Annual Report FY12 GLOBAL STRATEGIES FOR HIV PREVENTION

Annual Report FY12 GLOBAL STRATEGIES FOR HIV PREVENTION

A REMARKABLE YEAR A R e m a r k a b l e Y e a r A r e m a r k a b l e y e a r m i g h t s e e m u n e x p e c t e d g i v e n t h e f a c t t h a t w e w o r k i n t h r e e o f t h e p o o r e s t c o u n t r i e s i n t h e w o r l d D e m o c r a t i c R e p u b l i c o f t h e C o n g o ( D R C ), L i b e r i a a n d Z i m b a b w e. Y e t, i n F i s c a l Y e a r 1 2 ( F Y 1 2 ) o u r p r o g r a m s e x p a n d e d a l l o w i n g u s t o r e a c h e v e n m o r e p e o p l e i n n e e d. P r o g r e s s i s d u e t o o u r f a i t h f u l a n d g e n e r o u s d o n o r s, o u r l o c a l i m p l e m e n t i n g p a r t n e r s w h o o v e r c o m e o b s t a c l e s w i t h g r e a t c o u r a g e, a n d o u r o r g a n i z a t i o n a l f o c u s o n u s i n g s i m p l e s o l u t i o n s t o s e e m i n g l y c o m p l e x p r o b l e m s. H i g h l i g h t s I n t h e N o r t h K i v u P r o v i n c e o f D R C, w e w e r e p r i v i l e g e d t o s u p p o r t D r. J o s h B r e s s, a n A m e r i c a n p e d i a t r i c i a n t r a i n e d a t t h e U n i v e r s i t y o f C a l i f o r n i a S a n F r a n c i s c o M e d i c a l C e n t e r, i n h i s y e a r s p e n t w o r k i n g w i t h t h e H I V p r e v e n t i o n a n d c a r e t e a m a t H E A L A f r i c a. T h i s p l a c e m e n t o c c u r r e d i n p a r t n e r s h i p w i t h t h e I n t e r n a t i o n a l P e d i a t r i c O u t r e a c h P r o j e c t. I n a d d i t i o n t o i m p l e m e n t i n g e d u c a t i o n a n d t r a i n i n g t o r e d u c e i n f a n t m o r t a l i t y, h e s u p p o r t e d D r. W i l l i a m B o n a n e a n d D r. V i n d u M w a n a w e k a a s t h e y m e r g e d t h e p e d i a t r i c a n d p e r i n a t a l H I V p r o g r a m s t o i m p r o v e p a t i e n t c a r e a n d f o l l o w - u p. A m o n g m a n y a c t i v i t i e s i n t h e S o u t h K i v u P r o v i n c e o f D R C, w e s o u g h t t o e x p a n d o u r r e a c h i n t o p o s t - e x p o s u r e p r o p h y l a x i s f o r v i c t i m s o f s e x u a l v i o l e n c e. I t w a s c h a l l e n g i n g a n d a p r o t r a c t e d p r o c e s s t o a c q u i r e g o v e r n m e n t a p p r o v a l, b u t o u r p e r s i s t e n c e w a s r e w a r d e d. W e n o w h a v e n a t i o n a l a p p r o v a l t o m o v e f o r w a r d i n F Y 1 3 t o p r o v i d e l i f e - s a v i n g p r e v e n t i v e t h e r a p y t o t h o u s a n d s o f v i c t i m s i n S o u t h K i v u. A f t e r e i g h t y e a r s o f H I V s e r v i c e d e l i v e r y i n L i b e r i a, w e a c k n o w l e d g e d a n o r g a n i z a t i o n a l b e n c h m a r k o f s u c c e s s t h a t w e h a d p r e v i o u s l y a c h i e v e d i n t h e D o m i n i c a n R e p u b l i c a n d N i g e r i a : t h e L i b e r i a n N a t i o n a l H I V p r o g r a m i s n o w c u r r e n t l y m a n a g e d b y t h e g o v e r n m e n t w i t h l o n g - t e r m f u n d i n g p r o v i d e d b y l a r g e i n t e r n a t i o n a l o r g a n i z a t i o n s s o w e n o l o n g e r n e e d t o f o c u s i n t h a t a r e a. W e a r e p l a n n i n g o u r n e x t s t e p s, p o s s i b l y w o r k i n g i n r u r a l L i b e r i a w h e r e i n a d e q u a c i e s i n h e a l t h c a r e a n d H I V e d u c a t i o n p e r s i s t. L o o k i n g F o r w a r d A s t h e l a n d s c a p e o f H I V i n f e c t i o n c o n t i n u e s t o s h i f t, s o t o o m u s t o u r a v e n u e s f o r a d d r e s s i n g o n e o f o u r w o r l d s m o s t i n v a s i v e a n d d e v a s t a t i n g e p i d e m i c s. W e a n t i c i p a t e t h a t t h e c o m i n g y e a r w i l l b r i n g n e w o p p o r t u n i t i e s t o a u g m e n t o u r e x i s t i n g H I V s e r v i c e s s u c h a s i m p l e m e n t i n g a d d i t i o n a l e s s e n t i a l c o m p o n e n t s o f m a t e r n a l a n d c h i l d h e a l t h. W e a i m t o b e s m a r t e r t h a n t h e v i r u s w h i c h h a s i n s p i r e d o u r w o r k, a n d i n s o d o i n g, w i l l b e c o m e s t r o n g e r a n d m o r e a b l e t o e x t e n d o u r r e a c h t o w o m e n a n d c h i l d r e n i n t h e m o s t r e s o u r c e p o o r a r e a s a r o u n d t h e w o r l d. W e d e e p l y v a l u e y o u r c o m p a s s i o n a t e s u p p o r t a n d l o o k f o r w a r d t o a n o t h e r y e a r o f t o g e t h e r s a v i n g l i v e s i n t h e m o s t c h a l l e n g i n g a r e a s o f t h e w o r l d. S i n c e r e l y, A r t h u r J. A m m a n n, MD P r e s i d e n t B i l l C l a r k C h a i r m a n o f t h e B o a r d 2

