Activity Report 2011

ACTIVITY REPORT BELGIAN SECTION
2011
C0lLlS l.u` LETTER FROM THE CHAIRMAN l.u5 FOREWORD l.uS THEMES l.5 PROGRAMMES OVERVIEW l.`6 FINANCIAL REPORT
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In 2011, an important event took place that
would shape the future of Handicap
International. At the general meeting in
June, it was decided that Handicap Inter-
national Belgium would join the Handicap
International Federation. Since 1 January
2012, the Federation has thus consisted of
eight national associations, i.e. Handicap
International Belgium, Canada, Germany,
France, Luxembourg, the United Kingdom,
the United States and Switzerland. The
activities in the field led by Belgium will fall
under the responsibility of the Federation.
Handicap International Belgium remains
responsible for both institutional and
private fundraising, communications and
development education.
This membership means we will be able to
do more for people with disabilities and
vulnerable people in need in the southern
hemisphere. This new organisational form
will enable us to deploy our funds and
people more efficiently and the integration
of the Belgian department will also benefit
the Federation. The skills and experience
that our employees in Brussels have
developed are greatly appreciated within
the Federation.
LETTER FROM
THE CHAIRMAN
M. CUENCA - HANDICAP INTERNATIONAL
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ACTIVITY REPORT 2011 HANDICAP INTERNATIONAL
Furthermore, the changes within the orga-
nisation have an impact at management
level. Vincent Slypen will remain General
Director of Handicap International Belgium.
He will be assisted in this by Jan Brigou,
Director of Fundraising and Communications.
Pierre Santacatterina has been appointed
to the Federations management committee.
Ana Calvo is Deputy Director of Develop-
ment Programmes and coordinates the
projects managed from Brussels.
Handicap International Belgium has ten
representatives in the Federations general
assembly. Anne Capelle, who has worked
for Handicap International both in the field
and in Brussels, was appointed as director
on the Federations board. Together, they
will ensure that our Belgian voice is heard.
Furthermore, the Board of Directors has
made an effort to better get to know the
teams in Belgium and in the field. We
invited the various departments of the
Brussels office to come and introduce
themselves to us. Physiotherapist Olivier
Champagne and rehabilitation specialist
Etienne Masquelier, also directors, went to
Haiti.
I headed for China, where I was able to
show Princess Mathilde of Belgium our
projects. Her sincere interest and keen
questions provided a boost for our target
group and the employees in the field.
I would also like to point out that we have
joined the Federation with a healthy
financial balance sheet. That has always
been our aim. Everyone has worked
towards this, whether they are in the field,
fundraising and communications, finance,
management, etc. This also demonstrates
Handicap International Belgiums expertise.
Nor in any way has our team in Belgium
been resting on its laurels. Solidanza, the
dance party for people with and without
disabilities, took place in three cities in
2011 and reached a very broad public. This
has provided Handicap International with
greater recognition. Furthermore, a large
amount of money was collected together
with Consortium 1212 for vulnerable people
suffering from famine in East Africa. In
addition, The Scars of War photographic
exhibition toured a variety of Flemish towns
and cities.
Finally, on behalf of the Board of Directors,
I would like to thank all of our donors as
well as our employees in Brussels and in
the field not only for what they have done
for Handicap International Belgium in 2011
especially, but also in previous years.
Benot Smets
President
HANDICAP INTERNATIONAL
W. HUYGHE - HANDICAP INTERNATIONAL
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HANDICAP INTERNATIONAL ACTIVITY REPORT 2011
After 2010, a year severely impacted by two
natural disasters and their tragic aftermath
for the people of Haiti and Pakistan, 2011
was certainly one of stability, despite having
to deal with a severe food crisis in the Horn
of Africa.
Humanitarian operators sounded the alarm
early on: due to continuous drought, East
Africa was to experience food shortages
with disastrous consequences for 11 million
people. This crisis was felt most prominently
in Somalia, resulting in an influx of refugees
at camps such as the ones in Dadaab,
Kenya. Handicap International has been
working in these camps for several years,
providing assistance to the most vulnerable.
To respond to this food crisis and meet
needs, Handicap International and Consor-
tium 12-12 launched an appeal for support
which received a generous response from
the Belgian public.
In Haiti, another country for which Consor-
tium 12-12 launched an appeal following
the earthquake in January 2010, our projects
progressed from emergency response to
reconstruction and development, working
particularly to help victims of the earthquake
find work and to raise employer awareness
of the potential of people with disabilities.
This kind of reconstruction work is less
visible, but no less important to our
beneficiaries in a country that still faces
many challenges. Our projects in Haiti also
demonstrate the continuity that we are
committed to establishing, starting with a
reaction to a crisis situation and
progressing to provide a longer term
response to the needs of our beneficiaries.
This last year was not only a year of
stabilisation in Haiti, but also a year of
stability for all our programmes. We also
prepared for Handicap International's with-
drawal from Angola, which took place in
early 2012. After nearly twenty years
working in the country, it was with some
sadness that we gradually handed over the
various projects we were running to our
Angolan partners. However, we are confident
about the future, even though it will not
always be easy. Despite the fact that
Handicap International will no longer have
a physical presence in the country, our
organisations will carry out regular visits
throughout the course of this year to
ensure that the transition is going as
The members
of the Board
of Directors
Benot Smets,
President
Olivier Champagne,
Vice-president
Jean-Frdric Vigneron,
Secretary
Andr Lallemand,
Treasurer
Corinne Bleyenheuft,
Member
Minke De Smet,
Member
B. BLONDEL - HANDICAP INTERNATIONAL
S. BOGAERT - HANDICAP INTERNATIONAL
FOREWORD
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of the world, are being exported and are
now appearing in our project countries. I
am talking about diabetes and hyper-
tension, which, if left untreated, can have
serious consequences: amputation or
blindness in the case of diabetes, and
strokes or paralysis in that of hypertension.
Our health care system is designed to
screen for these diseases and prevent such
consequences. Here, a person can live with
diabetes, but it is more difficult in a
developing country. This is, therefore, a
challenge that needs to be met and our
organisation intends to contribute its
expertise in this field.
We followed an identical path when we
decided to work in the field of maternal and
child health. Today, we are an increasingly
recognised operator in this field with projects
in Asia and Africa and with a specific angle.
This is as we have chosen to work on the
screening and prevention of disabilities in
mothers and in children under five, while
most operators are working on reducing
maternal and child mortality. As such, we
are contributing to achieving Millennium
Goals 4 and 5 by adding an original angle,
which has also helped enhance reflection
on these two goals.
In June 2012, at the United Nations Confe-
rence on Sustainable Development, Rio +20,
the various stakeholders will have the
opportunity to discuss the Millennium Goals
again. We hope that the issue of disability
will be included in the discussions. The
World Health Organisation's report on
disability, published in 2011, showed the
extent to which this is necessary. The report
once again highlighted the connection
between poverty and disability and the
need to listen to people with disabilities in
order to establish the most appropriate
responses to their needs.
This is, in fact, a principle that Handicap
International adopted when creating Ban
Advocates a few years ago. We brought
together a small group of survivors of
cluster-munitions accidents to share their
personal stories during the conferences in
order to draw up the Convention on Cluster
Munitions. They played a decisive role in
the treaty's preparation, which contains
strong provisions concerning victim assis-
tance. We might think, now that the
Convention has come into force, that the
problem is solved. Nothing could be further
from the truth. In 2011, after the peak in
treaty signing and the first meeting of
signatory states in November 2010, we
began substantive work that is perhaps
less 'exciting' than achieving an accord, but
just as essential. We have since revised the
role of Ban Advocates so that they now act
more as an intermediary and carry out
advocacy at national level. Their presence is
crucial in getting every country to sign the
treaty and in highlighting the importance of
implementing the Oslo Convention effectively
and quickly, without omitting any of the
provisions concerning victim assistance.
Handicap International published a report
at the end of 2011, Victim Assistance in
Cambodia, The human face of survivors and
their needs for assistance, which high-
smoothly as possible. I would like to thank
the many people who spent a good number
of years working to protect the interests of
people with disabilities in Angola. These
people will now take a different direction;
for the majority, their work with Handicap
International was not merely a job, but a
genuine commitment to people with disabi-
lities.
Unfortunately, 2011 also saw the sad re-
emergence of poliomyelitis in Congo-
Brazzaville, a country that was on the point
of declaring itself free of the disease. When
Handicap International began working in
Mbuji Mayi (DR Congo) in 1995, we hoped
that it would be one of the last outbreaks
of this severely disabling disease. More
than fifteen years later, Handicap Interna-
tional deployed a team to the Pointe-Noire
region in the Republic of Congo. This
epidemic was abnormal, with the majority
of cases being in young adults, whereas,
generally, children are the ones most
affected. The virus proved to be extremely
virulent, resulting in severe paralysis for
patients. As such, the epidemic also had an
impact on families, who lost a labour force,
and therefore a source of income, a para-
meter that we had to take into consideration
in our approach.
This epidemic demonstrated the added
value of Handicap International's work
concerning disabling diseases such as polio.
The quality of our response in the Republic
of Congo was praised by all of our partners
and by the beneficiaries themselves. Yet
other diseases, well- known in our region
D. TELEMANS - HANDICAP INTERNATIONAL
L. AERTS - HANDICAP INTERNATIONAL
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lighted the limited or inadequate responses
to the needs of victims of unexploded
ordnance. There remains a considerable
amount of work to be done in this matter.
Physical rehabilitation is not an end in
itself; care for victims must be compre-
hensive and every aspect of their lives
considered.
In 2011, Handicap International also began
significant research on the connection
between armed violence and disability. This
research will result in the publication of a
report in the second half of 2012 and
should reveal new areas of work for our
organisation.
We have been no less busy in Belgium. The
exhibition, Scars of War, showed the impact
of unexploded ordnance, while at the same
time making a comparison between the
situation in Belgium after the First World
War and current conditions in Handicap
Internationals project countries. It continued
to tour Belgium in 2011, stopping at Ypres,
Bruges, Leopoldsburg, Genk and Hal.
The project, Associations Solidaires, conti-
nued providing opportunities to develop
ties between associations in developing
countries and associations in the developed
world. In 2011, our Laos partners visited
Belgium to meet their counterparts, Passe
Muraille. They spent several days discussing
the issue of disability employment, offering
the opportunity for fruitful interaction and
exchange of ideas.
Every year, our Bricoleurs du Cur show
that they are not short of ideas when it
comes to improving the daily lives of their
nearest and dearest who have disabilities.
Sharing these ideas is very much to their
credit and demonstrates a spirit of solidarity.
Solidarity is very much the motto for
Solidanza. In 2011, we held this charity
dance event in three cities: Ghent, Namur
and Brussels. This event is always well
received by the Belgian public and brings
together, for a few hours, all generations,
with disabilities or otherwise an excellent
way to celebrate the International Day of
Persons with Disabilities!
Last year was also an important milestone
in Handicap International's life as an
association. Thus is since the General
Meeting voted to join the Federation, joining
the sections of seven other countries -
France, Germany, Canada, the United States,
the United Kingdom, Luxembourg and
Switzerland which make up the Fede-
ration. This will strengthen the organisation
and should offer greater capacity to act in
the interests of our beneficiaries. Handicap
International Belgium will also continue to
strengthen its footing in Belgium, with our
particular desire to have greater presence
at every level, local and institutional, to
represent an operational organisation not
just in the fifteen project countries managed
from Belgium, but also in some sixty
countries worldwide.
D. KREMER - HANDICAP INTERNATIONAL
PH. DE VUYST - HANDICAP INTERNATIONAL
There will be no shortage of projects in
2012 a year in which the organisation will
also celebrate its thirtieth anniversary.
Thirty years is the age of maturity. We will
continue to work within a strong organi-
sation with prospects for developing our
support for people with disabilities
throughout the world.
I would like also to take the opportunity to
thank all those who have made our work
possible: our teams in the field and in
Brussels, those who support us financially
our Belgian donors and our institutional
fund providers and all those who, in one
way or another, have made it possible to
improve the daily lives of people with
disabilities around the world.
Vincent Slypen
General Director
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RAPPORT DACTIVITS 2011 HANDICAP INTERNATIONAL
l.uS l./ THEMES
HANDICAP INTERNATIONAL RAPPORT DACTIVITS 2011
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A long process
This decision was an important milestone in a journey that
began twenty-six years ago, when Handicap International
Belgium was created in 1986 - just four years after the official
founding of Handicap International in France. It was the strong,
professional and personal ties fostered during missions in
Thailand and Cambodia, and then Pakistan, which gave us the
idea to create a Belgian sister office, designed as operational
and endowed with the flagship Cambodia programme,
remembers Jean-Baptiste Richardier, one of Handicap Inter-
national's founders, and current Executive Director of the
Federation.
Other offices were created over the years: in Switzerland,
Germany, the Grand Duchy of Luxembourg, the United Kingdom,
Canada and the United States. The organisation's growth and
the changing humanitarian landscape gradually highlighted the
need to form a federation. True, the process would take time,
but in September 2009, it was achieved: the chairmen of the
national associations signed the Articles of Association voted
for by the Founding General Assembly, and the Handicap Inter-
national Federation was born. Since I have been with Handicap
International, I have seen the commitment to becoming experts in
our fields of work and having the ambition to growto better serve
the cause we uphold and our beneficiaries. But this ambition has
an international dimension: international fundraising, an
international image, an international culture, an international
organisation, stated Jacques Tassi, Chairman of the Federation's
Board, during his speech at the Founding General Assembly.
A FEDERATION TO BEST SERVE
THE CAUSE OF THE MOST VULNERABLE
In June 2011,during Handicap International

