Download the annual report 2011 of Cambodia and Thailand

© Erika Piñeros for Handicap International2 Annual report 2011

forewordWe are pleased to present our latest annual report, thesecond to amalgamate all projects in Cambodia andThailand operated by the HI Federation and HI Belgium.This integration follows decisions made at the head officelevel. In June 2011 HIB's general assembly voted torequest to become an official partner of the HI Federation,which accepted the request the following September.This is one reason why 2011 will be remembered as a milestone.It will also stand out in terms of operational successas a particularly productive year. Implementation at projectlevel either met or exceeded expectations. Our approachhas been increasingly nimble and collaborative, gearedtowards ensuring effectiveness at various levels: throughdirect programs for people with disabilities, partnershipprograms and links with governments.The devastating flooding that displaced nearly one-quarterof a million Cambodians last year, only slightly affected theareas our interventions are focused in allowing us to continuethe process of examining each other's projects and activitiesfor synergies and economies of scale. The process will beextended and formalized during the next fiscal year.We will develop a single strategy for HI in both Cambodiaand Thailand this year. At the same time, 2012 marksHI's 30th anniversary: both globally and in Cambodiawhere HI was born.ContentsIntroduction...................................................................03HI Values, Mandate, Vision and Mission.........................06Context Cambodia........................................................08Context Thailand...........................................................10HI Belgium Program strategy.........................................12HI Federation Program strategy.....................................13ProjectsPhnom Penh Conference...............................................16Humanitarian Mine Action..............................................18Road Safety Project.......................................................19Rehabilitation Sector in Cambodia.................................24HIV & Sexual Violence Prevention..................................26Happy Child Project.......................................................27Disability Prevalence Project..........................................28Inclusive Education Project............................................31Livelihood Project..........................................................32Inclusion of People with Disabilities Into MainstreamDevelopment Activities...................................................34Support to Disabled People's Organizations..................35Community for All Project..............................................36Good Governance& Social Accountability Project..........37Burmese Border Project................................................39Partners.........................................................................42Teams ..........................................................................43Financial data................................................................44Acronyms .....................................................................45Donors..........................................................................47Thank you note..............................................................47introductionHandicap International (HI) was founded in 1982 by twoFrench doctors who had been working in Cambodianrefugee camps on the Thai border since 1979. In the threedecades since then, HI has expanded its reach to benefitCambodian and Thai people with disabilities throughholistic programs tailored to their distinct needs, changingthe scope of its activities as its history in both countriesdeepened.Since Handicap International was born in Khmer refugeecamps it has a deep affinity with Cambodia. HI has beenoperational in Cambodian territory since 1987, and hasdeveloped a unique, holistic approach to helping peoplewith disabilities, which it also applies in Thailand. HI'sactivities in Cambodia and Thailand are wide-ranging.They include:• Prevention of disability, through activities such aslandmine and unexploded remnants of war clearance,mine risk education, health education and roadsafely activities;• Provision of rehabilitation services, such as physiotherapyand orthopedic equipment, and promoting access toinformation on services to prevent sexual violence andHIV among people with disabilities;• Inclusion of people with disability in society, throughdisability awareness, inclusive education, communitybasedrehabilitation, social and economic support andlobbying for disability rights, support to government toimplement disability-inclusive services; and• Capacity building of local and national Disabled PeopleOrganizations (DPOs) in order to influence nationaldecision-making policies to ensure disability inclusionand equality.The approach to disability developed by HI in Cambodiaas well as in the refugee camps along the Thai-Myanmarborder has evolved immensely over the past threedecades, shifting towards a rights-based participatorymodel. More than ever, people with disabilities and theirassociations have become partners involved in projectdesign and implementation. Strengtheningthese partnerships has become a priority.Editors:Mr Benjamin Nguyen & Mr Jeroen StolPhoto credit front cover© Bernard Frank for Handicap InternationalPhoto credit back cover© Erika Piñeros for Handicap InternationalDesign by: Erika Piñeros / Quinin LabAnnual report 2011 3

© Nicolas Axelrod for Handicap International6 Annual report 2011HI is an independent and impartial international aid organizationworking alongside persons with disabilities and othervulnerable groups in situations of poverty and exclusion,conflict and disaster. It was originally set up in Cambodianrefugee camps in Thailand in 1982. It has been workinginside Cambodia since 1987, and has extended its expertisefrom Cambodia to 60 countries in Asia, Africa, Centraland South America, Russia and Central Asia, South-EastEurope and the Middle East.Respect for the rights of people with disabilities has been at thecore of HI’s approach since its founding. HI takes action andbears witness in order to both respond to the essential needsand improve the living conditions of persons with disabilitiesall around the world through the promotion of their comprehensiverights (to health, education, employment, accessibility,security, etc.) and dignity, fighting discrimination, ensuring equalopportunity for all and strengthening the influence of personswith disabilities in national and local policy formulation.OUR visionIs of a world where all the estimated 650 million people withdisabilities can fully access and exercise their human rights.OUR valuesSolidarity • Dignity • ImpartialityEquity • Independence • HumanityHandicap International refers to relevant Human Rightsand International Humanitarian Law conventions.OUR GOALS• To prevent incapacities, impairments and disability dueto disease, accidents and violence• To ensure that services offered in our areas of expertiseare available, adapted and accessible• To strengthen capacities and promote social participationand the application and exercising of our beneficiaries’ rightsOUR ACTIVITIES• Provision of emergency aid to the victims of disasters,including natural disasters and armed conflicts• Prevention of disabilities and disabling diseases• Provision of identification, treatment and referral for disablingdiseases• Orthopedic-fitting and rehabilitation of people with disabilities• Promotion of educational, social and economic inclusion• Campaigning against anti-personnel landmines, clustermunitions and other explosive devices• Promotion of the rights of people with disabilitiesWhen and where conflicts, crises and disasters occur,or in their immediate wake, HI works to prevent and limittheir impact on individuals and communities, and helps toorganize relief and provide adapted assistance to coverpeople's basic needs with a focus on persons who areparticularly vulnerable and those with injuries or disabilities.

OURbeneficiariesEvery day for nearly 30 years, HI has taken actionto respond to the needs of:• People exposed to the risk of disease, violenceand disabling accidents• Vulnerable people, particularly people with disabilitiesand people living with disabling chronic diseases• Refugees and persons affected or displaced by crises,conflicts or disasters, particularly vulnerable persons,the injured and the disabled• People exposed to the danger of weapons, munitionsand explosive devices, during or following armed conflicts.International recognition• In 1992, Handicap International was decorated by theUnited Nations Secretary General in recognition of itscontribution to the United Nations program in aid of personswith disabilities• In 1996, Handicap International was presented with theNansen Prize and Medal from the United Nations HighCommission for Refugees, for its ongoing commitmentto refugees and the universal nature of its work withinthe International Campaign to Ban Landmines (ICBL)• In 1997, the association was co-recipient of the NobelPeace Prize with the NGO members of the ICBL and itscoordinator, Jody Williams• In 1999, Handicap International was granted United NationsECOSOC Consultative Status• In 2011Handicap International received the ConradN. Hilton Humanitarian Prize in recognition of almost30 years of action. The prize included a very generousUS$1.5 million award.hi at a glance• Handicap International works in 60 countries implementingmore than 300 projects• 4,000 people work for Handicap International worldwide,including 270 expatriate staff and some 3,400 local staffin the field, and 286 staff in the eight countries whereHandicap International has national associations• Our work employs a range of professionals, includingorthoprosthesists, occupational therapists, physiotherapists,logisticians, project managers, psychologists,administrators and deminers• Eight national associations in France, Belgium, Switzerland,Luxembourg, Germany, the United Kingdom, theUnited States and Canada, are dedicated to representingthe entire federal network, mobilizing resources, recruitingstaff, and jointly extending the associations’ principlesand actions worldwide• Annual budget: €100 million• Nearly 600,000 private donors worldwide• More than 70 bilateral and multilateral donors demonstratetheir trust in Handicap International by funding its projects• Handicap International’s expertise is regularly calledupon by international organizations, including the WHO,UN, UNICEF and UNHCR. The most recent example isin Haiti, where the United Nations and WHO entrustedHandicap International with the mission of coordinatingthe rehabilitation of injured persons, the provision oforthopedic services and ongoing support for people withdisabilities in partnership with the German association,Christoffel Blindenmission (CBM)• More than 2 million signatures were collected worldwideas part of Handicap International’s campaigns to bananti-personnel mines and cluster munitions.For more information visit www.handicap-international.org© Erika Piñeros for Handicap InternationalAnnual report 2011 7

Cambodia reached, after several decades of isolation andconflict, an end to armed conflict in 1998 following the fullintegration of Khmer Rouge into the national army.Cambodian people have since enjoyed relative stability,which has allowed economic growth and some significantprogress, including a 56.3% decline in the maternalmortality rate from 2005 to 2010 (from 472 cases to 206cases per 100,000 live births) and a 46.7% decline ininfant mortality during the same period (from 66 casesper 1,000 live births in to 45 cases per 1,000 live births) 1 .Moreover, from 2010 to 2011 deaths due to HIV/AIDSfell 11% and 31% due to malaria, while the number oflandmine/UXO victims fell 36%. The past decade has alsoseen a dramatic improvement in infrastructure due to therehabilitation of structures and roads and the constructionof bridges and other facilities.Nevertheless, it is estimated that a quarter of the populationlives below the poverty line and corruption remainsentrenched despite government efforts to alleviate it (ananti-corruption unit has been created and several highprofileconvictions have already been made).Another serious problem is road safety: there has beena 10% increase in road accident mortality since 2005.According to the 2010 Cambodia Demographic andHealth Survey, people in need of medical treatment (forinjury or illness) in both urban and rural area are mostlikely to pay for private-sector medical assistance for theirinitial treatment, due to the lack of both public healthfacilities and a commitment from health professionals topublic health services. The lack of a well-functioning andfunded public health care system means that internationalorganizations remain primarily responsible for the disabilityrehabilitationsector in terms of managerial, technical andfinancial support.It is conservatively estimated that 8.1% of Cambodia'spopulation is disabled. Most impairments are caused bylandmine/UXO and road accidents, or are consequencesof birth or illness. This has left the country with a highproportion of vulnerable groups. In this context, people withdisabilities, particularly children with disabilities, suffer froma wide range of problems and form one of the most vulnerablegroups in Cambodian society. However, in this fragileand impoverished democracy of 13.4 million inhabitants 2assisting people with disabilities is not always perceivedas a priority.The tenacious link between poverty and disability isclearly demonstrated. Poverty leads to malnutrition, poorhealthcare and increased vulnerability to accidents. Thesefactors increase the risk of disability. Disability, and theaccompanying lack of appropriate support and socialexclusion, is likely to lead to extreme poverty. People withdisabilities living in Cambodia are unfortunately not anexception to this cycle.Handicap International in Cambodiathailandlaosvietnamgulf ofthailand1 Cambodia Demographic Health Survey, 2005, 20102 Cambodia General Population Census, 20088 Annual report 2011

