Annual Report Dokters van de Wereld (Médecins du Monde ...

In 2011 we visited Myanmar, with the aim to take over the project under Dutch managementstarting in 2012 for the mother and child care carried out by Médecins du Monde France.Since May 2012 this transfer became effective.Operation Smile – Design and implementation of Dutch missionsChildren with congenital or acquired physical malformations have a particularly difficult life indeveloping countries. In addition to medical problems, they also have social problems becausethey are not accepted and are excluded by the communities. For this reason Dokters van deWereld's Operation Smile conducts missions, in which children receive free reconstructivesurgery from Dutch plastic surgeons who work entire free of charge. The purpose of OperationSmile is twofold: in addition to performing reconstructive surgery, local personnel are trainedso ultimately they will be able to perform these medical interventions locally.To make the project sustainable we will create a clear link between the Dutch teams and thehospitals where we perform Operation Smile. The medical teams and the hospitals committhemselves to at least 3 years of executive support to the project, in order for a structuralknowledge transfer to take place.In 2011 Dokters van de Wereld has performed a research mission in Bangladesh together withthe Interplast Nederland foundation, which sends out teams for reconstructive operations since1990. We are looking at how to best shape the cooperation in the coming years.The first Dutch Operation Smile mission took place in Bangladesh in November 2011, where ateam of plastic surgeons of the VU University Medical Center (VUmc) and the AcademicMedical Center (AMC) operated 126 children in 2 weeks time and trained 8 doctors and 18nurses. In 2012 a follow-up mission will take place. Additionally preparations were made fortwo new missions in Sierra Leone in 2012, in cooperation with local hospitals and theUniversity Medical Center Groningen (UMCG) and the Medisch Spectrum Twente (MST).Growth by joining forces and efficiencyIn 2011 we have taken steps to strengthen our organisation with structural partnerships,calibration of our own overhead costs and innovative ways to raise funds.One of our key partners is the Nationale Postcodeloterij, from whom we again received500,000 Euros support in 2011. Each year the Nationale Postcodeloterij donates 50% of itsrevenue to charity; in total a sum of 3,5 billion Euros was donated to charity.A further extension of the cooperation was put into motion with Dutch companies. Based on aclear casus, where both Dokters van de Wereld and the company gain financial advantages,we have developed a partnership with companies that fit our social and sustainable businessmodel. In addition to the existing partnership with L'Oreal, who supports our Operation Smile,we have developed a partnership with Weleda, which will be conducted in 2012 for the benefitof our mother and child care projects.In order to obtain a reference point for the percentage of overhead costs, we had theBerenschot management consultancy company make a comparison of other, similarorganisations. This showed the total overhead costs per FTE and as percentage of therevenue was at least 15% lower than average at even larger organisations. This means wework efficiently and these costs take up a relatively limited part of our means. With a utilizationrate of 86.7% of our objectives in relation to the total spending in 2011, and cost formanagement and administration at 2.9% of our total cost, this is an additional element in whichwe positively distinguished ourselves from other organizations.Finally Dokters van de Wereld is actively developing a social enterprise in the Dutch care, incollaboration with health insurers and care institutions. The reason for this is to provide accessto quality care to citizens from different walks of life in the context of care impoverishment and4