Memoria Institucional CARE Perú 2007-2008 (Inglés)

8/8/2019 Memoria Institucional CARE Per 2007-2008 (Ingls)

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Index

Message from the Director 2

Our Vision, Mission and Core Values 4

Strategic Framework 6

Programs and Projects 10

Education 10

Health 13

Sustainable Economic Development, Food Security and Nutrition 16

IV. Integrated Water Resource Management 19

V. Governance and Extractive Industries 22

VI. Emergency Risk Management 25

Financial Report 28

Recognition 30

I.

II.

III.


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Message from the Director

On August 15, 2007 an earthquake measuring eight on the Richter scale struck the south coast of Peru,

in Lima (Caete) , Ica ( Chincha Pisco) and Huancavelica ( Huaytar and Castrovirreyna) . This was an

important historical event for the country as it caused the loss of nearly 600 lives, while more than 4,000

were injured and more than 300,000 peoples homes were destroyed. Across the whole region, water andelectricity services collapsed, and food and medical assistance were initially limited. The lack of shelter

and the fear of aftershocks forced people to sleep outdoors amid the rubble, highlighting the poverty

and extreme vulnerability which characterize the living conditions of rural and peri-urban communities.

On the other hand, it also highlighted the capacity of public and private institutions to respond to the

emergency, as well as creating synergies with international donors, while authorities, government officials,

and organized groups at the local, regional and national level pooled resources to provide an immediate

response to the emergency.

Through our Institutional Report, we would like to share with you CARE Perus experiences during the emergencyresponse, which taught us invaluable lessons for the future. Hours after the earthquake, we already had teams in

place in Caete, Chincha and Huancavelica. Our humanitarian aid, rehabilitation and reconstruction program, to which

we remain committed, has involved a permanent working relationship with local and regional authorities and other

key organizations, enabling a response that has been synchronized, effective and timely. This was made possible

by the solidarity, commitment and responsibility of CARE Perus workers, who always showed respect for the human

dignity of the affected people with whom they worked.

For the first time, our organization introduced an accountability system, including a toll-free number (0-80014417),

through which anyone who had received humanitarian aid from CARE Peru could express their satisfaction or

dissatisfaction with the service received so ensuring respect for and adequate dissemination of international

humanitarian aid codes and norms that we put in place. These complaints had a rapid effect in that they ensured aquality and dignified service to everyone. The reports on the calls were published on our website, on council notice

boards, and weekly notices conveyed the most important events of this initiative.

In the weeks following the earthquake, CARE continued to provide humanitarian aid such as drinking water in barrels

and water tanks, food packages, family tents, reinforced plastic, blankets and tools for clearing rubble. During this

phase of the immediate response, CARE provided humanitarian aid to 12,019 families, totaling 60,500 people in the

provinces of Caete, Chincha, Castrovirreyna y Huaytar. Together with the local authorities, CARE strengthened Civil

Defense committees, and helped in the distribution of supplies, as well as conducting inspections to ensure access

for those most in need.

CARE also aided in the rehabilitation of cement and earth irrigation canals (6.65 km), installation of 43.08 hectares

of improved pastures. It also helped to improve four drinking water networks and institutionally strengthen Water and

Sanitation Administration Boards [Juntas Administradoras de Servicios de Saneamiento] (JASS), provided training in

good hygiene practices and in operation and maintenance of water systems, and provided education infrastructure

for Afro-Peruvian and Quechua-speaking communities. This initiative included the installation of 78 temporary

classrooms, teacher training and strengthening of the education system. In addition 20,100 m3 of rubble were


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CAREPERUINSTITUTIONALREPORT2007-2008

removed, 1,000 temporary homes were built using reinforced plastic, and 6,397 pit latrines, ecological latrines and

flush toilets were installed. In this phase of rehabilitation, our efforts targeted 8,455 families and 3,000 primary and

secondary students.

In 2008, in a joint effort with the Catholic University of Peru [Pontificia Universidad Catlica del Per] (PUCP)

and international donor agencies, as well as with national and international NGOs, CARE set about improving

reconstruction methods for safe and healthy earthquake-proof buildings for families in rural and periurban

communities. A project was set up with PUCP to train people to build earthquake-proof homes using adobe reinforced

with geogrid meshing. Training in these practices was given to construction workers and male and female heads ofhousehold. Access to subsidies provided by the government will allow these families to build houses with technical

assistance provided by workers trained in the above techniques.

At the same time, reconstruction efforts were focused on Castrovirreyna and Huaytar, in the department of

Huancavelica, the poorest region in Peru, with a poverty rate of 88,7% and an extreme poverty rate of 72,3%, and

where chronic malnutrition in children under five stands at 53,4%. A more comprehensive approach is being adopted,

including training in rebuilding skills, in other words, water and sanitation infrastructure; rural housing infrastructure;

improvement of family incomes through productive chains, as well as promoting democratic governance and gender

equity. In this way, local post-disaster capacities are built on to facilitate and initiate rehabilitation and reconstruction.

The link between the immediate response to the emergency and sustainable development interventions has ensured

ongoing stakeholder participation, while maintaining the proper respect due to formal and informal local institutions.

Overall, these efforts allowed us to channel US$8,838,940 in assistance; approximately US$3.5 million on

humanitarian aid and rehabilitation, and more than US$5.3 million on reconstruction. Performing this monumental

task was made possible by the people and institutions who trusted in our ability to carry out the work and in our

commitment. Our gratitude and recognition goes out to every one of them.

Milo StanojevichNational Director

CARE Per


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Vision

We seek a world of hope, tolerance and social justice, where poverty has been overcome and people live

in dignity and security. CARE International will be a global force and a partner of choice within a worldwide

movement dedicated to ending poverty. We will be known everywhere for our unshakable commitment to

the dignity of people.

Mission

To serve individuals and families in the poorest communities in the world. Drawing strength from our

global diversity, resources and experience, we promote innovative solutions and are advocates for global

responsibility. We facilitate lasting change by strengthening capacity for self-help, providing economic

opportunity, delivering relief in emergencies, influencing policy decisions at all levels, and addressing

discrimination in all its forms.

Values

Respect: We affirm the dignity, potential, and contribution of participants, donors, partners and

staff.

Integrity: We act consistently with CAREs mission, are honest and transparent in what we do and say

and accept responsibility for our collective and individual actions.

Commitment: We work together effectively to serve the larger community.

Excellence: We constantly challenge ourselves to the highest level of learning and performance in

order to achieve greater impact.

Our Vision, Mission andCore Values

CARE is a nonprofit organizat ion, without religious or political affiliation, created to improve qua lity of life

for those least well off. The work of CARE has expanded to more than 70 countries worldwide, supporting

integral development programs and influencing policymakers with the aim of eradicat ing poverty. CARE has

been operating permanently in Peru for 38 years, starting with the provision of humanitarian assistance

to people left homeless by the 1970 earthquake. Over the years CARE has progressed from providing

humanitarian aid to facilitating social, economic and environmental development in many regions of Peru,

working to serve the poor and excluded.


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Our Principles

Promote empowerment and more equal power prelationships. We stand in solidarity with poor and

marginalized people, and support their efforts to take control of their own lives and realise their rights,

responsibilities and aspirations. We ensure that those people who are affected are involved in the design,

implementation, monitoring and evaluation of our work.

