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2014 Annual ReportOne Heart World-Wide
www.oneheartworld-wide.org1818 Pacheco Street
San Francisco, CA 94116415 - 379 - 4762
Together we deliver
lasting change
In 1997 One Heart World-Wide founder Arlene Samen had a life-changing encounter with His Holiness the Dalai Lama. At the me, one in ten Tibetan
newborns were dying in childbirth and His Holiness asked Arlene to go to Tibet and help the local women and infants. In response, Arlene founded One H.E.A.R.T (Health Educa on and Research in Tibet), a nonprofit organiza on focused on training community members, healthcare professionals, and new mothers in
lifesaving skills and safe birthing prac ces. One H.E.A.R.T. also provided essen al supplies and equipment to assure safe deliveries. During One H.E.A.R.T’s ten years
in Tibet, these interven ons were refined and developed into the effec ve, replicable, and sustainable model that we now call the “Network of Safety.” The
Network of Safety facilitates improved maternal and neonatal health by introducing long-term systemic changes into a community.
In 2008, poli cal unrest led One H.E.A.R.T to transfer complete program ownership to our local Tibetan staff. The organiza on was incorporated locally and con nued to implement the Network of Safety model. Since then, the Tibetan program has
con nued to grow, reaching over 50% of the Tibet Autonomous Region today. A er exi ng Tibet, we took our model to a global scale as One Heart World-Wide, a 501(c)(3) nonprofit providing on-the-ground training in maternal and neonatal health in Nepal and Mexico. Since One Heart World-Wide’s 2010 arrival, there have been dras c declines in both maternal and neonatal mortality rates in the
regions served in Nepal and Mexico. This year we are proud to report that we have successfully transi oned our Mexico program over to a local partner that will
ensure the program’s long-term sustainability. This transi on will allow us to focus our efforts in Nepal, where we will expand our opera ons to serve 35 districts in
need by the year 2025.
The One Heart Story
“We deliver
saving lives now
and into the future.”
long-lasting systemic change,
Dear Friends,
What a year! In 2014 we have seen amazing results in our Northern Nepali districts, in Mexico with the indigenous Tarahumara popula on, and in the jungles of Ecuador where we have provided technical assistance. I am thrilled to share with you that in 2014 we had no maternal deaths in the en re Nepali district of Baglung! This remarkable achievement is the first on record for the en re area, which previously suffered around 30 deaths annually.
I am excited to tell you about our big plans in Nepal to reach 200,000 more women by the year 2025, expanding our capacity to poten ally save many more lives a year. In 2015 alone we are poised to begin offering services to thousands who s ll desperately need maternal healthcare in the districts of Sindhupalchok, Dhading, and Bhojpur, growing our reach to serve over 17,000 women in 2015. Learn more about our plans for the future in the following pages.
Your support has made—and con nues to make—a tremendous difference in what One Heart World-Wide is able to accomplish. We thank you for your trust and generous investment in our mission—you help us deliver las ng, lifesaving change around the world.
With deep gra tude,
Arlene Samen Founder and President One Heart World-Wide
P.S. We would love for you to stay engaged with us throughout the year! To learn more about what we’re up to year-round, follow us on Facebook and Twi er.
5
Every 22 minutes, a womandies in childbirth and
99% of mmaternal deaths occur in developing countries. Many of
these preventable deaths occur in rural areas where women give birth at home, o en alone and under unsanitary condi ons
witout a Skilled Birth A endant.*
*World Health Organiza on, Maternal Mortality Fact sheet, May 2014
One Heart World-Wide is a nonprofit organiza on empowering communi es to save the lives of
mothers and newborns in the most remote areas of the world.
We work within exis ng health infrastructures to prevent maternal and newborn deaths by promo ng safe and clean deliveries, training community health workers, and upgrading exis ng health posts to meet
na onal standards for birthing centers.
We deliver scalable solutions
Teach families to recognize pregnancy complica ons and prepare a birth plan
Educate communi es on safe motherhood prac ces and emergency evacua on for deliveries
Female Community Health Volunteers and Community Health Workers are trained to provide essen al maternal and child health outreach (enroll women in prenatal care, recognize and address danger signs, and refer expectant mothers to a Skilled Birth A endant)
Build capacity within the local health system through
government partnerships
Upgrade health posts and referral hospitals to provide
necessary obstetrical services
Provide funds and equipment for nurses to a end Skilled Birth
A endant training to serve upgraded birthing centers
The Network
CommunityGovernment
Health Facility
Skilled BirthA endant
Community Outreach Provider
Family
Mother
Safety Modelof
surrounds a mother and her child
We deliver safe pregnancies
In 2014 we developed a strategic plan and signed a contract to expand services with the Nepali government. We are now raising funds to scale up across Nepal and serve 35 of 75 districts by the
year 2025.