© Nicolas Axelrod for Handicap InternationalAnnual report 2011 9

© Erika Piñeros for Handicap International10 Annual report 2011

Handicap International in thailandMyanmarmae la oonYangonban mae surinlaosmae ra ma luangmae laumpiem maithailandnu poThailand is not a signatory to the 1951 Refugee Conventionand, therefore, has no formal, legal obligation to provideprotection and assistance to refugees, but it has been amajor destination country for asylum seekers and refugeesfrom Myanmar for several decades.Since 1984, it has hosted displaced persons fleeing fromrepressive attacks by the military government and morerecently those fleeing economic hardships within Myanmaras well as those from Border States.Conditions in Myanmar seem to have improved with the newgovernment, but developments during the second half of2011 have not reduced the number of Internally DisplacedPeople living in camps in Border States in Myanmar (16,800 persons) 1 or in the 9 camps along the Thai side of theborder. As of 2011 Thailand was host to 137,200 displacedpersons/refugees from Myanmar of whom about 60,000were unregistered asylum seekers without any legal status. 2Since 2005, more than 77,600 persons 3 were resettledfrom camps to third countries, but the camps' populationremains about the same. Residents are divided into 2 majorethnic groups: the Karen (79%) and the Karenni (9%). Theremainder is composed of Burmese, Shan, Rohingya andMon. Most are Christians, although Buddhists and Muslimsalso live in the camps. The population is almost equallydivided by gender: about 49% are female and 51% male,and the number of young people high (about 14% of thepopulation is under 5 years of age, and the crude birth rateis about 2.1 per 1,000 people). 4As the host country is limiting construction, mobility and incomefor refugees, living conditions – particularly for peoplewith disabilities – remain very low. The Thai government’spolicy of encampment remains in place due to its concernsabout national security, the impact on Thai communitiesand fear of creating a pull factor for new refugees.Refugees heavily rely on the humanitarian assistance providedby the 17 members of the Committee for the Coordinationof Services to Displaced Persons in Thailand (CCSDPT)and CBOs. HI, which has been present in Thailand since1984, is a member of the Committee and the sole internationalorganization specializing in disability inside the camps.The Committee aims to enhance the capacity to engagestakeholders and coordinate services to refugees to ensureefficiency and lack of duplication. HI activities are consistentwith the CCSDPT/ UNHCR Strategic Framework forDurable Solutions. 5 Through efforts to include persons withdisabilities into mainstream service provisions, HI plays astrong role in reinforcing the Framework and engaging incollaboration with other international organizations, refugeecommittees and CBOs. HI intends to build a sustainablenetwork of services for persons with disabilities and theirfamilies in and around the camps through provision ofspecialized and support services, empowerment processesand optimization of access to mainstream resources.andamanseatham hin1 Thailand Burma Border Consortium, Dec. 20112 TBBC, Dec. 20113 International Organisation of Migration, Dec. 20114 HIS bulletin, June 2011; TBBC Population database 08/20115 HI focuses on health and livelihoods, collaborating with stakeholders for capacity building and communitybasedapproaches for the former and self-reliance for the latter.Annual report 2011 11

HIB has established a solid reputationthrough the quality of its supportand its innovative approaches in thesectors of Rehabilitation (centre- andcommunity-based), Humanitarian MineAction, Road Safety, Rights and Inclusion,and Maternal and Child Health.Considered a leading agency in Cambodiain fields such as Road Safety,we systematically work through localpartners to promote capacity-buildingand research, and actively contributeto the work of coordinating bodies.Our expertise in data collection andanalysis in particular is highly regarded,and we often lead the publishingof annual studies.In Cambodia, as in many other countrieswhere HIB is present, states partieshave become increasingly willingto rely on international and local nongovernmentalactors for the promotionof social welfare. Recognizing thistrend, the approach of the Cambodianmission has shifted to focus on workingmore directly with partners withinthe Royal Cambodian Governmentto build capacity and to develop anunderstanding of the states’ obligationsto promote and protect the rightsof all citizens. This shift is consistentwith a rights-based approach to disabilitiesand development and currentinternational development concepts,and is endorsed by the United NationsConvention on the Rights of Personswith Disabilities, which came into effectin March 2008.While our support to public-servicedelivery remains critical, we believethat the long-term sustainability ofquality services for all persons, includingthose with disabilities, requires thatthey are listened to. This is why weare also working at both national andcommunity levels to support personswith disabilities and their representativeorganizations to ensure they havea voice in development processes.Reviewing our strategy does not meanprevious models are now consideredinvalid. We still value both the medicaland the social models in our interventions.By combining the three modelswe believe we cover the full scope ofinterventions needed to pursue ourglobal objective: preventing and limitingthe impact of disability by offeringassistance to people with disabilities,and those at risk of disability, and supportingthem in their efforts towardsautonomy and social integration.During the period of 2011-2013 1 ,HIB plans the following:• To continue our important work inthe fields of Road Safety and Maternaland Child Health, both focusingon prevention• To remain active in Humanitarian MineAction, our first objective being to helpthe Royal Cambodian Government tosign and ratify the international Conventionon Cluster Munitions• To reduce our involvement as a directimplementer, the most concreteexample being the handing over ofthe Physical Rehabilitation Centersin Takeo and Siem Reap• To seek new areas in which our organizationcould make an impact. Speechand language rehabilitation couldbecome a new area of attention. 21 The strategy was finalised in November 2010.2 Little is known about communication disorders in Cambodia. Thereare few practitioners working in the field and only a limited amountof real data concerning the etiology, prevalence, and socio-economicimpact of communication disorders in this country exist. We believefew other organisations could lead the mobilization of resources andstakeholders necessary to develop comprehensive interventions forthose with communication disorders (and their families) that couldpositively impact the lives of hundreds of thousands of Cambodianswith communication disorders.© Nicolas Axelrod for Handicap International12 Annual report 2011

© Erika Piñeros for Handicap InternationalHI Federation projects in Cambodiaare implemented in Battambang andKampong Cham provinces. HI Federationalso supports the Royal Governmentof Cambodia’s efforts for disabilityinclusion in national policies andservices. Its projects in Thailand areimplemented in the refugee camps onthe Thai-Myanmar border.The overall goal of the strategy for2008-2012 1 is to improve and sustainthe living conditions of personswith disabilities and most vulnerablegroups, and to prevent impairmentand chronic disease. It has threekey objectives:• Improve access and provide inclusiveservices in health and rehabilitation• Prevent impairment and chronicdisease• Ensure disability inclusion andpromote the rights of personswith disabilities.To achieve these objectivesHI Federation will:1. Build capacity of local actors to improveaccess for persons with disabilitiesto health services, includingHIV/AIDS services2. Build sustainability of physical rehabilitationservices3. Develop access to protectionand strengthen responsesto gender-based violencefor the most vulnerable4. Reduce vulnerability to poverty forpersons with disabilities and theirfamilies through improved accessto livelihoods development5. Improve accessibility to the physicalenvironment and information6. Promote disability inclusion in nationaland donor policy, and policydialogue and implementation7. Enhance persons with disabilities’participation and decision-making inlocal development initiatives8. Promote access of children withdisabilities to quality primary education,including development andimplementation of inclusive primaryeducation policy.Overarching principlesof the program strategy• People with disabilities are at thecentre of HI Federation’s work (fromresearch, design and planning toimplementation and evaluation)• HI Federation uses a rights-basedapproach that promotes disabilityinclusion in mainstream services• Gender equity• Sustainability of program strategyoperational methodologies• Adopting a twin-track approach whenappropriate, which includes directimplementation when required butfocuses on mainstreaming disabilityinclusion into all policies and services• Building effective partnerships asmuch as possible• Building capacity internally and withpartners• Developing strategies for strengtheningand supporting partner and governmentefforts towards disability inclusion• Focus on impact/results.1 The strategy was updated in Nov. 2010Annual report 2011 13

© Erika Piñeros for Handicap International

PROJECTS 2011

Signed in 1997, the Ottawa Treaty has banned the use,production, transfer and sale of anti-personnel minesand requires Signatory States to destroy their stockpiles,decontaminate their territories and assist victims. Twelveyears after the treaty entered into force (1999), it is nowa recognised international standard respected by mostStates worldwide. There are currently 159 SignatoryStates. Cambodia signed the Ottawa Treaty on December3, 1997 and ratified it on July 28, 1999, becoming a StateParty to the treaty on January 1, 2000.The 11th Meeting of the States Partiesto the Anti-Personnel Mine BanConvention was held from November28 to December 2, 2011 in PhnomPenh, Cambodia. The annual meetingprovided States Parties with an updateon progress towards implementing thetreaty. The Phnom Penh Meeting wasalso an opportunity to review progresson the Cartagena Action Plan adoptedin 2009 at the second review Meetingof States Parties. The action plancommits States Parties to undertakea range of specific actions in order toimplement the Mine Ban Convention,including the destruction of stockpiles,demining and victim assistance.A delegation of Handicap International,which is member of the InternationalCampaign to Ban Landmines (ICBL),was present in Phnom Penh to meetwith delegations and outline our expectationsregarding the implementation ofthe treaty. Handicap International mustmaintain pressure on public authoritiesas long as this intolerable situationpersists. Several mine victims spoke atthe meeting, detailing the brutal natureof these weapons and remindingStates of their obligations as they worktowards a “world without mines”. Ourdelegation also worked on advocacyat the plenary sessions:Handicap International launched anew report on victim assistance inCambodia. The study includes testimoniesfrom 24 anti-personnel minevictims and pinpoints structural deficienciesin victim-assistance policies.HI made two individual presentationsabout victim assistance and a thirdas part of a global exhibition aboutlandmine victims.In partnership with the Institut Français(French Cultural Centre), HI presented“Short Stories of Hope”, featured avideo series (by Pierre Kogan & DanielValencia) and photo portraits (by NicolasAxelrod) documenting the life of eightCambodian landmine survivors. Thesefour men and four women, from ages17 to 52, drew attention to their plightat the French Institute of Cambodia. Twoof the eight landmine survivors featuredin the exhibition attended, highlightingthat that their personal difficulties – likethose of every person – are unique.France’s Ambassador to Phnom Penh,Christian Conan, delivered an eloquentspeech during the exhibit's preview.HI’s advocacy for the Ottawa Treaty hasnever waned. New stories provided freshmomentum to push for the eradicationof these weapons during the meeting.After Finland, Somalia, one of themost landmine-contaminated countriesin the world, announced it wouldaccede to the Treaty.The governments of Burundi andNigeria declared their countries fullycleared, raising the global total to 20.Uganda, Jordan, and Guinea Bissauannounced they would be completelyfree of landmines in 2012.Turkey announced that it had minestockpiles, after several years of violationof Article 5 of the Treaty, and Myanmar –which regularly uses landmines – participatedin the Meeting for the first time.Handicap International welcomes thegrowing number of non-parties who attendconferences on the Ottawa Treaty,proving that the stigmatization of thisweapon is growing so strong that noState can ignore the Convention.16 Annual report 2011