Work in partnership with others. We work with others to maximise the impact of our work, building

alliances and partnerships with those who take similar or complementary approaches, are able to work ona larger scale, and/or who have responsibility to fulfil rights and alleviate poverty through policy change

and enforcement.

Ensure accountability and promote responsibility. We seek to be held accountable to poor and

marginalized people whose rights are denied. We identify those with an obligation toward poor and

marginalized people, and support and encourage their efforts to fulfil their responsibilities.

Address discrimination. In our programmes and offices we oppose discrimination and the denial of rights

based on sex, race, nationality, ethnicity, class, religion, age, physical ability, caste, opinion or sexual

orientation.

Promote the non-violent resolution of conflicts. We promote just and non-violent means for preventing and

resolving conflicts, noting that such conflicts contribute to poverty and the denial of rights.

Seek sustainable results. Working to identify and address underlying causes of poverty and rights denial,we develop and use approaches that ensure our work results in lasting and fundamental improvements inthe lives of the poor and marginalized with whom we work.

We hold ourselves accountable for enacting behaviours consistent with these principles,

and ask others to help us do so, not only in our programming, but in all that we do.


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Through its programs, CARE Peru contributes to significant and wide reaching impact on the underlying

causes of poverty and social injustice. In order to bring this about we strive in our projects and programs

to implement innovative ways to move forward in the attainment of national and international objectives

(MDGs), support t he government and other stakeholders in the replicat ion or adaptat ion of validated andsuccessful strategies, and influence change in public policy and its implementat ion. We always work with

partners and allies on multiple levels, reinforcing and promoting efforts through networks and alliances.

In all our interventions, we seek to promote the empowerment of excluded populations, the fulfillment of

responsibilities and accountability, and elimination of discrimination in all its forms, as well as generating

sustainable, lasting results.

Strategic Framework

New Models and High Impact Strategies

Model for Intercultural Bilingual Education with Social Participation. The EDUBINA project, funded by

Canadian CIDA, finished in mid 2008, with clear evidence of having contributed to an improvement in

access to quality and relevant education for boys and girls in rural communities in the rural highlands

of Ancash. Implemented as an official regional pilot program with the endorsement of the Ancash

Regional Education Authority, EDUBINA pursued a strategy of community participation, curricularplanning based on a Community Education Plan, and mentoring for teachers in the application of the

intercultural bilingual education approach, as well as the promotion of gender equity. Working in 18

primary schools and benefiting a total of 1,465 children, the project increased access to education and

increased the enrolment rate: from 89% to 90% in boys, with an even higher increase of 83% to 88%

in girls.

According to the final evaluation, between 2003 and 2006, the average score on a scale of 1 to 20

in reading and writing in Spanish rose by 229% and 156%, respectively, with increases of 219% and

186% in reading and writing in Quechua. At the beginning of the project only 15% of children achieved

pass grades in Spanish reading (meeting expectations or exceeding expectations) and only 10% did so

in Quechua. By the end of the project, 99% of children achieved pass grades in both languages. Incomparison with other similar rural schools where the project was not implemented, the average scores in

reading and writing in Spanish in EDUBINA schools was more than double, and in Quechua between triple

and fivefold. The successes of the bilingual intercultural education model are now being expanded to

other schools in Ancash, thanks to the support of the Antamina Mining Fund and Credit Suisse.

As this report attests, over the last two years our programs have contributed to impacts that represent

significant change for excluded people in Peru. Here we highlight a few of these.


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Model for Development of Rural Production. The Income and Employment Generation in Family

Production Units in the Altiplano project, funded by FondoEmpleo has developed the beef cattle

value chain in Quechua- and Ayamara-speaking communities in 10 districts in Huancae and Azngaro

provinces, in Puno. This project has validated a successful initiative that combines valuing and

disseminating traditional local knowledge, increasing productivity in cattle rearing, the creation of

an available supply of technical assistance provided by 62 local producers, and direct marketing of

livestock by rural producers. The project has more than surpassed its targets, generating an average

increase of 84% in the incomes of 3,187 producers, which in turn has dynamized the local economy. The

donors initial investment of S/. 1.193.000 has made it possible to fatten and sell 13,047 head of cattle,valued at S/. 20.261.471, a sales return of nearly 17 soles for every sol of project budget. Of no less

importance, is the impact on the self-esteem of the producers, who now sell their cattle directly to the

principal markets in Lima and Arequipa, where they are seen as highly valued and appreciated clients.

Other innovative strategies validated during the last two years include the financial services model

to facilitate access to improved sanitary services, in the project Alternative Sanitation Solutions,

a revolving fund established by EDYFICAR for persons with HIV to expand their micro businesses,

in association with the Consorcio Fortaleza led by Asociacin Solas y Unidas, or the innovative

accountability system designed by CARE Peru in the framework of its emergency response program

following the earthquake of August 15, 2007. Other noteworthy models CARE has validated include:

the innovative model by PROPILAS aimed at improving access to water and sanitation services in

dispersed rural communities and rural district capitals; the Regional Agreement promoted in Apurimac

as a means of decentralizing the Acuerdo Nacional (National Agreement between political parties,

government and civil society); the model for earthquake-proof and healthy housing implemented

during the reconstruction in Chincha and Huancavelica, based on the technique of adobe reinforced

with meshing to increase integrity which had been validated by the Catholic University of Peru; or the

model to promote access for producers in the rural areas of Ayacucho to irrigation systems through

credit from formal microfinance providers

Support to Government and Other Institutions in Replicating Validated

Strategies

The FEMME project (Foundations for Enhancing Management of Maternal Emergencies) was

implemented by CARE Peru in Ayacucho between 2000 and 2005, with funding from the Averting

Maternal Death and Disability Program (AMDD) of the University of Columbias School of Public Health

and from the Bill and Melinda Gates Foundation. The project supported the efforts of the Ayacucho

Regional Health Authority and the national Maternal and Perinatal Institute in Lima in improving the

standard of emergency obstetric care, increasing access to timely health services through the referral

and counter-referral system in neonatal and obstetric emergencies, and through promoting greater civil

society participation in favor of safe and secure motherhood.

Given the evidence of project impact in reducing maternal mortality (by 49%), as shown in the external

final evaluation comissioned by the Ministry of Health and CARE, which highlighted the strategies

implemented by the project as an effective model to be implemented in regions with high levels of

maternal mortality, the projects standardized guidelines for obstetric emergencies were taken as

the basis for developing new national guidelines. These new guides for clinical practice in obstetric


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emergencies, by levels of problem-solving capacity, and for clinical practice in attending newborn infants,

were launched by the Minister of Health in 2007, and are now being applied at a national level. During

2008, CARE also worked with the Ministry of Health in developing a detailed systemation of the eight

FEMME strategies, with the aim of converting them into eight modules that make up the Intervention

Model for Improving Availability, Quality and Use of Emergency Obstetric and Newborn Care in Peru, with

a view to their implementation in 2009. Similarly, together with the Ministry of Health and the Ayacucho

Regional Health Authority, CARE is supporting Bolivias Ministry of Health and Sport in strengthening the

organization of its obstetric care networks, following the model developed in Ayacucho.

