/AIDS programs in other countries,including using education as a powerful tool to break the cycle of povertyand ill health. Drawing on successful experiences in Zambia, Bolivia, andNicaragua, PCI/Ethiopia will strengthen school infrastructure and thequality of education in vulnerable communities.

Noreen’s Story

"I want to do computers when I grow up."Noreen says this with complete confidence, and it's hard to doubt her abil-

ity to achieve this feat. Noreen is ten years old, an orphan who lives with her65 year-old grandmother and two twin brothers in Lusaka, Zambia. Thoughher blouse and skirt show a lot of wear and tear, Noreen keeps them as neatas she possibly can.

The children's grandmother, Finess Banda, lost her husband 20 years ago,and has buried nine of her ten children. Finess used to sell goods at a localmarket until she fell ill two years ago. LikeNoreen, you will not see a lot of despair inFiness' eyes. She can hardly stand up,but her surroundings are spotlesslyclean. Grandma Finess does notshow obvious signs that she is in direstraits, and she likes to keep it thatway.

Through PCI/Zambia's schoolfeeding program, Finess receives a110-pound donation of grain everymonth. Even when food is scarce athome, Noreen knows she and herbrothers will have a nutritious meal atschool, Monday through Friday.

Though she has to walk some twoand a half miles to and from school everyday, Noreen says she will not stop attend-ing classes because she is learningsomething that will help herfamily in the future. Herdetermination isevident in herperformance:at the end ofthe first term,Noreen wasfirst in her classof 45.

Photo by Sean Carpenter

Photo by Mary Lynn and Larry Weitzen

our w

ork

world

wid

e

10

BBOOLLIIVVIIAA ((eesstt.. 11997777))School feeding, neonatal and maternal health, sexu-

al and reproductive health, llama husbandry and com-mercialization, reforestation, Chagas disease prevention,child labor prevention, and building social capital.

EELL SSAALLVVAADDOORR ((eesstt.. 11999944))Agricultural diversification and

commercialization, clean water and sanitationsystems, wastewater disposal, disaster responseand recovery, and environmental protection.

EETTHHIIOOPPIIAA ((eesstt.. 22000055))Support to orphans and vulnerable

children, nutrition, micro-enterprise, andorganizational capacity building.

GGUUAATTEEMMAALLAA ((eesstt.. 11997744))Maternal and child health and nutrition,

reducing maternal mortality, sexual and repro-ductive health, disaster response and recovery,agricultural diversification and commercialization,and clean water and sanitation systems.

HHOONNDDUURRAASS ((eesstt.. 22000022))Agricultural diversification and com-

mercialization, clean water and sanitation sys-tems, HIV/AIDS prevention and support,and sexual and reproductive health.

MMEEXXIICCOO ((eesstt.. 11996677))Health and nutrition education, organizational

capacity building, tuberculosis prevention and control,maternal and child health, and sexual and reproductive health.

NNIICCAARRAAGGUUAA ((eesstt.. 11999911))Agricultural diversification and commer-cialization, maternal and child health,

clean water and sanitation systems, literacy,and school feeding and nutrition.

UUNNIITTEEDD SSTTAATTEESS ((eesstt.. 11996688))HIV/AIDS and tuberculosis education and prevention,

binational health care, sexual and reproductive health, andorganizational capacity building.

ZZAAMMBBIIAA ((eesstt.. 11999966))Support to orphans and vulner-

able children, HIV/AIDS care andprevention, school feeding and nutri-tion, and maternal and child health.

IInntteerrnnaattiioonnaall HHeeaaddqquuaarrtteerrss

WWaasshhiinnggttoonn,, DDCC OOffffiiccee

Results

Since April 2005, more than 100,000 children in Bolivia have been receiv-ing a warm, nutritious breakfast every day in 1,300 schools.

Project Concern's water and sanitation programs have brought clean waterand better health to an estimated 200,000 Salvadorans since 1994.

Through Project Concern’s new BELONG program, PCI/Ethiopia will reachover 15,000 orphans and vulnerable children and over 7,000 caretakers withits services.