Handicap International has more than 15 years of experiencein Humanitarian Mine Action (HMA). Since 1994, HIhas been running HMA projects around the world, startingwith landmine impact surveys and mine risk educationand, soon after, demining and unexploded ordnance(UXO) disposal. Having worked on mine action in countriessuch as Afghanistan, Lao PDR, Democratic Republicof Congo, Cambodia, Angola, and Burundi, HI isdedicated to preventing disability in regions of the worldmost affected by explosive remnants of war (ERW).In Cambodia, HI has been active in HMA since 1994with the development the Cambodian Mine/UXO VictimInformation System, a data collection system known asCMVIS. HI also created the management, financial, administrativeand logistic standard operational proceduresfor the Cambodia Mine Action Centre (CMAC) and wasthe first NGO in the world to tackle legal tenure of deminedland through Land Use Planning Units in Cambodia.In 2011, the HMA program in Cambodia consisted ofone project: Proactive Battle Area Clearance. It workedto enhance personal safety of people living in ruralcommunities affected by ERW through their removaland disposal. It also cleared land for farming and otherincome-generating activities. The project began in 2010and was extended for three months in 2011.Courtesy of Handicap InternationalcontextIntensive aerial bombardments duringthe 1960s and 1970s affected the vastmajority of the southern and easternparts of Cambodia. Intense fighting alsoleft the country littered with all typesERW. The most visible impact of ERW ishuman suffering, which is often measuredby the number of casualties. Theimpact of ERW contamination, however,cannot be reduced to a simple tabulationof casualty rates. The relationship betweencontamination and developmentis much more complex in affected areas.ERW contamination impedes accessto productive resources and servicesand has an enormous effect on otheraspects of villagers’ quality of life. Manyare forced by economic necessity to dealwith the daily fear of working on land thatis contaminated or suspected of beingcontaminated, while large tracts of arableland remain unused because they areknown to be heavily contaminated.objectivesThe overall objective of this projectwas to reduce the ERW threat onrural communities in three provinces18 Annual report 2011of Cambodia: Kampong Cham, Kratieand Svay Rieng. This was achievedthrough the deployment of five teamsthat implemented pro-active battlearea clearance (BAC) operations inrural communities living in ERW-contaminatedareas of the provinces.Pro-active BAC operations are intendedto free communities from ERWthreats by applying concentration ofeffort through rapid village-to-villageoperations. This operational conceptrequires that highly contaminated villagesare identified through extensiveanalysis of information available. Subsequently,these villages are targetedfor intensive clearance operations toremove all evidence of threats. Lastly,the capacity of local authorities is builtto manage remaining ERW contaminationin their communities.Target PopulationRural communities living in ERW contaminatedareas of Kampong Cham,Kratie, and Svay Rieng provinces.Operational PartnerCambodian Mine Action Center.DonorSpanish Agency for InternationalDevelopment Cooperation.Contact PersonMs. Sophie Perdaenssophie.perdaens@hib-cambodia.orgImplemented by HI BelgiumMain Achievementsand Progress in 2011• Battle Area Clearance: 1,030,817 m 2• Total number of UXO found anddestroyed: 5,458• Total number of fragments found:30,524• Number of minefields marked forfuture clearance: 130• Village members receiving mineriskeducation: 59,024• Households/sites visited: 13,646• Explosive ordinance detonationrequests responded to: 587A short documentary about this projectcan be viewed online at:www.youtube.com/watch?v=TEWHtR_3eJE

PROJECTRoad safety is a critical issue in Cambodia,where the number of fatalities(an average of 5 per day) and disabilitiesresulting from crashes is risingat an alarming pace. In 2010, 18,287road-crash casualties were reported tothe Road Crash and Victim InformationSystem (RCVIS). Among them, 1,816were fatalities. Almost 90% of trafficcasualties involved poor people onmotorbikes, bicycles or just walking.The economic cost of road crashesin 2010 was US$279 million, up 13%from 2009.HI is working to counteract this growingdisaster. Our general objective is toincrease awareness about road safety,and lobby and support governmentaland civil society actors to take actionto prevent road crashes, fatalities, disabilitiesand injuries.The road safety program was restructuredat the beginning of 2011 with ourapproach shifting from implementationto supporting partners and increasingmore complex activities such asresearch to expand our effectivenessand reach. Greater involvement of othergroups and governmental bodies inroad safety has allowed HI to focus onstrengthening their capacity to implementactivities and increase our effortsin areas where our expertise is mostneeded. Some activities have beengradually handed over to partners,such as organizing community-basededucation on speeding, media campaigns,and organizing world remembrancedays.The program has been divided into3 main components:• Support to the government• Support to civil society• Research, Monitoring & Evaluation.The program is integrated into theNational Road Safety Action Plan andis implemented in close collaborationwith the governmental partners. Ourinterventions are also aligned with theUN Decade of Action for Road SafetyFramework. We believe that the partnershipapproach (national and internationalcooperation) is a key towards success.It also helps us harness regionaland international good practices andexpertise for building local capacity.HI has been a key contributor tothe implementation of the NationalRoad Safety Action Plan and upgradingof the capability of the NationalRoad Safety Committee (NRSC).The RCVIS has been recognized asa model data system in the region.Enhanced law enforcement and theincrease of helmet wearing have beenobserved. HI is regarded as a valuablepartner for road safety activities,providing technical advice and supportin strategy and policy developmentand implementation.In 2012, the program will continueto focus on the institutionalstrengthening of local partners,especially the NRSC and civilsociety organizations. The supportwill contribute to the long-termsustainability of local resourcesand the empowerment of civilsociety groups to ensure theirinterventions lead to safer roads.Research, Monitoring and Evaluationwill continue to be vital tosupport implementations withinthe country context, plan appropriateresponses and identify relevantpriorities and recommendations.Courtesy of Handicap InternationalAnnual report 2011 19

oad safetysupport to governmentContextOver the past several years, the capacityof the government counterpartshas been strengthened, especially todevelop the 2011-2020 National RoadSafety Action Plan and coordinate implementationof previous Road Safetyaction plans. The National Road SafetyCommittee (NRSC) managed to obtainmore funds for their projects fromboth the government and externaldonors. However, this progress hasbeen insufficient to fully respond to thegrowing number of road crashes andtheir devastating impacts. The NRSC’sresources remain insufficient to enableit to adequately address this immense,and growing, social issue.ObjectivesTo support government bodies,particularly the NRSC, in developing,implementing and coordinating theNational Road Safety Action Plan.Target PopulationNational Road Safety Committee andits General Secretariat.Operational partnersNational Road Safety Committee, Ministryof Interior, Provincial road safety committees,Ministry of Education, Youth andSport, Road Safety For All Foundation.DonorsBelgian Cooperation, Flemish Foundationfor Traffic Knowledge, GlobalRoad Safety Partnership, OlympusKeyMed.Contact personMs. Socheata Sann, Road SafetyProgram Managersann.socheata@hib-cambodia.orgImplemented by HI BelgiumMain Achievements and Progress in 2011In 2011, the General Secretariat of the National Road Safety Committee(GSNRSC) was able to develop and submit the 2011-2020 National RoadSafety Action Plan to the chairman of the NRSC as well as the Council ofMinisters. The plan was considered, commented on, and is expected to bere-submitted for final approval in mid 2012.With HI technical support, several national events were organized by governmentalcounterparts, including Road Safety Week, the National Congressto Launch the UN Decade of Action for Road Safety Framework and WorldRemembrance Day. The GSNRSC has also replicated its experience inorganizing public awareness campaigns using other donors’ funds. Postersand leaflets were reprinted and TVs spots rebroadcast. Numerous meetingsbetween road safety stakeholders – such as provincial committees, HI, theWorld Health Organization and the Global Road Safety Partnership – wereheld to update each other about progress made and to develop further plans.These meeting were coordinated and facilitated by the GSNRSC team. Theseachievements show progress in terms of developing the capacity of theGSNRSC to coordinate and implement the National Road Safety Action Plan.In addition, to build capacity of government counterparts, various meetings,trainings and workshop were organized on topics such as social marketing,the safe-system approach and financial mechanisms for road safety.These workshops and meetings have led to action. For example, a safesystemapproach concept (to reduce speeding) has been prioritized in theNational Road Safety Action Plan.An amendment to the Traffic Law was also made in 2011. It includes compulsoryhelmet wearing for motorbike passengers and reduction of speedlimits along national roads.A Safe School Zone project was extended at two elementary schools, locatedalong National Road 6. One of the schools is for students with disabilities.Alongside with road infrastructure adaptation, education materials (leaflets,billboards) were developed for both children with disabilities and those withoutdisabilities. Training sessions were organized to introduce the concept toteachers and students. A concept paper for the Safe School Zone is beingdeveloped into an official guideline and will be submitted for approval andreplication nationwide. The concept paper has been used already by otherorganizations to set up safe zones near other schools.20 Annual report 2011

oad safetyresearch, monitoring & evaluationContextRoad safety funding, decision-making,policy, strategy, activities and law enforcementare ideally based on evidencegathered through accurate and comprehensivedata collection systems and research.HI considers it is vital to developmore effective road safety measurementtools and strategies and to improveknowledge about factors contributingto road crashes. Since 2004, HI has focusedresources on the development ofthe Road Crash and Victim InformationSystem (RCVIS) in close collaborationwith governmental counterparts. Thequantitative data collected and analyzedby RCVIS has led to qualitative researchand output for the road safety programand the road safety sector. Effectiveresearch on road safety issues is an essentialprerequisite to understanding theproblem and providing a framework todevelop policies. Road safety researchis essential to find new strategies fornational road safety programs.ObjectivesTo provide accurate information on themost relevant issues of road safety inCambodia for the purpose of developing,monitoring and evaluating policy andaction plans in road safety intervention.Target PopulationRoad safety stakeholders, such asgovernment bodies, especially theNational Road Safety Committee, andinternational and local organizationsinvolved in developing and implementingroad safety activities.Operational PartnersNational Road Safety Committee,Ministry of Interior, Ministry of Health,Road Safety Institute in Netherlands,Road Safety For All Foundation,Johns Hopkins University, US Centersfor Disease Control and Prevention,Asia Injury Prevention Foundation,International Traffic Safety Data andAnalysis Group.DonorsBelgian Cooperation, US Centersfor Disease Control and Prevention,Johns Hopkins University.Contact personSMr. Chariya EAR, Research, Monitoringand Evaluation Coordinatorchariya.ear@hib-cambodia.orgMs. Socheata SANN, Road SafetyProgram Managersann.socheata@hib-cambodia.orgImplemented by HI Belgium© Nicolas Axelrod for Handicap InternationalMain Achievements and Progress in 2011Since the beginning of 2009, RCVIS has been progressively handed overto governmental counterparts. In 2010, the system was installed in the Ministryof Interior (MoI) for traffic police data collection and in the Ministry of Health(MoH) for the injury surveillance system (ISS) data collection. In 2011, RCVISwas also set up inside the General Secretariat of the NRSC. As a result, significantachievements have been observed that demonstrate the beginning of theinformation system’s long-term sustainability. These include:• Data collection has been successfully handed over from HI to traffic policeofficers under the MoI structure and to hospital staff under the MoH structure• Data collected by MoI and MoH has been submitted to GSNRSC regularly• Data entry is managed by the government staff at the ministerial level (MoI,MoH and General Secretariat of NRSC)• Databases have been set up in the 3 government bodies: MoI, MoHand General Secretariat of the NRSC• RCVIS Reports (monthly, annual and customized) have been disseminatedby the General Secretariat of the NRSC• RCVIS has been recommended by UNESCAP as a model for countries in Asia• With technical support from international experts, several research projectswere conducted, including observations and roadside surveys (on 3 mainrisk factors: Helmet Wearing, Speeding and Drink Driving), analysis of costsof road crashes in Cambodia and vehicle-kilometer traveled• The results of these projects have been widely acknowledged and utilizedby many stakeholders, including policymakers. Findings from the observationsbecame part of the baseline for the safety performance indicators forthe 2011-2020 National Road Safety Action Plan.Annual report 2011 21