Other examples of evidence-based interventions taken to scale include the support to the Ministry

of Health in the development of - and financing through the National Health Insurance (SIS) - of a

Package of Cost-Effective Interventions for Reduction of Neonatal Mortality, in the framework of the

Health Rights and Participatory Voices projects, in conjunction with the Newborn Health Collective,

or support by CARE and other partner institutions in the Child Malnutrition Initiative for local level

implementation of the national CRECER strategy to reduce chronic malnutrition in children, or the role

played by CARE as Principal Recipient for HIV and TB programs funded by the Global Fund to Fight

AIDS, Tuberculosis and Malaria, which are focused on nationwide implementation of a significant part

of the national multisectoral strategies against HIV and TB in the country.

Advocacy on the Development and Implementation of Public Policy

The Child Malnutrition Initiative (CMI) was formed in 2006 to position the issue of malnutrition with

candidates for the Presidency and later Regional Presidencies, in the national and regional elections,

highlighting the urgent need for a multi-sector strategy to combat chronic child malnutrition, a

condition affecting almost one quarter of children under five throughout the country and almost 40%

of children in rural areas, statistics that had remained virtually unchanged for over 10 years. We

believe that advocacy by the Initiative has significantly contributed to the strong prioritization by the

present government of the goal of reducing chronic malnutrition, setting an ambitious target for a 9

percentage point reduction during their term in office, and setting up the national strategy CRECER

and the Articulated Nutrition Strategic Budget Program in the framework of results based budgeting.

At the regional, provincial and district level, participating organizations in the initiative have promoted

the approval of public policies and programs aimed at reducing chronic malnutrition. This advocacy

work is combined also with technical support to government at all levels, to ensure the effective

implementation of these norms and policies.

Other results of CARE Peru and its partners advocacy activities include: the approval of the Co-Management

and Citizen Participation Law for primary healthcare facilities, and later its implementing regulations;

congressional approval of the Healthcare Rights Law campaigned for by ForoSalud; CAREs main partner on

its health Program approval of the public policies on water and sanitation for 2006 2015 in Cajamarca, and

reactivation of the Florecer Network to ensure effective implementation of the Law on Education of Girls and

Adolescents in Rural Areas.

Several of these and other impacts and results have been recognized by other organizations. The

experience of implementing an accountability system was included in the Case Book on Civil Society


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and Aid Effectiveness published by the World Bank at the Third High Level Forum on Aid Ef fectiveness

in Accra, Ghana. The work of the Health Rights Project was included in a special edition of the

international medical journal, The Lancet, devoted to Human Rights and Health, published in December

2008, as well as in reports on Accountability and the Right to Health Care and Human Rights and

International Cooperation in Sexual and Reproductive Health, published by Essex Universitys Centre

for Human Rights. At the PERUSAN 2008 Conference, we presented seven innovative experiences from

our Integrated Water Resource Management program. The Livestock Fattening Project in Puno won the

2008 MORAY Prize for Quality in Agricultural Innovation Projects, in the category of participation of

organized producers and solidity of strategic partnerships.

However, the most important recognition of the impact achieved by our programs comes from the

local stakeholders that work with us in the promotion of their processes of development and social

justice: the girls and women, boys and men, with whom we work, particularly in communities in the

rural highlands and jungle regions. Their words of appreciation for the changes achieved inspire us to

keep on persevering in implementing our vision and mission in the country. We hope too that they will

encourage you to read this report and that we can continue to work together to build a collective vision

and redouble our efforts to eradicate poverty and social injustice in Peru.

The work of the women volunteers in Azngo and Ayaviri has been fundamental in extendingthe scope of our work in defense of human rights.

Luz Herqui nio, Regional Human Rights Ombudswomans Commissioner, Puno

The program has helped us craftswomen to work togethernow thanks to the project we have abusiness that buys from us and as a result we have more profit,because the business that buys from us is

an exporter, and this has enabled us to increase our incomes.

Rebeca, Craf tswoman, Sumak Maki Association, Huancavelica

After my first experience I felt encouraged to buy another old cow from the Ctac campesino community.The cow only produced 2 to 3 liters of milk per day. It was in a sorry state: thin, infested with parasites,had no appetite, of litt le value. After treat ment the cow has increased

its production up to 8 liters of milk per day.

Faustino Espri tu Huerta, Ctac, Ancash

With the help we have received we have become more united. As neighbors we now work together,we have been trained, we are all working together well.

Emma Prado, Community Leader, 25 de Diciembre, Sett lement Vi lla Maria del Triunfo, Lima

Thanks to the training we have received from CARE we have been able to compile a map highlighting themost vulnerable zones in the school, and now have developed a School Emergency Plan. Our eyes have beenopened and we are now able to use these new tools to develop and promote a culture of prevention.

Prof . Rosario, Director, Reyes School, Huaytar, Huancaveli ca


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Programs and Projects

I. Education

Most significant impacts and achievements 2007 2008

leaders and representatives of private and public-

sector institutions, aimed at improving education

quality.

Leadership and gender equity training has also been

provided to 1,252 girls.

In Ancash and Puno we have provided technical

assistance to 121 schools in rural areas, seven

local municipalities, and the regional education

authorities.

We have developed of a network of 50

communicators in Puno, who have initiated

campaigns publicizing the benefits of quality

education.

CARE Peru develops decentralized educat ion management proposals, linked to local and regional development

processes, with a focus on gender equity and interculturality. We demonstrate how quality Intercultural

Bilingual Education can be applied in practice, in schools based in the Andean and Amazonian regions.

CARE Peru also seeks to promote and strengthen intercultural educat ion experiences and proposals in private

and public schools. All these efforts promote community participation, including parents and children

in developing and implementing new educat ional proposals. Similarly, the education program promotes

spaces for participation of indigenous, peasant and community organizations, as well as of other civil

society organizat ions, in the development, implementat ion and evaluation of public policy. CARE Peru also

advocates for the promotion of policies, strategies and increased public spending by national, regional and

local government, to improve the quality of education for the most impoverished groups, and to overcome

the barriers of linguistic, social, ethnic and gender discrimination.

Project spending during this period:US$ 964.133,33

In the rural areas of Ancash and Puno, 256 girls

and boys are attending primary schools who would

not otherwise be, thanks in part to the education

projects undertaken by CARE Peru. This statistic

reflects a 3% increase in the enrolment of boys and

a 5% increase for girls, since the projects started

their work.

The Kawsay project in Puno, has improved learning

outcomes of 109 boys and girls in 10 schools, as

shown through the comparison of the intermediate

evaluation results with the baseline. Reading and

writing in Quechua has improved from a score of

2,2 to 9,8 and in Spanish from 4,85 to 8,7, while

scores in mathematics increased from 3,8 to 13,99.

CARE has trained 10,122 individuals, including

students, teachers, school directors, community


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Projects in Education Program

TITLE OF PROJECT PERIOD BUDGET DONOR(S)

1. New Bilingual Intercultural Education in November 2008 - 776.942 Credit Suisse

Carhuaz Mushuq Naanintsik - Our October 2010

New Road

2. New Intercultural Education in the July 2008 - 1.833.625,44 Antamina Mining Fun(FMA)

Andes - EDUBINA / HATUN YACHAY June 2010

3 Observatory on Rural Girls and June 2008 - 200.000 Patsy Collins Fund - CARE USA

Adolescents Education June 2010

4. New Quechua Secondary Education for the October 2007 - 200.000 KELLOGG Foundation, Municipality ofPuno Region October 2010 Azngaro, Arapa and Chupa, CARE Peru

5. Advocacy towards the IFIS on Intercultural February 2006 - 456.005 CARE International UK /DFID

and Bilingual Education in Bolivia, Ecuador September 2008

and Peru

6. Quality and Equity in Intercultural January 2006 - 1.148.582,66 European Commission, CARE France,

Education in Puno - Kawsay December 2010 Marshall Jr. foundation, CARE Peru

7. New Bilingual Education in the July 2003 - 468.850 CIDA Canada

Andes - EDUBINA May 2008


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Education in their mother tongue, in this case Quechua, makes it much easier to learn Spanish.After four years of work I noticed that the children were speaking Spanish correctly, making no moremistakes than children who had begun learning to read and write in Spanish, and using Quechua to

help them understand difficulties in Spanish. This system of teaching has not corrected the problemsof interferences that the students have, and which they will not be able to correct for a long time;what it does is separate the two languages to facilitate learning and teaches Spanish as a second

language. The approach I used was initially to teach Spanish orally, including the grammatical aspectsthat distinguish Spanish from Quechua, usually starting with the use of the article.

