2003 Winter Newsletter

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Healthy people. Better world. A CHILD SLEEPS AT MUANG SING HOSPITAL IN LAOS • BRYAN WATT WWW.DIRECTRELIEF.ORG Paid Advertising Insert

Transcript of 2003 Winter Newsletter

Page 1: 2003 Winter Newsletter

Healthy people. Better world.

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Direct Relief Featured in National Ad Campaign Direct Relief is featured in a national advertising campaign that hasappeared in TIME Magazine, The Economist, and Scientific American. Thefull-page advertisement, paid for by BD (Becton, Dickinson andCompany) of New Jersey, highlights the company’s partnership with DirectRelief to bring medical aid to people in countries afflicted by poverty ornatural disaster.

Edward Ludwig, the President and CEO of BD, in a letter to our organizationwrote, “In these uncertain times, it is as important as ever to honor the needsof all people around the world, and remember that each of us can play a partin improving the quality of life … Thanks to the work of Direct Relief, a significant difference is being made in the wake of disasters throughout theworld where otherwise there would be little hope.”

Direct Relief is honored by BD’s decision to highlight its longstanding part-nership in its national “Trust Partners” ad campaign. To read more on BD’s“Trusted Partners” campaign, visit the company’s website: www.bd.com.

Highlights through October 31, 2003

Top Ranked in Efficiency, Accountability, and Leadership by:

Cash received $1,832,947

Wholesale value of medical product received $72,370,396

Leverage ratio YTD (wholesale value of aid for each dollar received) $39

Average monthly cost to operate Direct Relief $200,000

Number of employees 29

Decrease in staff (from October 1999 to October 2003) 3%

Increase in productivity (percent increase in value of aid provided Jan 1999 – Oct 2003) 51%

STRICT BOARD OVERSIGHT AND GOVERNANCE: Direct Relief's operationsare conducted in conformance with an annual operating budget that is vetted andapproved by its 30-member Board of Directors, which includes several former orcurrent CEOs/COOs and top executives of leading U.S. and international companies, five MBAs from schools including Harvard and Stanford, executiveswith over 130 collective years in the investment business, and three accomplishedattorneys. All Board members are unpaid and sign conflict-of-interest agreements.

ADHERENCE TO NATIONWIDE STANDARDS: Direct Relief is registeredwith the appropriate authority in each U.S. state that requires a registration forsoliciting support or conducting operations (currently 35). We believe this isimportant as people increasingly research organizations on the web and makeonline charitable donations.

ACCOUNTABILITY: Direct Relief International meets the Better BusinessBureau (BBB) Wise Giving Alliance’s Standards for Charity Accountability. TheAlliance reports on national charities and determines if they meet voluntarystandards on matters such as charity finances, appeals, and governance. Formore information, visit www.give.org.

INDEPENDENT AUDIT: The Executive and Finance Committees of theBoard meet monthly to review financial activities, investments, and overallagency practices. The Executive and Finance Committees retain and meetwith an independent public accounting firm that conducts the annual auditand consults with the auditor, independent of any staff including the CEO andController, to discuss findings. Direct Relief’s Controller is a Certified PublicAccountant with over 15 years of professional experience, including significantnonprofit accounting and financial-management experience.

STAFF COMPENSATION: The compensation of all Direct Relief staff mem-bers is benchmarked each year against a survey of nonprofit compensation lev-els throughout Southern California and information from the Bureau of LaborStatistics. All staff salaries, including that of the CEO, are consistent withthose of the regional nonprofit sector for similar positions.

LEADER IN EFFICIENCY AMONG ALL U.S. NONPROFITS: TheNovember/December issue of Consumers Digest ranks "Program SpendingEfficiency" of Leading U.S. Charities. Direct Relief is one of only five chari-table organizations nationwide that receives a 99 percent or better rating.Forbes magazine cited Direct Relief as one of only four U.S. charities with 100percent efficiency ratings in its December 2002 review. Worth magazinenamed Direct Relief one of “America’s Best 100 Charities” for efficiency andquality of work in its December 2001/January 2002 edition.

LAUDED BY WATCHDOG GROUPS: Charity Navigator gives Direct Relief itshighest rating (four stars), and the American Institute of Philanthropy gives DirectRelief an A- grade. (See www.charitynavigator.org and www.charitywatch.org)

PLANNING FOR THE FUTURE: The Strategic Planning Committee of theBoard oversees three-year forward-looking plans, which contain measurablegoals and objectives and serve as the basis for the annual operating budgets,staffing levels, and capital investments.

TRUSTED BY LEADING CORPORATIONS: Product donations haveincreased 67 percent during the period January 1 to September 30 from lastyear - $69.8 million in 2003 vs. $41.7 million in 2002.

THE IMPORTANCE OF YEAR-END DONATIONS!: Direct Relief’sability to operate depends heavily on year-end donations. In each ofthe past two years, Direct Relief has received more than one-third ofits total cash contributions during the final eight weeks of the year.

THINGS YOU SHOULD KNOW ABOUT DIRECT RELIEF INTERNATIONAL’S FINANCES

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Year-End Donations Matter...

REQUIRED BY DECEMBER 31 TO MEET

BUDGETED EXPENSES

$2,537,291

RAISED BY SEPTEMBER 30

$1,719,333

Susan Fowler, Director of Programs, recently attended the ExecutiveCommittee meeting of the United Nations High Commissioner onRefugees (UNHCR) in Geneva, Switzerland. Several non-governmentalorganizations from around the globe were asked to participate in the consultation sessions which were designed to provide a dialog betweenthe U.N. and the agencies that operate and implement services forrefugees. Topics discussed included issues of security, health, and long-term “durable solutions” for refugees, such as repatriation, integration,and resettlement.

For over ten years, Direct Relief has worked with numerous U.N. agencies, including UNICEF, UNWRA, and UNHCR. The most recentpartnership with UNHCR involved assisting Congolese refugees, whowere displaced due to civil strife, at Kawambwa District Hospital innorthern Zambia. The talks in Geneva provided an opportunity forDirect Relief to explore additional avenues to partner with UNHCRaround the world. Two areas of need discussed included the plight ofColombian refugees in Ecuador and Venezuela, as well as refugees livingin camps throughout sub-Saharan Africa.

Direct Relief Invited to Advise UN Officials in Geneva

2 INDEPENDENT ADVERTISING INSERT FINANCIALS NOVEMBER 20, 2003 WWW.DIRECTRELIEF.ORG

Thank you for taking a moment to learn about Direct Relief International.

This newsletter describes how we work, our recent activities, and the effects of our efforts. Most importantly, thisnewsletter describes what we do with the money and material that is entrusted to us.

Direct Relief’s work is simple conceptually, though often complicated logistically. We provide medicines, equipment,and supplies so indigenous doctors, nurses, and midwives in poor areas of the world can care for patients who otherwisewould go without. We aim to provide the right material, to the right people, at the right time – with timing being particularly important in emergency situations such as those that have occurred in Iraq and Liberia this year.

The extensive support we receive from U.S. healthcare companies, which donate tens of millions of dollars worthof their world-leading products to Direct Relief, enables us to leverage our modest cash budget to an extraordinarydegree. We rely on private contributions – not government support – and for each dollar we spend, we typicallyprovide between $25-30 worth of medical material assistance (wholesale value) that have been specifically request-ed by a partner organization.

But product donations do not address fully all the needs of our partner organizations and their patients, so we buyas many of the life-saving basic medicines and supplies that are necessary and within our budget. Our partnerorganizations, in addition to providing much needed clinical care, are also leaders in the essential areas of publichealth education, disease prevention, and maternal and child health. Direct Relief’s material support allows themto redirect whatever scarce funds they have to these high-impact programs that address the causes of poor health,not just treat the symptoms.

One in five people worldwide tries to live on less than a dollar a day, and millions of people die needlessly each yearfrom preventable or easily treatable conditions. Because the challenge is so great, and our resources so limited, we are compelled to look for increasing efficiency in every aspect of our work.

I’m pleased to report that Consumers Digest, Forbes, Charity Navigator, and the American Institute of Philanthropy rateDirect Relief among the most efficient of any charitable organizations in the United States. Also, the Better BusinessBureau has evaluated Direct Relief International and determined that we meet the BBB Wise Giving Alliance’s Standardsfor Charity Accountability. The Alliance reports on national charities and determines if they meet voluntary standards onmatters such as charity finances, appeals, and governance. These independent evaluations are important to assure thosewho donate their hard-earned money to us that we are good stewards of their money. As important, it shows that ourwork is focused intensely on helping people who were born or thrust by events into vulnerable situations that preventthem from enjoying the wonders of a healthy life. We consider it a privilege to do so.