Belgium's General Meeting a crucial decision was
made regarding the organisation's future by voting
to join the Handicap International Federation. In
doing so, it joined an international network of
seven other national associations in Europe,
Canada and the United States and, above all, an
organisation that works in some sixty countries
assisting the most vulnerable and people with
disabilities.
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The chosen federal model established a federal operational
platform owned by seven national associations including France.
That day in September 2009 was therefore an important
milestone for Handicap International France, which had to hand
over the management of its programmes to the Federation and
become an association like the others.
Creating federal institutions requires time and, as Handicap
International Belgium is, with France, one of the only two
operational offices, the Belgium office did not join the Handicap
International Federation at the time of its creation. However, the
movement was launched and, in June 2011, Handicap Inter-
national Belgiums General Assembly chose to join the ranks of
the Federation. Vincent Slypen, General Director of the Belgian
association, sums up the predominant feeling after the vote:
We are certain that being a part of an international organisation
will enable us to respond to the changes occurring in the world
in general and in the field of development aid in particular and
therefore to provide ever more efficient support for our bene-
ficiaries. It was with them in mind that we resolved to commit to
this federal venture.
Exchanging expertise
But what does that mean in concrete terms? Taking into account
the programmes Belgium and France implemented, Handicap
International works in more than sixty countries and manages
more than 300 projects implemented by 3,000 people, not
including our local partners.
The organisation assists, not just people with disabilities, but
also more broadly: the most vulnerable, particularly pregnant
women and the elderly; those at risk of disease, violence or
disabling accidents; those who live in areas polluted by
unexploded ordnance; refugees; displaced persons and disaster-
affected populations.
Joining the Federation will give a broader dimension to the
organisation and our work, adds Vincent Slypen. For example,
while Belgium responds in emergency situations to meet the
specific needs of people disabled or injured in a natural disaster
or conflict, the Handicap International Federation widens the
scope of the assistance we are able to offer, making it possible,
for example, to manage and distribute humanitarian aid:
logistics support for distribution operations run by other non-
governmental agencies or distribution of emergency kits for the
most vulnerable. The organisation also oversees, where necessary,
the reconstruction and rehabilitation of buildings and infra-
structure.
But the reverse is also true, as Jacques Tassi, Chairman of the
Federation's Board, points out: The Federation will also be able
to make use of the quality, skills and resources available in
Brussels and in the field to increase its operational capabilities,
geographical coverage and range of activities to better serve the
beneficiaries in our project countries. France and Belgium have
explored different areas of work. In the field of prevention, for
example, Handicap International Belgium has become a key
player in all things concerning road safety. Road accidents are,
in fact, a major cause of disability in emerging economies,
particularly in South East Asia. Our teams, which have been
working in this region for a number of years, saw this problem
emerge and decided to develop appropriate responses. The
Belgian operational platform can now contribute its expertise
to the entire organisation at a time when countries in Africa are
starting to experience the same problem.
The issue of disabling diseases, however, has been less explored
in the projects managed from Brussels. HIV/AIDS, lymphatic
filariasis, epilepsy, diabetes and leprosy are all threats in many
countries, severely disabling those affected and often resulting
in their social exclusion. Diseases such as diabetes and
hypertension are well-known in our region of the world.
Developing countries are increasingly being affected by these
diseases but do not have appropriate systems for their treatment.
Here, diabetes sufferers can have a good quality of life. This is
much more difficult in our project countries, explains Vincent
Slypen. In this instance, the expertise acquired through
programmes managed from France will be beneficial.
Strengthening its position in Belgium
Handicap International Belgium will go through the same
transitional process experienced by France two years ago, with
the creation of an operational platform under the Federation
and a Belgium national association which will represent the
organisation in Belgium. This will enable us to strengthen our
position in Belgium and increase our presence at all levels, for
example, having greater contact with the networks of associations
and being represented in the countrys action groups and its
different bodies and regions. adds Vincent Slypen. He concludes:
In 2012, Handicap International will celebrate its thirtieth
anniversary. Thirty years is the age of maturity. Handicap
International Belgium will continue to work within a strong
organisation, with prospects for developing our support for
people with disabilities and the most vulnerable throughout the
world.
THEMES
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Poliomyelitis is caused by a highly infectious virus. It is mainly
transmitted via the faecal-oral route following contact with
contaminated water or food. About 95% of those infected do
not even realise, explains Didier Demey. But, in 5% of cases,
problems arise, with the appearance of flu-like symptoms, such
as stomach ache and fever. One per cent end up paralysed, but a
third make a full recovery. The other two- thirds are left with
muscular paralysis or limb deformities; a small minority of this last
group may die, e.g. when the paralysis affects the respiratory
muscles.
The epidemic in Congo-Brazzaville
Usually, most polio victims are children. During the epidemic in
Congo-Brazzaville (Republic of Congo), this was not the case, as
adolescents and young adults were the most affected. Persistent
conflicts in the 1990s prevented many of them from being
vaccinated. In addition, the last polio epidemic occurred in 1969,
meaning that they were never immunised as a result of previous
infections. Floods and inadequate hygiene overcrowded
sleeping areas, shared toilets and water tanks encouraged the
spread of the virus.
According to the World Health Organisation (WHO), 583 people,
of which 90% are living in Pointe-Noire, presented symptoms.
The death toll reached 203, which is an abnormally high figure.
The same goes for the number of people who experienced
serious problems which, for the majority, resulted in disability.
The reason for this may be the fact that the victims were mostly
young adults, in whom this disease has, on average, more
serious consequences than in children.
PROVIDING AID
FOR POLIO VICTIMS
In October 2010, the poliomyelitis virus spread
across Congo-Brazzaville. The number of people
infected rose rapidly, reaching a peak in
November. In March 2011, a Handicap
International team left for the city of Pointe-Noire
to assist the victims of the epidemic. Seven
months later, the emergency aid project was
closed. We achieved excellent results with this
project, states Didier Demey, a specialist in
emergency aid and rehabilitation.
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The organisation set up,
in cooperation with
local partners, a project based
on several components:
physiotherapy in hospital settings
and at patients' homes,
the distribution of
orthopaedic devices,
home alterations to make them
accessible, and
psychosocial support.
S. CARVOU - HANDICAP INTERNATIONAL
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With the support of the European Union, the Luxembourg
Ministry of Foreign Affairs and WHO, Handicap International
began work in Congo-Brazzaville. The organisation set up, in
cooperation with local partners, a project based on several
components: physiotherapy in hospital settings and at patients
homes, the distribution of orthopaedic devices, home alterations
to make them accessible, and psychosocial support.
More people were assisted than expected
One of the victims assisted by Handicap International was a
twenty-six-year-old mother of two, Dlia Babla. The doctors
gave a pessimistic viewof my situation. But, thanks to the work of
Handicap International's physiotherapists, orthopaedic specialists
and social workers, things are better, she says. I can sit down
and, with my crutches, I manage to work a little.
Despite the fact that it was an emergency response operation,
we were able to bring about one or two long-termchanges, says
Didier Demey. The hospitals with which we worked have assured
us that the polio victims will continue to receive free treatment.
And thanks to Handicap International, the people working there
are now trained, he states.
Marine de Kerros, who worked on site to bring the project to a
successful completion, also views the work accomplished as
satisfactory. With our tightly knit team, we were able to help
more people than planned, she concludes.
PHYSIOTHERAPY
For victims of polio, it is important to start physiotherapy quickly, to
alleviate pain in the initial stage of the disease, and to mitigate the after-
effects. Through exercise, patients learn to move again and permanent
after-effects can be avoided. Handicap International opened
rehabilitation centres in the hospitals A. Ciss and Ti Ti. Six
physiotherapists received training focused on treating polio victims. In
total, 193 people were assisted in hospitals through a programme of
individual treatment.
Handicap International actively encouraged victims to present
themselves, broadcasting radio and television announcements and
publishing articles in newspapers. |cweve|, nor, o!|er! |oc
c|[:u|!, je!!|rj !c |c|!o|, e|o|r ||c|e| |ene,. |o! | w|,, |r !|e
|ej|rr|rj, we |e|n|u|ec !|e|| !|ove| :c!. |u! !|| c|c rc! |e| o j|eo!
ceo| o !|e |coc o|e ve|, |oc. |r !|e erc, we cu|e|ve c|jor|ec
!|orc|! !c orc j|cn |c|!o|, orc !|| eenec !c |ccu:e |eu|!.
Handicap International's teams explained to patients what was
happening to them and why the exercises were essential. /! !|e
|c|!o|, c| cu||rj |cne v||!, !|e, we|e o|c !ouj|! |cw !c :cr!|rue
!|e|| ee|:|e o! |cne. |c| u, |! wo |e|ju| ee|rj ec|e o! |cne. |!
neor! !|o! we |oc o |e!!e| urce|!orc|rj cj !|e |c||en jo:ec |,
o!|er! orc we we|e !|er o||e !c oco! cu| ee|:|e o! !|e |c|!o|.
ORTHOPAEDIC DEVICES
At the Caritas Polio Centre, Handicap International specialists trained
technicians in the production of orthopaedic devices. Polio victims
received made-to-measure orthoses (rigid supports attached to the
body to correct postural deviations). Handicap International also
distributed aids, such as wheelchairs, crutches, walkers, etc., to 102
people. Sixty-two patients received follow-up care at home to teach
them how to best use their orthoses and walking aids.
THEMES
Between March and November 2011, Handicap International successfully ran an emergency aid project for polio
victims in Congo-Brazzaville. This project was based on four components: physiotherapy, the distribution of ortho-
paedic devices, home alterations to make them accessible, and psychosocial support.
EMERGENCY AID FOR POLIO VICTIMS
ACCESSIBLE HOUSES
|r occ|!|cr, we |n|cvec !|e o::e|||||!, cj cne |cue, says Didier
Demey. Jjer, cr|, n|rc| oco!o!|cr we|e reecec. :|eo!|rj o |ce |r
j|cr! cj !|e |cue, |cwe||rj !|e |ec, no||rj :|orje !c !c||e! orc
|cwe|, e!:. Fifty-four victims benefited from such home alterations.
Handicap International also distributed information leaflets explaining
how people could adapt their own homes themselves.
PSYCHOSOCIAL SUPPORT
A social worker and a psychologist were recruited to provide counselling
for patients. Therapy groups supported patients and their families, and
helped victims to better understand their disability and focus on their
future. The psychologist also held individual sessions with traumatised
patients. There were 13 therapy groups, and 27 victims received
individual support. we c|c rc! |r|!|o||, |r!erc ce||rj ,:|c|cj|:o|
uc|!. |u! c||c v|:!|n o|e uccer|, jo:ec w|!| or cjer e|norer!
c|o||||!,. |e, |ove rc cc|!ur|!, !c |eo|e jc| |!. w|o! | nc|e, !|e,
nu! ceo| w|!| e:|u|cr j|cn c:|o| ||je orc o|e oj|o|c cj !|e rejo!|ve
v|ew cj c!|e|. |o! | w|, we o|c :cnn|!!ec !c |cv|c|rj :cure|||rj,
explains Didier Demey.
/! !|e erc cj cu| |ce:!, o jewo!|er! e! u or c|jor|o!|cr cr !|e||
cwr |r|!|o!|ve. cje!|e|, !|e, ee| c|u!|cr !c !|e|| |c||en orc no|e
!|e|| vc|:e |eo|c. /! !|e|| |eque!, we |e|ec !|en c|jor|e
!|ene|ve.
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Figures concerning maternal and infant mortality are on a
downward trend. In 2005, 530,000 women died as a result of
complications during pregnancy or child birth
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, compared to
380,000 in 2010
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and, in 2008, 10 million children died before the
age of five
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, compared to 7.6 million in 2010
4
. However, while we
can see a steep drop in maternal and child mortality, we still do
not have sufficient data concerning disability in mothers and
children. It is estimated that thirty women suffer disabling
perinatal consequences to every death following a complication.
We also know that the number of children with disabilities is
high in regions where child mortality is high, although we are
unable to provide precise figures due to the lack of reliable data.
1 OMS 2005 http://www.who.int/making_pregnancy_safer/topics/maternal_mortality/fr/index.html
2 http://www.who.int/mediacentre/news/releases/2010/maternal_mortality_20100915/en/index.html
3 OMS http://www.who.int/child_adolescent_health/topics/prevention_care/child/fr/index.html
4 UNICEF 2010 http://www.childinfo.org/mortality.html
IS RUNNING MOTHER AND CHILD
HEALTH PROJECTS:
IN BURUNDI Les femmes de larrire-cour : post-
surgery care and follow-up of women with obstetrical
fistulas.
IN CAMBODIA Happy Child: providing training to
healthcare staff and traditional midwives in identifying
disabilities in children and referring parents to
appropriate facilities, early screening for disabilities,
and raising awareness among healthcare operators and
among mothers and future mothers (hygiene and
nutrition recommendations).
IN R.D CONGO: Helping to implement the prevention
and detection of disabilities in children under the age
of five in the primary healthcare system, and training
of healthcare staff. Handicap International is currently
working in eight health districts in Kinshasa and
alongside the authorities to extend these activities
across the country.
IN PDR LAOS: Through the First steps project,
Handicap International is working to promote an
integrated approach in the existing healthcare system
for the prevention and early detection of disability and
the early treatment of children under the age of five who
have a disability or are at risk of developing one. The
organisation initially worked to train healthcare staff in
these aspects. Handicap International also used the
experience acquired through its CBR project to work
within communities in four districts of the province of
Savannakhet to identify children with disabilities, refer
them to appropriate facilities and raise awareness
among families and provide them with support.
INVIETNAM Welcome to Life: the aimof this project is
to reduce child mortality and the incidence of
disabilities and their consequences in infants and
children. Children with disabilities are better integrated
into family life. Handicap International works in
partnership with provincial referral centres, district
hospitals, community health centres and networks of
village volunteers to improve the training of healthcare
staff, ensure better care of pregnant women and identify
disabilities in children in a timely manner.
Congenital Differences : the project teams are working
towards establishing a system for the prevention and
detection of congenital defects (spina bifida, hydro-
cephalus, etc.) in children born in the province of Thua
Thien-Hu, and the early treatment and follow-up care
of these children.
In 2006, Handicap International launched its
Welcome to Life project in Vietnam, with the aim
of preventing the causes of disability in mothers
and children and detecting disabilities in young
children at an early stage in order to refer them to
appropriate facilities. When putting together its
2008-2010 operational strategy, the organisation
made improving maternal and child health one of
its priorities, in line with Millennium Goals 4 and 5,
which aim to reduce the number of deaths in
mothers and children. This priority was confirmed
in its strategy for 2011-2013.
03
MOTHER AND CHILD HEALTH