Annual report 2011 23© Erika Piñeros for Handicap International

Cambodia has long been one of themost mine-affected countries in theworld, both in terms of human casualtiesand land loss due to landmine andERW contamination: almost 64,000Cambodians have been victims of landminesand ERW over the last 32 years.More than 30% died following theseaccidents. Survivors (most of themamputees) are the largest group ofpersons with disabilities in Cambodiaand one of the country’s most vulnerablegroups.Over the past several years, reportedcauses of disabilities have changed,however, with a decrease fromlandmine and UXO accidents and anincrease from other causes, mainlydiseases and illnesses (polio, cerebralpalsy and club foot), which is reflectedin the Physical Rehabilitation Centerclient database. An Evaluation of thePhysical Rehabilitation Sector in Cambodia1 undertaken in 2006 found thatup to 153,000 people require assistivedevices, with 89% of those with mobilitydifficulty residing in rural areas.To respond to these needs, a networkof 11 Physical Rehabilitation Centersupported by 5 International NGOs 2is providing services to persons withphysical impairment in Cambodia.Since the beginning of the early 90s,the rehabilitation sector has developedthrough various stages, with increasinginvolvement by the Royal Governmentof Cambodia. Management by internationalorganizations has been progressivelyreplaced by involvement of theMinistry of Social Affairs, Veterans andYouth Rehabilitation at the national leveland its provincial counterparts, especiallyin terms of human resources andadministrative management.In October 2007, based on the recommendationsmade by the external evaluationof the physical rehabilitation sectorin Cambodia (2006), the Ministry formallyinformed HI and the four other internationalNGOs supporting the rehabilitationcenters that it would implement a threeyearstrategy (2008-2010) for transferringmanagement of the 11 centers to it. InJune 2008, the Ministry and the 5 INGOsmanaging the centers signed a MultilateralMemorandum of Understanding withthe aim to support the gradual handingover of the centers to the Ministry.The full handover of all PRCs by theend of 2010 was not, as originallyplanned, possible. However, much hasbeen accomplished by the Ministryand the 5 INGOs to prepare for thehandover’s completion, includingdefining a common framework forPRC management. Standard workingprocedures have been established;progress has been made for PRC staffrecognition under civil servant or statecontractual status; common toolshave been developed and are beingput in place for patient managementand stock management at PRCs; and,collaboration with Provincial Officesof Social Affairs, Veterans and YouthRehabilitation (PoSVYs) has increased.In 2011, HI and the Siem Reap andTakeo PoSVYs have increased thenumber of meetings and exchangesregarding the handing over of responsibilityof management and financesin both centers. Through meetings,workshops, visits and direct supportto the centers, PoSVYs in both provinceshave shown their commitment toassuming management of the centers.1 Report prepared by: Kendra J. Gregso, Sharonjit Sandhu, Vien Ky,Soeng Sophary, 27 October 20062 International Committee of the Red Cross, Cambodia Trust, VeteransInternational, Handicap International Belgium and Handicap InternationalFederation.RESULTS 2011KampongCham PRCSiemReap PRCTakeoPRCTOTALClientsTotal number ofclients2311 2212 1504 6027Men 1545 1736 1112 4393Women 766 476 392 1634< 18 years old 1129 745 558 2432Landmine/UXOsurvivors483 1336 720 2539New clients 399 391 158 948Production and distribution of assistive device at centerlevelProsthesis 320 375 248 943Orthosis 562 153 199 914Mobility aid(wheelchair, trolley,crutches, seatingsystem, etc.)603 687 360 1650Repairs 539 1077 712 2328PhysiotherapysessionsSocio economicsupport9527 6312 4055 1989473 0 0 73© Isaac Brown for Handicap International24 Annual report 2011

Main Achievements and Progress in 2011ObjectiveSThe objectives of the projects implemented by HIB andHIF in Siem Reap, Takeo and in Kampong Cham 1 provincesare to provide quality services for persons with physicalimpairment and to progressively hand over managementof 3 Physical Rehabilitation Centers to the Ministry and itsprovincial counterparts through capacity building of PRCstaff and relevant government officials.Operational PartnersMinistry of Social Affairs, Veterans and Youth Rehabilitation,its provincial counterparts, Disability Action Council andPersons with Disabilities Foundation.DonorsAgence Française de Développement, AusAID, Ministryof Foreign Affairs of Belgium, Handicap International andprivate donations.Contact personSMs Céline Abric, Opérational Coordinator (HIF)coordo-operation@hicambodia.orgImplemented by HI Belgium1 The three centers provide services to people with disabilities in two additional provinces: Preah Vihear provincein the northwest and Kampong Thom in central Cambodia.Sak, 12, lost his left leg to a boneinfection, but since being fittedwith a prosthesis at the KampongCham Physical RehabilitationCenter he has returned to school and rejoined thesocial activities he delights in.His family lives in a remote village in Kampong Champrovince – in Oh Raing Ov district’s Preash Theatcommune – where they are subsistence farmers dependenton rainfall for their one annual rice crop. Withfive children to support – Sak is the third – his parentscould not afford medical care so they took Sak toa charitable hospital in Phnom Penh that offers freetreatment for children after he injured his leg in April2010. Sak had hurt his leg in a fall, and after the swellingand pain did not diminish his parents took him toKantha Botha Hospital.Doctors diagnosed that he was suffering from osteomyelitisand provided him with free medicine to treatit for six months. The infection did not subside andhis doctors amputated his leg in October 2010. The12-year-old boy received his first prosthesis on February2, 2011 after visiting the PRC in his province.When he returned to the PRC in May 24, after anotherstay at Kantha Bopha, his prosthesis was readjustedto make it more comfortable.After almost a year of limited mobility, Sak can walk again.He lost one year of school, but the young boy is cleverand his future is brighter than it seemed one year ago.NationallyHI representatives participated in the working committeecreated by the Ministry of Social Affairs, Veterans and YouthRehabilitation for defining Standard Working Procedures forthe Cambodian rehabilitation sector (HIF and HIB projects).Physical Rehabilitation Center technical staff and managersalso regularly participate in PRC committee meetingsorganized at the national level by the Ministry to developand update national standards, as well as PRC’s workingprocedures and database systems for client and stockmanagement. The national standards for Physical Therapists(PT), Prothetists and Orthotists (P&O) were updatedand evaluated by a technical team formed by PT, P&Oand Ministry representatives in selected centers beforebeing finalized and sent to the Ministry for approval.ProvinciallyIn Kampong Cham PRC, 2,311 clients received a fullrange of services (physiotherapy, prosthetics/orthoticsand referral) in 2011.Activities also included:• Deployment of management tools adopted by MoSVYat the PRC level (Stock Management System PatientManagement System), 1 technical study implementedfor improving accessibility of PRC premises• 5 Self Help Groups (SHGs) selected in close collaborationwith PoSVY staff to implement micro projectsto inform the general population and local authoritiesabout PRC services• 1 training needs assessment launched for P&O andBench Technician with support from the CambodiaSchool for Protetist Orthotist and 13 sessions of trainingattended by PRC staff including 2 study tours• 1 evaluation study implemented with SHG and DisabledPersons Organization (DPO) supported in 2010through a small grant• Preparation with SHG/DPO of advocacy roundtable onaccess to rehabilitation services for 2012• 1 performance tour in 8 communes organized for InternationalDisability Day in close collaboration with DPO/SHG• 3 radio spots created for informing general populationabout PRC servicesIn Siem Reap and Takeo the number of client contactsreached 2,212 and 1,504 respectively. Women represent23% of the total clients (868 of 3,716). Children under18 represent 35% (1,303 of 3,716). 549 new clientswere registered.The involvement of Provincial offices of Social Affairs, Veteransand Youth Rehabilitation in the management of thePRCs has increased. PoSVY-HI handover working groupmeetings have been taking place on a monthly basis andhave been clarifying all relevant issues. Discussions havebeen very open regarding the management, finances andhuman resources, but remain, nevertheless, inconclusive.The PRCs annual budgets for 2012 has been jointly developedand submitted to the MoSVY. Human resourceissues have been constantly addressed in meetings, especiallythe lack of civil servant status for PRC staff, andsolutions have been sought. Training plans for key PRCstaff members have been discussed and agreed on.Annual report 2011 25

PROJECTContextIt is commonly assumed that personswith disabilities are not at high risk ofHIV or other sexually transmitted infectionsas they are often wrongly believednot to be sexually active, unlikely to usealcohol or drugs, and are less at risk ofsexual violence than their non-disabledpeers. Moreover, policymakers andservice providers may believe that thenumber of persons with disabilities isnegligible and that they do not deservethe same attention as non-disabledpeople. As a result, they do not ensureuniversal accessibility to service andinformation provision.The evidence of two Handicap InternationalFederation studies conductedin 2009 and 2010 suggests thatpersons with disabilities, especiallywomen who face barriers in communication,are at risk of HIV infectionand vulnerable to sex-based violenceas they are frequently excluded fromaccess to prevention programs andresponsive services. Evidence suggeststhat persons with disabilities arefacing significant structural barriers inenjoying their civil, political and humanrights in Cambodia.ObjectivesThe goal of the project is to improveaccess to HIV prevention, sexualviolence protection and supportsystems for persons with disabilities,Courtesy of Handicap Internationalwith a special focus put on personswith sensory impairment. To achievethis goal the project works at both thenational and local levels with mainstreamstakeholders (HIV/AIDS orgender organizations, local authorities,etc.), Disabled Peoples Organizationsand/or organizations working for them.The project includes activities forawareness raising, training and a supportivemechanism for referring sexualviolence survivors with disabilities toappropriate services (health, psychosocial and legal). Topics addressedencompass HIV prevention, reproductivehealth and sexual violence.Target populationsPersons with disabilities with a specialfocus on deaf women and youngpeople with sensory impairments,national HIV/AIDS and gender organizations,commune councils and localstakeholders involved in HIV/AIDS andsexual violence protection, DisabledPeople Organizations, including Self-Help Groups, and NGOs working withpersons with disabilities.Operational PartnersGovernment: Ministry of Health,Provincial Health Departments andOperational Districts, National AIDSAuthority and Provincial AIDS Offices,Provincial Departments of Women’sAffairs, Provincial Departments ofSocial Affairs, Veterans and YouthRehabilitation, Commune Councils.Disabilitiy organizations: Deaf DevelopmentProgram, Krousar Thmey,Association of Blind Cambodians,Local DPOs and SHGs.HIV/aids organization: HIV/AIDsCoordination Committee.Gender/legal and Psychosocialorganizations: Banteay Srei,LICADHO and TransculturalPsychosocial Organisation.DonorsAgence Française de Développementand HI.Contact PersonDr. Vivath Chou, HIV/DisabilityProject Managerpm-hiv@hicambodia.orgImplemented by HI FederationMain Achievementsand Progress in 2011• Advocacy and support toolsproduced for disability inclusioninto HIV/AIDS and sexual violenceresponse• Documentation of good practices/lessons learnt and one film producedabout working process withdeaf women at community level• Refresher training and exposurevisit to health facility, communecouncil and police post organizedwith 6 deaf learning groups of 97deaf women• 22 (50% female) focal personsfrom 11 DPO/SHGs trainedby project staff have organizedawareness raising sessionsfor 96 (51% female) membersof reproductive age• Disability training provided to71 (39% female) focal personsfrom commune councils, healthcenters, Banteay Srei and itsvolunteers, and support offeredto mainstream disability into theirown actions• 12 (50% female) focal personsfrom six commune councilswere trained and have organizedawareness raising on sexualviolence protection for 261 (61%female) village volunteers. Togetherthey organized awarenessraising sessions for 1,266 (70%female) villagers• Training and supporting toolsprovided to 35 (75% female) focalpersons from Krousar Thmeyand Deaf Development Programfor HIV/AIDS and sexual reproductivehealth inclusion in theirtraining plan• Four quiz shows on sexualviolence protection organizedduring the 16-day campaignin cooperation with communecouncils and attended by morethan 1,700 persons• Eight deaf women were referredto informal education trainingand 2 more deaf women, survivorsof rape, were referredto health services.26 Annual report 2011