Eulali a Hazaa Deza, Schoolteacher, San Miguel, Puno

This testimonial, originally collected in Quechua and translated into Spanish, tells the story of awoman leader from a community from the area of the EDUBINA project, who initially was involved in

designing the Community Education Plan. In the process she demonstrated her leadership qualities

and was later democrat ically elected on to her district Council.Nuqaqa huqta wamrakunapa mamanmi kaa, manam yachaywayiman aywarqatsu,

kichwayachawmi rimaytapis yachaa, tsaypitam mana alli rikayamarqam. Wapra markaapa lideresamkayta yachakurquu, Plan Educat ivo Comunal Nishqanta rurarmi, kanannam marka mayiikuna

churayaamashqa San Miguel de Aco Municipalidadpa rigidoram, t saymi marka mayiikuna kusshishqakayan Proyecto EDUBINAWAN kananqa wamraakuna kushishqa yachakuyan kichwachaw

kastillanuchawpis, Kananga komunidaaniipis alli ayllukashqamtsaymi yachaywayichaw yachatsikuyta yanapayan.

I am a mother of six. I never went to school and I only speak Quechua. I have endureddiscrimination and rejection. I learned to be a leader by gett ing involved in the Community EducationPlan in Huapra, the village where I live. Now the village has elected me councilwoman for my district(San Miguel de Aco) and they are happy with me The EDUBINAproject allows our children to learn

in Quechua and Spanish, and our community is better organized to support education.

Lidia Isidro, Counci lwoman of t he Municipali ty of Aco

I.Educacin


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II. Health

CARE Peru designs its strategies to improve the health of the populat ion, in particular those who areparticularly vulnerable, in the poorest areas of the country. It applies focuses on inclusion, interculturality,gender equality, citizenship exercise, health rights and responsibilities; it develops and validates modelswith high impact on public policies, works with figures from political classes and public management andcontributes t o the fulfillment of the health MDGs. In all levels of government, it develops and promotesstrategic public-private alliances which enrich the civil State private sector social dialogue, as supportto the institutionalism of interventions. Also, it strengthens the development of civil society networks andpromotes the organization of surveillance systems and citizen participation; it promotes the strengtheningof clinical training, of prevention and promotion of health, contributing fundamentally to reducing maternalnew born mortality and child malnutrition. It works also on the prevention and control of emerging infectiousdiseases, HIV/ AIDS and Tuberculosis, in association with the health sector and civil society, to give anarticulated and public-private inter-sector response.

Amount invested in this period:US$ 33.537.987,53

approved by the Committee for Health, Population, Family andPeople with Disabilities. Its debate is pending.

The bill containing the regulations for Law 29124 wasput to Congress. The bill contains contributions from theLocal Health Management Committee, which were gatheredat macro-regional meetings held with the support of theEuropean Commission.

The National Health Council incorporated the proposals ofForoSalud in the bill amending Law 27813, which creates thecoordination bodies of the National Health System.

With the technical assistance of CARE and other institutions,the Ministry of Health (2007) has institutionalized the ClinicalPractice Guidelines for Neonatal Care and the Clinical PracticeGuidelines for Emergency Obstetric Care according to handlingcapabilities. 50 health professionals act as regional facilitators.

1,825 health staff have been trained in dealing withneonatal of obstetric emergencies through workshops in theparticipating health regions. Also 3,500 guides and 6,000flowcharts have been handed out.

(*) These figures reflect progress for 2003-2008

16552 people receive Highly Active Anti-retroviral Therapy(HAART). 91% of people with HIV remain alive for 12 monthsafter HAART and 87% adhere to antiretroviral treatment*.

The percentage of homosexual men with HIV (+) has declinedfrom 13,9% to 10,8%.*

The percentages of children of HIV+ mothers who donot contract HIV at 18 months has gone down from 24%

(estimation) to 5,50%*.The rate of cases of TB BK+ has been reduced from68,8/100,000 to 62,9/100,000*.

The mortality rate from TB in any form has declined from3,95/100,000 people to 3,18/100,000*.

The cure rate for MDR TB rose from 46,9% to 91,2%*.

96% of cases of TB have been detected.

28,313 people have been trained in citizen health surveillance,State reform capacities, maternal-child mortality, prevention ofchild malnutrition and control of emerging infectious diseases,HIV/AIDS and TB.

The Healthcare Services Law was introduced in Congress withthe backing of more than 100,000 signatures to congress and




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Projects in Health Program

TITLE OF PROJECT PERIOD BUDGET (US$) DONOR(S)

1. No woman left behind: closing the gaps November 2008 - 40.000 International Initiative on Maternalbetween rights and obligations for October 2009 Mortality and Human Rights (IIMMHR)ensuring Safe Motherhood

2. Citizen surveillance initiative for October 2008 - 12.000 Physicians for Human Rights - USAmaternal health care services in three March 2009areas of Puno

3. MCC - USAID THRESHOLD IMMNIZATION October 2008 - 3.393.398 Millenium Challenge Corporation,PROGRAM September 2010 Threshold Program - USAID

4. Participatory Voices April 2008 - 741.567 CARE International UK / DFIDMarch 2011

5. Huancavelica Youth for Responsible January 2008 - 120.000 CARE USA, CARE Peru, HuancavelicaMasculinity (AHMAR) September 2009 Regional Education Authority

6. National Multisectoral Plans: Pooling October 2007 - 40.848.622 Global Fund to Fight AIDS, TB andResources to Fight HIV/AIDS September 2012 Malariain Peru - VI Round

7. Foundations for Enhancing Management August 2007 - 95.500 Christy Turlington, CARE Peruof Maternal Emergencies December 2008

8. Strengthening Obstetric and Neonatal August 2007 - 1.649.045 Antamina Mining Fund (FMA)Emergency Care at Health Services June 2010and Promoting Coordinated Work withCivil Society in the Ancash Region -ALLI MAMA ALLI WAWA

9. Closing gaps: Toward the Millennium September 2006 - 32.545.545 Global Fund to Fight AIDS, TB andDevelopment Goals for Tuberculosis August 2011 Malariain Peru: Project with a ParticipatoryMultiagency DecentralizedApproach - V Round

10.Closing gaps: Toward the Millennium September 2006 - 12.697.865 Global Fund to Fight AIDS, TB andDevelopment Goals for HIV/AIDS in August 2011 MalariaPeru: Project with a ParticipatoryMultiagency DecentralizedApproach - V Round

11.Improving the Health of the Poor: April 2005 - 2.318.800 CARE International UK / DFID, CARE USA,

A Rights-Based Approach March 2008 Physicians for Human Rights PHR USA

12.Strengthening Prevention and Control December 2003 - 25.552.603 Global Fund to Fight

of TB in Peru - II Round December 2008 AIDS, TB and Malaria

13.Strengthening Prevention and Control December 2003 - 22.166.497 Global Fund to Fight

of HIV/AIDS in Peru - II Round December 2008 AIDS, TB and Malaria

II.