Your support makes a genuine difference in the lives of people who face enormous challenges and hardships.Please help if you can.

Thomas TighePresident & CEO

MOTHER AND CHILD AT A REFUGEE CAMP IN TANZANIA

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SHAREHOLDERS MEETING AND SYMPOSIUM:PLEASE LOOK FOR MORE INFORMATION ON THIS

ANNUAL EVENT TO BE HELD ON MARCH 3RD.

$REMAINING AMOUNT NEEDED: $817,958

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Peru: Notes from the Field DAN SMITH, Senior Program Officer

Ayacucho is one of the poorest areas in Peru, according to the World Health Organization, with only onephysician for every 12,000 persons. Located in the mountains of Southern Peru, Ayacucho was one of the

principal battlegrounds between the Peruvian government and the Shining Path guerrilla movement.Although some guerrilla activity still remains and continues to be a problem, Ayacucho is attempting torebuild its shattered economy and improve its healthcare system.

Constructed in 1964, the Ayacucho Regional Hospital has 239 beds and over 550 employees. As the largesthospital in the state, it serves the city of Ayacucho and receives referrals from throughout the region. TheAyacucho Medical Mission, an independent, U.S.-based support organization founded eight years ago bycurrent president Dr. Ralph Kuon, recruits dozens of physicians, surgeons, nurses, translators, and othermedical professionals who pay their own way to volunteer at the regional hospital.

The patient population served by the hospital is the lowest socio-economic stratum in the country, with the majorityof the patients being subsistence farmers or workers from Peru’s informal work sector. Many others are homeless or livein isolated regions and may have never previously seen a physician.

I recently stayed with the Ayacucho Mission group for one week as a translator; when I arrived with the other vol-unteers, we were welcomed by the Mayor of Ayacucho, the Hospital Director, the Regional Medical Director, andseveral staff physicians and nurses. It was clear that both hospital administration and staff supported the servicesoffered by the Ayacucho Medical Mission.

During my time at the hospital, I observed that the patients were diagnosed and treated carefully and that surgerieswere carried out in a professional manner. Surgical patients received pre-op check-ups and post-op care with bloodtests provided through the Mission laboratory. In addition to surgeries and outpatient consultations, other servicesincluded diabetes education, dental screenings, Pap smears, and nightly community health talks. I also observedthousands of doses of Direct Relief-supplied medicines were provided to patients who would not have been able toafford them were it not for the Mission.

The Ayacucho Mission, which Dr. Ralph Kuon initiated and has continued to direct, is impressive. It is a continu-ing and successful program which provides professional medical services to people who are desperately in need.Partnerships such as these allow Direct Relief to provide ongoing medical support to indigenous healthcare systems,which is one of our most important programmatic goals.

Dan Smith, M.A., is Direct Relief’s Senior Program Officer for Latin America. He has worked for the agency for fifteen years.

Prevention and Education:The Foundation of Good Health

Direct Relief’s assistance program places a high priority on strengthening indigenous mater-nal and child health care. We do this in partnership with facilities and organizations that

provide quality clinical services and, as importantly, are leaders in the public health roles ofeducation, awareness, and disease prevention.

At the request of several of our in-country partner organizations, Direct Relief developed a seriesof posters (below) to reinforce basic health messages critically important to healthy children:pre-natal care, breastfeeding, weight monitoring of infants, and immunization. Direct Relief alsohas prepared a Spanish language educational poster with funding provided by Johnson &Johnson to provide basic information about diabetes, a matter of growing concern in LatinAmerica, including diet and lifestyle choices. These simple educational tools are placed in clin-ics to educate visitors and foster a discussion between staff and patients.

Two series of posters were created for Latin American and African countries. The Africanposters are in English and French, and the Latin American posters are in English and Spanish.The Asia series is coming soon!

Direct Relief International announced in September that itwill coordinate a county-wide education and outreach

effort to prepare vulnerable county residents to cope withemergencies and disasters.

An estimated 40,000 residents of Santa Barbara County -nearly one in ten - are considered vulnerable in the eventof a disaster. Among those in our home community whowill be in need of special attention if a disaster strikes areresidents of nursing homes, home-based care recipients,frail seniors, people with short term acute or chronic phys-ical illnesses, and those with disabling acute or chronicmental illnesses. Direct Relief has begun to coordinate acountywide education and outreach effort to prepare theseindividuals for emergencies and disasters.

The Vulnerable Populations Program was originally launched in2000 by the Santa Barbara County Public Health Department asa pilot project to address the needs of those who will be unableto act independently during an emergency or disaster. Due toCalifornia’s state budget crisis, the county was not able to con-tinue the program. With coordination efforts spearheaded byDirect Relief and an initial grant by the Santa BarbaraFoundation, the program is now able to continue providing pre-paredness instruction to facilities that already work with the vul-nerable populations and will begin outreach to other facilities aswell as target programs serving children and the developmental-ly disabled. Along with preparedness efforts, VulnerablePopulations Program Coordinator Christienne Durbin overseesthe training of AmeriCorps volunteers from the local AmericanRed Cross and Direct Relief's own volunteers to assist in presen-

tations to targeted sites. The program will help facilities andindividuals to create customized disaster preparedness plans andwill encourage mutual aid agreements with local facilities andagencies to assist one another in case of emergency or disaster.

For decades, Direct Relief has been involved in local emergencypreparedness and response in Santa Barbara County andthroughout California, as well as other regional healthcare ini-tiatives. Direct Relief has constructed disaster preparednessstructures at more than two dozen local schools, participated incounty-wide disaster drills, provided dental care for 3,200 lowincome and homeless children, donated 22,500 personalhygiene kits for the county’s indigent population, and providedsurgical instruments and pharmaceuticals to low-income pri-mary care clinics throughout California.

Here at Home: Preparedness and Emergency Response

A MOTHER WAITS FOR CARE FOR CHILD WITH CLEFT LIP AT AYACUCHO REGIONAL HOSPITAL

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TWO COMMUNITY HEALTH WORKERS PERFORMING A WELL-BABY EXAM AT A CLINIC IN UGANDA

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OUR APPROACH: Direct Relief ’s programs equip indige-nous health professionals so they can care for people inneed without regard to politics, religion, gender, race, orability to pay.

OUR PARTNERS: Direct Relief International’s network ofpartners includes more than 500 organizations, persons, andfacilities in over 65 countries and is made-up of in-countrypartner organizations, healthcare institutions, internationalservice clubs, including Rotary International and Lions ClubsInternational, and other nongovernmental organizations.

HOW WE DECIDE: Partner organizations are selectedusing ten selection criteria and either strong referrals fromtrusted sources or our previous experience. Criteria includethe extent of need, the skill of providers and the quality ofservices, the inclusion of preventive and educational ele-ments, and emphasis on maternal and child health.

HOW WE HELP: Direct Relief provides medicines, equip-ment, supplies, and nutritional supplements to approvedpartner organizations based on their specific requests andlocal circumstances.

WHY IT MATTERS: Financing health services in poor coun-tries is extremely difficult. Where patients lack funds, govern-ments are broke, and no private health insurance exists, notenough money is available to procure basic supplies and main-tain a staffed health facility or prevention program. DirectRelief’s material support enables the professionals to work, thepatients to receive care, and scarce funds to be invested in staffand education and prevention efforts.

WHY ELSE IT MATTERS: Health has intrinsic value forevery person, but it is also essential for people to learn,work, and make a living. Trained health professionals inpoor countries represent the most important part of thehealthcare infrastructure – and Direct Relief’s supportenables them to stay productively engaged and theirpatients to receive needed care.

SHARED INVESTMENT: To ensure a shared stake in theassistance, in-country partner organizations are asked toassume responsibility for some costs, if possible, such as in-country transportation and logistics.

DISASTER RELIEF AND EMERGENCY ASSISTANCE:The same programmatic principles apply whether providingongoing assistance or disaster relief: we must know specifi-cally what is required, who is responsible, how the materialwill be used, and whether there is a secure logistics channel.The main difference in emergencies is that time is of theessence, and the process is accelerated.

LEADING COMPANIES TRUST US: Direct Reliefreceives significant product donations from dozens ofhealthcare companies, including Johnson & Johnson,Merck, Pfizer, Abbot Laboratories, BD, Bristol-MyersSquibb, GlaxoSmithKline, and Alcon.

OUR QUALIFICATIONS: Direct Relief is alicensed wholesale pharmacy, and our staff has vastexperience in international health projects. TheProgram Committee of the Board of Directors,which provides general programmatic directionand oversight, is chaired by a physician who ran acharitable health clinic in Latin America. (Visitwww.directrelief.org to see the full list of our credentials and qualifications.)