PROJECTContextIn Cambodia, the prevalence of disabilityis conservatively estimated to be8.1% of the national population. Thismeans that more than half a millionCambodians live with disability.The 0-5 year age group accounts for9.9% of all disabilities in Cambodia. 1Even more children develop disabilitieslater in life due to unresolved healthissues during early childhood. Earlydetection and prompt treatment ofcertain conditions can prevent a disabilityfrom developing. In conditionsthat cannot be corrected (i.e. Down’ssyndrome and cerebral palsy), earlyintervention can greatly reduce theimpact that the condition has on thechild’s life and that of the family.ObjectivesThe goal of the project is to contributeto the improvement of the quality oflife of Cambodian people through thereduction of the number of preventabledisabilities in children betweenthe ages of 0-5 years. Since 2010, acomprehensive training package wasapproved by the Ministry of Healthand the project was implemented viaa training-of-trainer system with a newcurriculum to improve the knowledgeand capacity of staff within the statehealth system. Additionally, the projectalso supports key persons from variousministries; building the capacityof Commune Council Committees forWomen and Children, and improvingcollaboration with NGO partners.Target PopulationDirect: Selected staff in Ministry ofHealth, Ministry of Social Affairs, Veteransand Youth Rehabilitation, Ministryof Education, Youth and Sports, andMinistry of Interior; more than 700health service staff from rural SiemReap; school teachers and directors;commune leaders; staff of CapacityBuilding of People with Disabilities inthe Community Organization (Cabdico);Angkor Hospital for Children;other NGOs; selected members ofCommune Council Committees forWomen and Children in 4 districts;students from nutrition project; pregnantwomen receiving informationfrom pregnant club and communityawareness, children receiving assessmentin health centers.Indirect: Children from 0-5 age groupin 4 operational districts, who will benefitfrom the system in target projectareas and from increasing knowledgeand capacity of staff in the healthsystem in target areas as well as thenational system.Operational PartnersMinistry of Health, Ministry of EducationYouth and Sport, Ministry ofSocial Affairs Veterans and YouthRehabilitation, Ministry of Interior, DisabilityAction Council, UNICEF, AngkorHospital for Children and Cabdico.DonorsBelgium Cooperation, HI-Luxembourg,UNICEF.Contact personMs. Chanmolyta Tham, RehabilitationProject Managertham.chanmolyta@hib-cambodia.orgImplemented by HI Belgium1 Cambodia Social & Economic Census, 2004.Nam is a 6-month-old boy with multiple-disabilities:Spina Bifida, Club Foot and Hydrocephalus. Theseare likely the result of one or a combination of severalfactors: his mother had malaria during pregnancy, tookmedicine to treat it without a prescription, continued back-breaking farmwork due to the family’s extreme poverty, and subsisted on a diet low incalories and micronutrients.Nam lives in a village in Traing district’s Roneam commune, in Takeo province,with one brother and his mother who continues to work as a farmer.His father migrates to urban areas to work on construction sites as a daylabourer to support the family.Nam’s situation was brought to the attention of the Happy Child Project inDecember 2011 when an outreach worker was told about the infant duringa regular quarterly meeting with the village’s Health Support Group andtraditional birth attendants.The response was swift. Project staff began working with village healthsupport members to train Nam’s mother on how to care for her son.They also referred him for surgery, a service the family – like many othersin a similar situation – was unaware of.Since surgery, Nam is sleeping better and his mother is happy with theresulting physical improvements. She also finds it easier to care for him.She says that without intervention from the project Nam’s head wouldhave kept swelling. “When he is old enough I promise I will take him tothe Physical Rehabilitation Centre for treatment of his club foot,” shesays emphatically.Main Achievementsand Progress in 2011HI recorded a total of 20,795 childrenin which risk of impairmentor signs of disability were detected.13,091 children were referred tohealth centers, 5,835 children werereferred to state hospitals, 1,194children were referred to privatehospitals, and 47 were referredto Physical Rehabilitation Centers.628 children did not receive anyintervention.Collaboration with the Ministryof Health, other ministries,UNICEF and NGO partners hasimproved and contributed to thedevelopment of a model for earlydetection, referral and early intervention.The number of people receivingtraining through training oftrainer and/or Happy Child Projectteam has increased over last year.The number of health structurestaff aware of the curriculum andits benefits has also increasedthrough workshops and training.Annual report 2011 27

Disability PrevalencePROJECTContextPreviously, no accurate data existedin Cambodia on the prevalence ofdisability, especially in children. Datathat does exist comes from non-reliantself-reporting and self-diagnosis, oftengathered via survey or national census.This full-scale, country-wide projecthas been modeled on the work of anHIB pilot initiative conducted in early2011. This project covers a 10-monthperiod of planning, training, assessmentand evaluation from 2011-2012,which will serve as the first comprehensiveresearch on childhood disabilityin Cambodia.Sampling is being conducted in3 districts in 7 provinces for a totalof 21 sampled districts. The samplesize that is being used for the initialscreening (conducted by Ministryof Education enumerators) with theWorld Health Organization’s 10 QuestionScreening Instrument (TQSI)will be 20,695 children. All childrenresponding positively to the TQSIquestionnaire plus 10% of the total20,695 children (regardless of theirTQSI result) are being referred to theHIB Multi-professional AssessmentTeam for a full medical assessment byphysicians and other health/disabilityspecialists. Medical history review,observation of function and a physicalexamination is being conducted withdata collected using a 350-questionassessment form.Data collected will be used for a generalizationon the disability prevalencerate in children 2-9 years old. Additionally,lessons learned on detectionand referral protocols during theassessments will be used to makerecommendations to HIB’s partners inorder to improve the current capacitywithin the Cambodian health structure.Objectives1. Diagnose disabilities and othermajor health conditions2. Make the proper referral foridentified children3. Collect and analyze data4. Develop recommendations for currenthealth systems and servicesin Cambodia5. Disseminate and share data withpartners and stakeholders.LocationPhnom Penh, Battambang, SiemReap, Kampong Cham, Kampot,Preah Vihear and Ratanakiri provinces.Target PopulationIn-school and out-of-school childrenaged 2-9 years old.Operational partnersMinistry of Education, Youth andSport, Ministry of Health, NationalPediatric Hospital, National Institute ofPublic Health and Center for Child andAdolescent Mental Health (Caritas).DonorsFast Track Initiative (Now known asGlobal Partnership for Education),Ministry of Education, Youth and Sport.Contact PersonTeam Leader: Adam Huebneradam.huebner@hib-cambodia.orgImplemented by HI BelgiumMain Achievementsand Progress in 2011• Over 2,000 children receiveda comprehensive medicalassessment and invaluabledata has been collected• More than 140 children havebeen referred to appropriateservices• More than 1,200 children havereceived medicine providedby the project• Awareness on disability issueshas been raised in localEducation Departments andHealth Departments, as wellas in communities where thesampling and assessmentshave already been carried out.Poverty almost prevented 9-year-old Mei Mei from losingher vision and dropping out of school. Her parentscould not afford to buy her glasses after a doctor prescribedthem, and Mei Mei felt increasingly helpless asthe words the teacher wrote on the blackboard began blurring to the pointthat she could not read them from her third row seat. Her headaches alsobecame more intense as her vision declined.Mei Mei’s mother, Tin Sinoeun, is a former garment factory worker who quither job to care for her children, leaving the family entirely dependent on theirregular income the father, Chheiv Meng Long, earns as a motorcycle taxidriver. The family lives hand-to-mouth with no savings in a village on theoutskirts of Phnom Penh.However, in October 2011 they were interviewed as part of the disabilityprevalence project run by the Ministry of Education, Youth and Sport and HI.When Mei Mei’s condition was identified she was referred for a comprehensivemedical assessment by HI at the National Pediatric Hospital. An eye specialistdiagnosed severe Myopia and she was given custom-made eyeglasses thenext day, as well as training on how to use and take care of them.Mei Mei was delighted to be able to see clearly again and eager to returnto the top of her class. Her declining grades and intense headaches hadnot gone unnoticed by her family. Her mother had taken her to a privatehospital where a doctor made the same diagnosis the specialist at theNational Pediatric Hospital did. The family, however, could not afford theeyeglasses he prescribed.The glasses will have a lifelong impact. They will keep a girl in school andprevent her from falling into the vulnerability extreme poverty engenders.Her family is also benefitting: instead of Mei Mei becoming an economicand emotional burden, her parents can resume their efforts to ensuretheir eldest child receives a level of education that was unavailable tothem, and that she helps her younger brother and sister do the same.28 Annual report 2011