REMAINS A PRIORITY
14
The results of three years work
Most organisations work on reducing deaths in mothers and
children and few address the issue of maternal and child health
from the point of view of preventing the causes of disability and
its early detection. Handicap International therefore decided to
take action and address this need by providing the added-value
of its experience, particularly in the field of physical
rehabilitation and Community-Based Rehabilitation (CBR). We
began working at several levels: the healthcare system, the
community and at national policy level, explains Monique
Ferguson, an expert in maternal and child health at Handicap
International headquarters in Brussels. After three years, we
have seen significant progress, especially in healthcare capacity-
building. We have particularly worked on developing the expertise
of staff in detecting disabilities and their early treatment and
referring children with disabilities to appropriate facilities. We
have also helped improve the care of pregnant women and
disabled children by providing healthcare facilities with the
necessary equipment.
Handicap International has also worked within communities to
improve skills among community officers and healthcare staff
who are in direct contact with families. It is important that these
families receive prevention messages, e.g. concerning hygiene
and nutrition, and also advice and assistance if a healthcare
officer identifies a child with a disability, and where necessary,
are directed toward an appropriate facility. Nguyen Thi Kim Lien
is the Congenital Differences project coordinator in Thua Thien-
Hu, Vietnam. She recounts her experience: We sought to gain
contact with families who needed help. This was not easy. Many
live in poverty and could not pay for the transport to the health
centre. An additional problemwas that some families did not want
our help because they were ashamed to have a disabled child.
They felt guilty. Nevertheless, in three years, we have seen many
changes. Families are better informed and know where to find
help, so more and more children are receiving the treatment they
need.
In addition to these local activities, the teams worked in the
field and within international bodies to ensure that the relevant
authorities and government departments, along with international
organisations, give greater consideration to maternal and child
disability. Indeed, since the adoption of the United Nations
Convention on the Rights of Persons with Disabilities, an
increasing number of voices including that of Handicap
International are being raised to demand the inclusion of
disability in the Millennium Development Goals (MDG). The
World Health Organisations (WHO) latest report on disability
supported these demands, highlighting the connection between
disability, poverty and inaccessibility to healthcare.
Since 2011, we have worked to improve on the actions carried
out so far. But we have specifically identified the need to offer
what could be called an integrated services package, adds
Monique Ferguson. Our maternal and child health projects are
therefore moving towards an approach that integrates functional
rehabilitation services and specialist care services.
THEMES
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PROGRAMMES OVERVIEW l.5 l.``
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OUR PROGRAMMES
IN THE WORLD
EUROPE
I BELGIUM
I BOSNIA AND
HERZEGOVINA
I FRANCE
I GERMANY
I RUSSIAN FEDERATION
MIDDLE EAST
I AFGHANISTAN
I EGYPT
I IRAQ
I JORDAN KYRGYZSTAN
I LEBANON
I PAKISTAN
I PALESTINIANTERRITORIES
I TAJIKISTAN
I YEMEN
AFRICA
I ALGERIA
I ANGOLA
I BENIN
I BURKINA FASO
I BURUNDI
I CAPE VERDE
I D.R. CONGO
I ETHIOPIA
I IVORY COAST
I KENYA
I LIBERIA
I LIBYA
I MADAGASCAR
I MALI
I MAURITANIA
I MOROCCO
I MOZAMBIQUE
I NIGER
I R. OF CONGO (BRAZZAVILLE)
I RWANDA
I SENEGAL
I SIRRA LEONE
I SOMALILAND/PUNTLAND
I SOUTH SUDAN
I TANZANIA
I TOGO
I TUNISIA
I UGANDA
ASIA
I BANGLADESH
I CAMBODIA
I CHINA
I D.P.R. KOREA
I INDIA
I INDONESIA
I LAO P.D.R.
I NEPAL
I PHILIPPINES
I SRI LANKA
I THAILAND
I VIETNAM

Programmes operated by
Handicap International Belgium
Programmes operated by
Handicap International Federation
Programmes operated by Belgium
and Federation
Handicap International network
*
LATIN AMERICA
I BOLIVIA
I BRAZIL
I COLOMBIA
I CUBA
I HAITI
I NICARAGUA
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In 2011, Handicap International dedicated
itself to community-based rehabilitation
(CBR) in various Angolan provinces. People
with disabilities were identified, informed of
the options available to them and referred
to the relevant services. This gave them an
opportunity to integrate more successfully
into their communities, both socially and
economically. Handicap International involved
the government and local partners, such as
APADV in Benguela, in this project. Further-
more, over the last year it has worked
intensively on the handover of this project
to the government and local organisations.
In 2011, Handicap International also provided
support to associations for people with a
disability. These associations have learnt
how to better represent their members and
to stand up for their rights. Through this
project, the associations will take on a
greater role in civil society, the aim being
that they learn to stand up for people with
disabilities completely independently. In
order to achieve this, Handicap International
organises, amongst other things, seminars
on lobbying, carries out awareness cam-
paigns, e.g. on the rights of women with
disabilities, and develops and distributes
training materials on disability.
Handicap International will close its Angolan
offices in 2012. The APADV and LARDEF
organisations will continue the project in
support of associations for people with
disabilities. On behalf of Handicap Interna-
tional, a consultant will make three visits
in the course of 2012 in order to evaluate
the progress of these activities.
Luanda
Huambo
HUAMBO
HUILA
NAMIBE
BENGUELA
Benguela
Lubango
Bibala
2011 was the final year in which
Handicap International was
physically present in Angola. The
organisation managed projects
for rehabilitation within the local
community and to support
associations for people with
disabilities. In addition, Handicap
International continued to work
on the handover of its projects to
the government and local
organisations.
01
ANGOLA
International staff: 4
National staff: 50
Budget: 1.346.855
Principal donors:
Belgian Development
Cooperation (DGD),
Dutch Ministry of Foreign Affairs,
European Union
AFRICA
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BENIN
Budget: 20.360
Principal donors:
Belgian Development
Cooperation (DGD)
According to the World Health Organisation, Benin has amongst the