Health


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I think the greatest achievement is to have grown as a person, above all through the work that weare doing. By gaining experience we can do our jobs better.

Tonica Antn, Community Delegate for Goal 1. Macro Regin North

I was one of those doctors who steadfastly refused to actively manage the third stage of childbirth.However, now that I have been trained I am convinced that all that is needed

is the right technique.

Dr. FernandoTurrizaga, Gynecologist/ Obstet rician, La Caleta Hospit al, Ancash

I am HIVpositive. When I received the diagnosis (2003) , I thought I was about to die. All Icould think about was my children because when I separated from their dad they told me that

they didnt want me to have another partner, that I should stay single. And now that my kids are

teenagers, well, that was what killing me: thinking how they would take the news. But thanks to theGlobal Fund, which sent us free antiretroviral treatment, weve had a second chance in life and I am

here thanks to that. My friend Jonathan invited me to ASIPO+. It is an association that providessupport and information to recently diagnosed people. I arrive at work at 9.30, help out in the

kitchen, and then Im in the office answering calls. My goals in life are to work because all of us atthe Association are volunteers, and to be a great activist to help more people with HIV.

Nelly, Representative of the association ASIPO, Lima+


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III. Sustainable Economic Development,Food Security and Nutrition

CARE Peru promotes food security, nutrition and sust ainable economic development. Sustainable economic

development provides the balance for economic, social and environmental wellbeing. In order to make an

impact in reducing poverty, CARE validates models and sustainable experiences of market access, promotes

the development of private technical assistance, and uses methods which provide access to credit for

small rural producers. At the same time, it promotes the organization of producers, public-private work

alliances, and partnership with businesses on corporate social responsibility. Also, it promotes climate

change adaption and mitigation methods, with and emphasis on the participation of the poorest and

most excluded people. It provides technical assistance and mentoring for policy advocacy measures and

strengthening of public management, with an emphasis on promotion of public and private investment to

implement strategies against child malnutrition and make this issue a priority at the national, regional and

local level. CARE plays an important part in the Child Malnutrition Initia tive.

3,504 men and women producers accessed credit in theamount of S/. 4,315,888, or S/. 1,232 per producer,through 10 projects.

The finance entity EDYFICAR has 178,806 clients; 54%

of whom are women with average loans of S/. 3,219(US$1,073)

5,090 people have been trained in strengtheningproduction chains and in private technical assistance for

businesses and communities.


3,892 men and women producers increased their revenueby an average of 85% - with an average increase ofS/. 1,531 per producer (US$510), through 8 projects.

11,763 men and women producers increased their sales

turnover by 568%, with an annual sales increase of S/.3,611 per producer (US$1,204), through 12 projects.

668 women producers increased their sales turnover by496%, with an increase in sales of S/. 2,952 per producer(US$ 984), through 9 projects.

63 companies increased their sales by 2,193%, with anincrease in annual sales of S/. 519,638 per company(US$173,213), through three projects.

81% of companies have teamed up for sales, out of a totalof 398 associations that participated in 14 projects.




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Proj ects in Sustainable Economic Development, FoodSecuri ty and Nutri t ion Program

1. Leveraging Information from the Field to July 2008 - 52.903 CARE USA - Bill and Melinda GatesTransform U.S. Policy toward Developing June 2010 FoundationCountries (LIFT UP)

2. Improvement of Livestock Production for June 2008 - 673.238,20 Ministry of Economy and Finance,Small Farmers in the Districts of LARAMATE September 2010 Ayacucho Regional Governmentand LLAUTA in the Province of LUCANAS

3. Strengthening Local Management April 2008 - 170.625 USAID, Caritas Peru, CARE Peruto Reduce Malnutrition June 2009

4. Empowering Women in the Community December 2007 - 10.000 Tom and Zantha Warth (USA)of Paucara in Huancavelica to Participate September 2008

in Local Economic Development throughSmall-Scale Traditional Textile Production

5. Seedlings for spineless artichoke November 2007 - 25.000 Peru Opportunity Fundproduction in Ancash October 2009

6. Productive Chain Program for Poverty August 2007 - 2.311.683 Antamina Mining Fund (FMA)Reduction in Ancash - ALLI ALLPA August 2012

7. Financing for Agricultural Irrigation July 2007 - 125.144 USAID, AEDSystems February 2009

8. Services for Socially Responsible for June 2007 - 45.046,54 CARE Canada, CARE USA, Lions ClubBusiness Development February 2009 International

9. Informed Decisions June 2007 - 202.722,51 USAIDJune 2008

10.Sustainable Pea and Improved Guinea Pig April 2007 - 100.000 Jeff Peierls - USAProduction in the Districts of Tambillo February 2009and Acocro

11.Influencing Multilateral Bank Policy January 2007 - 357.981 CARE International UK / DFID, CAREfor Reducing Child Malnutrition in Peru March 2008 Peru

12.Improvement of Family Incomes in January 2007 - 101.680 European Commission, Program ofthe Acobamba Mayocc Road Corridor May 2007 Support for Socioeconomic Development

and Decentralization in the Ayacuchoand HuancavelicaRegions (AGORAH)

13.Dairy Production Development with Small December 2006 - 112.660,63 PRODELICA Program - EuropeanProducers in the Cajabamba - San Marcos July 2007 CommunityEconomic Corridor

14.Pilot Microcredit Program for Families in June 2006 - 100.000 Morris WilliamsExtreme Poverty February 2008

15.Capacity Building for Products: Limes, May 2006 - 56.540 Ministry for Women and SocialPrickly Pears, Guinea Pigs, Mangoes October 2007 Advancement (MIMDES), FONCODES

Huaraz Zone

16.Innovative Use of Multiagency Partnerships January 2006 - 100.000 CARE International UK / DFIDto Promote Market Access for Poor December 2007Communities

17.Income and Employment Generation December 2006 - 352.959 FONDOEMPLEOin Family Production Units in the November 2008Altiplano through Developmentof the Beef Value Chain in Puno



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They have helped all of us craft workers to work and make better things together. Before, we allused to work separately and no one knew about sales. But now, thanks to the project, we have acompany that buys from us, and we make more money because the company buys our things to

export, which bring us more income. We all have our own tools and now we can produce.

Rebeca, Craf tswoman, Asociacin Sumak Maki , Huancavelica

With the Productive Water Project the more proactive of us fruit farmers have been building acommunity reservoir and installing advanced irrigation systems for our crops. CARE provides uswith technical assistance and EDYFICAR loans us the money to buy the irrigation equipment andmaterials. This is how weve always wanted to work, but in our community there are people who

are complacent and instead of actively looking for this support, they have simply been waiting forhandouts and donations from some institution to install their irrigation systems.