Annual report 2011 29© Nicolas Axelrod for Handicap International

© Nicolas Axelrod for Handicap International30 Annual report 2011

Inclusive EducationPROJECTContextArticle 24 of the United Nations Conventionof the Rights of Persons withDisabilities recognizes equal access toeducation for all persons with disabilities,whatever their impairment. In Cambodia,the National Policy for Educationof Children with Disabilities adopted in2008 and completed in 2009 by a MasterPlan, as well as the adoption of theCambodian Law on the Protection andthe Promotion of the Rights of Personswith Disabilities offer the opportunity topromote inclusive education.ObjectivesThe project aims to propose a replicablemodel for encouraging access to primaryschool for children with disabilitiesas well as their full inclusion into schoolactivities. It offers quality education tochildren with disabilities through mainstreamingteachers’ capacity buildingand setting up an itinerant teachers’mechanism to support teachers andchildren in class. At the same time, it intervenesat the community level to promotethe right of children with disabilitiesto education as well as create the conditions,through appropriate referral, forsuccessful inclusion at school. This dualapproach involves extensive work withcommunity partners, local authoritiesand close collaboration with ProvincialOffices of Education and District Officesof Education.Target populations221 children with disabilities in andout of school and 5,300 children fromschool clusters in Chrey and Otakicommunes of Battambang province,860 family members of children withdisabilities, 200 school staff (teachers,directors, administrators), 8 staff membersfrom the Ministries of Education,Health and Social Affairs, and6 representatives of CBOs.Operational PartnersMinistry of Education and its localcounterparts; 6 community partners;representatives of monks; villagehealth workers; and, Self Help Groupsfor persons with disabilities.DonorsAgence Française de Dévelopement,Canton de Genève, Ministry of ForeignAffairs of Luxembourg, HI.Contact PersonMs. Sandrine Bouille, InclusiveEducation Project Managerpm-iep@hicambodia.orgImplemented by HI FederationHI’s efforts to raise community awareness about the rightsof disabled children, including the right to education, ishaving a profound impact in rural Cambodia, where theserights are least realized. One teenage girl in a village inBattambang province’s Thmar Kol district, for example, has gone from beingunable to read words written on a blackboard to deciding to become a teacher.Im’s ambition is not unique, despite a background that is more difficult thanmost. Her father disappeared after migrating to Thailand to work on a fishingboat when her mother was pregnant with her . Following his disappearance,the family spiraled deeper into poverty, eventually moving in with theirgrandmother, a widow who made a living by gathering and weaving palmleaves into thatched walls and mats for sale.Im’s visual impairment was noticed early by her grandmother, who observedher having difficulty reaching for objects when she was an infant.Im would also have to hold them close to her eyes to recognize them. Still,the grandmother enrolled her in school when she was 9.Now 13, Im is in Grade 3 (2010-2011 school year) and following communityawareness raising in her village, as well as training for teachers tosupport children with disabilities through HI’s inclusive education project,Im’s prospects began to brighten.HI referred her to The Association of the Blind in Cambodia in Anlong Velcommune for assessment and advice. A doctor prescribed eyeglasses,and once Im began wearing them they changed her life.The glasses gave her independence and her test scores began risingquickly to among the top in the class. This gave Im the confidence to givevoice to her dream of becoming a teacher.Main Achievementsand Progress in 2011• Training on Child Development,Inclusive Education and EffectiveTeaching and Learning conductedfor key support educationstaff of both cluster schoolsin collaboration with nationaland international resources.Dissemination session amongmainstream teachers receivingchildren with disabilities launched• Support to 9 mainstream teachersworking with children with intellectualand visual impairments providedby itinerant teachers (ITs).Follow up of ITs system organizedwith District Office of Educationand Provincial Office of Education,including interviews with familiesin order to obtain feedback abouttheir children’s inclusion at school• Finalization of 4 guidelines forcommunity awareness raisingabout children with disabilities’ accessto education and launching ofcommunity partners’ capacity buildingwith a focus put on facilitation• 27 awareness raising sessionswere undertaken by communitypartners in both communes, 1performance tour was organizedin Otaki commune and 3major events were supported ineach commune about the right toeducation and access to primaryschool for children with disabilities.In total, around 12,500 persons attendedawareness-raising sessions• 196 family assessments organizedin close collaboration withcommunity partners and localauthorities• Based on family assessment results,57 school kits and 44 bikeswere provided to children withdisabilities at school• Completion of accessibility buildingin 8 schools and additionaltechnical studies undertaken in 6schools for complementary work• Networking with Special Office ofEducation and education partnersat national level. Some tools forawareness raising were sharedwith approximately 50 institutions/NGOs promoting education forvulnerable children.Annual report 2011 31

LivelihoodPROJECTContextCambodia’s National Plan of Actionon Persons with Disabilities andLandmine/Explosive Remnants of WarSurvivors as well as its 2009 Law onthe Protection and the Promotion ofthe Rights of Persons with Disabilitiesboth recognize economic integrationas a key issue to ensure equitableparticipation in society for personswith disabilities. Based on the resultsachieved on beneficiaries’ quality of lifethrough the TIGA-I (Towards IncomeGenerating Activities I) project focusingon income generating activities developmentfor landmine survivors, HIFand its partners decided to developa TIGA-II (Towards Income GeneratingActivities II) strategy addressingpersons with disabilities in general.TIGA II – “Capacity Development forInclusive Development Interventions:Increased access to vocational trainingand income for persons with disabilitiesin rural communities in Cambodia"– was launched in March 2011 for 30months in 32 communes of Battambangand Kampong Cham provinces.ObjectiveThe objective of the project is to reinforcesustainable initiatives and thecapacities of local authorities and Non-State Actors for strengthening incomegeneration and vocational training at thecommunity level to the benefit of personswith disabilities and their families.Target Population1,000 persons living with disabilities(of which 70% are persons with disabilitiesand 30% family members livingwith disability. 50% of the beneficiariesare anticipated to be women).Operational PartnersOperations Enfants du Cambodge,Cambodian Disabled People’sOrganization.DonorsEuropean Union, HI.Contact PersonMs Céline AbricOpérational Coordinator (HIF)coordo-operation@hicambodia.orgImplemented by HI FederationThin Srey Touch has lived most of her 30 years in anatmosphere of fear, hopelessness and despair in anisolated village in Battambang province’s Bavel district.Srey Touch is illiterate, which is not uncommon amongadults in her village and district because there were no schools in the villageswhen she was a child. Her father is also a widower who raised fourgirls alone, two of whom – including Srey Touch – were born disabled.Srey Touch lapses easily into a fatalistic attitude when talking about the past.“My life is full of sin and bad karma,” she says. As an impoverished womanwith a disability she sums up her life as one of “many risks and hopelessness.”Traumatic events haunt her, especially her father’s bursts of alcoholicviolence. “I will never forget for the rest of my life how my father behavedwhen he was drunk. He shouted and cursed and destroyed,” she recalls,adding that he eventually chased her and her youngest sister, who is alsodisabled, out of their home.Despite this beak background, Srey Touch has been quick to leap at theopportunity offered by TIGA. Her name was on the referral list submitted byher village chief for inclusion in the project. A Livelihoods Field Officer visitedher home to make an assessment and helped her prepare a businessplan to become a seamstress. The plan was approved in September 2011and Srey Touch joined an apprenticeship program.Now, she’s not only determined to finish the apprenticeship but wants to extendit to learn more design skills. “I really enjoy this work,” Srey Touch says. “I hopeto start my own shop and also teach my younger sister to work with me.”When she speaks about the future her voice becomes lighter and her expressionsmore animated. “TIGA gave me more hope as well as the courageto leave my bewildered state of mind so that I can face the difficultiesand challenges of life.”32 Annual report 2011

Main Achievementsand Progress in 2011•Project launching workshops heldin both provinces (157 participants)•32 communes selected for projectimplementation of both provinces;collaboration agreements signedwith each commune council•Information collected from 133service providers for referral servicedirectory development•Training about disability andimpairment was organized for79 participants (HI staff and projectstakeholders)• Methodology for participatory barrierassessment established with localDPOs and tested into two communeswith participation from 236village representatives, local authoritiesand service providers, peoplewith disabilities and their families•1,173 persons in disabling situationwere screened for individualsocioeconomic support among2,036 originally identified by thecommunes through referral lists•510 home visits took place; 265candidates conducted feasibilitystudies for business plans•187 small business holders (50%women) were selected and theirbusiness plans validated•Quality of life assessment achievedfor 187 small business holders(SBHs) after project Decision Committeeapproved their selection•Technical training provided to 112SBHs (farming and non-farming)•104 SBHs received kits for startingand running their business•Small business management andhygiene-sanitation training organizedfor 96 SBHs•Individual follow up and coachingfor 176 SBHs•Celebration of International DisabilityDay organized with 2,166participants.Annual report 2011 33© Nicolas Axelrod for Handicap International

© Nicolas Axelrod for Handicap InternationalArticle 32 of the United Nations Conventionon the Rights of Persons withDisabilities states that internationaldevelopment programs should beinclusive of and accessible to personswith disabilities. HI works accordinglyto promote inclusion of persons withdisabilities into mainstream developmentactivities.Poverty and disability are linked ina cycle. Poverty increases the riskfactors that may lead to impairment,including malnutrition, poor accessto health services and sanitation, andunsafe living and working conditions.Higher disability prevalence rates havebeen associated with higher rates ofilliteracy, poor nutritional status, lowerimmunization coverage, and lowerbirth weight, higher rates of unemploymentand underemployment, andlower occupational mobility. Personswith impairments are more likely to bepoor with limited access to education,employment, housing, transportation,health services and recreation, leadingto their economic and social exclusion:disability.Inclusive development seeks to addressthe economic and social exclusionpersons with disabilities oftenface, challenging the poverty-disabilitycycle through a combination of processesand principles:• Inclusion: persons with disabilities areaccepted as equal partners in developmentand included as full participantsin all development activities• Equity: persons with disabilitiesenjoy equitable access to benefits ofdevelopment activities. Developmentactivities promote non-discriminationand equal opportunities for personswith disabilities to participatein every facet of life – civil, political,economic, social and cultural• Access: persons with disabilitiesenjoy access to the built environment,transportation, information and communicationsinfrastructure, so theycan participate in all aspects of life andenjoy the full range of human rights.HI works within these processes andprinciples promoting empowermentof Disabled Persons Organizations(DPOs) to act as informed representativebodies. HI also works with individualpersons with disabilities to comeforward as partners in development intheir communities on one hand whilesupporting development stakeholdersto provide an inclusive enablingenvironment that does not discriminateand is accessible on the other.Through these actions persons withdisabilities are actors in mainstreamdevelopment activities, challengingthe disability poverty cycle.© Erika Piñeros for Handicap International34 Annual report 2011

ContextInternationally, the most importantactors involved in advocating for therights of persons with disabilitiesare Disabled Persons Organizations(DPOs). In Cambodia, there are veryfew DPOs representing the rights ofpersons with disabilities. Those thatdo exist require consistent fundingand technical support so that theycan develop operational capacityand autonomy. In July 2009 the RoyalGovernment of Cambodia passedthe National Law on the Protectionand the Promotion of the Rights ofPersons with Disabilities. This landmarklegislation lays the foundationfor rights protection for all personswith disabilities in Cambodia. However,it requires the support of all lineministries and the active participationof civil society leaders to monitor itsenforcement. The Cambodia DisabledPeople’s Organization (CDPO) is recognizedas the only DPO working atthe national and sub-national level toadvocate for the rights of all personswith disability.ObjectivesThe main objective is to supportnational level, cross-disability DPOswith a focus on rights-awarenessraising, advocacy for the ratification ofthe United Nations Convention on theRights of Persons with Disability, andadvocacy for the full implementationof the Cambodian Law on the Protectionand Promotion of the Rights ofPersons with Disabilities.Target PopulationThe target population is the core staffof the CDPO. However, as the organizationdevelops in capacity, the truebeneficiaries will be persons with disabilitiesfrom across the country.Operational PartnerThe Cambodian Disabled PeoplesOrganization.DonorBelgian Development Cooperation.Contact personMr. Mark Morrison, Project Manager,mark.morrison@hib-cambodia.orgImplemented by HI BelgiumMain Achievementsand Progress in 2011In 2011, CDPO staff members weresupported to strengthen their skillsand knowledge in implementationof activities related to awarenessraising, research, and rights monitoring.With a focus on monitoringthe implementation of the nationallaw at both national and subnationallevels, the CDPO continuesto develop its capacity to representthe needs of, and advocate for thefull protection of the rights of personswith disabilities in Cambodia.In the coming years, it will continueto expand its membership throughoutCambodia. Member organizationsof the CDPO need significantsupport in developing advocacystrategies within their individualprovinces and communities. Withgrowth, the challenge will be to effectivelyrepresent a diverse membershipand be a strong advocatefor the rights of all persons withdisabilities in Cambodia.© Nicolas Axelrod for Handicap InternationalAnnual report 2011 35