highest number of road traffic accidents in Africa. Handicap
International therefore decided to apply its road safety experience
obtained in South East Asia to Benin. The organisation launched its
road accident prevention project in Benin in 2010 and is supporting
the authorities and civil society in the implementation of the national
road safety action plan.
In 2011, Handicap International played a key
role during Road Safety Week, coordinated
by its partner, the Benin NGO, Alinagnon.
Several awareness campaigns took place
during the week, alongside information
sessions and the distribution of helmets.
For Benin, the week also served as the
launch event for the United Nations
initiative, Decade of Action for Road Safety.
Handicap International and its partners also
developed a global ten-year action plan which
was approved by the country's authorities.
In 2012, a workshop for strategic reflection
will be held. The various partners of the
project will meet to examine the current
situation as regards road traffic in Benin
and to assess the achievements and
problems encountered during the implemen-
tation of the ten-year action plan. This plan
will be adapted according to the findings
of the workshop. Handicap International
will also collaborate on the organisation
of the 2012 Road Safety Week and will
continue to work closely with the countrys
authorities.
Porto-Novo
Cotonou
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Gitega
GITEGA
MAKAMBA
RUTANA
RUYIGI
Muyinga
MUYINGA
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Handicap International supports centres for
physical rehabilitation. Physiotherapists,
orthopaedists and prosthesis manufacturers
were provided with on-site training and by
means of an exchange programme. Training
courses were also organised to teach
people how to manage the stocks in the
rehabilitation centres. In addition to this,
Handicap International provided the centres
with materials to allow them to manufacture
orthopaedic equipment. In collaboration with
Caritas, plans were also made to establish
a purchasing headquarters. This will make
it easier to purchase materials from Burundi.
Handicap International ensured that patients
receive financial support by means of a
solidarity fund.
The project for rehabilitation in the local
community revolved around several main
principles. The community centre in Ruyigi,
where the national rehabilitation centre
organises information sessions and consul-
tations, was further developed in relation
to infrastructure and operations. Families of
children with cerebral palsy received training.
Handicap International workers also visited
these families every three months. In
addition, teachers received training on the
education of children with a disability.
Officials were given training on disabilities
and facilities for people with a disability.
Consultations were held with local
government officials with regard to the
accessibility of the local infrastructures.
Finally, within the project, organisations for
people with a disability were encouraged
to work together.
In 2011, Handicap International once again
offered its support to associations for people
with a disability from all over Burundi.
Associations were helped to obtain the
recognition of the authorities, maintain an
accounting system, organise activities for
their members and establish specific services.
They were also provided with practical means
of organising awareness-raising campaigns.
The Network of Centres for People with a
Disability also received financial operational
aid.
In Burundi, we also worked on improved
health for mothers. With this project,
Handicap International dedicates itself to
helping mothers who have suffered from
obstetric fistula as a result of a difficult
birth. Consequences such as incontinence
lead to these women being excluded from
their community. Therefore the organisation
is also striving to improve their quality of
life, i.e. by encouraging them to undergo a
medical intervention and by taking them to
the hospital, offering them physiotherapy
and psychosocial support, handing out
hygiene kits and running a helpline.
Handicap International is continuing its
projects in Burundi during 2012, a year in
which the training of technical personnel in
rehabilitation centres will come to an end.
In addition, a compilation of all the recent
studies of people with a disability in
Burundi will be published.
03
BURUNDI
National staff: 25
Budget: 991.740
Principal donors:
Belgian Development
Cooperation (DGD),
European Union,
Luxembourg Ministry
of Foreign Affairs
In Burundi, around 10 % of the population lives

with a disability. Handicap International has
already been running projects there since 1992.
The organisation concentrates on physical
rehabilitation, the health of mothers,
rehabilitation in the local community and
providing support to associations for people with
a disability.
B. BLONDEL - HANDICAP INTERNATIONAL
M. BACIGALUPO - HANDICAP INTERNATIONAL
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In Congo, many mothers and children
contract illnesses or die due to a lack of
medical care. This is why Handicap Inter-
national is leading a project for improved
mother and child health. It has worked to
provide more efficient organisation of the
local care structure, medical personnel have
been trained, medical services provided
with materials and the community has been
actively involved in initiatives to prevent
and care for disabilities. As such, women
were provided with guidance and support
during their pregnancy and delivery.
Children of up to five years of age were
monitored.
Since 2011, Handicap International has
been running a project for the treatment of
children with cerebral palsy. In order to
accomplish this, the organisation works in
collaboration with the University Hospital of
Kinshasa. Physiotherapists, doctors and
paediatricians have been trained in order
to better identify and treat cerebral palsy.
Within the scope of their education, trainees
were taught how to provide children with
home care.
Congolese children with a disability have
little chance of going to school. Handicap
Internationals project for education for
children with a disability means that there
are now two centres and twelve primary
schools providing inclusive education. In
addition, Handicap International has worked
in close collaboration with the authorities
to integrate mixed education, for children
with and without a disability, in the national
education system.
Finally, Handicap International offered aid
to vulnerable people in the North Kivu war
zone. The organisation was responsible for
physiotherapy in various hospitals. Hospitals
were provided with materials and physio-
therapists were trained. Patients were
visited at home with the aid of mobile
hospitals and, if necessary, referred. In
addition, Handicap International has orga-
nised respiratory physiotherapy for malnou-
rished children in therapeutic nutrition
centres in the region of Goma. The organi-
sation also concentrated specifically on
victims of the conflict in East Congo.
Handicap International provided for physio-
therapy and orthopaedic care and worked
on behalf of vulnerable people and people
with a disability. In this way, it has drawn
the attention of other humanitarian aid
organisations towards also making this aid
accessible for these people.
Handicap International is continuing with
its projects in Kinshasa during 2012. The
organisation is also considering concen-
trating its efforts on the socio-economic
integration of people with a disability in
this region. Similarly, in North Kivu, Handicap
International is continuing its activities. In
so doing, even greater focus will be placed
on the strengthening of local partners.
Kinshasa
Goma
NORD-KIVU
Handicap International started its activities in Congo in
1995, following the outbreak of a polio epidemic there.
The organisation now runs projects in two provinces.
In Kinshasa, Handicap International concentrates on mother
and child health and education for children with a disability.
In North Kivu, help is given to vulnerable people who come
into contact with the conflict in this region.
04
DEMOCRATIC REPUBLIC OF THE CONGO
National staff: 78
Budget: 2.215.984
Principal donors:
AECID, Belgian National Lottery,
Belgian Development Cooperation (DGD),
Big Lottery Fund, Dutch Ministry of Foreign Affairs,
European Union, Luxembourg Ministry
of Foreign Affairs, OFDA, UNICEF, UNMACC
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BOLIVIA
National staff: 8
Budget: 142.151
Principal donors:
King Baudouin Foundation,
Luxembourg Ministry of
Foreign Affairs
La Paz
Potos
Bolivia has a population of just
over 10 million. The exact number
of people with disabilities is not
known, but is estimated at 10%
of the population. Despite the
significant changes initiated in
2005, Bolivia is still the poorest
country in Latin America, with a
poverty rate of 60%.
Handicap International began working in
Bolivia in 2011, implementing an inclusive
local development project in the country's
poorest region, Potos, in the south of the
country. This regions population lives in
extreme poverty without access to basic
services. Bad roads and lack of transport
further isolate rural areas. People with
disabilities are particularly vulnerable, with
a lack of specialist services, a low level of
education, and almost no work opportu-
nities, all in addition to the negative beliefs
surrounding disability.
The inclusive local development project is
being implemented in partnership with the
Bolivian NGO, Ayninakuna, and has three
components: health, education and capacity
building of disabled people's organisations.
Within the framework of this project, a
number of activities have been initiated:
training healthcare staff (doctors, nurses,
traditional doctors and midwives, etc.) in
identifying and dealing with disabilities,
treating and supporting disabled people
with the involvement of their families,
raising awareness on the importance of
education for disabled children, building
the capacity of disabled people's organisa-
tions, and more. After an initial phase
during which Handicap International, with
its partner, laid the foundations for the
project, specific activities began as from
early July 2011.
In 2012, Handicap International plans to
extend its work across the country after a
municipal- and regional-level pilot phase.
Several opportunities to complement the
existing project have been put forward,
such as adding a socio-economic integration
component to combat the extreme poverty
of people with disabilities, establishing a
partnership with the Ministry of Health to
work on disability prevention, removing
physical (alterations to facilities) and commu-
nication (sign language) barriers, along with
work to change society's perception of
people with disabilities.
LATIN AMERICA
M. DELAJOUX - HANDICAP INTERNATIONAL
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06
COLOMBIA
National staff: 20
Budget: 681.626
Principal donors:
AECID, Belgian Development
Cooperation (DGD), Belgian Ministry
of Foreign Affairs (Conflict
Prevention), European Union,
German Ministry of Foreign Affairs,
Luxembourg Ministry of Foreign
Affairs
Medelln
Bucaramenga
Cartagena
Sincelejo
Ccuta
Colombia continues to experience suffering at the hands
of anti-personnel mines, with 31 departments out of 32
affected, as a result of conflicts between various armed
groups and government forces. Handicap International
began working in this country in 1998 by supporting the
REI foundation, an organisation specialised in the
rehabilitation of people with disabilities in Cartagena.
This project was completed in 2002, but
made it possible to lay the foundations for
launching other operations: a community-
based rehabilitation (CBR) project (2000), a
mine action project (2005) and, from 2007,
a disabled peoples organisation (DPO)
support project.
In 2011, the CBR project saw a new deve-
lopment aimed at improving the social
participation of people with disabilities.
Thirteen support groups working in the
departments of Antioquia and Bolvar are
working to facilitate access to services,
increase the participation of people with
disabilities and raise awareness among the
community in order to create an accessible
and inclusive environment that can foster
the development of people with disabilities.
Handicap International continued to imple-
ment its DPO support project, assisting ten
Colombian organisations and their advocacy
work. Thanks to this support, the organi-
sation can give greater visibility to the issue
of disability rights. As such, local insti-
tutions, which are now better informed on
the issue, can consider including it in their
policies.
The mine action projects run by Handicap
International in Colombia involve two key
areas of work. The first concerns mine victim
assistance, ensuring that victims have access
to the help to which they are entitled. The
second component aims to strengthen
public and private institutions in order to
improve the provision of services.
In 2012, the projects implemented will
continue to evolve. For example, the CBR
project will gradually become an inclusive
local development project promoting an
accessible society. The DPO support project
will focus on three organisations, while the
mine action project will extend its work
from six to ten departments.
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Cuba has a population of 11 million, 3.26% of
whom have disabilities. The country has not
escaped the global economic crisis and has
had to adopt economic measures which have
also had an impact on people with disabilities.
Handicap Internationals cooperation in Cuba
began in 1998 with support for prosthesis
production.
Havana
PINAR DEL RIO
GRANMA
HOLGUIN
In 2001, the first experiment in community-
based rehabilitation (CBR) was implemented
in the province of Granma. In 2007, this
was extended to the province of Pinar del
Ro and, in 2008, to that of Holgun. In
2005, Handicap International also entered
into a partnership with the Cuban Ministry
of Education to improve the inclusion of
children with disabilities in schools. Since
2008, Handicap International has also worked
to support and strengthen organisations
representing people with disabilities.
In 2011, Handicap International continued
its CBR project in the provinces of Pinar del
Ro and Holgun. Each province covers
specific aspects directly benefiting 3,758
disabled people. In 2011, in addition to
supporting people with intellectual disabi-
lities and their families, and the inclusive
education component, the organisation and
its partners focused on the vocational
training of young people with intellectual
disabilities. In the province of Holgun, the
CBR teams continued and developed their
activities with the aim of removing physical
and communication barriers and prejudice:
sign language and Braille writing lessons,
awareness-raising, etc. In 2011, the project
was extended to the capital of the province,
Holgun.
Work to strengthen the role of organisations
representing people with disabilities
ACLIFIM, ANCI and ANSOC also continued
in 2011. During that year, greater focus was
given to the socio-economic integration of
people with disabilities. The project helps
equip adult training centres and diversify
vocational training in vocational and special
schools. It also helps deaf-blind people
adjust to daily life and supports the
creation of inclusive cultural and sports
facilities.
In 2012, Handicap International's objective
in Cuba is to boost Cuban initiatives aimed
at building a more inclusive society.
Handicap International will also strive to
support disabled people through the process
of employment restructuring, one of the
consequences of the economic crisis, with
the aim of ensuring equal job opportunities
for people with disabilities and of
demonstrating their productive capacity.
The association will also consolidate its
community work, especially with families of
people diagnosed with severe mental
retardation, and will start work to assist
young autistic people. Supporting disabled
people's organisations will naturally continue
to be a major challenge.
07
CUBA
National staff: 3 financed by our partners to support
Handicap International, plus the project teams, also
financed by local partners.
Budget: 536.791
Principal donors:
City of Luxembourg, European Union,
Luxembourg Ministry of Foreign Affairs