PCI/Guatemala’s Casa Materna has provided health care services to morethan 25,000 women in Huehuetenango since 2000.

Project Concern reaches 30,000 people in Honduras with critically neededHIV/AIDS prevention, care, and support services.

More than 2.5 million people in India have received polio education andover 500,000 children have been immunized since 2002.

In Maluku, Indonesia, Project Concern helps communities construct theirown water systems, bringing clean water to 50,000 people.

PCI/Mexico is treating more than 7,000 people who have contracted tuber-culosis, preventing an estimated 100,000 new infections.

PCI/Nicaragua is providing a nutritious breakfast every morning to 33,000children and more than 900 teachers and parents.

Project Concern’s Project HEAL (Health, Education, and Action for Latinas)has provided outreach to over 700 Latina women in San Diego on issues ofsubstance abuse and mental health, and has successfully enrolled 800children into Healthy Families and MediCal insurance programs.

Project Concern is helping government health services provide vital servicesto more than 129,000 infants, children, and mothers in the isolated and verypoor northeastern region of Zambia.

IINNDDIIAA ((eesstt.. 11999977))HIV/AIDS care and prevention, at-risk street and work-

ing children, polio eradication, screening and testing of lep-rosy, clean water and sanitation systems, micro-enterprise, disas-ter response and recovery, and organizational capacity building.

IINNDDOONNEESSIIAA ((eesstt.. 11997722))Maternal and child health and nutrition,

clean water and sanitation systems,HIV/AIDS prevention, disaster response and recovery,and organizational capacity building.

our s

uppo

rters

12

SSppeecciiaall FFrriieennddssAbbey Party RentsRay Cahill - Norwood Resources Ltd.Center for Research and Social PromotionUri Chartarifsky - The Gallery on 5thContinental CateringMorgan Mallory and Brenda Dizon Victor and GeeGee Fargo - The Fargo FamilySidney E. Frank - Sidney Frank ImportingDave and Corinne HackbartSandra Hadley - Prudential California RealtyMichael Kreiss - Kreiss EnterprisesKatherine KubichanLa Jolla Country Day SchoolMinnie LaneLidia Martinez - Southwest AirlinesPhilip R. MatthewsJames and Marina McKenzieWilliam F. McKenzieKaren and Ed MercaldoAnne OttersonJohn and Gabriele OttersonMichelle Park & Marcus DeBoseCliff and Cheryl Pia

Gustavo RomeroIrwin and Florence ZahnJavier and Cecilia Zavala

$$11,,000000,,000000 && AAbboovveeCalifornia Wellness Foundation

President's Emergency Plan for AIDS Relief

(PEPFAR)

US Agency for International Development

(USAID)

US Centers for Disease Control and

Prevention (CDC)

US Department of Agriculture (USDA)

US Department of Defense HIV/AIDS

Prevention Program (DHAPP)

US Department of Health and Human

Services (DHHS) - Office of Family Planning

$$110000,,000000 -- $$11,,000000,,000000Baxter International FoundationBP Bureau LTDCalifornia Department of Health and Human ServicesThe California EndowmentCatholic Organization for Relief and Development AidCitizens Development Corporation-Glamis Gold Ltd.CORE - World VisionFamily Health InternationalFundación Cultural Quipus - Quipus Cultural

FoundationMunicipal Governments of BoliviaNorwood Resources Ltd. of CanadaPactThe Sabin Children's FoundationSan Diego County Department of Health and Human

ServicesSave the ChildrenUnited Nations World Food ProgrammeUnited Nations Development ProgrammeUnited Way of MumbaiUniversity of AlabamaW.K. Kellogg FoundationThe World BankWorld Vision International

$$5500,,000000 -- $$110000,,000000Canadian EmbassyThe Bill and Melinda Gates FoundationThe Kaiser FoundationNicasalud NetworkPHFE Management SolutionsQuipus FoundationSidney E. Frank - Sidney Frank ImportingSwiss Agency for Development and CooperationSwiss ReinsuranceThe Telluride FoundationUS-Mexico Border Health Commission

$$1100,,000000 -- $$5500,,000000Alternative Gifts InternationalAMB FoundationAdministracion Nacional de Acueductos y

