Financial statement

FINANCIAL STATEMENT FOR THE FISCAL YEAR ENDED AT 31/12/2005

Aide Médicale Internationale’s financial statement for the 2005 fiscal year shows a positive net accounting result of €198,776. While the annual budget grew by 27% compared to 2004, structure charges remained unchanged, allowing us to post an excess of resources. This being mainly due to savings made on management fees [administrative fees paid by various fund donors] and to the positive net accounting result in 2005, worth €39,981, it is important to consider this result as cyclical and not to underestimate the means which have to be implemented to efficiently manage and supervise field programs. So, the total equity and reserves in the liabilities column of the balance sheet rose to €881,832, a 29% increase compared to 2004.

Income/Resources

In 2005, out of €100 of income:

• 90 come from public funding,
• 6 come from private institutional funds [foundations, associations, local participation],
• 3 from private donations,
• 1 from other resources [financial and extraordinary income and adjustments for overprovision].

The activities of the association – uses column in the statement of sources and uses – are financed up to €11,440,152 in 2005, against €9,035,672 in 2004, by public and private funds collected [i.e. a 27% rise in activity].

Public funds

In 2005, foreign government funds increased by 108% compared to 2004 and now account for 14% of public funds, against 9% in 2004. [These are funds received from the Afghan government through the funding of the World Bank in Afghanistan and from the Swiss cooperation agency in Haiti]. It should be noted that the rise of approximately 12% in European Union funds [i.e. €804,000 more than in 2004] respects the fund diversification policy decided by AMI’s board of directors. European funds now only represent 63% of global resources in 2005, against 71% in 2004.

Resources coming from fundraising

Total resources coming from fundraising amount to €383,085 in 2005, against €128,569 in 2004, i.e. a 197% increase [€39,205 in the additional resources come from private donations and €187,300 from corporate donations].

Tsunami

The humanitarian crisis created by the Tsunami which hit South-East Asia set a huge fit of generosity from individuals and private companies. Total funds collected for victims of the Tsunami in 2005 amount to €122,000, among which €97,000 were collected in 2005 and €25,000 come from the reprofiling of donations collected in late 2004 [see reprofiling of allocated funds]. Thanks to funds collected, AMI opened medical missions in 2005 to support the victims of the Tsunami in Indonesia and Sri Lanka. In addition to donations collected, both missions were quickly financed by the help of Fondation de France [€438,000 in 2005], the French government and the European Union [€206,000 overall for both missions in 2005].

Allocated funds

Private and institutional resources collected which have not been allocated by 31/12/05 will be allocated in 2006, in accordance with the agreement made with donors and/or third party fund providers. These commitments have been taken into account in the allocated funds in the liabilities column of the balance sheet for a total amount of €687,175, among which:

• €654,234 come from subsidies, especially from the French government, amounting to €244,372, Foreign governments, amounting to €202,844, and the European Union, amounting to €200,803.
• €32,941 come from donations made for the victims of the Tsunami and allocated to the Sri Lanka mission in early 2006. Private funds and other resources Total private funds amounted to €1,104,299 in 2005, i.e. 9.7% of global resources, against 6% in 2004 [€520,368 in 2004]. This 89%-plus increase is mainly due to the funds given by Fondation de France for missions in Sri Lanka and Indonesia and to corporate patronage. Private funds are divided in 3 main parts:
• Private institutional funds, consisting in funds collected from other organizations or private foundations. They increased significantly in 2005 [from €197,000 to €551,000].
• Own funds, made up of donations from individuals, corporate patronage, sales, local participation and members annual fees. After two years of decrease, private donations collected rose in 2005 [€159,863 in 2005, against €122,454 in 2004, i.e. a 30.5% growth compared to 2004].
• Other resources, meaning financial and extraordinary income as well as adjustments for overprovision.