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HAITI
National staff: 75
Budget: 1.362.186
Principal donors:
Consortium 12-12
Port-au-Prince
Cap-Hatien
Gonaves
Petit Gove
Jacmel
In 2011, the teams continued this reha-
bilitation work until the end of September,
when the hospital closed. In addition to
physiotherapy and the provision of ortho-
paedic appliances, work was also carried
out to prepare the return home of patients,
with a functional rehabilitation centre and a
community village, where people with
disabilities were involved in managing
collective tasks and had the opportunity to
develop their capabilities. An ergotherapist
also visited patients at home and made
provisions for adaptations to be made to
ease day-to-day living.
Taking into account the need for people
with disabilities to have access to an
income to rebuild lives of some autonomy,
the organisation launched a socio-economic
integration project to create individual
income-generating activities. The organisa-
tion also raised awareness among company
leaders to promote the training and
integration of people with disabilities within
major local companies. We also built on the
capacities of local associations working in
the socio-economic field. Here again, an
ergotherapist provided expertise in adapting
posts and work sites to the disabilities of
the people concerned.
Handicap International also participated in
a study conducted in cooperation with the
Brazilian NGO, Viva Rio, on the connection
between armed violence and disability. This
study, begun in September 2011, should be
completed by the beginning of 2012, and
compares the situation in several countries,
including Haiti. These conclusions will be
published in the second half of 2012.
In October 2011, management of the projects
implemented by the Belgian section of
Handicap International was taken over by
the Handicap International Federation.
For 2012, Handicap International has three
key objectives. The first is to ensure that
the basic needs of vulnerable people,
particularly those affected by the earth-
quake of 12 January 2010, have been fully
covered, and to set up facilities that will
help reduce the human impact of possible
future natural disasters. The second involves
enhancing the capacities of Haitians to deal
with and integrate people with disabilities
into socio-economic, local development
and protection activities. The third objective
is to continue efforts made in the field of
rehabilitation by providing this sector with
a sustainable structure.
Following the earthquake on 12 January 2010, a large number of Haitians continue to depend on
humanitarian aid, and more than 500,000 of them are still waiting to be re-housed. The day following the
disaster, and during its first year of work in the country, Handicap International Belgium focused on
treating those injured during the earthquake. Thus, a team worked to deliver physiotherapy and
orthopaedic care, then to set up rehabilitation projects in Sarthe hospital, a surgical and post-surgical
referral centre in Port-au-Prince.
W. HUYGHE - HANDICAP INTERNATIONAL
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Battambang
Takeo
Siem Reap
Banteay Meanchey
PREAH VIHEAR
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CAMBODIA
National staff: 116
Budget: 1.367.695
Principal donors:
AECID, AusAID, Australian Red Cross, Belgian Development
Cooperation (DGD), Belgian Ministry of Foreign Affairs
(Conflict Prevention), Cambodian Ministry of Education,
Cambodian Ministry of Social Affairs (MOSVY),
European Union, Global Road Safety Partnership,
Half Marathon Committee, IRTAD, IUHPE, Johns Hopkins
Bloomberg School of Public Health, Luxembourg Ministry
of Foreign Affairs, Olympus KeyMed, UNICEF,
Vlaamse Stichting Verkeerskunde, World Bank
Unexploded armaments such as landmines

and cluster bombs are still a major hazard
in Cambodia. Half of the casualties are under
eighteen years of age. In 2010 and 2011,
Handicap International cleared around 60
villages in three provinces, contaminated by
cluster munitions.
Handicap International is also concentrating
on road safety with a diverse range of
projects. Handicap International offered the
government support in 2011, including
support for the implementation of a national
plan of action for road safety (which the
organisation had previously worked on) and
in making traffic laws enforceable. Local
NGOs fighting for safer roads were also
provided with assistance. Handicap Interna-
tional followed up on its project to collect
and distribute information on road safety.
In the meantime, this project has been
handed over to the government.
In 2011, Handicap International transferred
the control of its physical rehabilitation
projects in centres in Siem Reap and Takeo
to the government. Through the Happy
Child project, Handicap International is
working to improve mother and child health.
In the past year, the organisation once again
developed courses and training materials
for medical personnel and volunteers. There
were also awareness-raising sessions for
pregnant women and young mothers. As
part of this project, Handicap International
worked closely with the government, other
NGOs and local partners. With the Disability
Prevalence project, the organisation also
carried out a data study into disability
amongst children.
The organisation fights for the rights of
people with disabilities. In 2011, Handicap
International continued to support the
Cambodian Disabled Peoples Organization.
Handicap International also lobbies the
government for better protection of the
rights of people with disabilities and to
ratify the UN Convention on the Rights of
Persons with Disabilities.
projects in 2012. With regard to road safety,
greater attention will be paid to research
and data collection and supporting national
networks in learning how to lobby for safer
roads. The rehabilitation centre in Siem
Reap continues to receive financial aid.
National organisations for people with a
disability will learn how to implement
Handicap Internationals lobbying strategies.
Nearly thirty years ago,
Cambodia was Handicap
Internationals first project
country. The organisation started
off with anti-landmine campaigns
and the physical rehabilitation of
landmine victims. Nowadays,
Handicap International also
focuses on mother and child
health, road safety and the rights
of disabled people.
ASIA
Beijing
Shigatse
TIBET
Chamdo
SICHUAN
Nanning
GUANGXI
Lhassa
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CHINA
National staff: 50
Budget: 1.547.059
Principal donors:
Belgian Development Cooperation
(DGD), Brussels Capital Region,
Canada Fund, Dr. Gustav Krau
Krankenhaus Foundation,
EDF China, European Union,
First State Investments,
French Embassy in China,
French Ministry of Foreign Affairs,
Gertrude Hirzel Foundation,
Luxembourg Ministry of Foreign
Affairs, Kadoorie Charitable
Foundation, Partnerships for
Community Development (PCD),
Sanofi Aventis
These physical rehabilitation projects have

meant that countless people can once
again live independently in spite of their
disabilities. In 2011, Handicap International
ran courses in physiotherapy and ortho-
paedics and the organisation continued to
work on behalf of the victims of the 2008
and 2010 earthquakes. Finally, it worked on
the provision of specific training courses for
orphanage staff so that they could learn
how to better look after children with
disabilities.
Handicap International has projects in
various regions of China which promote the
social integration of disabled people. For an
improved integration within the community,
the organisation encouraged people with
disabilities to participate in self-help groups
and local decision-making bodies. The
people responsible locally were also trained
in adapting the homes of those with disa-
bilities and they were visited by physio-
therapists. People with disabilities and
those around them also received training
on disabilities and the special services
available to them.
Handicap International has also worked on
the integration of education in China.
Children with disabilities were given the
opportunity of going to special or regular
schools and teachers were provided with
special training. Through its economic
integration projects, Handicap International
has improved the standard of living of
people with disabilities. Some received
financial support so that they could start up
a vocational activity, while others followed
courses or traineeships. Finally, the organi-
sation ran a project to ensure better social
protection and working conditions for people
with disabilities.
Handicap International provided support to
associations for people with a disability in a
number of regions. There were courses aimed
at improving the administration of those
organisations and technical training on
disability was also provided. The organisation
represented the rights of disabled people,
via lobbying work for better social security,
modified services and the equal treatment
of people with disabilities. Handicap
International took part in national and
international conferences and ran campaigns,
including an exhibition in Beijing.
In 2012, Handicap International will continue
almost all of its existing projects. The aid
the organisation provided to the YDPF
(Yushu Disabled Persons Federation) and
the local health agency following the
earthquake in Yushu in 2010 will, however,
come to an end. Handicap International is
looking for the means to set up a project
for mother and child health in this region.
Handicap International has
been working in China for over
thirteen years. Working alongside
the government and local
associations, the organisation
supports the most vulnerable
groups in in Beijing, Guangxi,
Quinghai, Sichuan, Yunnan and in
the Tibet A.R. The organisation
leads projects for the physical
rehabilitation and social
integration of people with
disabilities. In addition to this,
Handicap International supports
associations of people with
disabilities and defends their
rights before the government.
R. FALL - HANDICAP INTERNATIONAL
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DPR KOREA
Handicap International began working in DPR Korea in