PREVENTION & CARE Fo c u ses o n HIV p r evention, d iagnosis, a n d m edical t r eatment. EDUCATION & TRAINING Fo c u ses o n training for m id-level h ealthcare workers, o r g a n izational c a p a c ity - b u ilding a n d skill d evelopment, to f a c ilitate sustainable p ro g r ess. PUBLIC ISSUE ADVOCACY Wa s c r eated in spring 2 01 2 to amplify t h e vo ices a n d needs o f t h o se we ser ve. I n J u ly 2 01 2 we launched o u r fir st c a m p a ign, T R E AT A L L, to u r g e t h e Wo r ld H ealth Organizatio n to c h a n g e t h eir H I V t r eatment g u idelines to be c o n sistent w ith t h e US Health a n d H u m a n Ser vices g u idelines. L earn m o r e a t w w w. t r ea t a ll. o rg. FY12 PROGRAM EXPENSE ALLOCATION PUBLIC ISSUE ADVOCACY 2% PROGRAM SUPPORT 15% MONITORING & EVALUATION 5% P R O G R A EDUCATION & TRAINING 24% PREVENTION & CARE 55% M S 3

DEMOCRATIC REPUBLIC OF THE CONGO NORTH KIVU PROVINCE T h e H I V Pro g r a m b a sed at HEAL A f r ica H o s p ital u s es a f a m ily m o d el o f h ealthcare led by indigenous n u r ses a n d p hysicians. The p ro ject c o n sists o f 1 8 r u r a l a n d urban p r enatal clinics ser ving 1 3,769 women a n d a p ediatric c linic w h ich p rovides c o m p r ehensive h ealthcare for 7 0 0 H I V a f fected c h ildren. I n a breakthro u g h p ro ject, staf f a n d c o m m u n ity workers were equipped to p rovide n u t r itional supplements a n d m edical c a r e to stabilize severely m a lnourished c h ildren. T h is was m a d e p o ssible by b ecoming a UNICEF n u t r itional d istribution c enter. Juliet is graduating from high school and plans on becoming a journalist. She understands that she has HIV, how it is transmitted and the importance of taking her medications. She is not only surviving with HIV, she is able to pursue her goals. Juliet now has a hopeful future T h is year, a teen suppor t pro g r a m was established to c o u n sel yo u t h a f ter learning t h eir H I V status and improve a d h erence to their m edication. T h e p a t ient r ecord a n d d a t a m a n a g ement system was refined improving a c c ess to patient information to g u ide m edical t r eatment. T h is year staf f b egan u sing simple c ell p h o n es linked to a c entralized m a n a g ement system to update t h eir sto c k of p h a r m a c eutic al supplies ensuring c o n t inual supply o f c r itical m edications. Josh Bress, MD Medical Director, Global Strategies for HIV Prevention Dr. Vindu with a patient, caregiver, and a nurse 4