We partner with the Nepali government’s exis ng Female Community Health Volunteer system, in which each community
elects a woman to become trained in basic healthcare and health advocacy to serve the community. We provide essen al
trainings on maternal and neonatal healthcare to these volunteers so they can be er serve the women and infants in their areas.
When we establish new birthing centers we ensure that women can deliver in a safe facility with a cer fied Skilled Birth A endant,
dras cally improving the chance that a woman and her baby will survive and thrive long past the delivery process.
An overvie
ew of 2014
Dolpa
KTM
Current
20152016
2017
2018 - 2025
We deliver results
8,350Pregnancies Served
19Birthing Centers Upgraded
Community Outreach Providers Trained
41Skilled Birth Attendants Trained
990
Nepal at a Glance 2014
District of Baglung 2014
41% (baseline 20%*)of deliveries were conducted by a Skilled Birth Attendant
65% (baseline 40%*)of women received appropriate antenatal and postnatal care
45% (baseline 25%*)of deliveries occurred in certified facilities
2011
2014
2013
2012Upgraded birthing centers by year
Bobang
Nissi
Bohoragaun
Devisthan
Rajkut
Darling
Burtibang
Bhingithe
Gwalichaur
Jaljala
DagatumdandaRigha
Shisakhani Malma
Kandebas
Sukhaura
Saly
an
Batakachaur
Hu
gd
ish
ir
Dh
ull
ub
asn
ko
t
Chisti
Rangkhani
Jaidi
Paiyunthanthap
Sark
uwa Binamare
KumisheraDamek
RayadandaAmalachaur
NarayansthanPaiyun Pata
BhakundeyTityang
Resh
Singana
Baglung Municipality
Lek
ha
na
DudilabhatiHatiya
Naret
hanti
Bihunkot
Malika
Bh
imp
ok
ha
ra
Tangram
Dhamja
An
arb
hu
mi
Argal
Harichaur
Hila
Tara
Pandavkhani
Ranasingkiteni
Khunga
Taman
BungadobhanAdhikarichaur
Khungkhani
0
5
10
15
20
25
30
35
40
45
0
50
100
150
200
250
300
350
400
450
2010 2011 2012 2013 2014
Neo
nata
l mor
talit
y ra
te
per 1
,000
live
birt
hs
Mat
erna
l mor
talit
y ra
o pe
r 100
,000
live
birt
hs
Year
Maternal and Neonatal Mortality 2010-2014
Neonatal mortality rateMaternal mortality ra o
*baseline survey conducted in 2010
Bhijer
Saldang
Tinje
Chharka
Mukot
Sahartara
Lawan
Raha
DunaiMajhfal
Jufal
Tripurakot
Dho
Suhun
LahaLikhu
Pahada
Kaigaun
Rimi
SarmiNarku
Kalika
Phoksundo
2014
2011
2012
2013
2011
2014
2013
2012Upgraded birthing centers by year
District of Dolpa 2014
34% (baseline 3%*)of deliveries were conducted by a Skilled Birth Attendant
32% (baseline 0%*)of women received appropriate antenatal and postnatal care
23% (baseline 1%*)of deliveries occurred in certified facilities
0
20
40
60
80
100
120
0
200
400
600
800
1,000
1,200
1,400
1,600
2011 2012 2013 2014Year
Maternal and Neonatal Mortality 2011-2014
Mat
erna
l mor
talit
y ra
o pe
r 100
,000
live
birt
hs
Neonatal mortality rateMaternal mortality ra o
Neo
nata
l mor
talit
y ra
te
per 1
,000
live
birt
hs
*baseline survey conducted in 2010
KTM
District of
Dhading
We are poised to roll out full implementation of our lifesaving programs in the Dhading district of central Nepal in 2015. Efforts will be focused on establishing essential new birthing centers and conducting trainings with community health
volunteers and Skilled Birth Attendants.
In 2014 we finalized a formal agreement with our government partners, the District Health Office, and conducted a needs assessment to guide our work in the district. We also hired a District Coordinator, Administrative Assistant, Field Supervisor, and Training Supervisor and set up a local office space with the District Health Office.
Trainings for Community Health Volunteers begin in mid-January 2015.
We are eager to begin offering services in this district, which sees far too many preventable deaths each year.