1998 at the request of the Korean Federation for the
Protection of Persons with Disabilities (KFPD).
The various projects implemented include,
in particular, the orthopaedic workshop
support project in Hamhung. Since 2004,
the KFPD and Handicap International have
also cooperated in the field of sensory
disability. After more than ten years working
alongside KFPD, Handicap Internationals
role has shifted towards providing insti-
tutional support, with the organisation
gradually withdrawing from the direct
implementation of projects. In 2005, with
humanitarian projects now coming under
the European Union Programme Support
(EUPS) system, the Korean government
announced that the country no longer
needed international aid. Handicap Interna-
tional was able to continue its activities
through Unit 7, a structure under the
supervision of the EUPS, and to maintain
its relations with the KFPD.
In 2011, Handicap International continued to
support the KFPD, which has been working
since 2008 to diversify its activities, which
previously focused on rehabilitation. Han-
dicap International assists the KFPD with
developing and implementing its operatio-
nal strategy. The organisation also supports
its partner in coordinating with the various
ministries in order to improve and extend
services in the fields of physical
rehabilitation and education of people with
disabilities. Handicap International also
helps the KFPD find sources of funding for
the implementation of its projects and to
achieve financial sustainability, particularly
through the KFPD office in Beijing. This
office opened in 2009 and is the base for
two KFPD representatives who work in
coordination with Handicap International.
Handicap International has been working
for some time at the orthopaedic centre in
Hamhung, with the aim of improvingphysical
rehabilitation services. In 2011, the organi-
sation continued its withdrawal from the
country which began in 2010. Several visits
by specialists have been carried out in
order to identify new avenues of support
(ad hoc technical training, identifying
donors for the procurement of orthopaedic
consumables, etc.). Handicap International
supported several other facilities in 2011,
such as the Dockchon coal mine hospital
and the Tongrim sanatorium for the elderly
and disabled. Support of the Pyongyang
Rehabilitation Unit came to an end at the
end of 2011.
Handicap International, again in partnership
with the KFPD, is also working for adapted
education, particularly via a pilot project in
Wonsan, Kangwon Province. The long-term
objective is to push special education
schools toward a more inclusive environment
and to include these same schools in the
mainstream system.
The cooperation between Handicap Interna-
tional and the KFPD should continue until at
least 2014. Ensuring the financial sustaina-
bility of the KFPD remains a challenge.
Handicap International would also like to
support the KFPD in its goal to develop
projects in the field of socio-economic
inclusion for people with disabilities.
Pyong Yang
Hamhung
Tongrim
Dokchon
Wonsan
M. ABORD-HUGON - HANDICAP INTERNATIONAL
J-P SCHEPENS - HANDICAP INTERNATIONAL
National staff: 8
(provided by the KFPD and the Korean
Ministry of Foreign Affairs)
Budget: 751.891
Principal donors:
Dutch Embassy in Republic of Korea,
European Union, SIDA, Swiss Agency for
Development and Cooperation (SDC)
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LAO PDR
National staff: 109
Budget: 1.639.828
Principal donors:
ADA, AFD, AUSAID, Belgian Development
Cooperation (DGD), European Union,
ICBL-CMC, Luxembourg Ministry of Foreign
Affairs, UNICEF, USAID, World Bank
Vientiane
Savannakhet
Xepon
Despite significant economic growth, Lao PDR remains one of the
world's least-developed countries, with a high level of malnutrition and
food insecurity throughout the country and a significant disparity
between urban and rural areas in terms of access to healthcare. It is
still the world's most UXO (unexploded ordnance)-contaminated
country with nearly 80 million UXOs, which continue to represent a
threat to the people of Laos. Handicap International carried out its first
projects in the country in 1996 to address this threat.
In 2011, road safety was one of the areas of
work prioritised by Handicap International.
As such, the organisation implemented the
National Road Safety Action Plan, mainly
targeted at disadvantaged users (pedestrians,
two-wheel vehicle users and tractor drivers)
in Vientiane, the capital, and on Road No.
9 running between the city of Savannakhet
and the Vietnamese border. Handicap Inter-
national raised awareness on drink-driving,
helmet-wearing, etc. among the general
public, in schools and in private companies.
With its maternal and child health project,
entitled First Steps, the organisation first
worked to improve the health system to
meet the needs of disabled children, and
focused on training health staff, particularly
in disability prevention and detection.
Throughout 2011, the organisation also
supported the Lao Disabled People Asso-
ciation (LDPA) in its work to promote the
rights of people with disabilities. Although
the country has ratified the Convention on
the Rights of Persons with Disabilities, this
has not yet led to the implementation of
practical measures. Handicap International is
therefore working with the LDPA at several
levels, supporting the national authorities
to implement the Convention, and raising
awareness among village leaders to promote
the participation of disabled people in
community life.
In 2011, Handicap International also
continued its cooperation with the LDPA on
a specific project to improve access to
employment for people with disabilities.
The job centre continued to put potential
employers in contact with disabled job-
seekers. The project also includes a
component to help people with disabilities
launch their own income-generating activity.
Handicap International continued its work
to address the threat of UXO by working in
three of the most contaminated districts in
the province of Savannakhet: Xepon, Nong
and Villabully. In addition to removing UXOs
and raising public awareness, Handicap
International worked with the National regu-
latory authority (NRA) to enhance the impact
of mine-clearance activities. The Ban Advo-
cates group continued its advocacy work,
begun in 2010, at community, national and
international level.
its activities. The projects implemented in
2011 will be strengthened or adapted in line
with the findings of internal and external
assessments. The maternal and child health
project, for example, will have a new
component working within communities
themselves.
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Hano
Hu
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Nha Trang
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VIETNAM
International stuff: 3
National staff: 16
Budget: 943.436
Principal donors:
Anova Seafood BV, Belgian Develop-
ment Cooperation (DGD), Children
for a Better World, European Union,
Kadoorie Charitable Foundation,
Livability Ireland, Luxembourg Ministry
of Foreign Affairs, Martin Iversen,
Province of Limburg, Wallonie
Bruxelles International (WBI)
Handicap International has been working in Vietnam

since 1991. The organisation runs projects for physical
rehabilitation, mother and child health, road safety,
the economic integration of the disabled, education
for disabled children and guidance for HIV patients.
Handicap International works in close collaboration
with local partners and government, thus ensuring
that its projects have a long-lasting impact. Since
2011, all projects in Vietnam are run from Belgium;
previously, they were also organised from France.
In Vietnam, Handicap International is dedi-
cated to the physical rehabilitation and
social integration of spinal cord injury
patients. In recent years, the organisation has
set up specialised hospitals, trained staff
and cared for patients at home throughout
the country. In 2011, the decision was taken
to improve access to healthcare for spinal
cord injury patients in certain isolated
minority groups.
Handicap International leads two projects
for better mother and child health. The
Congenital Differences project is implemen-
ted by a local partner and focuses on
prevention, early detection and the timely
treatment of disabilities amongst children.
Prior to this, Handicap International organised
training courses and awareness campaigns
and supplied materials to hospitals and
health centres. The Welcome to Life project
trains medical staff on how to prevent the
development of disability during pregnancy
and delivery. Furthermore, young disabled
children were monitored and work was
undertaken to enable their integration into
the community.
Vietnam is one of the Southeast Asian
countries in which traffic has increased
massively. The result of this is an ever-
increasing number of traffic accidents. This is
why Handicap International aims to increase
road safety through a pilot project. This has
involved awareness campaigns for the wider
public as well as in schools, first aid for
traffic accident victims and training courses
on traffic law.
Handicap International is also working
towards the economic integration of people
with a disability in Vietnam. For example,
the organisation offers training in order to
promote employment opportunities and
social protection, and mediates between
employers and employees. Furthermore, Han-
dicap International has organised education
for children with a disability. Teaching staff
have been trained, schools have received
tailored teaching material and disabled
children have been encouraged to take part
in extra-curricular activities.
Finally, Handicap International has a project
to support HIV patients. After all, HIV can
lead to disability and social exclusion. This
project involved organising prevention
campaigns and lending socio-economic
support to patients.
projects in Vietnam in 2012. Various projects
are awaiting evaluation before a new phase
is commenced.
D. WRIGHT - HANDICAP INTERNATIONAL
D. WRIGHT - HANDICAP INTERNATIONAL
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IRAQI KURDISTAN
KORD staff: 47
Budget:
managed in partnership with HIB: 166.239
managed by the partner: 229.712
Principal donors:
managed in partnership with HIB:
Dutch Ministry of Foreign Affairs
managed in partnership with HI Luxembourg:
managed by the partner: GDMA (General
Directorate of Mine Action), UNDP (United
Nations Development Programme)
Suleymanyah Halabajah
This project involved two centres, one in
Sulaymaniyah (opened in 1991) and the
other in Halabja (opened in 1998), and their
satellite units in the towns of Kalar, Ranya
and Penjwin. In addition, in 1999, the
association launched small-scale activities
providing socio-economic assistance and
support for disabled people's organisations
in response to the lack of legal protection
for people with disabilities and to their
limited access to education, health, employ-
ment and income in comparison to the rest
of the population.
In October 2004, these activities were natio-
nalised through the creation of a national
organisation, Kurdistan Organisation for
Rehabilitation of the Disabled (KORD). Since
January 2005, this organisation has imple-
mented Handicap International's former
programme in its entirety. Handicap Inter-
national has continued to work with KORD,
adapting its support to the changing orga-
nisation and providing resources from within
the Handicap International network in
Belgium, Luxembourg and France. Handicap
International has committed to supporting
the NGO at least until the end of 2013 in
order to enhance its capacity in the fields in
which it works, such as physical rehabilita-
tion, socio-economic integration and support
for disabled peoples organisations. Handicap
International also assists KORD in balancing
its finances and helps the NGO to develop a
strategic plan and improve its management
capacity. In 2011, a short support mission
was carried out to this end.
In 2011, KORD was able to produce more than
600 new orthopaedic devices (prostheses
and orthoses) and repair more than 1,500,
and it also supplied more than 4,200 other
walking aids (crutches, wheelchairs, etc.).
More than 13,000 patients are currently
registered at the physical rehabilitation
centres managed by the organisation. A
third of these are victims of anti-personnel
mines or other explosive remnants of war.
The NGO also helped 320 disabled people
to develop an income-generating activity.
Over the course of the last few years, KORD
has acquired real expertise. The organisation
is now capable of operating autonomously
and of influencing the national debate
concerning its work.
In 2011, Handicap International continued its
work to increase the sustainable potential
of the organisation and the services it
provides, making progress on several aspects
concerning the NGO's autonomy and viability,
even though the situation remains fragile,
particularly in terms of its financial viability
and the diversification of its activities.
to support KORD in order to meet the major
challenges facing the organisation over the
next two years, such as diversifying its
socio-economic integration work, reinforcing
its middle management, improving the
sustainability of the rehabilitation centres
with greater support from the country's
Ministry of Health and, of course, securing
its national and international sources of
funding over the long term.
MIDDLE EAST
Faced with the high number of people disabled as a result of the many
conflicts that have plagued the region since the 1980s, Handicap
International gradually built up, between 1991 and 2004, a physical
rehabilitation project in the governorate of Sulaymaniyah.
X. BOURGOIS - HANDICAP INTERNATIONAL
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Advocacy against mines and
cluster munitions
The Handicap International Policy Unit
carries out, from Brussels, advocacy against
anti-personnel mines and cluster munitions.
In the field of research, Handicap Interna-
tional published a study on mine victim
assistance, VictimAssistance in Cambodia,
The Human Face of Survivors and their Needs
for Assistance at the end of November. This
study was presented at the Conference of
Signatory States to the Mine Ban Treaty, held
in Cambodia in December 2011. It highlights
the need for more targeted victim assistance
that gives greater consideration to the
circumstances of each individual and to the
resources at their disposal thanks to their
family and friends and their personal
attributes.
The Policy Unit focused first and foremost,
however, on a study on the relationship
between armed violence and disability.
Armed violence, the devastating conse-
quences of which have been the subject of
alarming studies and a major international
movement, is still under-documented as far
as its impact on the daily lives of survivors
is concerned. It is also an area of work that
Handicap International has not yet fully
tackled. We therefore conducted research
on this issue in four particularly hard-hit
countries, i.e. Colombia, Haiti, Uganda and
Pakistan. The outcome of this research,
which will be published in 2012, should act
as a catalyst for advocacy and more
targeted action.
2011 was also the final year in which
Handicap International coordinated the victim
assistance component for the Landmine
Monitor. The team coordinated by the
organisation will now join the ICBL-CMC
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After the expectancy created by the signing
of the Convention on Cluster Munitions and
its coming into force in the previous years, it
might be expected that the Ban Advocates
2
group would be less active. While it still
participates in international conferences, it
also supports national campaigns. This
project continues to be appreciated by the
states which acknowledge the strength of
messages delivered in person by the victims
of cluster munitions. The presence of the
Ban Advocates group remains crucial to the
treaty's effective and rapid implementation.
EUROPE
BELGIUM
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Staff: 13
Budget: 542.984
Principal donors:
Belgian Development Cooperation
(DGD), Belgian Ministry of Foreign
Affairs (Conflict Prevention),
European Union, Government of
Flanders (Belgium), Norwegian
Ministry of Foreign Affairs,
Wallonie Bruxelles International
(WBI)
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1 ICBL: International Campaign to Ban Landmines; CMC: Cluster
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2 Ban Advocates: a group that brings together direct and indirect
victims of cluster munitions..
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Handicap International also continued its
advocacy work. In particular, the Policy Unit
revamped its newsletter, making it easier to
read. As a founding member of the ICBL-
CMC coalition, Handicap International is
closely following the implementation of the
two treaties, particularly anything to do with
victim assistance, a topic which, given its
history, naturally concerns the organisation.
Activities in Belgium
Handicap International not only works in the
southern hemisphere to help disabled and
vulnerable people in emergency situations.
The organisation also ensures that the
Belgian public has a better understanding
of the problems that people are faced with,
which is why Handicap International is
involved in development education in
Belgium and organises various actions and
events.
In the past, the development education
team developed the Disability and Interna-
tional Solidarity handbook. In 2011, this
handbook was once again distributed
amongst teachers. There were also work-
shops in relation to the Scars of War
exhibition and as part of the Solidarity
Organisations Project. This exchange
project strengthens the links between
organisations for people with disabilities in
the southern hemisphere and in Belgium.
The Belgian organisations Horizon 2000,
Dcalage and Passe Muraille participated
in workshops on development cooperation,
living with a disability in the southern
hemisphere and interculturality. Two members
of the Lao Disabled Peoples Association in
Laos came to Belgium to better understand
how Passe Muraille operates and learned
about the opportunities available to
disabled people on the Belgian job market.
Every year, the Bricoleur du Coeur compe-
tition rewards people who come up with
inventions that facilitate the daily lives of
people with disabilities. The 2011 winner,
Ann, came up with the idea of an adapted
hammock in which her son with cerebral
palsy could lie comfortably. Ideas like this
are rewarded and circulated so that they
can make a difference to many other
people.
In late 2011, around the time of the Inter-
national Day of Persons with Disabilities,
Solidanza took place for the third time.
Young and old, people with and without
disabilities, experienced dancers and
beginners alike all took to the dance floor
to support Handicap International. In 2011,
this took place in three locations: in part-
nership with Europalia in Bozar, Brussels,
Vooruit in Ghent and the Thtre de Namur.
Scars of War is an exhibition run by
Handicap International and In Flanders Fields
Museum, sponsored by the Flemish Agency
for International Cooperation. The exhibition
examines the link between the impact of
unexploded arms from the First World War
and from conflicts elsewhere in the world,
where landmines and cluster bombs were
and are still being used. Tim Dirven went
to the Westhoek region and Laos. Gal
Turine and John Vinck visited Cambodia,
Colombia and Ethiopia. Other photos are
from the archives of the In Flanders Fields
Museum. In 2011, this exhibition was on
show in Ypres, Leopoldsburg, Bruges, Genk
and Halle.
P. DE VUYST - HANDICAP INTERNATIONAL