Alcantrarillados - National Administration for Aqueducts and Sewers

Arun JainAttorney General Vitamin Settlement FundBarona Valley Ranch, Resort and CasinoBechtel CorporationBharat Forge Ltd.Bharti Cellular Ltd.BIOGEN IDEC Pharmaceuticals Corporation

Commemorating Sidney FrankSidney Frank (1919-2006) - business leader, golf aficionado,

renowned philanthropist - was a man who loved to give away hismoney. For a good cause, that is. Within months of selling hiscorporate interests for $2 billion, Mr. Frank had already con-tributed $170 million to such prestigious institutions as BrownUniversity, where he attended for only one year. Shortly beforehis death in January 2006, Business Weekly totaled his giving overthe past four years at $200 million. Project Concern is privileged

to be among his beneficiaries.In February, Mr. Frank hosted the inaugural Sidney Frank Shootout Golf Tournament at the Del

Mar Country Club. Professionals from various tours including the PGA, Nationwide, and TheGrey Goose Gateway competed for a sizeable purse, which was paid to the top three finishers.Guests included Ahmad Rashad, Jesse Palmer, Jonathon Kaye, Lee Elder, Craig Stadler, DennisHaysbert, Marcus Allen, and Senator Alfonse D'Amato.

The highlight of the tournament for Project Concern was a $50,000 check presentation fromSidney Frank to President and CEO George Guimaraes. Many of the golfers also made contribu-tions. Such generosity helps Project Concern do what it does best - work in disadvantaged com-munities around the world to bring health and hope to families in need.

Boeing International Corporation IndiaByrne Charitable TrustThe Capdevilla Gillespie FoundationCorporacion Andina de FomentoJohn and Marcia CohenJohn and Kathy CollinsThe Michael & Susan Dell FoundationThe Fitzmyers Family Fund at The San Francisco

FoundationGem FoundationGeneral Electric (India)Grey Global Group HDFC Bank IndiaHoneywell International (India) Pvt. Ltd.Inter-Cooperation Foundation of SwitzerlandLa Jolla Country Day SchoolMinnie Lane - The B.B. and Minnie Lane

FoundationJessica LudwigKaren and Ed MercaldoMercy CorpsThe Ministry of Health in GuatemalaThe Moriah FundThe Parker FoundationPrograma de Coordinacion en Salud IntegralLarry and Jan PrittsPublic Health Foundation EnterpriseRailway Children UKReliance Industries Ltd.San Diego National BankSempra EnergyThe SODIS FoundationThe Starbucks FoundationThe Robin Stark Charitable Fund at Amar Infinity

FoundationState Health Department of Baja CaliforniaTATA Sonds Ltd.Transport IndustriesUnion Bank of CaliforniaUniversity of ArizonaWarburg PincusWater for PeopleLawrence and Mary Lynn WeitzenWomen's Foundation of California

$$55,,000000 -- $$1100,,000000Karl A. Achterkirchen Bushrod H. Campbell and Adah F. Hall Charity FundCarbon Family Foundation, Inc.Richard and Lisa CarterChugai Pharma USA, LLCJanie DeCelles, Hattie Ettinger Conservation Fund at

The San Diego Foundation

Doctors Signature Sales and Marketing International Corp.

Lee R. EinsidlerGenencor InternationalGeorge and Mary Beth GuimaraesRobert and Geraldine HillmanRobert HulterJohn HopkinsChristian J. McClureDr. William and Janie McQuinnJames and Marina McKenzieNational UniversityNeeley Family Fund at The San Diego FoundationDiana NewhouseOrient FansNancy and Robert PlaxicoMr. and Mrs. Edward J. SandersonCharles See FoundationRichard and Margeretha SheppardSheppard, Mullin, Richter and Hampton LLPSiemens Ltd.