DEMOCRATIC REPUBLIC OF THE CONGO SOUTH KIVU PROVINCE Our fir st year s p ro g r a m focus w ith S o u t h Kivu par t n ers C a t h o lic Diocesan Of fice for M edical Wo r k (BDOM), Pentecostal C h u r c h es in Africa ( C E L PA ), a n d S to p A I DS (HALT SIDA ) h a s been o n HIV testing a s the fir st step in diagnosing t h o se w h o n eed t r eatment a n d reducing t h e risk o f spreading H I V. Fo r t h o se testing n egative, testing b egins t h e educational p ro c ess of r educing t h e r isk of infection. Our three implementing p a r t n ers made impressive strides w ith testing, h ealthcare worker t r a ining a n d c o m m u n ity education. HIV Counseling & Testing 55,156 pregnant women Q: How did you feel when you received your test results? A: I was happy, but with a little doubt because I was not sure to be negative comparing to the high risk I have experienced in the past. I went back a second time to get tested again to be reassured. Q: How is this program useful to you? A: I learned about HIV, how to protect myself and others. It is a good program, especially because it does not discriminate against some categories of youth in the community. Victoria Age 19 and HIV Negative 3,383 urban youth Sexuality Training 17,928 urban youth Prenatal Clinic Patients I was informed about my HIV status during my prenatal consultations and was educated in detail concerning what I have to do in order to prevent my baby from HIV transmission. My baby is well. I hope he will be HIV negative when tested at 18 months. Marie Age 25 and HIV Positive HIV testing at HALT SIDA 5

LIBERIA & ZIMBABWE In LIBERIA, a t St. J o seph s C a t h o lic H o spital we c o n d u c ted t wo ex t r a o r d in a r y workshops w ith t h e suppor t o f Dr. Mark C o r d en, a n A m erican p ediatricia n. H is ef forts f a c ilit a ted o p p o r t u n ities for L iberian n a t ionals to take c h a r g e o f t h e c u r r iculum, c o n d u c t t r a ining sessions a n d p a r t icipate in c o m p u ter - based learning. T h is t a r g eted workshop for 79 L iberians, r epresenting over 2 0 d if ferent o r g a n izations u t ilized d igital t r a ining m o d u les to teach c linical staging to healthcare workers. These m o d u les were pro d u c ed by o u r p a r t n er, T h e C enter for H I V I n formatio n ( C H I ), a t the University o f C a lifornia S a n Fr a n c isco. T h e workshops u sed the train - the-trainer m o d el a n d p rovided h a n d s - o n learning o p p o r t u n ities. Liberian Workshop Participants Two-thirds of people affected by AIDS in Africa live in rural areas. 95% don t know their HIV status. -Kel Sheppey Wild4life In ZIMBABWE, in t h is fir st year o f o u r pro ject w ith W ild4life a n d t h e Painted Dog Conser va t ion we f a c ilit a ted M inistr y o f H ealth a c c r editation o f four r u r a l c linics. N ow t h ese c linics a r e c o n n ected to t h e g overnment s d r u g supply c h a in a n d d ispensing m edications to p a t ients f r ee o f c h a r g e. T h is a c h ievement is a sustainable investment in t h e region led by indigenous leadership. B y leveraging ex isting infrastructure a n d social t ies, we enabled H I V t r eatment a n d p r evention w ith c o n t inuity a n d fostered c o st - ef fective a n d long - lasting c h a n g e. Rural Zimbabwean Clinic 6