© Nicolas Axelrod for Handicap InternationalContextLaunched in 2011, this project aimsto build the capacity of District levelSelf Help Group Federations to moreefficiently communicate with local serviceproviders and public authorities.As Cambodia strengthens its localgovernance structures, civil societyactors must develop the appropriateskills to engage with decision-makersand service providers in their communities.Cambodia is still a youngdemocracy and local political action isstill uncomfortable for service providers,authorities and citizens. The GoodGovernance and Social Accountabilityproject will work to provide the toolsand strategies needed to supportpersons with disabilities’ representativeorganizations to more effectivelycommunicate with relevant stakeholdersin Siem Reap province.ObjectivesThe specific objective of the project isto promote a community environmentin which public services are availableand accessible for all.Target PopulationThe target population for the projectis two SHG federations located inKralanh and Srei Snam districts ofSiem Reap province. In addition tosupporting the establishment of theselocal organizations, the project alsoworks to build the capacity of localgovernment to be accountable totheir community members, includingpersons with disabilities.Operational PartnersThe Cambodian Disabled People'sOrganization, Ministry of Social Affairs,Veterans and Youth Rehabilitation.DonorsThe Belgian Development Cooperation,Australian Red Cross.Contact personMrs. Chen Sopheap, Program Manager,chen.sopheap@hib-cambodia.orgImplemented by HI BelgiumIn early 2011, the newly formed Kralanh District SelfHelp Group Federation in Siem Reap province beganmeeting with local Self Help Groups to discuss prioritychallenges in the area. It was quickly realized thatpersons with disabilities in Kralanh were not satisfied with the accessibilityof local health services. The Federation then began to meet with otherlocal stakeholders including health service providers and local governmentauthorities to bring attention to the situation.Using a community scorecard methodology, the Federation interviewedmore than 100 persons from the local community in order to identify specificbarriers to health service accessibility. Community members interviewedincluded persons with disabilities, women’s groups, monk groups,local government authorities, as well as local health center staff. The resultof the survey showed that persons with disabilities and other citizens weregenerally satisfied with the quality of medicine available and the attitudesof health service providers. The primary barriers identified included the accessibilityof health center structure, including the entrance road, toilet andwater facilities, and pathways connecting the various structures.As a result of the community scorecard survey, the District Federationworked closely with both local authorities and the local health serviceproviders to draft a community development initiative focused on improvingaccessibility at the local health center. The initiative was supportedfinancially by HI and local authorities, who organized the mobilizationof labor and raw materials such as dirt and sand to upgrade the facility.Following the completion of the project, District Federation leaders werepleased to discover that working with both local authorities and localservice providers to promote inclusive development in their communitybenefits everyone.Main Achievementsand Progress in 2011As 2011 was the first year of projectimplementation, the primaryachievements included the developmentof training curriculumsand information resources forcapacity building of local partnerorganizations. Through participationin the project’s activities, theself help federations in both targetareas were successful in identifyinga specific community barrierfor persons with disabilities andgenerating a community developmentproposal. In cooperation withDistrict Chiefs, local CommuneCouncil Representatives, and DistrictHealth and Education DepartmentOfficers, community developmentprojects were implementedto support improved accessibilityin one health center and three primaryschools within the project'starget area.Annual report 2011 37

© Erika Piñeros for Handicap InternationalMain Achievementsand Progress in 2011• 896 devices delivered (537 new,359 repaired), benefiting 602 people• 3,246 clients (1,029 new and2,217 follow-up) received 6,045physical therapy consultations• 37 HI refugee workers trained onrehabilitation and mainstreaminginclusive approaches to deliverquality services within the camps• 202 medics in 6 target campstrained on early identification ofimpairments and referral protocols• 3,250 persons at risk were trainedon disability prevention•1,018 pregnant women or lactatingmother trained on prevention ofbirth-related impairments• 424 people at risk of stroke trainedon risk factors and management• 325 students at high risk of mineinjuries received mine-risk education• new teaching tools and guidelinesdeveloped for camp staff, such asthe manuals Mechanics of AboveKnee Amputee and Mechanics ofBelow Knee Amputee. Both weretranslated into Burmese and Karen• A pediatric physiotherapist fromBirmingham Children’s Hospital,specializing in neuromuscular andmetabolic conditions as well ascerebral palsy, delivered training toenhance the quality of rehabilitationintervention for children with neurodevelopmentaldisorders• HI invited occupational therapistsand social workers from UtahUniversity, USA to delivertraining on “Rehabilitation andpsychosocial support for strokeclients” in Mae La Camp• HI conducted study visit andpractical session on “Child withCerebral Palsy Management”and “the Holistic Approach ofCommunity-Based Rehabilitationfor Person with Disabilities” ledby the Occupational TherapyDepartment of Phrae ProvincialHospital in Thailand.38 Annual report 2011

ContextHI has been working in refugee campsalong the Thai-Myanmar border for28 years. It is the sole internationalorganisation specializing in disability,providing and repairing leg prosthesis,delivering assistive devices andoffering physiotherapy consultationsfor persons with disabilities inside fiverefugee camps.There is a steady need and demandfor rehabilitation services for personswith physical impairament. This demandis the result of trauma, includinglandmine accidents, and illnesses, butit is also due to factors associatedwith pregnancy, delivery and earlychildhood issues leading to developmentaldisorders.In October 2011, as a response toboth the protracted situation of containmentexperienced by people livingin the camps and changing politicalsituations in Thailand and Myanmar,HI lead a survey focused on identificationand analysis of the potential forenhancing functional linkages withThai services outside camps. Thismentioned interaction between HI andThai stakeholders should, starting in2012, enhance technical sustainabilityof the physical rehabilitation servicesinside the refugee camps and guaranteea systematic coaching of thecamp-based staff.ObjectivesThe goal of the project is to strengthene access to appropriate physical rehabilitationservices.To achieve this, the project intends toprovide Persons with Disabilities or impairmentprosthetic devices, assistivedevices and physiotherapy consultations.The activities benefit camp residents,persons crossing the border toseek HI services and Thai citizen livingin neighboring villages. The physiotherapyservices are tailored accordingto the specific needs and delivered inHI facilities, through mobile and outreachservices delivered to individualsor community-based groups. Towardbetter prevention, HI contributes toimprove prevention of disabilities orsecondary impairment by facilitatingtrainings to at-risk population (lactatingmothers and pregnant women).HI also trains health professionals frommedical NGOs on early disability identificationto improve the referral systemalready existing at camp level.LocationThe project is implemented in sixrefugee camps along the Thai-Myanmar border: Maela, Umpiem,Nupo (Tak province), Ban Don Yang(Kanchanaburi province), Mae Ra MaLuang and Mae La Oon (Mae HongSon province).Target PopulationBeneficiaries are persons with disabilitiesand persons in vulnerablesituations, their family members, thosecrossing the border to seek services,residents of neighboring Thai villages,as well as all key stakeholders workingwith these groups.Operational PartnersPremiere Urgence Aide MedicalInternational, American RefugeeCommittee International, AdventistDevelopment and Relief Agency,Catholic Office for Emergency Reliefand Refugees, International RescueCommittee, Malteser International, KarenWomen Organization (CBO- SpecialEducation School), Sokolo MalariaResearch Unit, Solidarités International,Right to Play, Thai Burma BorderConsortium and ZOA-Relief, Hope.DonorsUnited Nations High Commissionerfor Refugees, Bureau of Population,Refugees, and Migration, Ministry ofForeign Affairs Luxembourg, HI.Contact PersonMs. Pasala Maneewong, BBP PhysicalRehabilitation Project Managerbbpptmgr@thailand-hi.orgImplemented by HI FederationMg Yae Aye, a 46-year-old man from Hpa An inMyanmar’s Kayin state used to live a very painful anddifficult life. Affected by polio when he was three yearsold, he lost the use of his legs, making him virtually immobile.This physical condition affected his thinking to the extent thathe often thought life was not worth living.He had been living with his brother in Nupo refugee camp for a year beforehe met HI staff in 2009. He received a wheel chair, which allowed him tomove around his home and then outside of it. Still, he was depressed bythe fact that he always needed help from other people to accomplish basicthings. This dependence often ignited a feeling of depression and left himat home without anything to do.Yet, this man had a real talent. When he was 17 years old, his grandfatherhad taught him to weave baskets and prepare herbal medicine. Unfortunately,few people knew of his expertise and he couldn’t sell his products.About one year ago a HI worker visited him and told him about a SelfHelp Group. SHGs allow people like Mg Yae Aye to help each other bysharing their common concerns and issues through regular meetings.When he decided to join, he says he felt “my heart began to get lighter.”The members of his SHG opened a grocery shop, one of the microactivities supported by HI in Nupo refugee camp.Mg Yae Aye rarely spends time alone at home anymore. Instead, heworks. His duty is to keep an eye on the shop at night, as a guard,and to help in selling during the day. He also continues to weavebaskets and sell them.This independence, as well as the ability to contribute, has changedMg Yae Aye’s life. He feels proud of his ability to bring income into hishome, instead of being stuck inside it with little to think about excepthis isolation and dependence.Annual report 2011 39