Rubn Vctor Huapaya V., Community of Seccllas Alt o, Huanta, Ayacucho

In this way the bulls quickly put on weight. A bull gains 1.5 kg a day. Previously we used tosell on an annual basis but now we sell quarterly. We have broken into the Lima and Arequipa

markets. I never imagined that one day Id bring my cattle for sale directly to Lima. However, whenwe arrived, we realized that the quality of Puno beef is superior. In a little over three years we

have sold more than 12,000 head of cattle, equivalent to nearly 17 million nuevos soles (US$ 5.6million). The most important thing in all of this is the expertise; the project hasnt given us money

or bulls, but something much more important: expertise. And nobody can take that away from us.It is something that we will have til our dying day.

Pedro Ccacca de Samn, Lourdes Saavedra, Catt le Breeders, Huancan, PunoIII.SustainableEconomicDevelopment,FoodSecurityandNutritionProgram

18.Strengthening the Milk and Cheese December 2005 - 593.003 Ministry of Economy and Finance

Production Chain in the Province of June 2007

Bolognesi

19.Increasing Incomes for Canary Bean June 2005 - 123.031 PRODELICA - European Commission

Producers in the Condebamba Valley, July 2007

in the Provinces of Cajabamba and San

Marcos

20.Poverty Relief and Alleviation Program July 2004 - 1.487.502,42 USAID, Chemonics

(PRA) August 2008

21.Combining and Replicating Technologies January 2004 - 42.000 International Potato Center (CIP),for Low-Income Potato Producers June 2007 International Fund for Agriculture

Development (IFAD)

Proj ects in Sustainable Economic Development, FoodSecuri ty and Nutri t ion Program



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IV. Integrated Water Resource Management

CARE Peru seeks to intervene at local, regional and nat ional levels to ensure that the issue of t he environment

is included in plans, projects, program and politics, based on validated experiences of strategic partners.

To that end, it develops innovative models in areas such as payment for environmental services, or new

practices for the sustainable use of natural resources which redress the loss of these resources and generate

economic and social benefits for poor families. It also develops and disseminates validated models for the

provision and management of water and sanitation in isolated rural communities, district capitals and small

villages. It promotes a lternative sanitation initiatives, solid waste management, and waste water t reatment

in small cities, as well as consensualized participatory design of regional and provincial policies, thereby

strengthening the sanitation sector in a decentralized framework. CARE Peru supports governmental sectors

to ensure the effective execution of water and sanitation programs in the country, as well as to broaden the

coverage of water services and collective sewerage systems in periurban areas of Lima.

Assistance given to 71 local governments, 11

regional governments and 14 State institutions or

programs.

Promotion of the promulgation of 21 regional

bylaws which promote access to water and sanitationservices, which contribute in a direct manner to

improved health conditions.

80 families have accessed technology to solve their

sewage problems, either through loans or cash

payment


Facilitated access for 21,522 families to safe water;

19,067 families to improved sanitation; and 700

families to sewage treatment.

Organization strengthening in rural zones jointly

with local governments and the active participationof 325 Water Boards (JASS) with around 1,000

members, of which 257 are women, 113 of whom

presently occupy management positions.

In Cajamarca, prevalence of chronic diarrhea has

dropped from 22% to 0% in Cedro; from 15% to 0%

in Loropampa; and from 16% to 0% in Maqui.




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22Projects In Integrated Water Resource Management

Programa


1. Formulation of Regional Plans and March - In La Libertad World Bank-Water and SanitationProvincial Pilot Plans on Water and November 2008 124.423 ProgramSanitation in La Libertad and Cajamarca In 123.063,09

2. Alternative Sanitation Solutions September 2007 - 372.824,97 Fund for the Americas (FONDAM),May 2009 CARE Peru/ ENSEMBLE foundation

3. Technical Advisory Services to the July 2007 - 341.017 Swiss Agency for Development andRegional Government of Cuzco for June 2009 Cooperation (COSUDE)Implementation of Phase V of the BasicEnvironmental Sanitation Project in theSouthern Highlands(SANBASUR)

4. Domestic Waste Water Treatment at the May 2007 - 100.000 Jeff Pierls FoundationHeadwaters of the Santa River May 2009Watershed in Ancash

5. Equitable Payments for Watershed April 2006 - 1.408.732 DANIDA - DGISand Environmental Services December 2011

6. Outreach, Training, Design and Construction April 2006 - 1.639.487,92 World Bank - SEDAPALSupervision of Conventional and Collective February 2009Secondary Water and Sewerage Systems, aswell as Fountains Latrines in Various Districtsof the Southern Cone of Lima.

7. Waste Water Treatment in Rural August 2005 - 266.573 ENSEMBLE Foundation

Districts of Puno October 2007

8. Pilot Project to Strengthen Regional July 2005 - 1.323.721 Swiss Agency for Development andand Local Management of Water and December 2008 Cooperation (COSUDE)Sanitation Services in the Framework ofDecentralization - PROPILAS IV

9. National Rural Water and Sanitation Ayacucho: 1.860.409,39 Ministry of Housing, Construction andProgram in Ayacucho, Piura, September 2004 - Sanitation (MVCS), World BankHunuco y Huancavelica December 2008

Piura:April 2005 - 2009

Hunuco:April 2005 -

January 2008Huancavelica:

October 2005 -January 2009

IV.

IntegratedW

aterResourceManagement


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I think that having real, accurate information is important for people to understand how the

project works. People are used to handouts and with this project we managed to get people tocontribute, to play their role in achieving change for themselves. Having everything given

away cant work, and it is important that the community contributes and so changesthe way we work to benefit the population.

Julio Tello Flores,, Mayor of Rosario de Polloc Community, La Encaada, Cajamarca

Now, with the project, we are more united. Neighbors are working together. We havereceived training and are all working steadily. There have been more

people to prepare the land and the roads.

Emma Prado, Community Leader, A.H. 25 de Diciembre. Vil la Mara del Triunfo, Lima


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V. Governance and Extractive Industries

CARE Peru promotes good governmental practices based on empowerment of the poor, civil society

participation, and capacity building in public institutions, seeking greater awareness, responsibility and

transparency vis a vis the public. It implements strategies for strengthening the processes of decentralization

and regionalization, through capacity building for local and regional government and civil society. It

also promotes consensus building and citizen participation, emphasizing the participation of women

and indigenous people in decision making. It provides technical support on regulations for democratic

institutions within the framework of decentralization, implementing approaches to raise awareness about

gender, multiculturality, the environment and watershed management. In the area of mining, CARE endorses

constructive relations between the communities, local government, and mining companies, so that potential

conflicts are properly addressed in the interests of collective understanding and good local government.

Close to 100 documents have been recorded at the

national, regional and local level institutionalizing

CARE Perus policy advocacy contributions through

its programs and projects.


Technical assistance is given to four regional

governments and 29 local governments, to improve

good governance. 90% have a consensualized

development plan in place and received advice on

participatory budgeting.

In coordination with the RENIEC (National Registry

of Identification and Civil Status), 4,638 people

from excluded zones have obtained national identity

documents; of these 1,920 are women and 256 are

children.

Over 6,000 community leaders, youth leaders,

and representatives of private and public

institution, among others, have been trained in

good governance, accountability, organization and

leadership.