"Through an elegantly simple approach of training and equipping the right people in the right way, One Heart saves lives efficiently and affordably. Because they work with the government system that is already in place, their impact has the poten al to scale throughout the remote areas of Nepal and beyond."
Kevin Starr, M.D.Rainer Arnhold Fellows ProgramMulago Founda on
IntheField
Fifteen-year-old Tashi suffered in labor for more than a day before she walked for five hours through high mountain passes to reach the nearest One Heart
World-Wide birthing center in Dunai. She received four prenatal check-ups at the recommendation of a One Heart trained community outreach volunteer and was told about the importance of a safe delivery so she bravely decided to make the
trek to a Dunai birthing center even though neither her family nor husband could accompany her due to the demands in the field during harvest season.
After over four more hours of labor in the birthing center, she received an episiotomy—a procedure that proved lifesaving for both her and her baby. When
Tashi’s baby was born he was lifeless and blue. The Skilled Birth Attendant and doctor worked together with bag and mask, suction device, and a laryngoscope to revive the baby and clear his airway. Once he breathed his first breaths on his own
he was placed in an incubator. Tashi was grateful for her own life and her baby's and vowed to champion the importance of safe births in her village. Community
outreach volunteers, Skilled Birth Attendants, medical equipment, and a safe environment with electricity were all critical to the survival of both baby and
mother.
Together we deliver lifesaving care
The RoadAhead
Wedeliver
solu ons for the future
The Problem
200,000 pregnant women annuallyin 35 districts in Nepallack adequate maternal and neonatal healthcare
Maternal and neonatal mortality are
2-3 mes the na onal average
One Heart World-Wide is one of the only organiza ons partnering with the government and local NGOs to cover these areas of desperate need.
One Heart’s Solu on
Add services to 3 more districts in 2015
Increase services to 4 more districts every year from 2016-2025
First 6 months
program set up
full program implementa on with trainings and facility upgrades
Next 18 months
Program delivery meline for a new district
Following 18 months
Last 24 months
quality assessment to ensure sustainability, effec veness of training and outreach, and
quality of facili es
con nued monitoring and evalua on and transi on process to
District Health Office
Following 5 and ½ years of One Heart World-Wide presence in a district, the District Health Office is prepared to sustain the high quality program on an ongoing basis and we transfer the
en re program to their management.
One Heart World-Wide creates a self-sustaining network of safety for women and newborns
along a con nuum of care from pregnancy to the post-natal period.
In collabora on with government partners and local stakeholders, One Heart World-Wide
• Develops basic health infrastructure• Provides maternal health educa on to
communi es and health providers• Fosters community empowerment
• Integrates informa on technology into medical service provision to enable more efficient and
effec ve communica on and evalua on
8,350
17,000
26,711
44,960
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
50,000
2014 2015 2016 2017
Expe
cted
pre
gnan
cies r
each
ed
4 Year Plan
Added Districts:
Sindhupalchok Bhojpur
Added Disctricts:
Sindhuli Jarjarkot Pyuthan
Rolpa
Added Districts:
Dolakha Udayapur
Baitadi Salyan
The transition from Mexico
We deliver sustainability
One Heart World-Wide is pleased to report on the successful transfer of our Mexico program to a local partner, ensuring long-term sustainability and local ownership for
the program. The program provides cri cally needed maternal and neonatal healthcare services to the indigenous Tarahumara, whose popula on had
experienced the highest maternal mortality rate in all of Mexico before One Heart World-Wide began working there.
Local founda on Vida Digna has worked for 10 years to serve indigenous inhabitants of the Sierra Tarahumara by providing educa onal and health programs. Vida Digna approached One Heart World-Wide in 2013 reques ng a partnership to fund and
implement our maternal and neonatal health programs there. Over the last year One Heart World-Wide and Vida Digna program staff worked closely together to ensure a
seamless transi on and the transfer was finalized with a memorandum of understanding in May of 2014.
All staff, partnerships, and assets of One Heart Mexico were transferred to Vida Digna, who con nues to implement the One Heart model to deliver services to those who need it most in their country. One Heart World-Wide is now ac ng as technical consultant to the program and will con nue to work with Vida Digna as advisors to
ensure the its con nued success.
Partne
erships
The Nepali Government
We do not establish a parallel healthcare system,
but strengthen exis ng governmental and local
capacity
One Heart World-Wide works in close collabora on with the government of Nepal, partnering with the Family and Child Health
Divisions of the Ministry of Health and Popula on to make safe deliveries possible in Nepal. Our service delivery model aligns itself
with the priori es, policies, and curricula of the governmental healthcare systems in the districts where we work. The model is endorsed at the na onal, regional, and local level,
facilita ng a natural partnership for implementa on with the government.