The dual origin of AMI’s funding – private and public funds – ensures the independence of its decision-making process. Nevertheless, larger private funds would allow AMI to increase the field of action of its activities. Thus, it is still necessary to reinforce private funding, rally new donors and maintain the trust of those who have been faithful to AMI for many years and whom we heartily thank. In addition, the free cash flow depending on the ups and downs of payments made by public donors, the board of directors wishes to pursue in the coming years the diversification effort made in this respect to limit the impact of such ups and downs.

* Expenses

In 2005, out of €100 of income:

• 92 are devoted to mission programs,
• 5 cover the running operations of the head office, financial and extraordinary expenses as well as information and communication costs,
• 1 is dedicated to private fundraising,
• 2 make up the excess result and are reprofiled in AMI’s account.

AMI’s resources in 2005 thus mainly finance mission programs, which represent 92% of total costs.

The strong growth of expenses for the year 2005 is mainly due to the acceleration of activities in Afghanistan, the constant increase of activities in Thailand as well as in Sudan, and the opening of two new missions in Sri Lanka and Indonesia. Missions The number of missions supported by AMI, nine in 2005, was the same as in 2004. No mission was closed in 2005, whereas three had been closed in 2004.

* Afghanistan:

In 2005, total program expenses rose by 56% compared to 2004, from €2,325,000 to €3,632,000. The Afghan context, although still very unstable, calls for long-term reconstruction actions. In this respect, our programs perfectly answer the aid dynamic which exists in the country: support and reinforcement of the health policy of the Afghan Ministry of Health, set up of minimal health services in isolated provinces, participation to the elaboration of health policies at central level. These activities mainly focus on the long term and require important means for their implementation.

* Indonesia and Sri Lanka:

In the aftermath of the Tsunami which hit South-East Asia, we opened two new missions directly linked to populations who suffered from the disaster in Indonesia [€350,000] and in Sri Lanka [€238,000]. In the first country, the project tackles various areas of activity: improvement of the access of populations to primary health care, rehabilitation of health structures and psychological support of populations, information and training through the Health Messenger magazine.

* Sudan:

The activities of the mission opened in Sudan in 2004 were set up in a context still largely unstable. Total program expenses rose from €189,000 in 2004 to €663,000 in 2005. Our project of intervention aims at providing emergency support and access to health care to rural and displaced populations hit by the war in South Darfur.

* Thailand:

In 2005, total program expenses increased by 45% compared to 2004 [€1,142,000 in 2005 against €788,000 in 2004]. Our program to bring medical and sanitary assistance to populations who took refuge in the camps in Thailand registered a strong growth in terms of financial, material and human means due to the provision of health care to refugees in the Mae La camp.

* Democratic Republic of Congo – South-Kivu:

In 2005, total program expenses grew by 10% compared to 2004, from €1,865,000 to €2,042,000. Our program in the province of South-Kivu, in the Republic of Congo, aims at improving the access to quality health care for the populations of 55 health areas in the health zones of Lemera, Uvira, Fizi and Nundu-Lulenge, in particular for pregnant women, children under five years old, most vulnerable people [poor, displaced, returned, repatriated, refugee people] and the victims of sexual violence. The program has been constantly developed since its implementation.

* Haiti: In 2005, total program expenses decreased compared to 2004 [from €458,000 in 2004 to €224,000 in 2005] as we refocused our activities on two main areas: medical aid and prevention for street children and youth in the city of Port-au-Prince. In addition to giving access to quality health care and an adequate medical follow-up, the program consists in informing and raising awareness among street children and youth on at-risk behaviors and their consequences, highlighting HIV/AIDS transmission issues.

* Myanmar:

Despite the difficulties coming from relations with local authorities, our activities remained stable in 2005, expenses rising by 12% [from €1,304,000 in 2004 to €1,457,000 in 2005].

* Palestine:

In 2005, total program expenses remained stable compared to 2004 [€112,000 in 2004 against €96,000 in 2005].

* Head office

To answer the rise in activities witnessed in 2005, we increased the permanent staff of the head office creating a third desk in charge of the new missions opened in 2005. The total permanent staff at 31/12/2005 is now made up of 17 people. The gross payroll made up by the unallocated staff of the head office rose by 21%, from €211,000 in 2004 to €255,000 in 2005, whereas resources grew by 27% between 2004 and 2005.