Sociedad Mexicana Pro-Derechos De La Mujer - Mexican Society for the Rights of Women

Barbara and Thomas SteerDorothy StubbendieckWhiting Arnold FoundationIrwin and Florence Zahn

$$11,,000000 -- $$55,,000000Action Against HungerAIDS Prevention & Control SocietyAIDS Health Care Foundation American International Group Inc.Amici Design Inc.Apollo Tyres Ltd.A.P. SACSGale AshleighBahram Askari and Sylvia Lepe-AskariAsset Escrow Services, Inc.BAE Systems Mission Solutions Inc.Bajaj Auto Ltd.Ballarpur Industries Ltd.

our supporters

13

Thanking Sandi Hadley"People have fun at the Races. We're giving them the chance

to help children in need at the same time." For the fourth year in a row, Sandi Hadley generously dedicat-

ed her enthusiasm and energy to organize 'A Day At the Races' atthe Del Mar Thoroughbred Club. The 2005 event raised animpressive $30,000 for Project Concern's lifesaving work withchildren and families.

"Food and medical care are things we take for granted in theUS. But when you've had a chance to travel and see how other people live, you get a real educa-tion. My heart goes out especially to children who can't go to school or get enough to eat."

Sandi's flair for marketing has made 'A Day at the Races' a huge success. The 2005 event, withmore than 500 people in attendance, set a record for the venue. And by pairing the benefit withher own client appreciation day, Sandi's real estate customers get a chance to learn about ProjectConcern. Such ingenuity has earned Sandi accolades for her charitable work and for being a topreal estate agent in San Diego.

Already thinking ahead, Sandi has big plans for the 2006 event. "We're at capacity in terms ofattendance, but we want to grow the event through larger sponsorships," she says. "I am fortunate.This is my opportunity to give back."

Sandi Hadley's invaluable efforts are proof that one person truly can make a difference in thelives of many.

Henry and Trisha BarayMilon and Cindy Bennett - Ginseng Yoga and

BodyworkRobert and Darcy Bingham Fund at The San Diego

FoundationBIOCOMBlue Cross of CaliforniaJohn and Maria BorbaGlenda BoyerBP India Services Pvt. Ltd.Brown UniversityBrown, Thomas & Co., LLCConrad and Christa Burke Fund at The San Diego

FoundationBurnham Real Estate ServicesCalifornia Bank and TrustJohn CarlsonThe Casey Family Fund at the Scudder Charitable

FoundationPenny CaugheyChildren's Charities of AmericaMary Ann CombsJulie A. CrockfordCrompton GreavesRichard and Nancy CrosbyCubic CorporationD B Motels, Inc.Janice DaleyLara D'annaOzstar and Lena De JourdayDel Dios Middle SchoolDann and Phoebe DeMund - DeMund Family Private

FoundationDistrict Reproductive Child Health Samiti - UdaipurWalt DittmerMorgan Mallory and Brenda DizonDLF GroupCarol DouglasDriver Alliant Insurance ServicesDr. Seuss Fund at The San Diego FoundationAndrew DutcherGerd and Iris EcksteinDr. Clara EderEdwards & Angell, LLPJeanne EgasseEnergy Communications CorporationDr. K.A. and Heidi ErdmannErnst & Young Ltd.Sharon EusterJohn and Jane EwingMolly FairbanksRichard and Dorothy FalkHerbert and Marylou FarisMike and Miriam Ferris

Finney Elementary SchoolLinda D. FoxFirst BankElliot and Diane FeuersteinAnn and Mark FulcherLarry and Patty FultonAnna GarciaGeorge Gates and Barbara BasheinDavid GeorgeThe Ann Parode Fund at The Girard FoundationThe Carole and Howard Goldfeder Fund at The San

Diego FoundationVincent and Sandy GomezPeter GoveDave and Corinne HackbartSandra Hadley and James Van de WaterDr. Carlyn HaldeThe Hale FoundationAimee L. HalfpennyHancock, Rothert and Bunshoft LLPGeorge HauerSusan A. HawkenJack and Grace HawkesHelen G. HaynesBeth A. HeineckeChristopher A. HerreraDr. Joseph and Dottie HighlandHighland-Mills FoundationDr. Susanna M. HoffmanHopkinton High School Hindustan Lever Ltd.Robert and Rebecca HorowitzJoseph A. HouseholderGeorge S. HowardHSBCDaniel and Sharon HuffmanReynold HungStephen L. HutsonICICI Bank Ltd.IFX International, Inc.International Finance CorporationInternational Packaging Products Ltd.InterWrap, Inc.Intuit FoundationInvitrogen Life TechnologiesDavid W. JacksonJenny Craig, Inc.Jet AirwaysJohnny Seafood Co., Inc.John E. Johns, Jr.Jubilant Organosys Ltd.Dr. Mark and Elizabeth KalishKarnataka State AIDS Prevention SocietyTena and J. Hayes Kavanagh