Annual report 2011 41© Erika Piñeros for Handicap International

teamshi belgiumDirectionJeroen StolOperational CoordinationDe Cokere KarenSophie PerdaensHappy Child ProjectChent DavenDuk YornIn SamphirachnyLun MalaLun SorpheaNhep NouPa PinbundaPrum RithyRos SarayendethRun RomMak Sam AthRos SonidaUm BunHumanitarian Mine ActionLim SothearyNicolas BoedickerSao EdenRehabilitationAdam HuebnerTham ChanmolytaPhon RathaSok SphornPhysical RehabilitationCenters (Siem Reap)Doung SithaEk PhavounKeo RathaKhlao SavunLim SovanthyMok LynePhân PhorSeng NhaTek BunthongVet SavunChan VannakChea SavoeunEng AnIeng ThidaMang DyraNiem SenProm SokpholSok SophornTam KimheangTan SethyTat BunnoTat ChhonThoeum LouthTun RavyUch KheamUm SokunYos PheakdeyKim DavyPhysical RehabilitationCenters (Takeo)Ing MoyKhem SophalNgory KimsanSam YasithaSao SophalSim CheangSoth OeurnTouch Sam OeurnChroek ThonDok ChantraKhut Sam AtKhuth RithyLong SalyMeas SabunMom SovannMuong RothanaNet KanhaNgan ChandyPhan HiepPhann SarunPhorn VibolRights & InclusionMorrison MarkChen SopheapChoeun Sao SakolDoung VuthaHem SinanHut KimhengPao ChhivkounPenh SenghakPenh VireakPov SamnangSao PiseySo NoeurnSok ChanchamnapTob SamitTouch SokhomChey TheaSiv TouchRoad Safety ProjectBorn ChindaGnim ChandaraLeang ChakryaMeas ChandyOu AmraPea KimvongSann SocheataSem ChendaSem PanhavuthTaing KoungvengUy MapYorn VirakLim SothearyEar ChariyaPen SakonyLy PhalayOum SokkhoeunTum SothearyDisability PrevalenceProjectAdam HubnerLucy HaurisaSrey SokhaRiem SeyLay TaraPhoan SikoanSupport ServicesEleonore D'hoopHem SahoeunHor ChantravuthKang SimKong VuthyPov SophornRos HunSam SaratSam SreysrasSan SavatDos SovathanaHong HaiHun SomaryIeng SambathIm ChendaKhiev TouchKong SarayMak TharyNeang SarinOl ThyPen RothaPen SakonyPeov NarithPhorn SophallPhuong SithunSam KhengSeak SothunSeng SopheapSim Srey NethSok SavunSok TaySvay Peou ChivaUng RadaChea NoeunChi BoeungKann SovannSav SuoTat Bunnohi federation cambodia & thailandHI Federation CambodiaDirectionBenjamin NguyenOperational & TechnicalCoordinationCéline AbricNancy RollinsonHIV And Sexual ViolenceProtection Among PeopleWith DisabilityChhim DaraChou VivathHou NavyInclusive EducationProjectSandrine BoulleChan SihaHam SamnomKang SophalKhy ChearLun SopheaPhum Kim MaiNam PhanicChan VeasnaPhysical RehabilitationCenters (Kampong Cham)Chamroeun SophaChhay ChordaChun VannyDuong ChethaHeam HoeungHuy RanetKem SokhaKet HangKhim PhirumKoem SokaMith Bun ThonNgorn RachanaNguon SaromSen PhallySrun VimeanThol SaroeunThun NaromTiep Sok LeatVon BunrethYun MaryPin ChanthySupport Services(Cambodia site)Joao Da SilvaChan NavyChan VichethChhay RithyChhem DynéEk SineangKhann SodalineKong SamrithLanh MongtyLay JeanethLeang Phonn SyMao ChhadapheaMao PhiruonMao VuthyMauv SamoeunMith VannaMorn SreymomNgeth NarinNhin PichOeun KiriRath BophanaryRorng RethSay KosalSeng SopheakSing Kim CheanSo ChindaSoeung SongSok SopheaSok SreymomSom SomethSor ChannaSuon SophaVang SreymaoVann DethVann ThyVun HunTowards SustainableIncome GeneratingActivities ProjectHeng SophatTeng KimseanVann VichhekaVorn BunretSao DaraDy ChamroeunHI Federation ThailandCoordinationAlexandre BaillatTechnical Support(Bangkok)Wanda MunozWesley PryorBBP Rehabilitation & BBP DSIKanjanaporn WuttiKamontip TangsakunpraiNipaporn Daeng-roPasala ManeewongPhetchara RuangwilaipornSirirat KulthaiWoranoch LalittakhomSupport servicesAnuson TalampangAnan PhanpanyarkornkulKimha InvanvongMukrin JintaphakornPeeriya PakornpinyopapPatcharanis PedtaeRungnapha RayaSonsak AchasuksanSanti DusitvorakanSiraphat NuwoSaengtip SuyawongTodsaporn DoipraisonCamp StaffA PeeA Eh HtooTun NyinThin Moe HtweDo Zam CinAung Moe HteikLwai MooJune RoseThan Than AyeSaw Nee WinSaw Eh DohHellenMar KuSaw Tun ThanHsa Ler WahSaw Doh GaySaw Eh Christ HtooSaw Htoo HgayHser HserSay Lah HtooMyo KhinNaw NoreenHenryAw Gaw WinNaw Aye PoeNant Hgyi - Hgyi PhanNaw Ju WeeSu SuTha Bo ThawShine (Yeh Keh)Marcus (Michael Smile)Shu Lu (Gue Lu)Kyaw NyoPu PuRobertLa SuSaw DoubleSaw Mu LahKo KoBar BaBwe Ni PawNlive AyeKhin Myo MyintTha Ka NuKhu Hser WahBlah BlutJennet HsaSayKwa KyiSaw GayHarrisonWah DeySa BlutAye ThanSaw ChristopherEh NaDay LayPah DahDah HtooNaw Htoo Say PawOur colleague Ket Hang from the Kampong Cham Physical Rehabilitation Center passedaway in May; his dedication to assisting persons with disabilities continues to inspire usAnnual report 2011 43

financialdatabudget 2011PROJECTsHumanitarian Mine Action 83,172 €Road Safety Project 247,806 €Physical Rehabilitation centers SiemReap & TakeoPhysical Rehabilitation centerKampong Cham264,868 €247,266 €HIV & Sexual Violence Prevention 124,652 €budget per project 2011600,000 €500,000 €400,000 €300,000 €200,000 €100,000 €0 €Happy Child Project 156,673 €Disability Prevalence Project 120,605 €Inclusive Education Project 266,887 €Livelihood Project 231,760 €Support to Disabled PersonsOrganizations121,737 €Community for All 175,414 €Good Governance and SocialAccountability25,863 €Burmese Border Project 479,077 €income per donor 2011total 2,545,780 €donors 2011PrivateFinancingUnitedNations2011Donor Amount %European Union 133,568 € 5.2%NationalCooperation(outside EU)US Agency(PRM)Belgian Cooperation 711,879 € 28.0%US Agency (PRM) 212,255 € 8.3%Agence Francaise de Developpement 177,983 € 7.0%National Cooperation EU(outside Belgium & France)294,014 € 11.5%National Cooperation outside EU 240,390 € 9.4%percentagePER InterventionUnited Nations 130,936 € 5.1%Private Financing (foundations, compagnies)87,720 € 3.4%Self-funding 557,035 € 21.9%total 2,545,780 €Rights &InclusionRoadSafety44 Annual report 2011

acronymsABC Association for the Blind in CambodiaADD Action on Disability and DevelopmentADRA Adventist Development and Relief AgencyAECID Spanish Agency for International Development CooperationAFD Agence Francaise de DévelopmentAHC Angkor Hospital for ChildrenAIPF Asian Injury Prevention FoundationAMI Aide Medical InternationalARCI American Refugee Committee InternationalAUSAID Australian Agency for International DevelopmentBAC Battle Area ClearanceBBP Burmese Border ProjectBPRM Bureau of Population Refugee and MigrationBT Bench technicianCABDICO Capacity Building of people with Disabilities in the CommunityOrganizationCBM Christoffel Blinden MissionCBO Community Based OrganizationCCC Cooperation Committee for CambodiaCCMH Children Center for Mental HealthCCSDPT Committee for Coordination of Services to Displaced Personsin ThailandCCWC Commune Committee for Women and ChildrenCDC US Centers for Disease Control and PreventionCDHS Cambodian Demographic Health SurveyCDPO Cambodia Disabled People's OrganizationCIP Commune Investment PlanCMAC Cambodian Mine Action CenterCMVIS Cambodian Mine/UXO Victim Information SystemCOERR Catholic Office for Emergency Relief and RefugeeCOMFREL Committee for Free and Fair Elections in CambodiaCPTA Cambodian Physical Therapy AssociationCRY Coalition for Road SafetyCSES Cambodia Socio Economic SurveyCSL Cambodian Sign LanguageCSPO Cambodia School for Prostetist OrthotistCwD Children with DisabilitiesDAC Disability Action CouncilDDP Deaf Development Project / MaryknollDGD Belgium CooperationDOE District Office of EducationDPO Disabled People's OrganizationEC European CommissionECOSOC Economic and Social Council of the United NationsERW Explosive Remnants of WarEU European UnionGDP Gross Domestic ProductGRSP Global Road Safety PartnershipGSNRSC General Secretariat of the National Road Safety CommitteeGTZ German Develop CooperationHACC HI V/AIDS Coordinating CommitteeHCP Happy Child ProjectHIB Handicap International BelgiumHIF Handicap International FederationHMA Humanitarian Mine ActionICBL International Campaign to Ban LandminesICRC International Committee of the Red CrossIEC Information Education CommunicationIOM International Organization for MigrationIRC International Rescue CommitteeIRTAD International Traffic Safety Data and Analysis GroupJHU Johns Hopkins UniversityKED Karen Education DepartmentKHAPO Cambodian Association for Prosthetist and OrthotistKRC Karen Refugee CommitteeKT Krousar ThmeyKWO Karen Women OrganisationKYO Karen Youth OrganizationLFO Livelihood Field OfficerLICADHO Cambodian League for the Promotion and Defense of Human RightsLUPU Land Use Planning UnitsMI Malteser InternationalMoEYS Ministry of Education Youth and SportMoH Ministry of HealthMoI Ministry of InteriorMoSVY Ministry of Social Affairs, Veterans and Youth RehabilitationMoU Memorandum of UnderstandingMPWT Ministry of Public Work TransportationNAA National AIDS AuthorityNCDP National Center for Disabled PeopleNCHADS National Center for HIV/AIDS, Dermatology and STIsNEP NGO Education PartnershipNGO Forum NGO Forum on CambodiaNRSC National Road Safety CommitteeNSDP National Strategy Development PlanOEC Opération Enfants du CambodgePAO Provincial Agriculture OfficePHD Provincial Health DepartmentP&O Prothetist and OrthotistPOE Provincial Office of EducationPoSVy Provincial Office of Social Affairs, Veteran and Youth RehabilitationPoWA Provincial Office of Woman AffairsPPS Phare Ponleu SelpakPRC Physical Rehabilitation CenterPRD Provincial Rural DevelopmentPRM State Departent's Bureau of Population, Refugee and MigrationPRSC Provincial Road Safety CommitteePT Physical Therapy / PhysiotherapyPU AMI Première Urgence Aide Médicale InternationalPWDs People With DisabilitiesRCVIS Road Crash and Victim Information SystemRGC Royal Government of CambodiaRHAC Reproductive Health Association of CambodiaRS Road SafetyRSE Road Safety EducationRSN Road Safety NetworkRTG Royal Thai GovernmentRTP Right To PlaySBH Small Business HolderSEO Special Education OfficeSHG Self Help GroupSHPP Social Health Protection ProgrammeSI Solidarités InternationalSMRU Sokolo Malaria Research UnitSOPs Standard Operational ProceduresSP Sovanna PhumSP Sector PlanSVA Santi Volunteer AssociationSWOV Road Safety Institute in NetherlandsTBBC Thai Burma Border ConsortiumTIGA Towards Sustainable Income Generation ActivitiesTPO Transcultural Psychosocial OrganizationTQSI Ten Questions Screening InstrumentsUNAIDS United Nations Program on HIV/AIDSUNCRPD United Nations Convention of the Rights of Persons with DisabilitiesUNDP United Nations Development ProgrammeUNHCR United Nations High Commission for RefugeesUNICEF United Nations International Children's Emergency FundUXO Unexploded OrdnanceVBNK Vicheastan Bondosbondal Neak KropkrongVHSG Village Health Support GroupVI Veterans InternationalWHO World Health OrganizationZOA Refugee Care NetherlandsAnnual report 2011 45

© Erika Piñeros for Handicap Internationalthank you46 Annual report 2011

handicap international federationcambodia & thailand programCambodia OfficeP.O. Box 586#6, Street 348, Boeung Keng Kang III,Chomcarmon, Phnom Penh, CambodiaTel: +855 (0) 23 214 504 / 212 897Mob: +855 (0) 12 441 982e-mail: office@hicambodia.orgHANDICAP INTERNATIONAL BELGIUMCAMBODIA ProgramP.O.Box 838#18, Street 400, Boeung Keng Kang I,District Chomcarmon, Phnom Penh, CambodiaTel: +855 (0) 23 217 298 / 300Fax: +855 (0) 23 216 270Mob: +855 (0) 12 819 973e-mail: direction@hib-cambodia.orgThailand Office34/2 Mae Sot, MaeTao Road Mae Sot 63110 BP,69TAK, ThailandTel: +66 555 42195 / 3244e-mail: admin@thailand-hi.orgHANDICAP INTERNATIONAL FEDERATION14, Avenue Berthelot69361 Lyon Cedex 07, FranceTel: +33 (0) 4 78 69 79 90 / 997 / 979e-mail: ageneral@handicap-international.orgHANDICAP INTERNATIONAL BELGIUM67 Rue de Spa, 1000 Brussels BelgiumTel: +32 (0) 2 280 16 01Fax: +32 (0) 2 230 60 30e-mail: info@handicap.bewww.handicap-international.org48 Annual report 2011