THINGS YOU SHOULD KNOW ABOUT DIRECT RELIEF INTERNATIONAL’S

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Cambodia:Notes from the Field KELLY DARNELL, Program Officer

During the tragic reign of the Khmer Rouge, many Cambodianhealth facilities were destroyed and countless medical profes-

sionals were either killed or escaped, never to return. After decadesof conflict, only a handful of medical professionals remained in thecountry and the medical education system lacked qualified teach-ers and a strong curriculum. Approximately 52 percent of the 12million Cambodians are under the age of 18. For parents, finding atrained healthcare provider for their children is often impossible.

During my assessment trip to Cambodia, I visited one of DirectRelief’s newest partner facilities, the Angkor Hospital forChildren (AHC) in Siem Reap. AHC was founded in 1999 toprovide services to the children of northern Cambodia, whohistorically have had very little access to health care, and toserve as a center for the further education and clinical trainingof Cambodian medical professionals.

Staffed by a team of healthcare professionals from around theworld, the hospital provides outpatient and inpatient services,basic surgery, and 24-hour emergency care to approximately5,000 children each month. In addition to caring for children,the hospital also offers hands-on pediatric training toCambodian healthcare workers. When the hospital firstopened, Cambodian doctors and nurses worked one-on-onewith volunteer doctors and nurses from countries such as theU.S., Canada, and Great Britain. Today, these same Cambodiandoctors and nurses are training their junior colleagues.

AHC came to the attention of Direct Relief through one of ourU.S.-based partner organizations, Health Volunteers Overseas(HVO). HVO is a leading health education and training organi-

zation that sends volunteer healthcare professionals from theUnited States to health facilities around the world. Dr. AliaAntoon, a pediatrician from Boston’s Mass General with a spe-cialty in pediatric burns, was the HVO doctor stationed at thefacility during my visit. I spent a day with Dr. Antoon and sever-al nurses visiting rural communities to follow-up on recently dis-charged patients who had been treated for burns and malnutrition.As their children were weighed and examined, the parents talkedto AHC staff about how their child was progressing and discussed

any treatment modifications. What struck me most as we arrivedat each home was how visibly surprised and grateful each familywas to be receiving such personal follow-up care for their child.

In June 2003, Direct Relief sent its first shipment to AHC whichincluded an incubator, exam lights, pediatric stethoscopes,neonatal blood pressure cuffs, antibiotics, burn dressings, andone of their most-needed items, a one-year supply of soy-basedprotein powder supplement for malnourished children.

A STAFF MEMBER FROM ANGKOR HOSPITAL FOR CHILDREN (AHC) CONDUCTS A COMMUNITY HEALTH VISIT.

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Guyana:Notes from the Field KELLY DARNELL, Program Officer

Situated on the northeastern coast of South America, Guyanais a sparsely populated country with just over 750,000 people.

The population is primarily a mix of Africans, East Indians, andAmerindians. Although the country’s healthcare system hasimproved in recent years, many Guyanese, especially those livingin the northern rainforest, still have very limited access to healthcare and suffer from high rates of communicable diseases andnutritional deficiencies. The health system has also been partic-ularly hard hit by the “brain drain” that has been occurring fordecades as Guyanese doctors and nurses leave for better pay andworking conditions in other countries.

For 19 years, Direct Relief has been providing medical supplies tostrengthen local health efforts in Guyana. During my week-longassessment trip, I visited seven Direct Relief-supported hospitals,including our newest partner facility, the Moraikobai Hospital.

After traveling three hours inland through the rainforest onGuyana’s Mahaicony River, I reached the village ofMoraikobai. The majority of native Amerindians make theirhome in this remote community. Most of them live in smallvillages of palm-thatched huts and survive on subsistence agri-culture, hunting, and fishing. The Amerindians have the high-est rates of low-birth-weight babies, malaria, and malnourishedchildren in the country. In addition, they suffer from acute res-piratory illnesses and diarrheal-related diseases due to poor san-itation and lack of access to clean drinking water.

The Amerindian communities in the interior have very littleaccess to medical services since the majority of Guyana’s healthfacilities are located along the more densely populated coast of thecountry. The Moraikobai Hospital is the principal healthcare facil-ity for the Amerindian villages within 100 miles. The small four-room hospital is staffed by three nurses, one Peace Corps volunteer,and a “Medex” named Thomas George, who has a level of trainingbetween a nurse and a doctor. Assigned to the village a little overa year ago, Thomas has already created a community health com-mittee, helped establish a clean source of drinking water, andworked to improve the level of services at the hospital throughpartnerships with organizations like Direct Relief and the PeaceCorps. In December 2003, Direct Relief will supply Moraikobaiwith material assistance that includes a new exam/delivery table,inpatient beds, minor surgical instruments, quinine to treat malar-ia, and antibiotics to treat upper-respiratory infections.

During the final days of my visit, I had a series of meetings withgovernment officials, including Prime Minister Sam Hinds, FirstLady Uma Jagdeo, Minister of Health Dr. Leslie Ramsammy, andGuyana Peace Corps Director Earle Brown to discuss how DirectRelief can best help strengthen local Guyanese health servicesand prevention activities and reach out to more isolated healthfacilities like the Moraikobai Hospital.

Kelly Darnell has been a Program Officer at Direct Relief International for four years. She previously served as a Health Care Educatorwith the Peace Corps in Cote d’Ivoire.

LEFT: PROGRAM OFFICER KELLY DARNELL MEETING WITH PRIME MINISTERSAM HINDS. BELOW: A GUYANESE BOY AT NEW AMSTERDAM HOSPITAL.

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Iraq Helping Restart Health Services

Direct Relief has been responding to the situation in Iraq with med-ical support to health facilities in Baghdad, Nazirieh, and Basra.Since the end of the war, Direct Relief has provided 11 shipments ofpharmaceuticals, medical and surgical supplies, and equipment, val-ued at more than $10.5 million wholesale, all from private sources.Direct Relief’s efforts, though private, are conducted in coordinationwith and approved by the U.S.-led Coalition Provisional Authority.

Sr. Maryanne, director of St. Raphael Hospital in Baghdad,writes, "By this letter I would like to express to you our deep-

est feelings of gratitude and thanks for your help…." The situationin Baghdad remains critical and very dangerous as the city recov-ers from a severe summer that had temperatures hovering around120 degrees, little security, no pure water, and limited electricity. Inthe aftermath of the war, Baghdad was caught in a deadly cycle:with no electricity to pump water, locals were breaking into under-ground pipes allowing raw sewage to seep into the system. In someareas, 80 percent of patients were experiencing some form of water-born gastrointestinal infection, and many children suffered fromvomiting and diarrhea, leaving them badly dehydrated. In order toaddress these increasing health needs, Direct Relief Internationalhas been working closely with a number of facilities in Iraq, includ-ing Sister Maryanne’s St. Raphael Hospital.

St. Raphael is a private, charitable hospital that has been operat-ed by a Dominican Order of nuns for over 100 years. In recent

months, the hospital has experienced a significant increase in itsworkload due to the war, immediate postwar looting of other facil-ities, and increased health needs of the city’s residents. The hos-pital is recognized as providing state-of-the-art healthcare for Iraqbut still falls short of what is considered a standard health facilityin the United States as essential drugs and supplies continue to bein short supply. Direct Relief's assistance to St. Raphael Hospitalhas included children's and adult multivitamins, antibiotics, drugsfor hypertension, oral rehydration salts, casting material, syringesand needles, sutures, sterile gauze, and pain-relief medication. Themost recent aid to St. Raphael’s was delivered by a U.S. congres-sional delegation (CODEL), led by Rep. Mac Thornberry ofTexas. The assistance consisted of 1,222 lbs. of material, with awholesale value of $250,000.

With only 19 psychiatrists in Iraq and the prevalence of post-traumatic stress syndrome in the general population, identifyingand treating patients with mental disease has become a large pub-lic health concern. Direct Relief has been partnering with theFreedom and Peace Trust, directed by Wasseem Kabbara, to pro-vide mental health professionals in Iraq with the pharmaceuticalsthey need to treat and maintain the health of thousands of trau-matized people. Psychotherapeutic agents provided by DirectRelief are being distributed to Iraqi physicians for use in mentalhealth wards including Al-Rashad hospital in Baghdad, the onlydedicated mental health institution in the country.