Cynthia KeesanHarris & Eliza Kempner FundKenowa Hills High SchoolDr. William and Ann KohlDr. Mark and Teri KohnKPMGAlice LacyPaul and Susan LancasterLandmark National BankLarsen & Toubro Ltd.Kevin LeapMary Susan LeeLehman BrothersCarl and Beth Longley Jr.Dr. John and Teresa LyonsFred M. MahanMahindra & Mahindra Ltd.June MalaskyMaple Grove Jr.-Sr. High SchoolMichael and Rennie MarquezCraig and Susan McClellanStephen and Mariana McCueElizabeth McDanielJoe McGaha - Blues Benefit SeriesDon McGrathDave and Margie McGuiganWilliam H. and M. H. McKenzieMetal Supermarkets CorporationMind Tree Consulting Pvt. Ltd.Steve and Randi MooreJoseph and Rosemarie MorsePaul and Wanda MosherMoss Adams LLPMotorola India Pvt. Ltd.Mukand Ltd.Anna MunchMuse Family FoundationDavid and Beth NelsonGregory and Jenny Lee NesbittNetwork of Indian ProfessionalsJoan B. NorrisRay NoxselCarl and Gayle NufferMark and Rossana O'DonnellStephen OliverAnne OttersonJohn and Gabriele OttersonOverland Data Inc.Howard OxleyJoe and Karin PanettaParadise Valley HospitalJefferson ParkerJeff and Carol PeaceMichael Perry

our s

uppo

rters

14

our supporters

15

Scott Peters and Lynn GorguzePfizer, Inc.Pillsbury Winthrop LLCIgor PolonskyPune Municipal CorporationRajasthan State AIDS Control SocietyRamona High SchoolDr. Alex and Susan RavnikLaurie Frances ReidSatyam Computer ServiceNeal and Margaret SchmaleJohn and Marguerite SchoonhovenKen and Pam SharpeStewart and Victoria ShawBill and Maxine ShearerKaren ShermanTimothy and Cynthia ShortridgeRyan SimsDonald SlateDouglas and Nora SmithDr. Ron and Sharyl SolarSquare and Circle Club of San FranciscoSt. John's Lutheran ChurchSt. Peter's Episcopal ChurchDennis StangerBecky F. SteadDr. Karl SteinbergKevin and Connie SuttonAlleyne TanhamTANSACSTed and Michele TarbetPhil and Gayle TauberTazo Tea CompanyJames TempleE. B. ThompsonTOSA FoundationBill TrumpfellerMichael TurnerDr. James (PCI Founder) and Wrenn TurpinKaren TurpinChris Twomey and Rebecca SilversUniversal Shipping Co., Inc.Barbara Burgess-Van Aken and Bill Van AkenGary and Barbara VandeweghePriti Vardhari TikkuRichard and Jeanne WaiteJim Waitzman Jr.Robert and Maggie WatkinsCharles K. WatsonWeingart-Price Fund at The San Diego FoundationW. Rockwell WirtzBert and Jennefer YoungZenith Insurance Company

Recognizing Corporate PartnersBy engaging corporate partners in its global efforts, Project Concern is able to maximize the

reach and impact of its lifesaving programs - and address problems more effectively than any onegroup can on its own. Project Concern salutes Norwood Resources and BP for their outstandingcontributions in 2005.

Norwood Resources“We were impressed with Project Concern’s expertise and understanding of community chal-

lenges within the boundaries of our oil and gas concession in Nicaragua,” says Ray Cahill,President and CEO of Norwood Resources. “Norwood was particularly impressed with ProjectConcern’s self-empowerment approach. A lot of the work required to improve community livingis conducted by the people who are directly affected.”