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Projects in Governance and ExtractiveIndustri es Program

1. Capacity Building and Strengthening February 2005 - 947.618 CARE International UK, Projectfor Decentralization and Democracy March 2008 Counselling Service (PCS)FORTALECE

2. Insertion of the Excluded CHOPCCA May 2005 - 383.404 Deparment of State - USAPopulation of Huancavelica in the March 2007Institutionalization of Democracy

3. New Voices Piura February 2006 - 9.886,25 World Bank - PeruJune 2008

4. Capacity Building for Management April 2006 - 262.955 OXFAM GBof Social and Environmental April 2009 UK / DFID

Conflicts in Mining Activities5. Governance, Mining and Sustainable June 2006 - 200.000 USAID

Development June 2008

6. Building Multiagency Partnerships for November 2006 - 100.003 CARE International UK / DFIDDevelopment with Equity on the Zone March 2007Targeted for Mining Investment, LasBambas, Apurmac

7. Local Governments and Civil Society November 2006 - 60.754 CARE International UK / DFIDOrganizations in Small Rural Towns and May 2007their Relationship with Good Governance

8. Rights, Cultural Identity, and Participation February 2007 - 747.666 European Commission, CARE Perufor Amazonian Indigenous Peoples: December 2009

The Case of the Aguaruna People

9. Empowerment, Capacity Building, and March 2007 - 28.000 CARE USA, Sexual Explotation andPrevention of Sexual Violence in Puno December 2008 Abuse (SEA), CARE Peru

10.Consensualized Land Planning in May 2007 - 27.572 Peru Germany Counterpar t Fund (FCPA)the Bigote and Serrn Sub-Watersheds October 2007

11.Governance in the Andes April 2008 - 133.000 CARE International UK / DFID, Benala /March 2009 Canadian LWR


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Now I can guide and train my organization, the Bartolina Sisa de Caravilque Mothers Association.I have got over my fear of public speaking. Also my Spanish has improved

also as a result of taking part in these training activities.

Mati lde Jurez de Arenas,

At the Glass of Milk organization we talked about what we do, but we did not know that wecould also have a say in the municipal budget plan. When we went to the budget meeting to

support our co-worker, Rosa, in presenting our proposal, we met the Mayor, all the council members,and the district mayors. We felt important and were delighted when

they commended us on our proposal and approved it.

Yaneth Canaza. Glass of Milk , Puno

V.

Governancea

ndPrimaryResourceIndustriesProgram


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A timely response to emergencies is essential in the fight against poverty and injustice, since the impact

of disaster is the cause and consequence of both. CARE Peru permanently strives to analyze the underlying

causes of vulnerability and works to reduce them. Through humanitarian assistance, it helps individuals to

overcome the crisis. It applies measures for the reduction of risk from disasters, to support the rehabilitation

and reconstruction processes post-crisis, strengthening capacity for resilience and local response in the

affected population. It acts towards the preparation and prevention for of emergencies in its programs, and

it incorporates the concept of reconstruction building back in the post-emergency scenario, so that affected

familiar gain access to better basic services, to safe and healthy homes, as well as the means to live with

greater food security and better income. By CAREs mandate the response to an emergency must satisfy the

basic necessities of the affected population, above all in the poorest and most needy areas, respecting the

humanitarian principles and international standards that recognize the right to personal dignity for thoseaffected by a crisis or emergency; the code of conduct of the International Federat ion of the red Cross and

Red Crescent, and the regulations of Sphere Project. It also develops initiatives and account management

within the frame of own membership to the Internat ional Mandate Humanitarian Accountability Partnerships

Responsibility- HAP.

and non-structural aspects for risk mitigation within the

framework of earthquake reconstruction.

78 temporary classrooms were installed in Chincha and

Caete

Four safe water systems have been rehabilitated, promoting

the strengthening of the Water Boards (JASS) and good

sanitary practices, and above all for hand washing with soap.

6.65 km of irrigation canals have been rehabilitated.

200 earthquake-proof houses of mud bricks and adobe

are currently being built with the participation of affected

families, in Chincha and Huaytara.

100 houses affected by the earthquake have been restored.


Immediate response in providing assistance to families

affected by the earthquake in 2007, benefiting 12,019families with humanitarian aid, water bottles, canned foods,

blankets, individual and family-sized tents, medicines,

coffins, flashlights, lanterns, candles, tools, brooms, soaps,

kettles, dishes, spoons, etc.

Over 13000 families in the areas worst hit by the earthquake

of August 2007 have received information and guidance on

constructing earthquake-proof houses made of reinforced

adobe and strengthened mud bricks, as well as management

and maintenance issues, through radio, television and other

alternative communication media in Chincha.

Over 2,055 families have been trained in the structural

aspects of construction of earthquake-proof housing,



VI. Emergency and Risk Management


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Projects in Emergency and Risk Management Program

1. Socioeconomic Development and September 2008 - 128.918 Government of Navarra, PROPERURestoration of Livelihoods for Poor Families May 2009Struck by the 2007 Earthquake in theProvince of Huaytar

2. Huancavelica Reconstruction Project June 2008 - 4.879.000 CIDA CanadaJanuary 2011

3. Capacity Building for Reconstruction of June 2008 - 400.000 USAID OFDAHomes in Chincha February 2009

4. Program on Humanitarian Response to August 2007 - 1.060.117,50 Bill & Melinda Gates Foundation, private

the August 2007 Earthquake June 2008 donors to CARE USA, Edpyme EDYFICAR,

Minera IRL Minera Minera San Juan, JCB5. Project on Immediate Response to August 2007 - 243.305,71 European Commission Humanitarian

the August Earthquake (PRISA) October 2007 Aid Office (ECHO)

6. Restoration of Livelihoods and Access August 2007- 461.215,02 European Commission Humanitarian Aidto Basic Services for Families Affected October 2007 Office (ECHO)by the Earthquake in Huancavelica

7. Temporary Housing, Sanitation, August 2007 - 367.500 USAID OFDAInstitutional Strengthening December 2007

8. Aid and Reconstruction for Excluded e September 2007 - 460.500 ELMA FoundationCommunities after the August 2007 February 2009Earthquake

9. Improvement of Sanitation Conditions September 2007 - 20.000 Fund for the Americas (FONDAM),for School Communities in Huaytar November 2007 CARE PeruAffected by the Earthquake

10.Rehabilitation of Sanitation Services fpr September 2007 - 961.903,80 UK Government, (DFID), in the frameworkFamilies Affected by the Earthquake in Caete, February 2008 of the UN Flash AppealChincha and Provinces of Huancavelica

11.Landslide Risk Management December 2006 - 163.165 Swiss Agency for Development and June 2009 Cooperation (COSUDE)

12.Binational Capacity Building for Disaster Risk March 2006 - 437.711,24 European Commission Humanitarian AidReduction: Tumbes - El Oro May 2007 Office (ECHO), DIPECHO Programme

VI.Emergencya

ndRiskManagementProgram



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29


Thanks to CARE and the European Union for the humanitarian aid that reached usyouwere the first to support us after the earthquake.

President of community of Amaylla,

At last we have a working Emergency Operations Center and very soon we will have our ownbuilding for this. The volunteers are in good spirits because they have their own rescue

equipment and will no longer have to depend on the Machala Civil Defense.We want to hold a binational drill very soon.

Alf redo Tamayo, Civi l Defense, Huaquillas, Tumbes


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Financial Report

GENERAL BALANCE 2008

Total Support

Comparison of Administrative Costs2006 - 2008

0.00

5,000.00

10,000.00

15,000.00

20,000.00

25,000.00

30,000.00

2006 - 2007 2007 - 2008

Budget Execution

In the period 2006-2007, at 50%, the principal source

of financing for programs and projects executed by CARE

Peru was the Global Fund against AIDS and Tuberculosis,

of which CARE is the principal recipient. Next was the

European Commission, with 19%; the remaining 31%

came from private donors, the Peruvian Government

and Institutions, the United States Government, and

other bilateral donors. Just like the previous period, in

the 2007-2008 the main source of financing was the

Global Fund against AIDS and TB with 45%. After it came

bilateral funds with 27%, the Peruvian Government and

institutions with 5%, the European Commission with 10%,

and the remaining 3% from a few private donors, the U.S.