Congo D.R.Direct Relief Supports Leading Eye Doctor in Country

In the Bas-Congo region of the Democratic Republic ofCongo (formerly Zaire), only three eye doctors serve a

population of over four million people. It is estimated thatbetween 40,000 to 80,000 blind people live in theprovince, with fifty percent of those cases due to cataracts.The Boma Eye Hospital was founded in 1999 by Dr. JosephKonde, a Congolese national and U.S. board-certified doc-tor who completed his medical training at the Universityof North Carolina at Chapel Hill and received hisDoctorate of Ophthalmology from the University ofZimbabwe. While his colleagues stayed in the UnitedStates and have established thriving practices, Dr. Kondechose to return to the Democratic Republic of Congo withhis wife and three daughters to provide medical care to thepeople of his native country.

With a staff of 15, the Boma Eye Hospital sees over 4,000patients each year and treats an additional 2,000 at its eightoutreach facilities. Financing the facility is exceedingly diffi-cult because only 25 percent of the patients have theresources to pay for services. In 2002, the hospital and itsfacilities performed over 600 eye surgeries, including 304cataract extractions. The hospital also runs a high-dose vita-min A program that annually serves 15,000 children underthe age of five. Ninety percent of its patients receive care freeof charge even though the hospital receives virtually no sup-port from the government.

In 2003, Direct Relief provided the Boma Eye Hospital withmaterial assistance such as exam tables, wheelchairs, IV stands,exam lights, bandages, surgical gowns, ophthalmic antibiotics,ophthalmic sutures, and ophthalmic surgical kits. In addition,Direct Relief has provided the hospital with 25 new manualbeds, donated by Hill-Rom Company, to help expand inpatientcare. Direct Relief-furnished equipment and supplies enable Dr.Konde to provide care and reallocate scarce cash to invest instaff and conduct an outreach and education program, whichotherwise would not be possible.

Bolivia Students and Parents “Ride for a Reason”

In the summer of 2003, 25 participants joined in the “Ride fora Reason” - a fundraising expedition by mountain bike from

the high Andes above La Paz, Bolivia, through descendinginterior jungle and rainforest to Rurrenabaque, the center ofthe Rio Beni Health Project. The expedition, a total of 300miles with a 13,000 foot drop in elevation, was led by ProgramManager Christopher Brady to raise critical funds for DirectRelief’s Rio Beni Health Project. The expedition also providedthe participants with a first-hand educational experience inhumanitarian aid, the Amazon rainforest and altiplano ecologyand Bolivian culture, history and nature. We thank all 25 par-ticipants, who not only completed this arduous physical featbut together raised over $80,000 for the project.

For more information on the Rio Beni Health Project, the “Ride for aReason” and its participants, please visit our website: www.directrelief.org.

DIRECT RELIEF WOULD LIKE TO THANK PFIZER INC FOR ITS GENEROUS GRANT OF $25,000 TO SUPPORT OUR ONGOING EFFORTS IN IRAQ. FOR UP-TO-DATE INFORMATION ON OUR WORK IN IRAQ, PLEASE VISIT OUR WEBSITE: WWW.DIRECTRELIEF.ORG.

CONGRESSIONAL DELEGATION PRESENTING DIRECT RELIEF MEDICAL SUPPLIES TO ST. RAPHAEL HOSPITAL IN BAGHDAD. FROM LEFT: REP. VIC SNYDER (AK), REP. MIKE ROGERS (AL), REP. BARON HILL (IN), REP. ROB SIMMONS (CT), SISTER MARYANNE, REP. MADELEINE BORDALLO (GUAM), REP. STEVE KING (IA), REP. MAC THORNBERRY (TX), REP. GRESHAM BARRETT (SC), REP. TOM COLE (OK)

DR. KONDE HAND-PICKING SURGICAL EYE INSTRUMENTS DURINGHIS VISIT TO DIRECT RELIEF

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AFGHANISTAN Total Support: $215,370Partners: Afghan Institute for Learning – Kabul/ Jalalabad/Herat, Malalai Maternity Hospital – Kabul, MecroryanMedical Clinic – Kabul

ARMENIA Total Support: $54,951Partner: Public Hospital #8 – Yerevan

BELIZE Total Support: $43,363Partner: Mercy Care Center – Belize City

BHUTAN Total Support: $13,872Partner: Jigme Dorji Wangchuck National Hospital –Thimphu

BOLIVIA Total Support: $1,194,662Partners: Fundacion para el Desarrollo Agroecologico –Riberalta, Honorable Alcaldia de MINERO – Santa Cruz de laSierra, Organizacion Panamericana de Salud – La Paz, Projectode Salud del Rio Beni – Rurrenabaque

BRAZIL Total Support: $50,243Partner: Asociación Obras Social Irma Dulce – Salvador

BULGARIA Total Support: $646,964Partners: Multiprofile Hospital "Jivot" – Krumovgrad,Municipal Hospital "R. Angelova" – Pernik, SpecializedHospital for Active Treatment – Tran, St. Ivan Rilski Hospital– Gorna Oryahovitsa

BURUNDI Total Support: $107,856Partner: Jabe Hospital and Rohero Emergency Clinic – Bujumbura

CAMBODIA Total Support: $257,317Partners: Angkor Hospital for Children – Siem Reap, MongkulBorei Hospital – Mongkul Borei

CAMEROON Total Support: $273,791Partners: Fraternity Medical Center – Buea, Mamfe GeneralHospital – Mamfe, Youth Development Foundation – Yaounde

CHINA Total Support: $48,221Partners: Binhai County People's Hospital – Binhai, ShangyeCharity Hospital – Ganzi County, Zhuwo Central Clinic –Zhuwo Township

CONGO, D.R. Total Support: $345,678Partners: Centre Hospitalier et de Diagnostic Medical(CHDM) – Kinshasa, Diocese of Kilwa-Kasenga – Kilwa

CUBA Total Support: $5,199Partner: Hospital Juan Manuel Marquez – Havana

DOMINICAN REPUBLIC Total Support: $886,989Partners: BRA Dominicana / Batey Relief Alliance – SantoDomingo, Health Care Education Partnership – SantoDomingo, Patronato Benefico Oriental, Inc. – La Romana

ECUADOR Total Support: $32,927Partners: Medical Aid to the Ecuador Amazon – Palora,Pastaza Health Programs – Pastaza

EL SALVADOR Total Support: $3,858,422Partners: Clinica Maria Madre de los Pobres – San Salvador,Fundacion Nuevos Horizontes Para Los Pobres – CiudadDelgado, Fundacion Salvadorena (FUSAL) – AntiguoCuzcatlan, O.E.F. de El Salvador – San Salvador, SalvadoranAmerican Humanitarian Foundation (SAHF) – San Salvador,Secretaria Nacional de la Familia / FUDEM – San Salvador

ESTONIA Total Support: $952,674Partner: Nursing Home Consortium – Parnu

ETHIOPIA Total Support: $352,727Partners: Addis Ababa Fistula Hospital – Addis Ababa, FreeMethodist World Mission Health Center – Addis Ababa

GEORGIA Total Support: $119,502Partners: Central Children's Hospital – Tbilisi, Counterpart /Georgia – Tbilisi

GHANA Total Support: $236,092Partners: Abura Clinic – Takoradi, Dr. J.C. Sam's Children'sClinic – Obuasi, Jehovah Rapha Healthcare Clinic – Motoka,Korle-Bu Teaching Hospital – Accra, Maranatha Maternity &Clinic – Kumasi

GRENADA Total Support: $212,207Partner: St. Vincent De Paul Society – St. Georges

GUATEMALA Total Support: $10,097,624Partners: Adonai International Ministries – Canilla, AgrosFoundation Clinics – El Quiche, Caritas de Guatemala –Guatemala City, Caritas Arquidio Cesana – Guatemala City,DOCARE International Mission – San Andres Itzapa, LightMinistries – Guatemala City, Ministerio de Salud Publica yAsistencia Social – Tucuru, Order of Malta – Guatemala City,Unidas Para Vivir Mejor (UPAVIM) – Guatemala City

GUYANA Total Support: $1,071,267Partners: Bartica Hospital – Bartica, Berbice River HealthcareProject – Georgetown, Davis Memorial Hospital –Georgetown, Linden Hospital – Linden, New AmsterdamHospital – New Amsterdam, Port Mourant Hospital – PortMourant, St. Joseph's Mercy Hospital – Georgetown

HAITI Total Support: $8,123,861Partners: Arcachon Hospital – Port-Au-Prince, ChristianAid Ministries – Titanyen, New Hope Ministries – Cap-Haitien, Project Haiti – Cap-Haitien, St. Ignatius MedicalMission – Beaumont