Project Concern and Norwood Resources joined forces in 2005 to begin assisting more than8,000 people in Nicaragua. An integrated package of health care, education, and water and sani-tation is helping people live healthier, more productive lives.

“With the advantage of Project Concern's invaluable local knowledge and understanding of theproblems and needs facing these communities, we have been able to jump start this program andhave an immediate and visible impact on the lives ofthe people involved, particularly the children, whoare the future hope of Nicaragua.”

BP“Health conditions in Papua are particularly

dire,” says Dr. Tony McMullen, Health Advisor forthe Tangguh Community Health Unit, BPIndonesia. “Many women die during pregnancy andchildbirth, and infant survival rates are astonishing-ly low.”

Wanting to improve community health servicesin this remote area of Indonesia, BP asked ProjectConcern for help. Now, with BP’s assistance, ProjectConcern is building on decades of experience in thecountry – providing lifesaving care in isolated areaswhere needs are great.

“BP is pleased to be working with Project Concern. We’re bringing hope for a more promisingfuture to women, children, and their families, and developing a partnership model for communi-ty health that can be replicated elsewhere.”

Photo by Dana Bessenecker

2004

$ 16,288,058

1,475,095

190,068

23,194

17,976,415

2,949,468

3,658,904

6,608,372

24,584,787

21,515,917

2,724,309

228,672

54,804

24,523,702

$ 1,987,874

finan

cials

16

SUPPORT AND REVENUE

Cash Support

Government

Contributions

Other

Investment Income

Non-Cash Support

Agricultural Commodities

Contributions, In-Kind

Total Support and Revenue

EXPENSES

Program Services

Supporting Services

Management and General

Fundraising

Public Education

Total Expenses

NET ASSETS

Net Assets, End of Period

2005

$ 17,502,353

6,571,842

185,312

92,812

24,352,319

5,421,257

6,003,803

11,425,060

35,777,379

31,301,065

3,508,072

264,139

112,045

35,185,321

$ 2,579,932

STATEMENT OF ACTIVITIESYears Ended September 2005 and 2004 Resource Allocation (Fiscal Year 2005)

Sources of Revenue (Fiscal Year 2005)

Agricultural commodities

15%

Contributions - in-kind 17%

Contributions - cash 18%

Other1%

Government49%

Program Services89%

Fundraising & PublicEducation

1%Management& General

10%

our leadership

BBOOAARRDD OOFF DDIIRREECCTTOORRSS

JJoohhnn DD.. CCoolllliinnss,, EEssqq.. ((CChhaaiirr))Partner - Sheppard, Mullin, Richter & Hampton LLPDel Mar, California

JJuuddiitthh AA.. EEttttiinnggeerr ((MMaannaaggiinngg DDiirreeccttoorr))Brown, Thomas & Company LLCWaterford, Michigan

EEnnrriiqquuee ““HHeennrryy”” BBaarraayy,, JJ..DD..CEO & Managing Principal - BGV StrategiesEl Paso, Texas

RRiicchhaarrdd EE.. CCaarrtteerrVice President of Administration & Business -National UniversitySan Diego, California

RRuutthh MM.. CCoovveellll,, MM..DD..Associate Dean - UCSD School of MedicineLa Jolla, CA

AAmmbbaassssaaddoorr JJeeffffrreeyy DDaavviiddoowwPresident - Institute of the AmericasLa Jolla, CA

SSuussaannnnaa MM.. HHooffffmmaann,, PPhh..DD..Anthropologist & AuthorTelluride, Colorado

RRoobbeerrtt BB.. HHoorrssmmaannPresident & CEO - San Diego National BankSan Diego, California

KKeevviinn LLeeaappPublisher - Modern Luxury, Inc.Los Angeles, California

DDaavviidd MM.. MMccGGuuiiggaannPresident - Sports Development Corporation HoldingsDel Mar, California

WWiilllliiaamm CC.. MMccQQuuiinnnn,, MM..DD..Chairman - McQuinn Realty, Inc.Jackson, Mississippi