One Heart World-Wide:• Renovates and fully-stocks exis ng health
posts to become func oning cer fied birthing centers
• Trains the government’s nurses to become cer fied Skilled Birth A endants
• Is the implemen ng government partner for all maternal and child health educa on for
Community Health Volunteers$2,000,000
$860,000
Es mated Total Investment per District
Nepali Government One Heart World-Wide
5 1/2 year periord
Our government partners provide:
• Health facili es to upgrade
• Salaries for all health providers working in upgraded facili es
• Refresher trainings for health workers
• Financial incen ves to pregnant women receiving care in birthing centers
• Equipment replacements in the upgraded facili es as needed
• Basic birthing center supplies
For years other organiza ons have sought out One Heart World-Wide’s guidance to implement our maternal healthcare model in their programs. In 2014 One Heart
World-Wide con nued to provide ongoing support for Jungle Mamas, a vital motherhood program for rainforest advocacy organiza on, The Pachamama
Alliance. Jungle Mamas u lizes One Heart World-Wide’s Network of Safety model to ensure that all of the indigenous Achuar women of the Ecuadorian Amazon
have access to culturally and spiritually adapted maternal and neonatal healthcare.
One Heart President Arlene Samen traveled to Ecuador in August to facilitate collabora on with the Ecuadorian Ministry of Public Health for service provision and training opportuni es. One Heart Chief Opera ng Officer Sibylle Kristensen
and Arlene also advised The Pachamama Alliance on best prac ces in data collec on, accountability, and sustainably scaling up within the Jungle Mamas
program.
Thanks to the Network of Safety model, in 2014 there were no reported maternal deaths in the area, over 300 birthing kits were distributed to expectant mothers, and 42 maternal and child health providers have now received training. Further, for the first me in history the local team has been able to collect sta s cs on
birth outcomes, allowing the team to measure the program’s success.
One Heart World-Wide staff are proud to provide technical assistance to The Pachamama Alliance in their important work to save a society at risk of vanishing.
Partnership with Jungle Mamas
In 2014 we laid the groundwork to undergo a full-scale program implementa on over the next two
years with partner organiza on Medic Mobile. By 2016 the program will reach 40 communi es in the district of Baglung and 800 community health volunteers will
be trained to use a cell phone containing Medic Mobile’s innova ve SIM card. Using their new phones,
community health volunteers in remote villages will track every pregnancy, antenatal care visit, birth
outcome, and postnatal care visit. If signs of health complica ons are detected during visits with new or expectant mothers the Medic Mobile pla orm will
send automated recommenda ons for immediate ac on.
Key organiza onal partnerships
WE CARE Solar designed “Solar Suitcases” toprovide maternal health workers with a compact
and easy-to-install light and power system in developing countries. In 2014 we installed 10 of WE CARE Solar’s suitcases in our birthing centers that needed the light and power most urgently.
Electricity is extremely unreliable in much of ruralNepal where we work, and the solar suitcases
provide essen al ligh ng for nigh me deliveriesand power for birthing center equipment when
electricity is unavailable for around 8 hours a day. In 2015 we plan to install 10 more suitcases to ensure that the Skilled Birth A endants in our
newest birthing centers have the power and light they need to conduct safe deliveries.
One Heart World-Wide has partnered with local organization Karuna Sechen since 2013 to implement a pelvic organ prolapse prevention and treatment program in the districts where we work. An estimated 25% of Nepali women suffer from pelvic organ prolapse, a condition with serious consequences on women’s health and general wellbeing.
During the last year we trained 66 community health volunteers, 13 health workers, and 24 health facility management committee members on screening, prevention, and treatment for the condition. Trained staff also treated 60 women for the condition.
Additional training and screening programs will take place in January and February of 2015 in the District of Baglung to serve 10 more communities. One Heart World-Wide will also begin implementing the program in the district of Dhading in 2015.
Investment
Commun ty
Community investment and partnership are key to One Heart World-Wide’s las ng success anywhere we work. We make a concerted effort to involve the community with everything we do in a district, and community members become involved in
turn to support One Heart’s work however they can.
In the district of Baglung the community surrounding the Ha ya birthing center raised funds among themselves in 2014 in order to buy addi onal land to expand
the widely used birthing center. When we establish a new birthing center, community members o en volunteer their me and personal resources to help
with building renova ons, demonstra ng a true investment in the programs.
Ann DownGood Works Ins tute Founder
"We enthusias cally support the work of One Heart World-Wide because they do incredible work in saving the lives of disadvantaged women and children around the world. Having visited Tibet and Nepal over the past twelve years, I know their model saves lives now and for genera ons to come."