HONDURAS Total Support: $966,675Partners: Baja Project for Crippled Children – Tegucigalpa,Brigada de Salud / Honduras Relief Effort – Tegucigalpa, Dr.Polo Galindo Clinic – Punta Gorda, Escuela AgricolaPanamericana/ Proyecto Promesa – Tegucigalpa, HaciendaCristo Salva – Santa Barbara, Honduran Health Exchange –Tegucigalpa, Iglesia Episcopal Hondurena – San Pedro Sula,Nuestros Pequenos Hermanos Honduras – Comayaguela

INDIA Total Support: $881,137Partners: Aravind Eye Hospital – Madurai, Good SamaritanSocial Service Society – Dindigul, Hyderabad Eye Institute –Hyderabad, Rajkot Voluntary Blood Bank – Rajkot, ShreeBidada Sarvodaya Trust – Bidada, Sonada Tibetan RefugeeSettlement – Sonada, Venu Charitable Society – New Delhi

INDONESIA Total Support: $34,970Partner: Hobawawi Medical Clinic – Desa Rua

IRAQ Total Support: $11,834,448Partners: Children's Dental Project – Al Hillah/ Babil, ErbilChildren's Hospital – Erbil, Freedom and Peace Trust –Baghdad/ Basra/ Nazirieh, Saint Raphael Hospital – Baghdad

JAMAICA Total Support: $7,400,135Partners: Falmouth Hospital – Falmouth, Food for the Poor –Spanish Town, Jamaica Humanitarian Dental Mission – St. James,Jamaica Partners – Kingston, Missionaries of the Poor – Kingston

JORDAN Total Support: $13,789Partner: Ruwaished Refugee Camp – Ar Ruwaished

KENYA Total Support: $300,590Partners: Matata Nursing & Maternity Hospital – Oyugis,Tumaini Catholic Community Health Program – Isiolo, WasoMedical Services – Isiolo

KYRGYZSTAN Total Support: $258,035Partner: Children's Rehabilitation Center "Altun-Balaluk" –Issykul Lake

LAOS Total Support: $95,906Partners: Muang Sing Hospital – Muang Sing, Nalae DistrictHospital – Nalae

LEBANON Total Support: $337,090Partner: United Nations Relief & Works Agency – Beirut

LIBERIA Total Support: $1,915,833Partners: Christian Aid Ministries – Monrovia, ELWAHospital – Monrovia

MALAWI Total Support: $399,310Partner: Queen Elizabeth Central Hospital – Blantyre

MARSHALL ISLANDS Total Support: $14,384Partner: Ministry of Health – Majuro

MEXICO Total Support: $334,379Partners: Casa Clinica Convivencia Campesina – Las Varas,Christian Medical and Dental Association – Guadalupe,Dispensario de Ayuda Social, A. C. – Atizapan, Hendido delClub Rotario – Las Flores, LIGA International – Mazatlan,Potter's Clay – Ensenada, Unidad Medica Rural de San JuanNumi – San Juan de Numi

NICARAGUA Total Support: $1,286,492Partners: American Nicaraguan Foundation – Managua,Companeros de las Americas – Managua, NicaraguanChildren's Fund – Puerto Cabezas

NIGERIA Total Support: $64,039Partners: Antof Rural Resource Center – Oron, Diana FrenchHospital – Okigwe

PAKISTAN Total Support: $255,983Partner: Bethania Hospital – Sialkot

PERU Total Support: $3,449,271Partners: Arzobispado de Lima – Lima, Caritas – Lima,Hospital Apoyo Puquio – Puquio, Hospital Regional deAyacucho – Ayacucho, Hospital Regional Docente de Trujillo– Trujillo, I.S.P.T.R. / P.A.R.D. – Iquitos, InstitutoEspecializado de Salud del Nino – Lima, Instituto EspecializadoMaterno Peri-Natal – Lima, Rotary Club El Rimac – Lima

PHILIPPINES Total Support: $284,535Partner: Medical Outreach Clinic & Abulug Hospital – Baggao

ROMANIA Total Support: $9,211,465Partner: Christian Aid Ministries – Floresti

SIERRA LEONE Total Support: $1,909,189Partner: Ndegbormei Development Organization – Freetown

SOUTH AFRICA Total Support: $24,010Partner: Tshisimane Healing Center – Soutpansberg

SOUTH KOREA Total Support: $14,552Partner: St. John of God Clinic – Kwang-Ju

SUDAN Total Support: $291,733Partners: Khartoum University Medical Outreach Clinics –Khartoum, Sagadi West Rural Hospital – Sagadi, Sudan FutureCare Health Clinics – Togan Area

TANZANIA Total Support: $470,422Partners: Bugando Medical Center – Mwanza, HealthDepartment/ KADERES – Karagwe-Kagera, Kagera SalientDispensary – Kyaka-Kagera, Tarime Goodwill FoundationHealth Services – Tarime

THAILAND Total Support: $30,488Partner: Hill Tribe Clinics – Chiang Rai

TRINIDAD AND TOBAGO Total Support: $360,130Partner: Living Water Community – Port of Spain

UGANDA Total Support: $454,057Partners: Adwir Hospital – Lira, Jinja Municipal Council – Jinja,Mulago Hospital – Kampala, Uganda Aids Orphanages – Kampala/Entebe, Uganda Reproductive Health Bureau – Kampala

UKRAINE Total Support: $177,550Partner: Rohatyn Central District Hospital – Rohatyn

VENEZUELA Total Support: $14,622Partner: Turimiquire Foundation – Cumana

WEST BANK/GAZA Total Support: $83,400Partners: American Near East Refugee Aid – West Bank/ Gaza,St. John’s Eye Hospital – Jerusalem

O U R I N T E R N AT I O N A L PA R T N E R SIn the first ten months of 2003, Direct Relief partnered with healthcare projects and facilities in 55 countriesto provide medical assistance. The total wholesale value of this support was $72,370,396.

WWW.DIRECTRELIEF.ORG NOVEMBER 20, 2003 OUR PARTNERS INDEPENDENT ADVERTISING INSERT 98 INDEPENDENT ADVERTISING INSERT OUR PARTNERS NOVEMBER 20, 2003 WWW.DIRECTRELIEF.ORGJA

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Page 6: 2003 Winter Newsletter

We would also like to thank the many individuals, clinics, and hospitalsthat also donated medical product to help people in need worldwide.

CORPORATE PARTNERS PROGRAMIn commercial ventures, companies often pursue their objectives by devel-oping strategic partnerships with other businesses that possess different, butcomplementary, core business strengths. In corporate philanthropic activi-ties, such partnerships are equally important.

Direct Relief is privileged to work in partnership with several leading U.S.corporations whose philanthropic objectives align with our mission andorganizational strengths in addressing health problems.

The financial support of corporate partners is highly leveraged by DirectRelief’s well-established global networks that include in-kind and financialsupporters and deserving charitable health partners worldwide. The supportof these companies has enabled Direct Relief to expand its assistance effortsand, in turn, provide the companies, their employees, shareholders, and cus-tomers with the assurance that the companies’ resources have addressedsevere health problems in an efficient, pragmatic manner.

A special thank you to our 2003 Corporate Partners:Antioch Company • Global Brand Marketing Inc. • Hy Cite Corporation

For more information about The Corporate Partners Program, please callAnthoula Randopoulos at (805) 964-4767, x153.

WORKPLACE GIVINGMany people support Direct Relief where they work with automatic payrolldeductions. It’s a convenient way to support our work throughout the year.

U.S. Government employees can support Direct Relief as part of the CombinedFederal Campaign (CFC), the federal government’s workplace giving program.Just select Direct Relief International (#1407) on your CFC enrollment form.

If your workplace giving program is limited to the United Way, you can still sup-port us by writing “Direct Relief International” on the “donor option” line of yourgiving campaign form. Your local United Way will forward your gift to us.

Company-matching programs, through which the company matches anemployee’s charitable donation, are a tremendous benefit to Direct Relief.Please inquire if your employer has such a program.

We thank the hundreds of donors who already give to us through their work-place and have helped to spread the word to their peers and co-workers.

TRUST FOR HUMANITYThe Trust for Humanity endowment fund provides financial security for theindispensable work of Direct Relief International and an income stream tofund new and expanded programs for decades to come. Please consider includ-ing Direct Relief in your will and estate plans.

To learn more about the Trust for Humanity, please call (805) 964-4767.