KKaarreenn MMeerrccaallddooDirector - Gem FoundationDel Mar, California

DDaavviidd JJ.. OO’’BBrriieennManaging Director - TWAssociates Capital, Inc.Jamul, California

CChheerryyll PPiiaaVice President/Partner - Millennium Creative Group, Inc.Carlsbad, California

NNaannccyy PPllaaxxiiccooVice President - American HealthwaysSan Diego, California

JJuulliiee HH.. SSuulllliivvaann,, PPhh..DD..Provost & Vice President for Academic Affairs -University of San DiegoLa Jolla, California

TTeedd TTaarrbbeettPhilanthropist & Financial AdvisorRancho Santa Fe, California

MMaaggggiiee TT.. WWaattkkiinnssVice President of Advancement & Alumni Relations -National UniversityAlpine, California

LLaawwrreennccee AA.. WWeeiittzzeennFirst Vice President - Driver Alliant Insurance ServicesDel Mar, California

MMaarrsshhaallll WWhhiittiinngg,, PPhh..DD..Clinical PsychologistTelluride, Colorado

BBeerrtt BB.. YYoouunnggChief Financial Officer - The SCO GroupBountiful, Utah

GGLLOOBBAALL LLEEAADDEERRSSHHIIPP TTEEAAMM

GGeeoorrggee GGuuiimmaarraaeessPresident & CEO

GGeeoorrggee GGaatteessVice President for Finance & Administration

DDaavviidd GGeeoorrggeeVice President for Marketing & Development

MMaarrkk OO’’DDoonnnneellllVice President for Program Operations

JJaanniinnee SScchhoooolleeyy,, MM..PP..HH..Vice President for Technical Services& Program Development

SSuussaann SStteeeellee BBeerrssoonn,, MM..AA..Director of Human Resources & OrganizationalDevelopment

JJoossee MMuurrgguuiiaaCountry Director, PCI/Bolivia

KKuurrtt HHeennnnee,, MM..PP..HH..Regional & Country Director, PCI/Ethiopia

JJoohhnn MMccPPhhaaiill,, MM..SScc..Regional Director, PCI/Central America

PPaassccaallee WWaaggnneerrCountry Director, PCI/Guatemala

IIrrmmaa MMeennddoozzaa,, MM..DD..,, PPhh..DD..,, MM..PP..HH..Country Representative, PCI/Honduras

HHeennrryy AAllddeerrffeerr,, PPhh..DD..Country Director, PCI/India

GGlleennnn GGiibbnneeyy,, MM..SScc..Country Director, PCI/Indonesia

LLeeoonneell AArrgguueelllloo,, MM..DD..,, MM..PP..HH..Country Director, PCI/Nicaragua

BBllaannccaa LLoommeellii,, MM..DD..Regional Director, PCI/US and Mexico

TToomm VVeennttiimmiigglliiaa,, MM..PP..HH..Country Director, PCI/Zambia

Photo by Mary Lynn & Larry Weitzen

International Headquarters5151 Murphy Canyon Road, Suite 320 ❘ San Diego, CA 92123

ph: (858) 279-9690 ❘ fax: (858) 694-0294

Washington, DC Office1140 Connecticut Ave, Suite 500 ❘ Washington, DC 20036

ph: (202) 223-0088 ❘ fax: (202) 296-2888

www.ProjectConcern.org

Turn Your Concern into Action

In 1961, a young doctor from San Diego volunteering at a Tijuana clinic saved the livesof two small children who were dying of pneumonia. This experience led Dr. JimTurpin to found Project Concern International and forever change the lives of millionsof children and families around the world by providing health and hope to those mostin need.

Since then, the focus of the organization has remained true to its founder: ProjectConcern works in vulnerable communities to improve health and create long-termchange by helping people help themselves. For over 44 years, thousands of dedicatedindividuals and groups have worked to make this vision a reality. Won't you join us?

Learn about the many ways you can support our lifesaving work by visiting our websiteat www.ProjectConcern.org. One person can make a lasting difference…one child, onefamily, one community at a time.