P. DE VUYST - HANDICAP INTERNATIONAL
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In October 2010, a particularly
virulent poliomyelitis epidemic
broke out in the region of
Pointe-Noire, Republic of Congo.
This new outbreak of the virus
occurred just as the authorities
were preparing to declare the
country free of the disease. The
epidemic was considered as
atypical by specialists, with a
high mortality rate (35%) among
its victims and severe disabling
consequences. It also affected
young adults, whereas,
generally, it strikes children.
This was not the first time that Handicap
International had provided assistance follo-
wing an epidemic of poliomyelitis. This was
the case in Mbuji Mayi (DR of Congo) in
1995. The organisation is well aware that
prompt treatment for patients, with specific
physiotherapy and appliances, helps limit
the disabling consequences of the disease.
Handicap International worked on three
lines of action: physiotherapy, orthopaedics
and appliances, and ergotherapy and acces-
sibility, in cooperation with the A. Ciss and
Ti Ti hospitals, the Caritas polio centre and
the Direction Dpartementale des Affaires
Sociales (regional department of social
affairs).
In the field of physiotherapy and ortho-
paedics, the expatriate team trained its
local counterparts on how to treat people
suffering from the consequences of polio-
myelitis. These patients received physio-
therapy and, when necessary, an appropriate
appliance (orthosis or splint) to help them
regain a certain amount of mobility and
avoid irreversible deformities. Handicap
International also supplied walking aids,
such as wheelchairs, walkers and crutches.
The organisation strove to provide an
adapted response, organising home-to-
hospital transport for patients, running a
mobile clinic and offering counselling.
The teams in charge of the last component
of the programme, accessibility, worked to
improve accessibility at home and give
patients greater autonomy: creating ramps,
support bars, access to toilets, etc. They
also offered cheap and easy advice on
improving mobility at home, such as raising
the height of the bed.
Handicap International is satisfied with the
results of the project. Thanks to awareness-
raising efforts, the teams were able to reach
more people than expected, helping to
significantly limit the consequences of the
disease. The project was closed in October
2011.
REPUBLIC OF CONGO
National staff: 25
Budget: 361.254
Principal donors:
ECHO, Luxembourg Ministry
of Foreign Affairs, World Health
Organisation
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EMERGENCY
N. FERRAND - HANDICAP INTERNATIONAL
N. FERRAND - HANDICAP INTERNATIONAL
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Handicap International worked in Ivory Coast until
2009, when the organisation handed over full control
of the last rehabilitation centre still under its
management to its Ivory Coast partner, Vivre Debout.
At the end of 2010, the results of the presidential
elections were disputed by the outgoing president,
Laurent Gbagbo. Violent fighting between Laurent
Gbagbo supporters and those of Alassane Ouattara,
the elected president, broke out across the country.
Ending in April 2011, the violence resulted in a massive
influx of gunshot victims into hospitals. Mdecins sans
Frontires decided to call upon the expertise of
Handicap International to provide early rehabilitation
services in order to prevent disabling complications for
those hospitalised.
Six expatriate physiotherapists worked
successively over six months to treat
patients, provide follow-up care, support
their return home and, if necessary, refer
them to other services, such as medical,
orthopaedic or social services. They initially
worked at the Nana Yamousso hospital
before the service was transferred to Port
Bouet.
In addition to patient treatment, Handicap
International prepared information leaflets
for patients and training materials for
medical staff. It was also interesting to see
the cooperation that was possible with the
facilities which had been supported by the
organisation a few years earlier, such as the
appliance centre, Vivre Debout, where
amputees could be sent to be fitted with
prostheses.
This project, which started in April 2011, was
closed in September 2011.
IVORY COAST
Budget: All expenses linked to this
project were engaged by Doctors
without Borders
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FINANCIAL REPORT
2011
Resultat
The result for the 2011 financial year is 1,445,208.17.
This outstanding result is largely due to a legacy of
1,032,000. In addition, a considerable sum was
collected thanks to Consortium 12-12. Furthermore, a
number of risks have disappeared, which has made it
possible for the provisions to be withdrawn. Finally, the
ongoing support of institutional donors, particularly
governments, has also contributed to the positive result.
Expenditure
In comparison to 2010, expenditure has fallen slightly
to 18,741,924.42, which is partly due to the fact that
fewer provisions were created and a technical correction
was made for the entry of exchange-rate variations. The
cost of fundraising has also dropped. Expenditure for
on-site activities remained the same.
Revenue
The most important sources of revenue can be broken
down into the following three categories:
I Revenue from governments: public funds, e.g. from
the European Union and the Directorate-General of
Development Cooperation (DGDC).
I Private revenue: private funds, e.g. from foundations,
large companies and other NGOs.
I Revenue generated by fundraising: privately genera-
ted funds, e.g. the returns on direct mailshots,
fundraising activities for emergency aid and events
such as Solidanza.
Revenue in 2011 was 20,187,132.59. Handicap Inter-
national received fewer institutional funds than in 2010,
but this was offset by an increase in revenue from
Consortium 12-12. The financial crisis resulted in a fall
in revenue from traditional fundraising activities, with
the exception of donations.
EXPENDITURE PER TYPE OF DEVELOPMENT PROJECT

Support to disabled
people organisation_26 %
Rehabilitation_18 %
Community-based
rehabilitation _26 %
Socio-economic
integration_3 %
Mother and
child health_16 %
Road Safety
_7 %
Inclusive education_4%
EXPENDITURE PER TYPE OF ACTIVITY
Development_62 %
Emergency_29 %
Mines_9 %
EXPENDITURES & INCOMES
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EXPENDITURES 2011 2010
Programme realisation 15.824.102 15.488.266
PROGRAMME IMPLEMENTATION 13.850.598 13.666.321
Investments 1.077.301 1.050.552
Material and
consumables 464.797 624.096
Other external expenses and costs 3.859.689 4.142.311
Taxes 37.085 52.034
Personnel costs 5.505.340 5.968.877
Partnerships and
other expenses 2.724.225 1.402.452
Various implementation expenses 182.161 425.999
TECHNICAL SUPPORT 1.973.504 1.821.945
Programme management 831.882 893.546
Specialised services 1.141.622 928.399
Lobbying and Education 542.984 809.188
Lobbying 446.207 634.045
Education 96.777 175.142
Fundraising 1.603.472 1.784.913
Appeal & management of donations
and sponsorship 1.212.310 1.354.801
Communication & events 391.162 430.111
General services 654.154 616.857
Charges 117.212 411.840
TOTAL EXPENDITURES 18.741.924 19.111.063
INCOMES 2011 2010
Public financing 10.999.996 13.007.276
INTERNATIONAL ORGANISATIONS 2.631.567 4.039.819
European Union 2.460.938 3.769.691
United Nations 170.630
ORGANISMES NATIONAUX 8.368.429 8.967.457
DGD 5.078.267 4.842.930
Belgian cooperation
& others 856.108 1.028.829
Organismes within
the European Union 1.867.406 2.718.442
Organismes outside of
the European Union 566.648 377.256
Private financing 845.921 863.509
Self-funding 7.499.749 5.207.334
Fundraising 3.272.227 4.067.355
Legacies and inheritances 1.477.888 426.954
Sales & services provision 0 60
Sponsoring 8.000 26.510
Others (Consortium 12-12) 2.741.635 686.455
Other operating income 264.107 200.242
Subsides 84.299 68.908
Costs billable to third parties 25.059 36.446
Other income 154.749 94.888
Financial resources 58.552 169.211
Financial income 58.553 14.593
Effect of exchange rate changes 0 154.617
Exceptional receipts 518.807 76.273
TOTAL INCOMES 20.187.133 19.523.845
RESULT 1.445.208 412.782
38
BALANCE SHEET
ASSETS 2011 2010
Intangible fixed capital 44.483 133
Tangible fixed capital 308.818 271.184
Buildings and fittings 262.899 236.084
Furniture and equipment 45.918 35.100
Financial fixed capital 49.363 59.176
Total fixed assets 402.664 330.493
Receivables 1.674.843 2.435.116
Commercial receivables 157.673 195.695
Revenues to be collected 20.354 0
Benefactors 1.272.936 2.132.091
Other receivables 223.881 107.330
Stocks 22.482 9.966
Liquid assets 6.546.335 4.384.385
Financial investments 259.729 283.197
Accounts with
credit companies 6.050.443 3.799.051
Cash funds 236.164 282.337
Internal transfers 0 19.800
Prepayments and deferred income 130.751 173.029
Total floating capital 8.374.412 7.002.495
TOTAL ASSETS 8.777.076 7.332.988
LIABILITIES 2011 2010
Association funds
and reserves 2.847.302 2.434.520
Result of financial year 1.445.208 421.782
Total association
funds 4.292.510 2.847.302
Provisions for costs 23.000 0
Provisions for risks 230.459 864.335
Provisions for disputes 22.716 0
Total provisions 276.175 864.335
Long-term debts 3.202 0
Short-term debts 3.944.088 1.764.870
Benefactors 1.522.930 1.034.432
Suppliers 2.206.299 585.368
Debts in relation
to tax and social costs 214.859 145.070
Prepayments and deferred income 261.101 1.856.481
Total debts 4.208.391 3.621.351
TOTAL LIABILITIES 8.777.076 7.332.988
W. DANIELS - HANDICAP INTERNATIONAL
39
Balance sheet total
The balance sheet total is 8,777,075.75, i.e. an increase of
19.69% compared to 2010. This is partly due to an increase in
liquid assets, thanks to the results of private fundraising. The
development of software has also led to an increase in
intangible fixed capital.
Financial security
The liquidity and solvency position of Handicap International
continues to improve. Handicap International is therefore able
to fulfil both its short- and long-term debt obligations. As a
safety measure, the organisation wishes to retain its own
capital to the value of the operational costs for three months
or 25% of the annual budget. This target has almost been
reached. The total of the associations funds in 2011 was, after
all, 23% of the budget.
Provisions
Financial provisions of up 304,216 euros that were booked in
previous years have been included, since the financial risk of
certain donors has disappeared.
We place great emphasis on the sound management of the