Consul General - ($50,000 - $99,999 )

The Antioch CompanyThe Charles H. Bell Charitable Remainder Trusts

Mrs. Sheila J. Brutsch Eiting FoundationS.G. Foundation

Mr. and Mrs. C. William Schlosser

Global Emissary - ($25,000 to $49,999 )Anonymous (3)Mr. and Mrs. John H. AdamsMr. and Mrs. Bruce AnticouniCapital Group Co. Charitable FoundationHy Cite CorporationThe Ann Jackson Family Foundation

Liselotte Kuttler TrustMr. James C. PigottPfizer, Inc.Steinmetz FoundationWWW Foundation

World Health Envoy - ($10,000 to $24,999 )AnonymousAmerican Friends Foundation for

Childbirth InjuriesSr. Hugo D'Amato BassiBDChristian Aid MinistriesChristian Relief ServicesEstonian Am. Fund for Economic Edu., Inc.Mr. and Mrs. Brooks FirestoneMr. and Mrs. Edward GaylordGlobal Brand Marketing Inc.Guyana Medical ReliefHall FLPHands Across The Andes

Mr. and Mrs. Joseph Hardin, Jr.Johnson & Johnson Family of CompaniesMs. Nancy M. LessnerMr. and Mrs. Robert Nakasone OMRON Foundation, Inc.Mr. Lawrence W. PalmedoThe Donald E. and Jo Anne Petersen FoundationThe Dorothea Haus Ross FoundationMr. and Mrs. Pete Schmidt-PetersenMr. and Mrs. John SweetlandMr. and Mrs. George Turpin, Sr. WERWisconsin Nicaragua Partners of AmericaWood-Claeyssens Foundation

President's Council - ($5,000 to $9,999)

General Assembly - ($500 to $999)Anonymous (2)Dr. Denis C. AdlerAero MedicosMrs. W.J. AlbertsonMr. and Mrs. Robert AllenMr. and Mrs. Kurt AnkerDr. and Mrs. Steve ArleMr. Robert H. ArnoldDr. and Mrs. Gilbert L. AshorMr. and Mrs. Joseph W. BaileyDr. and Mrs. Dennis H. BakerMr. and Mrs. Hancock Banning, IIIMs. Rona BarrettBeacon Group International Inc.The Beagle Charitable FoundationMr. and Mrs. Frederick BeckettMs. Mary BellMr. and Mrs. Richard A. BertiMr. and Mrs. Martin M. BobganMr. and Mrs. Russell S. BockMr. and Mrs. James C. BonewaldMrs. Susan E. BowerMr. Gary BreitweiserMrs. Arthur L. BrownMr. and Mrs. Roland BryanMr. and Mrs. Peter BurgessDr. and Mrs. John BurkMr. and Mrs. Ted CampbellMr. and Mrs. Stafford K. CarrCitigroup FoundationMr. and Mrs. Russ CollinsMr. and Mrs. Rick H. CorradiniDorothy & Sherrill C. Corwin Foundation

Ms. Elizabeth M. CoteCox CommunicationsMr. and Mrs. Gordon Crary, Jr. Ms. Nancy J. CriggerDakoCytomationMr. and Mrs. Robert E. DavidsMr. and Mrs. Don W. DavidsonMs. Diana L. DeForrestMrs. Willard DeGrootMr. Ricky W. DoakMr. and Mrs. Reinhard T. DorfhuberMr. and Mrs. Ralph EdeboMr. and Mrs. Robert EgenolfEl Capitan Ranch, LLCMr. Christopher EllingerMr. Jim EversonMr. and Mrs. James B. FarnumMr. and Mrs. Joseph FarrellyMr. Dean FergusonMr. and Mrs. Richard P. FitzGeraldMrs. James FloodFundacion Justicia y AmorMs. Valori FussellMr. John GableMrs. Roberta GeorgeMrs. Marilyn GevirtzMrs. Lillis D. GibsonMrs. Stuart GildredMr. and Mrs. Eugene G. GloverMr. and Mrs. David GoldmuntzMs. Ruth GonserMr. and Mrs. Christophe P. GortonMs. Barbara Graper

Richard Grand Foundation/ Dr. and Mrs.Norman N. Komar

Mrs. Nancy GunzbergMr. and Mrs. John C. HancockMr. and Mrs. Houston HarteMr. and Mrs. Philip J. HawkHealth FrontiersHealth Volunteers OverseasMr. and Mrs. Raymond HesterHollywood Vaults Inc.Mrs. Esther M. HolmMr. and Mrs. Preston HotchkisMr. and Mrs. Leland L. HughesMs. Cynthia A. JamesMr. and Mrs. John JonesMr. and Mrs. Charles B. KayeMs. Margot KellyMrs. William KennedyMr. David L. KennellMs. Oralee KiewitMs. Mary KnieffMr. and Mrs. Abner P. KornMr. Neil R. Kudler and Ms. Nancy FlamMr. Rahul KumarMr. and Mrs. William Van H. LaggrenMr. and Mrs. David B. LaskinMr. and Mrs. Rob S. LaskinLehigh Valley Community FoundationMs. Andree LindowMr. Zachary Lockman and Ms. Melinda FineMr. and Mrs. William A. Loe, Jr.Mr. and Mrs. James LohnasMs. Kate G. Lopez

Los Olivos Rotary Club FoundationMs. Mary B. LoudMr. and Mrs. Thad MacMillanDr. and Mrs. Armand MartelMr. M. Reza MashayekiMr. and Mrs. George McCartneyMDB EnterprisesMr. and Mrs. Phiroze B. MedhoraMs. Estelle MendoffMr. D. John MillerMr. Arthur MilliganMr. and Mrs. Richard F. MoganMontecito LandscapeMs. Jan M. MontgomeryMr. and Mrs. Parker G. MontgomeryMs. Jan N. MooneyMr. Christopher M. MooreMs. Susanna R. MorrowMr. John MulderMr. and Mrs. James MyersonMs. Marian Naretto and Mr. John SowdenNew Hope Ministries International, Inc.Nicaragua Children's FundOak Grove SchoolMr. and Mrs. Larry OberlanderMs. Ronald OlsonMr. and Mrs. Eric OnnenPacific Capital BancorpPackers, LTDPaso Robles Rotary Service, Inc.Mr. and Mrs. William H. PaxtonThe Peebles Sheen FoundationMr. and Mrs. Jack Perrin

Mr. and Mrs. Stephen W. PerryD.A. Peterson Enterprises, Inc.Mr. and Mrs. Michael P. PorterMr. Allen PutneyMs. Anthoula RandopoulosMr. and Mrs. Daniel RandopoulosMr. Mark D. Ray

and Mrs. Wilhelmina O. RayReal Cheap Sports, Inc.Mr. Edgar B. RhodesMrs. Jane C. RieffelDr. and Mrs. Paul A. RiemenschneiderMs. Erin RileyDr. and Mrs. Howard D. RobertsMr. and Mrs. Charles F. RobinsonThe Roney Family FoundationRotary Club of AtascaderoRotary Club of Santa Barbara SunriseRotary Club of Simi SunriseMr. and Mrs. Michael RoyceMr. and Mrs. Carmine SantandreaMr. and Mrs. Richard L. SchallSheahan & AssociatesSierra Madre FoundationMs. Janet E. SingerSister Dulce Charitable FoundationMs. Carol L. SkinnerMr. Arthur SklaroffMr. Lawrence W. SmithMs. Marion B. SmithMr. and Mrs. Sydney SmithMrs. Susan A. SnekvikMr. and Mrs. J. Wesley St. Clair

St. Marks ChurchThe Fran & Ray Stark FoundationMr. and Mrs. Bart M. StevensMr. and Mrs. David W. StraedeDr. and Mrs. Jack StusterMs. Joan Sullivan and Mr. S. Robert BronfenSurfas, Inc.Mr. David SwansonMs. Rowena J. TaylorMr. and Mrs. William TennityMr. and Mrs. Ray ThomasMs. Patricia M. TigheMr. and Mrs. Donn TognazziniMrs. Grace J. TroutMr. and Mrs. Harry TurnerMr. and Mrs. Christopher TyngThe University of ChicagoVandenberg Village Rotary ClubVillage PropertiesMs. and Mr. Deanne G. ViolichMr. and Mrs. Perry WaughtalWestwood Baptist ChurchMr. Dana WhiteMr. and Mrs. Charles W. WhitingMr. Jeffrey P. WhittemoreMr. and Mrs. David YawitzMrs. C. W. YoukerMs. Birge K. Zimmermann

and Mr. Kenneth Goodearl

Combined Federal CampaignGregory AlexanderMatthew J. AndersonJo Lynn AndersonMarie ArtaudMichael BattisStephanie J. BattlesDavid BeiselJody L. Boydston-JohnsonMary BrennanChristopher .N BrownRose M. Burgess-Ely

Joseph E. BurzynskiMelodie CampbellMarianne CantwellWanda S. CarneyCynthia CekauskasMay L. ChehZack A. ClaytonKatheirne V. CoramSteven J. CowanLuz CraftJon D. Curd

Stephen R. DalzellAlison E. DilworthDavid B. DorskyJohn DossRoger EhlertThomas J. EicherBenicio D. ElegadoBrian K. EnckDean D. FergusonKenneth FixFrancis R. Fultz

Milagros T. GarciaWilliam K. GilmoreNatarajan K. GounderGlen A. GradyMarsha L. GranseeJames R. HagenMichael L. HallAlan L. HalvorsonBrenda HansenDavid HansonSeth Hargrove

Patricia P. HarlowDiane HarveySheridan HarveyJoanne L. HeroldSophia A. HinojosaTodd J. HooverJeryl HorrocksDavid JohnsonAllen KingEric W. LehmannPaul Luthy

Stephen MatthewsRobert McMillianSean R. MeroWalid MouradBruce W. MurrayYvetta MyersSteve N. NelsonPablo P. Nunez Jr.Wallace Olson, Jr.Ann OverDenise A. Oyler

James PearsonEdward PedersenAnna PetersElizabeth PetitDavid G. PfisterDonavon PriceReginald ReisenbichlerNancy H. RoseberryLenore M. SekWilliam B. ShererEdward M. Sienkiewict, Jr.