FINANCIAL OVERVIEW S E P T E M B E R 1, 2 0 1 1 T O A U G U S T 3 1, 2 0 1 2 Year Ended August 31, Statement of Financial Position 2012 Assets Cash and Equivalents 102,644 Contributions Receivable 16,800 Other Assets 2,025 Investments 2,830,521 Total Assets $2,951,990 Liabilities Accounts Payable 1,173 Other Liabilities 2,212 Total Liabilities $ 3,384 Net Assets Unrestricted 595,410 Temporarily Restricted 2,353,195 Total Net Assets 2,948,605 Total Liabilities and Net Assets $2,951,990 Year Ended August 31, Statement of Activities 2012 Revenue and Other Support Contributions 168,824 Grants 153,441 Other Income 20,210 Total Revenues and Other Support $ 342,475 Expenses Program Services 933,152 Fundraising 80,030 Administration 161,007 Total Expenses* $1,174,189 Change in Net Assets Net Assets, Beginning of Year 3,780,320 Unrestricted Net Assets -80,855 Temporarily Restricted Net Assets -750,860 Net Assets, End of Year $2,948,605 *$704,112 attributed to a 4-year 2010 grant from the Google Inc. Charitable Giving Fund of Tides Foundation. For more information visit: http://globalstrategies.org/aboutus.html FY12 INCOME $342,475 Grants 45% Contributions 49% FY12 EXPENSES* $1,174,189 Program 79% Administration 14% Fundraising 7% Other Income 6% 7

OUR THANKS goes to our many supporters and contributors helping us save lives and alleviate the suffering of women and children around the world. Your support makes this work possible. G O O G L E S E R V E 2 0 P a r t i c i p a n t s L e s l e e B u d g e S u s a C o f f e y, M D K a t h y D r a k e S k y l a r D r a k e B a r b a r a E i s e m a n n & S t u d e n t s K i m F a r n h a m A n t h o n y F i s c h e r VOLUNTEERS R a c h a e l F i s c h e r N i c o l e J a r a m i l l o L o r e n J o n e s K a t h e r i n e K r a m e r P a t r i c i a L o h r d i n g J u a n i t a R a m i r e z A r t h u r S c h r o e p f e r S h e l l y Z u m s t e g SUPPORT PARTNERS A f r i c a E d u c a t i o n I n i t i a t i v e B a y s i d e C h u r c h C h r i s t P r e s b y t e r i a n C h u r c h F i r s t P r e s b y t e r i a n C h u r c h o f B e r k e l e y F i r s t P r e s b y t e r i a n C h u r c h, B o u l d e r F r i e d l a n d F o u n d a t i o n J e w i s h C o m m u n i t y E n d o w m e n t F u n d L o s A l t o s R o t a r y A I D S P r o j e c t M e n n o n i t e C e n t r a l C o m m i t t e e R o b e r t J a m e s F r a s c i n o A I D S F o u n d a t i o n R o t a r y I n t e r n a t i o n a l S e e Y o u r I m p a c t T h e G i l e a d F o u n d a t i o n BOARD OF DIRECTORS A r t h u r J. A m m a n n, M D W i l l i a m C l a r k, M D i v Anne-Marie D u l i e g e, M D K e r r y G o u g h, J D E d M i d d e n d o r f H a y n e s S h e p p a r d, P h D P a u l T s h i h a m b a, M D i v ADVISORY BOARD D a v i d H o, M D G r a c e J o h n S t e w a r t, M D G i v a n o K a s h e m w a, MD R i c h a r d M a r l i n k, M D E d d i e P e r e z, M D D a n i e l R o b b i n s, M D N M S a m u e l, P h D T H A N K Y O U w w w. g l o b a l s t r a t e g i e s. o r g 415-451- 1 8 1 4 i n f o @ g l o b a l s t r a t e g i e s. o r g