From a more general point of view, the fixed running costs of the structure remained stable and now only account for 5% of total costs, against 7% in 2004. This positive situation is due to the will of the association to control its structural cost. However, it seems necessary to adapt, in the coming months, means and human resources to the current size of the association so as to increase its efficiency.

Financial transparency

The annual financial statement of our association has been validated by the statutory auditors’ cabinet Olivier Paris. Detailed accounts, as well as the statutory auditor’s report, are available upon request at our association’s head office.

consult this article only

Our Values

Our values

Our goal is to help the most unprivileged population to access quality health care. Humanitarian programs are implemented in countries and areas in durable crisis. Our action is apolitical, impartial and without proselitism.

Our privilegied mean of intervention is the training and accompaniment of local health, this activity is done in addition of medication and medical materials donations, of direct intervention of expatriate doctors and nurses working with local staff, of rehabilitation deficient sanitary strucutres, in order to encourage and promote the assumption of responsibility of the system of health by the individuals directly concerned with its operation. Today the crisis are more complicated than 25 years ago, the power of media supports the emergence of more pernicious and less detectable means. Surgical strikes, embargos, militia organizations and psychological terror have replaced open and easily identificable conflicts.

It is a matter of rethinking the humanitarian act to not only meet the vital needs, but also all other essential needs in respect of human dignity of civilian populations vitims of war and conflicts. This is the reason why AMI engages itself to diversify its actions in many fields like education, justice, information and national reconciliation beyond its medical approach.

AMI demands the participation of the population, of he local authorities, villagers, women’s groups, notable people, teachers, to contribute to the implemention of the programs. The intervention of the community can take many aspects, advise and exchange of information and practices, contributaion of the workforce during rehabilitation work, organization of health education sessions, contribution to the working cost of the health system by means of activities having income...

consult this article only

Our Story

1979 Creation of AMI

In the seventies, a new conception of the medical humanitarian aid was born in France. Until then, it was represented by the International Red Cross. This conception relied on the fact that there is no need to wait for the authorization of the States to go testify where it is necessary and where the Human Right are not being respected. In 1979, AMI started its mission in respect of this new ethics. Our first missions to the civilian populations supporting Cambodian, Laotian, Afghan and Kurdish resistance, show that the choice of our missions is done according to a political situation that isolates an oppressed population where the sanitary situation becomes dramatic.

1980 First steps in Afghanistan

In 1980, AMI first team enters illegally in Afghanistan at the request of the population and the resistance. Since, we developed actions and continue to train health agents and women in particular.

1981 Kurdistan

The Democratic party of Iranian Kurdistan launched a call, the sanitary situation is disastrous, there is no doctor, no surgeon for a evaluated population of 4 billions people. AMI has pursued its training schemes of nurses, prevention and medical education to the population. We have done it alone for many years in very difficult conditions. Plus, the surgeron activity is essential due to the violence of the fights. AMI will stay 16 years there.

1985 School-hospital in Pakistan

We opened a school-hospital in Peshawar (Pakistan) near the border with Afghanistan where Afghan heath agents came for a 18 months training. The period of MTA (Medical Training for Afghan) will last 7 years and end in 1992, when the Communist government collapsed, then it became possible to take actions of training inside Afghanistan.

1986 The Karen population

In January of 1995, AMI intervenes for the first time near the Karens population. A large Birmese offensive causes the exodus of the civilian population of Karens towards Thailand where they are parked in refugee camps waiting for a hypothetical calming of the situation. AMI has gone with the Karen population on its escape, and since this event, it gives medical and logistical support in 3 refugee camps, it also sets sup health structures and trains medical staff.