Beverly SmithDaniel SnareMichael D. SquireMark A. SteeleEldon R. SteenDonna TallmanKatherine A. ThorntonRichard D. TroxelJeffrey J. VaughnSally A. VogtDennis C. Wagner

John D. WalkerEvelyn WatkinsBarbara M. WatsonMary L. WehthersKristin M. WerkhovenJessica R. WillifordDavid WoodwellLawrence G. WyborskiBruce L. YoungMary YudinLaura E. YundHossein Zia

Diplomat's Corps - ($1,000 to $2,499 )A & A ComputersAdvanced Eyecare and Laser Vision/

Dr. and Mrs. Tom FaussetAllergan FoundationMr. and Mrs. Howard ArveyBank of America Foundation, Inc.Peter K. Barker FoundationMr. and Mrs. Donald BarryMr. and Mrs. Patrick BeachMr. and Mrs. Ralph J. BegleyBelizean Relief OrganizationMr. and Mrs. Wiley Blair, IIIMs. Cristina BordesMr. and Mrs. Mario BorgatelloMr. and Mrs. Peter BosshardMr. and Mrs. J. Wesley BrownMr. and Mrs. John BuccieriMs. Shelly BungeMr. Frank E. BurgessMr. William S. BurtnessDr. Andrea K. Capachietti

and Dr. Gregory L. ParnanayMrs. James CarriganCars 4 CausesMr. and Mrs. Timothy P. CaseyGVRG Castagnola Family FoundationMr. and Mrs. James M. CelmaysterDr. Kathryn Challoner

and Mr. A. Dorian ChallonerChildren of God Relief Fund, Inc.Ms. Clarice E. CornellDorothy & Sherrill C. Corwin Foundation

Country House AntiquesMr. and Mrs. Jacob W. CrattyMr. and Mrs. Kenneth H. DahlbergMr. and Mrs. George H. Davis, Jr.Mr. and Mrs. Timothy M. DohenyMr. and Mrs. Bruce DouglasMr. Warren S. FarrellThe Estate of Florence FeilerMr. and Mrs. Maurice FisherJames A. & Jane C. Folger FoundationMr. and Mrs. Dennis ForsterMr. and Mrs. Robert B. FosterFox Hill FarmMr. Daniel J. GaineyMs. Monica GallagherMr. and Mrs. Ronald R. GansMrs. Edward E. GasparGateway ApartmentsB & B Foundation/

Ms. Debra P. Geiger and Mr. Eliot CrowleyGelman Educational FoundationMr. David GerrityMr. and Mrs. Russell R. GhittermanDr. and Mrs. William J. GilliganMr. Jeffrey T. GoodeMr. Martin GoreMs. Lucy GreerMr. Matt Griffin

and Ms. Evelyne Renee RoznerMr. Merv GriffinMr. and Mrs. Brett GrimesMr. and Mrs. Mark Hamilton

Dr. Eloise M. HarmanMr. and Mrs. Thomas J. HarrimanMr. and Mrs. Robert Harter, Jr.Hatch and ParentMr. and Mrs. John C. HilliardMr. Linus HoMs. Latane T. Keeler and Mr. Kent HodgettsMr. and Mrs. Lamar HooverMr. Stanley HubbardMr. and Mrs. Robin R. HuntHutton FoundationICICI Banking CorporationMs. Lygia M. IonnitiuJ/L Ventures, LLCJewish Community Foundation/

Mr. and Mrs. Ronald J. FoxMr. Glenn W. Johnson, IIIMrs. Norman B. JohnsonMs. Judith JonesMr. and Mrs. Morris JurkowitzMrs. Sylvia KarczagMr. and Mrs. Richard W. KnowlesMr. and Mrs. John Knox-JohnstonDr. and Mrs. Joseph B. KoepfliMr. and Mrs. William KohlMr. L. W. Lane, Jr.Dr. Dorothy F. Largay

and Mr. Wayne E. RosingMrs. Francis D. LarkinLawson Valentine Foundation/

Mr. and Mrs. Allen P. DoyleMr. and Mrs. Ilan M. Levi

Ms. Susan LevinMr. and Mrs. Donald J. LewisDr. and Mrs. Michael LewisMr. and Mrs. Harrison LingleMr. and Mrs. Jacob LockerLopker Family FoundationMs. Betty J. MadsenMs. Wendy Diane MalickMr. and Mrs. Mark MattinglyMr. Timothy P. Maxwell

and Ms. Adele SommersMr. Stephen McDonoughMrs. C. B. McFieMr. and Mrs. Steven E. McGovernMr. and Mrs. Tim McMainsMr. Richard J. MeeliaMs. Donna MellonMr. Karl MetzenbergMr. and Mrs. Carl R. MeurkMr. and Mrs. Tom MielkoMrs. Erna MolnarMr. and Mrs. David MorrisMr. Mark Muzi and Ms. Laurie BoehmeMrs. William NicholsonDr. Anwana NtofonMr. and Mrs. Pierce O'DonnellThe Old Kings RoadP W S Family TrustThe Pacer FoundationMr. and Mrs. Everett PachnerPattis Family FoundationMr. Austin H. Peck, Jr.

Ms. Enid M. PenceMr. Alan R. Porter and Ms. Brenda BlalockMr. E. Bryson PowellMr. and Mrs. Richard RamsdenMr. and Mrs. Adam J. RhodesThe Roberts Bros. FoundationMr. and Mrs. Richard H. RobertsRobinson Family Foundation/

Mrs. William McLeod, Jr. Mr. Howard RochestieThe Rod of Aaron MinistriesRooms & GardensS. B. Restaurant CompanyThe Sallie Mae FundMr. and Mrs. Richard SanfordMr. and Mrs. Jacob ScheissMr. Michael Schmidtchen

and Ms. Linda F. ThompsonMr. and Mrs. Howard B. SchowSeed Mackall LLPMr. and Mrs. Richard ShaikewitzMr. and Mrs. James L. ShobeWilliam E. Simon FoundationMrs. Kenneth SlaughtMr. and Mrs. Jan E. SmitMr. Bruce SmithMs. Victoria L. SmithMr. and Mrs. Tim SniderSolvang Rotary Club FoundationSony Pictures EntertainmentSouthern California PamsSt. John of God Brothers

The Stanton FoundationMr. and Mrs. John SteedMr. and Mrs. Edward StepanekThe William Brian

and Judith A. Little Charitable TrustMs. Lee ThomasMs. Mary P. Tighe and Mr. Andrew M. LiepmanMr. and Mrs. Thomas TigheMs. Adelle TiltonTissue Banks InternationalMr. Adam Tolmach

and Ms. Helen HardenberghThe Towbes Group, Inc.Mr. D. F. TuthillUnited Armenian FundUnited Voluntary ServicesUnited Way of Santa Barbara CountyUniversity of FloridaMr. Eduard Van WingerdenMr. and Mrs. Diego VelasquezVenoco, Inc.Mr. and Mrs. Daniel D. VillanuevaMr. and Mrs. Jim VillanuevaMr. and Mrs. Arthur Von WiesenbergerMr. and Mrs. Lawrence B. WallinWine Cask / Mr. Doug MargerumMr. and Mrs. William J. Woods, Jr.Working AssetsWorld Reach, Inc.Mr. and Mrs. Ken ZieglerDr. and Mrs. Tuenis D. ZondagMr. and Mrs. Nick Zwick