Government and the World Bank.

The accounting and finance information of CARE Peru has

accounting mechanisms in conformity with the policiesof institutional transparency. It abides fully with all the

regulations of the Peruvian State, as well as those of CARE

International and other donor governments. In the period

2006-2008, the status of CARE Perus accounts was as

follows:

The expenses effected during the period 2006-

2007 came to US$ 15.614.368,16, which

represents 93% of total expenses generated

by programs and projects. US$ 1.081.227,81,

that is to say 7% of the total, was channeled for

administrative expenses. In the period 2007-

2008, total expenses came to US$ 26.292.876,11,

with 5%, that is US$ 1.388.485,59, used for

administrative expenditure. Even though the

budget increased in comparison with the previous

period, the percentage allocated to administrative

expenses was 2% lower.

Funding Sources

CARE Peru maintains a commitment to its donors with

respect to the good use of resources, according to the

budgets approved in programmed activities. For this

reason, its accounting system is organized by funds,

ensuring an efficient and effective method of control.

Bilateral funds Global Fund to Fight AIDS, TB, Malaria

European Commission Peruvian Government or inst itut ions

Government a the U.S. Private donations

World Bank Seri e8

0

5000

10000

15000

20000

25000

30000

Millares

2006 - 2007 2007 - 2008

Years 2006- 2008


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In the period 2007-2008, the main source of was

also the Global Fund for HIV/AIDS and TB programs.

Accordingly, Health has received the most funding.

Following it are DESAN, and GREM. In contrast to

the previous period, the latter received significant

financing from diverse donors, since humanitarian

aid interventions were implemented, as well as

rehabilitation and reconstruction for the areas affected

by the earthquake of August 2007. Following it areGIRH, Health, GOB, and EDU.

Distribution of Expenses by Programmatic Priority

CARE Peru, through five regional offices and five offices

in the nation, comes implementing projects in six

programmatic areas. For the significant amounts moved by

the programs against HIV/AIDS and Tuberculosis carried

by the Global Fund, as already mentioned, the health axis

has received greater resources, followed by Sustainable

Economic Development, Nourishment and Nutrition Security

(DESAN) [Desarrollo Econmico Sostenible, Seguridad

Alimentara y Nutricin]. Without including the Global Fundin this distribution, the majority of expenses executed

in the period 2006-2007 corresponded to the axis of

DESAN. Following it is the Integrated Management of

Water Resources (GIRH) [Gestin Integrada de Recursos

Hdricos]; Health, Governance and Extractive Industries

(GOB) [Salud, Gobernabilidad e Industrias Extractivas], Risk

and Emergency Management (GREM) [Gestin de Riesgos y

Emergencias], and Education (EDU).

2 000

4 0006 000

8 000

10 000

12 000

14 00016 000

2006 - 2007 2007 - 2008

DESAN EDU

GREM GOB

GIRH Health / Global Fund

Implementati on Programmatic Priority

Thousands -500.00

1,000.00

1,500.00

2,000.00

2,500.00

3,000.00

3,500.00

4,000.00

Thousands

2006 - 2007

DESAN EDU

GREM GOB

GIRH Health

2007 - 2008

Implementati on by Programmatic PrioritWithout the Global Fund

2006-2008


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The Regional Government of Ayacucho through

the Regional Management of Agriculture, awarded

first prize the Nio Jesus de Neque Association of

Agricultural Producers for the high genetic quality

of its animals in the category of reproducers and

Second Place to the In the New Dawn of San Juan

de Frontera Womens association in the category of

guinea pig meat. Both associations received technical

assistance from CARE Peru through the pilot project

of Microcredit for families in extreme poverty. 2007.

The NGO KIWANIS International and the network of

television radio and press representatives in Ancash

in the Eco Prize Ceremony for Competitiveness and

Business Quality 2007, awarded CARE Peru, through

project EDUBINA, the acknowledgement of best NGO

2007.

The Regional Education Directorate of Ancash gives

acknowledgement and awards the support of the

regions education for the successful results achieved

in Project EDUBINA, through the Canadian Agency

for Development ACDI and CARE Peru. Office number

0958-2007-ME/RA/DREAD May 2007.

Credential Merit awarded to CARE Peru by the District

Council of Huasmn for the project Increase of

Income for Producers of Beans from the Valley of

Condebamba and the provinces of Cajabamba and

San Marco. Cajamarca 2007.

The experience of CARE Peru with the Foro Salud inPuno and the Regional Human Rights Ombudsman

Office of the town was selected from 800 applications

and presented in the framework of the Annual

Reunion of the Global Health Council, dedicated to

Community Health: Promoting, Strengthening, Linking.

May 2007.

Acknowledgement for the Project Generation of

Work in productive units of the altiplano through the

development of the value chain of cows for meat.

For me, in so many years of promoting all kinds of

initiatives for development, this has been one of the

best moments, a true prize for which I give thanks to

life and to all those who have made this development

miracle possible. Nick Nolte, AGRONOTICIAS

Magazine No.320, April 2007.

The Cattle Fattening Project in Puno also won First,

Second and Third place in the Brown Swiss Cattle

category, in the XXIV Livestock National Competition,

in the Experimental and Auction Center, Buena Vista,

Lurin. October 2008.

The same Project won First place in the II NationalCompetition for Rewarding Quality MORAY 2008,

No. 003-2008-PIEA-INCARGO, in the category:

Participation of Organized Producers and Strength of

Strategic Alliances. Auditorium of the Antonio Ruiz de

Montoya University, Lima, December 2008.

The medical magazine The Lancet published a special

edition about health rights and public policies which

included a study called The Right to Health and

Health Systems: an evaluation of 194 countries with

CARE Peru as co-author. There figures also a commentabout health Peru and the initiative which CARE Peru

developed with female leaders in Azngaro, Ayaviri y

Puno. December 2008.

Recognition

In this period CARE Peru has received acknowledgement for quality, consequences and results in its

work. Here are some of them:


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Judith Bueno de Mesquita and Paul Hunt, ex Special

Speaker at the United Nations for Health Rights included

the experience of the Health Rights Project, as an

example of the aspects to take into account during the

promotion and realization of sexual and reproductive

rights, in the international publication Assistance and

Cooperation in Sexual and Reproductive Health: A Human

Rights Responsibility for Donors. Our health rights

work was also quoted in publications about participation(Participation and the right to the highest attainable

standard of health) and accountability (Accountability

and the Right to the Highest Attainable Standard of

Health). Centre for Human Rights, University of Essex,

December 2008

Acknowledgement for good institutional accountability

practice. Quoted in the publication Civil Society and

Aid Effectiveness. Case Book. Section Accountability

to disaster affected People in CAREs 2007 Earthquake

Response in Peru (68-71). Susan Taylor-Meehan,Jacqueline Wood and Real Lavergne. 2008.


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ERUINSTITUTIONALREPORT2007-2008

Documents

Memoria Institucional CARE Perú 2007-2008 (Inglés)