Financial Summary
Founda on Dona ons $ 1,214,000.00Individual Dona ons $ 203,000.00Other Dona ons $ 263,000.00
Total Revenue $ 1,680,000.00
Program Expenses $ 772,000.00Administra ve Costs $ 154,000.00Fundraising Costs $ 101,000.00
Total Expenses $ 1,027,000.00
Change in Net Assets $ 642,000.00$ 529,000.00
$ 1,171,000.00
Revenue
Expenses
Net Assets at the End of 2014Net Assets at the Beginning of 2014
Founda ons 72%
Individuals 12%
Other 16%
$1,680,000
Programs 75%
Fundraising 10%
Administra ve 15% $1,027,000
Funds Raised
Organiza onal Efficiency
Who We AreBoard of Directors
Founder & President: Arlene SamenChair: Jay Blumenkopf
Vice President: Dr. Michael DraperSecretary: Janaki Welch
Treasurer: Meihong XuDirectors: Deanna Byck, Tom Broadbent,
Greg Jacobson, Evan Kaplan, & Connie Wong
Chair: Dr. Tim De Ver Dye, Anthropology/ Epidemiology
Dr. Sibylle Kristensen, Global Maternal Health/Perinatal Epidemiology
Dr. Susan Niermeyer, Pediatrics/Neonatal HealthDr. Beena Kamath, Pediatrics/Neonatal Health
Susan Stalls, MidwiferyDr. Jeane e Lager, Obstetrics/Gynecology
Dr. Pa Fernandez, Health PsychologyDr. Suellen Miller, Midwifery/Global Maternal Health
Dr. Sienna Craig, Anthropology
Medical Advisory Board
SAN FRANCISCOFounder & President: Arlene Samen
Chief Opera ons Officer: Dr. Sibylle KristensenDevelopment & Communica ons Manager: Ellen Eoff
Program Administrator: Marsilio Gabuardi
Staff
NEPALKathmandu Office:
Program Director: Surya Bha aAdministra ve Director: Purusho am Pradhan
Program Officer: Bishwo Shan MallaMonitoring & Evalua on Officer: Roshan Karn
Finance Officer: Narayan GhimireTraining Officer: Asha Rai
Administra ve & HR Officer: Nikki ShresthaLogis cs & Administra ve Support: Suraj Shah
Office Assistant: Roji TamangIT Officer: Binaya Shresta
Baglung Office - SWAN: Execu ve Director: Khem Bahadur Thapa
Program Manager: Dhurba ShresthaBaglung District Coordinator: Shambhuraj Baral
Clinical Field Supervisor: Sunita AdhikariFinancial Assistant: Ramu GC
Field Supervisor: Shiva Kala RaiAdministra ve Officer: Kalpana Basnet
Dolpa Office - Dharma Karma:Administra ve & Program Manager: Bhupa Raj Dhakal
Dolpa District Coordinator: Dan Bd. KarkiFinance Officer: Nikesh SthapithField Supervisor: Bhagwa Rana
Dhading Office:District Coordinator: Sanjeeb Shahi
Americans for PhilanthropyAndrea and Michael Manship
Ann DownAshton Family Founda on
BPM MicrosystemsCaridad Partners
Christopher BowenCOMO Founda on
Dan and Kim Huish Founda on Deanna and Dann Byck
Direct ReliefDorothea Haus Ross Founda on
Elmo Founda onFrancie Mortenson
George Family Founda onGreg Jacobson
Hanna and Dieter PaulmannJasmine Social Investments
Jay BlumenkopfJill Smith
JNF Founda onKaren and Michael Draper
Karen Miller and John Ballard
Lucky Star Founda onLUSH Fresh Handmade Cosme cs
Mcilvenny Family Mei Xu and William N. Melton
Muller Family Founda onNoVo Founda onOne Dollar for Life
Ping and Amy Chao Family Founda onPlanet Wheeler Founda onPresent Purpose Network
Renee and Evan KaplanSamahope
Stefan HearstThe Baumann Founda on
The Blank Family Founda onThe Greenbaum Founda on
The Hershey Family Founda onThe Mulago Founda on
The Shapiro Family Founda onTRA Fund
Vanderbilt Family Founda onWeyerhaeuser Family Founda on
Dharma KarmaD-Rev
Fundación Vida DignaKaruna Sachen
Medic MobilePachamama Alliance/Jungle Mamas
Social Welfare Council of Nepal WE CARE Solar
Major supporters
Key Partners