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OUR INVESTORS: JANUARY 1, 2003 THROUGH OCTOBER 31, 2003WWW.DIRECTRELIEF.ORG NOVEMBER 20, 2003 OUR INVESTORS INDEPENDENT ADVERTISING INSERT 1110 INDEPENDENT ADVERTISING INSERT OUR INVESTORS NOVEMBER 20, 2003 WWW.DIRECTRELIEF.ORG

OUR IN-KIND DONORSDirect Relief depends on the generosity of many American corporations to providethe medical product we send around the world. We would like to thank the follow-ing companies that made in-kind donations during the first three quarters of 2003:

AnonymousA.N.E.R.A.Abbott LaboratoriesAmerican Endowment FoundationAmigos Del Peru Foundation, Inc.Mr. and Mrs. David H. AndersonMr. and Mrs. Omar ArnesenB & B Foundation/ Mr. and Mrs. William GeigerMr. and Mrs. William J. BaileyMr. and Mrs. Philip M. BattagliaThe David Winton Bell FoundationBethania HospitalBristol-Myers Squibb CompanyI.P. Callison & SonsCaritas ZentraleDecor de ParisMr. and Mrs. Gary FinefrockMs. Penelope D. FoleyMr. and Mrs. Jerome ForkoshFox Point LTD.Mr. and Mrs. Harold R. FrankMr. Robyn GeddesGlobal Partners for DevelopmentMr. and Mrs. Richard GodfreyHelp Diocese of Kikwit In ZaireHermandad Del Senor De Los Milagros

Mr. and Mrs. Roger HimovitzThe Hubbard Broadcasting FoundationIndia Development & Relief Fund IncorporatedMr. and Mrs. Peter O. JohnsonMr. Barry KravitzKathleen and Michael McCarthy Foundation FundThe Ralph H. and Ruth J. McCullough Foundation/

Mr. and Mrs. Dee S. OsborneMs. Diane D. MillerMr. and Mrs. Robert J. Moore, Sr.PacifiCare FoundationMr. and Mrs. Fess E. ParkerPeruvian American Medical SocietyMr. and Mrs. Alexander M. PowerMr. and Mrs. Denis SananSanta Barbara FoundationMr. and Mrs. Richard L. Schall Mr. Michael ScottSullivan Charitable Foundation/

Mr. and Mrs. Selby W. SullivanMrs. Walter ThayerMr. and Mrs. Walter J. ThomsonThe Tighe Family Rev. TrustMr. and Mrs. Paul H. TurpinWeingart Foundation

Ministers of Health - ($2,500 to $4,999)Mr. Parker AbercrombieStephen and Denise Adams Family Foundation, Inc.Prof. Lloyd BinagiMr. and Mrs. Fred BurrowsMrs. Eunice ButlerMr. and Mrs. R. Chad DreierThe Lillian H. & C. W. Duncan FoundationFederal ExpressFree Methodist Church of Santa BarbaraFriends of AravindThe Gilette CompanyMr. Erle HolmMr. and Mrs. Derk HunterMr. and Mrs. Dick JohnsonMr. and Mrs. John KellyMr. Wesley H. KelmanMr. and Mrs. William R. LindsayTed and Roberta Mann Foundation

Mayesh Wholesale Florist Inc.Mr. and Mrs. Gary L. NettPlanned Parenthood of Western WashingtonMr. and Mrs. Wesley PoulsonLord and Lady Ridley-TreeSanta Barbara Bank & TrustMs. Phyllis SchechterMr. and Mrs. James A. ShattuckThe Stationary CollectionThe Sumba FoundationTarime Goodwill Foundation HospitalUnion Pacific CorporationMrs. Winifred M. VedderWatling Foundation, Inc.Mr. and Mrs. John F. WeersingWestmont CollegeDr. Ronald D. Worley

3M PharmaceuticalsAbbott LaboratoriesAlcon Laboratories, Inc.Allergan, Inc.American Health

Products American Medical

Resource Services, Inc.Amsino InternationalAnsell Latin AmericaArm & HammerAuburn PharmaceuticalsAventis Pharmaceuticals

Inc.Avon ProductsBD (Becton, Dickinson

and Company)Bausch & Lomb Pharms.

Inc.Bausch & Lomb Surgical

CompanyBaxter Healthcare

CorporationBayer Consumer CareBristol-Myers Squibb

CompanyConMedCordis Neurovascular, Inc. Den-Mat CorporationDeRoyal Wound CareDioptics Medical ProductsDreamWeaver MedicalEast West AssociatesEthicon, Inc.Fine Science Tools Inc.Free Wheelchair Mission

Fujisawa Healthcare, Inc.GlaxoSmithKlineGowllands LimitedGreen Meadow MissionHalocarbon LabsHenry Schein, Inc.INHEALTH TechnologiesJohn O. Butler CompanyJohnson & JohnsonJohnson & Johnson

ConsumerJust GlovesKarl Storz Endoscopy

America, Inc.Kawasumi Laboratories

America, Inc.Kendall HealthcareLandes, Inc.Lane Instrument CorpMattell, Inc.McGraw-Hill Inc.McKesson Corp. Medical

GroupMcNeil Consumer &

Specialty PharmsMedical Innovations, Inc.Mentor CorporationMerck & Co., Inc.MicroflexMidmark CorporationMiltex Instrument

CompanyMölnlycke Health CareNational Library of

Medicine, NIHNexxus Products Company

Nordent Manufacturing,Inc.

North Safety ProductsNovartis Consumer

HealthOmron Healthcare, Inc.Ortho-McNeil

Pharmaceutical, Inc.Pacific Medical Inc.Paragon Zoo Animal

Teaching AidsParks Medical

Electronics, Inc.Pfizer Consumer

HealthcareProgressive Medical

InternationalSage Products, Inc.Schering Plough

CorporationShaman BotanicalsSmith &

Nephew/Orthopaedic Southwest Technologies,

Inc.Spenco Medical

CorporationTandberg Telecom ASTEVA Pharmaceuticals

USAThomson Medical

EconomicsVitamin Angel AllianceWatson PharmaceuticalsWorld Kitchen, Inc.

Page 7: 2003 Winter Newsletter

Save the Date

Saturday, February 7th, 2004Bacara Resort & Spa, Santa Barbara, California

Enjoy an evening on the “American Riviera” with Host Cheryl Ladd and

featured entertainer Colin Mochrie of “Whose Line Is It Anyway?”

Presented by the Santa Barbara Vintners’ Foundation To benefit Direct Relief International

For more information or to order tickets, please call (805) 688-0881 or visit: www.sbcountywines.com

PRESIDENT & CEO Thomas Tighe

ADVISORY BOARD

CHAIRMAN Frank N. MagidHon. Henry E. Catto • Lawrence R. GlennE. Carmack Holmes, M.D. • S. Roger Horchow • Stanley S. HubbardJon B. Lovelace • Hon. John D. Macomber • Donald E. PetersenRichard L. Schall • John W. Sweetland

BOARD OF DIRECTORS

CHAIRMAN Nancy SchlosserVICE-CHAIR William Morton-Smith, M.D.TREASURER William BurtnessSECRETARY Patricia Halloran

Carolyn P. Amory, D. St. J. • Bruce Anticouni, Esq. • Gilbert L. Ashor, M.D. Philip Battaglia, Esq. • Frederick Burrows • Andrea Capachietti, Ph.D.Morgan Clendenen • Killick Datta • Thomas H. Dittmer Wilton A. Doane, M.D. • Catherine Firestone • Louise GaylordRichard D. Godfrey • Joseph Hardin, Jr. • Melville Haskell, M.D.Stanley Hatch, Esq. • Peter O. Johnson, Sr. • Richard JohnsonLawrence Koppelman • Nancy M. Lessner • Don Lewis, M.D.Alixe Mattingly • Robert Nakasone • Denis SananJim Shattuck • Paul Turpin

CHAIR EMERITUS Jean Hay PRESIDENT EMERITUS Sylvia KarczagDIRECTOR EMERITUS Dorothy Adams

27 S. La Patera LaneSanta Barbara, CA 93117-3214(805) 964-4767 • www.directrelief.org

No calories. Big smile. Great gift.

Make a Holiday Gift by Purchasing Tribute Cards

It’s a gift that tells someone you care about them….and others.

Direct Relief International offers tribute cards and holiday cards for your family, friends, and business associates. To order please call us at (805) 964-4767 or visit our website: www.directrelief.org.

Examples of what your holiday gift can bring to others:

$500 Restore sight to 100 people in India$200 Provide dental supplies and education for homeless

and low-income children in Santa Barbara County $100 Give lifesaving antibiotics for 50 children in Peru$50 Supply a midwife kit for home deliveries in Nigeria