1988 AMI-Afghanistan

The situation stabilizes with the departure of Soviet troops. Zones of tranquility are delimited, meaning no more military skate inside them, so that operations of lasting development can be set up. The rebuilding of Afghanistan requires a more specific support. In order to meet this requirement, AMI-Afghanistan was created on November 5th of 1988. Today this association does no longer exist, it joined AMI in 1994.

1992 AMI in the Tuaregs country

After an explorating mission, AMI started its activities in the Tuaregs country in March of 1993, which locates in North Mali. It started in Abelbarra with a curative and treatment work in Tuareg camps , then the mission settles in Kidal to begin the training of health agents needed for the future community clinics in the area. The training will make it possible to cover the area with qualified staff close to the population. AMI left Mali in 1992.

1993 Salamati : A magazine of medical training

Publication of the 1st medical review called the Salamati remotely from Afghanistan. The goal is to improve knowledge and medical pratices of the health agents who were trained by AMI. In 1996, Health Messenger (the Birmese version) was born, followed by a Cambodian version in 1999. Today these magazines are distributed at nearly 7000 copies each.

1998 From Mali to Niger

In Mali, where AMI has worked for 10 years, our teams were alerted by a Tuareg association on the terrible difficulties which the population of Northen Niger encounters. AMI decides to send an exploratory mission to check and eventually think about a mission over there. The program will be born at the end of 1998 with the goal to reduce women and children death rate.

1992 AMI is 20 years-old

AMI celebrates 20 years of existence showing that it can both meet the urgency by caring and providing a presence in the community clinics and maternity hospitals and prepares the future too by training those who will continue to take over.

2003 Beginning of the war of Iraq

AMI is in Afghanistan, Thailand, Burma, Cambodia, the Comoros, the Démocratic Republic of Congo, Haiti, the Palestinian territories, and in Iraq. AMI was the only French non-governmental organisation in Iraq during the bombings. Once the bombings calmed down, it sets up a blood collection program. For safety reasons, AMI had to leave Iraq in fall of 2004.

November 2004 AMI celebrates its 25 years

2005 Opening of mission in Sudan, Indonesia and Sri-Lanka

In 2005, AMI is still in Afghanistan, Haiti, Democratic Republic of Congo, Myanmar, Thailand, and in the Palestinian territories. Following the disaster in the Darfour (Sudan), AMI opens a program of mobile private clinics and after the catastrophe of the Tsunamy, AMI sets-up two missions of formation to the psycological and post traumatic support in Indonesia and Sri-Lanka.

2006 AMI opens a new mission in Yemen

consult this article only

Aide Médicale Internationale in few words

History and specifity of AMI

AMI is a medical, non-governmental organization created in 1979, for a long time it remained clandestine (doctors were crossing borders illegally, intervention in very moved-back zones…). For many years, its communication strategy was to work in the shadow in order to protect local populations and avoid being driven out of grounds of interventions at risks. It was born from the scission with Médecins sans Frontières, it the least know of the French doctors associations, even though chronologically it is elder than Médecins du Monde.

1. “To go where the others do not”

AMI supports extremely stripped populations which do not profit from the government assistance and which are geographically difficult to access. For example in Kurdistan, we supported populations wedged in inaccessible valleys, in Afghanistan we are present in very moved-back areas (Nouristan, Logar…). In the Democratic Republic of Congo, we develop anti-Aids programs in Kilembwe (in Kivu area), where we are the only association. We are specialists in the forgotten humanitarian crisis. So, since 1995, we have been helping the Burmese minorities from both part of the border with Thailand.

2. “Let us help them to not depend on us”

The second specificity of AMI is the local medical staff training in the zones where the health system is failing or non-existent. AMI practises little medicine of substitution, but trains local nurses, doctors, midwives and laboratory assistants with the new techniques and medical approaches. In this direction, AMI publishes magazines of continuous medical formation, always adapted to the need of the concerned country. The team’s objective is above all to contribute to the medical autonomisation of the populations, and this in the respect of their cultural identities. This is why our slogan is “let us help them to not depend on us”

3. “Priority with the ground”

The third and not the least specificity of AMI is that it dedicates the majority of its budget to its action on the ground (92% in 2004). By choice, its operating expenses are very low (7% in 2004). Its share of budget dedicated to communication is little (1% in 2004). All the teams of AMI, in Paris as well as on the ground, have the role to improve the days of the forgotten of medicine. Our team

• 15 employees in the headquarter
• 70 expatriaties on the ground
• 2 500 local collaborators
• more than 2 billions 500 000 beneficiaries accross the word. AMI’s president is Doctor Jacques BERES, cofounder of Médecins Sans Frontières, the only surgeon in Irak during the bomings. The founder and former president of AMI is Michel BONNOT, who is Doctor anaesthetist and former director of the cell of crisis of the Ministry of Foreign Affairs Goals and activities AMI intervenes in emergency and post-urgency situations, and works for the re-establishment of the access to care to the population excluded from any system of health or living in conditions of extreme precariousness. Doctors, midwifes and nurses of AMI train health agents, improve the practice of obstreticians traditional, organize vaccination campaigns, equip the dispensiaries in medical material. The teams also endeavour to develop actions in the social and sanitary field (construction of latrines and well, training of teachers-hygiènistes ect...). The objective is to accompany the populations in creation or the rehabilitation by medical structures adapted to their needs.

Financial backers and partners

AMI works from institutional funds, proof of the confidence of many partners in our quality of work and our engagement. Our programs are financed by the European Union, the UNICEF, the French Ministry of Foreign Affairs etc... AMI wishes to be complementary of other humanitarian associations and supports the initiatives of local associations.

Today, in order to be more autonomous and more reactive in its action, AMI hopes to be recognized and known near the general public and to reveal its history of movement founder of “non-frontièrisme”. és (CNCP). Le fondateur d’AMI est Michel Bonnot, médecin anesthésiste et ancien directeur de la cellule de crise du Ministère des Affaires étrangères.

consult this article only

Our team

The board of directors

Doctor Chantal AUBERT-FOURMY, the President

Guillaume FEST, the General-Secretary

Pascale PETERLONGO, the Vice General-Secretary

Thomas Guillemin, the Treasurer

The Administrators : Docteur Hélène Tevissen, Eliane Lapeyronnie, Marie-Amélie Degail, Benoît Lagente

Substitues : Pascal Turlan, Laurence Sassone, Olivier Weber, Gislaine Rault, Jean-Michel Pourvis

The chiefs of mission on the ground

Anne DUTREY-KAISER, Afghanistan

Delphine MAGRE, Haiti

Erwan LE GRAND, Myanmar

Annabelle DJERIBI, Thailand

Hicham Saqalli, Republic Centraficaine

Aurélie BAUMEL, Health Messenger Indonesia

Cédric FlEURY, Yemen

The team in Paris

Benoît-Xavier LORIDON, delegated general

Gilles PASTRIOT person in charge of administrative and financial

Stéphanie DEL GAUDIO, person in charge of human resource

Ioana Kornett, Medical Referent for the HQ

Anne CASSAING, person in charge of the development and communication (communication@amifrance.org)

Stéphane GUERRAZ, person in charge of the purchases and provisioning

Patricia Anglès d’AURIAC, recruitment officer (recrutement@amifrance.org)

Arnaud LEUX, human resource assistant

Mélanie FIEVEZ, person in charge of partnerships

Stéphanie DURAND, person in charge of programs

Frédéric Geai, person in charge of programs

Anne-Gaël ROURE, person in charge of programs

Sophie BOULET-GERCOURT, responsible for financial management

Sanije HOHXA, responsible for financial management

Benjamin SITBON, responsible for financial management

Romain DRIES, accountant mission

Mona BOIRARD, hostess of reception

Trainees and voluntaries

A special thanks for their support : Typhaine Gendron, Charlotte Mars, Emmanuel Génolhac, Eric Nkouanang, Jacqueline Saumon, Mallory Guillot, Cécile Maurin, Mathieu Gaussen.

consult this article only