funds made available to us. All of the associations accounts are
audited by Ernst & Young. The 2011 accounts were adopted by
the general assembly on 15 June 2012. Furthermore, our project-
related expenditure is subject to regular specific audits on
behalf of our benefactors. Our budgets can only be deployed
once they have passed through strict internal procedures.
Through these external and internal audit mechanisms, we can
be certain that the funds we receive from our benefactors are
managed in the best possible way.
Right to information
Handicap International is an active member of an association
for ethics in fundraising (AERF-VEF - www.vef-aerf.be) and
endorses the AERF-VEFs code of conduct that explains your
right to information.
This annual report provides you with a large amount of
financial information. You can also request additional
information:
I A summary of the cost accounting;
I Notes on what the organisation understands by utilisation of
cost centres, particularly for fundraising;
I The auditors report;
I Pay ratio (ratio between the lowest and highest gross salaries;
I Amortization table.
You can request that these documents be sent to your address
by calling + 32 (0)2 280 16 01 or by e-mailing donateurs@
handicap.be or view them in person at our head office at Rue
du Spa 67, 1000 Brussels.
FINANCIAL TRANSPARENCY
Haiti
Gross 2011 revenue from Consortium 12-12: 93.994
2010 revenue spent in 2011: 1.230.711
Total spent in 2011: 1.324.705
We have previously discussed in this report how the afore-
mentioned funds were spent. Following the earthquake in January
2010, our teams wasted no time in initiating physiotherapy. Since
then, they have worked on socio-economic integration as well as
physical rehabilitation. In 2011, all of the revenue received from
Consortium 12-12 was spent. Handicap International will remain in
Haiti in the coming years.
Pakistan
Gross 2011 revenue from Consortium 12-12: 158.036
2010 revenue spent in 2011: 345.564
Total spent in 2011: 503.600
In July and August of 2010, Pakistan was hit by severe flooding,
resulting in millions of casualties. The above-mentioned funds were
used by the Handicap International Federation, which provided
emergency parcels, drinking water, support points for people with
disabilities and shelters. In 2011, all of the revenue received from
Consortium 12-12 was spent, but Handicap International will continue
to run projects in Pakistan.
East Africa
Gross 2011 revenue from Consortium 12-12: 1.067.120
2010 revenue spent in 2011: 882.391
Total spent in 2011: 133.465
In 2011, the worst famine since 1991 broke out in East Africa. Handicap
International helped those most vulnerable in the Dadaab refugee
camp. The organisation ensured that they had access to the
humanitarian aid they required. In addition, teams from Handicap
International provided rehabilitation, walking aids and psychological
guidance.
EMERGENCY AID CAMPAIGNS
SUPPORTED BY CONSORTIUM12-12
www.1212.be
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INTERNATIONAL PUBLIC DONORS
European Union
EuropeAid Cooperation Office
Humanitarian Aid Department of the
European Commission (ECHO)
The United Nations
Mine Action Coordination Center
(UNMACC)
United Nations Childrens Fund
(UNICEF)
World Health Organisation
(WHO)
Other
World Bank
NATIONAL PUBLIC DONORS
Public donors in Belgium
General Direction to Development
of Belgium (DGD) -
Programme and Emergency Aid and
short term rehabilitation
Ministry of Foreign Affairs of Belgium -
Conflict Prevention
Brussels Capital Region
Government of Flanders
Province of Limburg
Wallonie Bruxelles International
(WBI)
National public donors inside
the European Union
Austrian Development Agency
(ADA)
City of Luxembourg
Dutch Embassy in Republic of Korea
Dutch Ministry of Foreign Affairs
(BUZA)
French Development Agency
(AFD)
French Embassy in China
French Ministry of Foreign and European
Affairs - The Crisis Center
German Ministry of Foreign Affairs
Ministry of Foreign Affairs of Germany
Spanish Agency for Development
International Cooperation
(AECID)
Swedish International Development
Cooperation Agency
(SIDA)
National public donors outside
the European Union
Australian Agency for International
Development
(AusAid)
Cambodian Ministry of Education
Cambodian Ministry of Social Affairs
(MOSVY)
Canadian Embassy in China
(Canada Fund)
Norwegian Ministry of Foreign Affairs
Office of Foreign Disaster Assistance
(OFDA)
Swiss Agency for Development
and Cooperation
(SDC)
United States Agency for International
Development
(USAID)
PRIVATE DONORS
(NGO AND FOUNDATIONS)
Anova Seafood BV
Australian Red Cross
Belgian National Lottery
Big Lottery Fund (BIG)
Children for a Better World
EDF China
First State Investments
Dr. Gustav Krau Krankenhaus Foundation
Gertrude Hirzel Foundation
Global Road Safety Partnership (GRSP)
Half Marathon Committee (HMC)
International Campaign to Ban Landmines
(ICBL) - Cluster
International Traffic Safety Data and
Analysis Group (IRTAD)
International Union for Health Promotion
and Education (IUHPE)
King Baudouin Foundation
Munition Coalition (CMC)
Johns Hopkins Bloomberg School
of Public Health
Kadoorie Charitable Foundation (KCF)
Karl Storz Company
Livability Ireland
Martin Iversen
Olympus KeyMed
Partnerships for Community Development
(PCD)
Sanofi Aventis
Vlaamse Stichting Verkeerskunde
OTHER SECTIONS OF
Handicap International Luxembourg
contributed financially to support
Inclusion of people with disabilities
in Potosi province, Bolivia
Together to act in favour of people
with disabilities in Burundi
Support to associations for people
with disabilities network in Burundi
Happy child prevention project
in Cambodia
Improving rehabilitation services and
development of prevention activities
in Chamdo, A.R. Tibet, China
Capacity building and implementation
of advocacy activities from associations
of people with disabilities in Colombia
Community-based rehabilitation in Cuba
Prevention of disabling sequelae
in humanitarian crisis and conflict
situation in East of DR Congo
Support to KORD Kurdish Organisation
for the Rehabilitation of the Disabled, Iraq
Prevention, early detection and intervention
for children with disabilities or at risk,
Savannakhet, Lao PDR.
Implementation of two spinal cord units
in North Vietnam
Handicap International United States
contributed financially to support
the action of the Ban Advocates.
DONORS
Responsible editor: Jan Brigou
Handicap International
Rue de Spa, 67 - 1000 Brussels - Belgium
Tel.: +32 (0)2 280 16 01
Fax: +32 (0)2 230 60 30
E-mail: info@handicap.be
www.handicapinternational.be
IBAN : BE80 0000 0000 7777
BIC : BPOTBEB1
Editors: Lies Ryckeboer, Aurore Van Vooren
Lay-out/Design: Beltza (chiqui@beltza.be)
Printing: Enschede-Van Muysenwinkel
Translation: ISO Translation
Front page image: D. TELEMANS
Free publication.
Contact Handicap International for extra copies.
Een Nederlandstalige versie is op verzoek beschikbaar.
Une version franaise est galement disponible.
HANDICAP INTERNATIONAL FEDERATION
14, avenue Berthelot
F-69361 Lyon - Cedex 07
Tel.: + 33 (0)4 78 69 79 79
Fax: + 33 (0)4 78 69 79 94
E-mail: contact@handicap-international.org
_ _ _
Handicap International Belgium
Rue de Spa 67
B-1000 Brussels
Tel.: +32 (0)2 280 16 01
Fax: +32 (0)2 230 60 30
E-mail : info@handicap.be
Handicap International Canada
1819, boulevard Ren-Lvesque Ouest
Bureau 401
Montral (Qubec) C-H3H 2P5
Tel.: + 1 514 908 2813
Fax: + 1 514 937 6685
E-mail : info@handicap-international.ca
Handicap International France
16, rue Etienne Rognon
F-69363 Lyon Cedex 07
Tel. : +33 (0)4 72 72 08 08
Fax : +33 (0)4 26 68 75 25
E-mail : info@handicap-international.fr
Handicap International Germany
Ganghoferstr. 19
D-80339 Mnchen
Tel.: + 49 (0)89 547 6060
Fax: + 49 (0)89 547 60 620
E-mail : info@handicap-international.de
Handicap International Luxembourg
140, rue Adolphe-Fischer
L-1521 Luxembourg
Tel. : + 352 (0)42 80 60 1
Fax : + 352 (0)26 43 10 60
E-mail : contact@handicap-international.lu
Handicap International Switzerland
Avenue de la Paix 11
CH-1202 Genve
Tel. : + 41 (0)22 788 70 33
Fax : + 41 (0)22 788 70 35
E-mail : contact@handicap-international.ch
Handicap International United Kingdom
27 Broadwall
London SE1 9 PL
Tel. : + 44 (0)870 774 37 37
Fax : + 44 (0)870 774 37 38
E-mail : info@hi-uk.org
Handicap International United States
6930 Carroll Avenue - Suite 240
Takoma Park, MD 20912-4468 - USA
Tel. : + 1 301 891 2138
Fax : + 1 301 891 9193
E-mail : info@handicap-international.us
www.handicap-international.org
HANDICAP INTERNATIONAL NETWORK
Handicap International is an international non-
governmental organisation and helps people with
disabilities and vulnerable people in more than 60
countries. The organisation is mainly known for its
fight against landmines and cluster munitions and
helping the victims of these unexploded devices.
As a co-founder of the International Campaign to
Ban Landmines, the organization received the Nobel
Peace Prize in 1997. This award was in recognition
of its work on behalf of the victims of landmines.
However, Handicap Internationals mandate is not
limited to physical rehabilitation for people with
disabilities. The organisation implements projects on
the prevention of disabilities and provides support
for people with disabilities by ensuring they can fully
take part in social life. In addition to this, Handicap
International also provides support in emergency
situations, for instance, in the aftermath of natural
disasters and humanitarian crises. Handicap Interna-
tional is member of the Consortium 12-12, the Belgian
Consortium for Emergency Situations.
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Under the patronage of Her
Royal Highness Princess Mathilde www.handicapinternational.be

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ACTIVITY REPORT BELGIAN SECTION

In June 2011,during Handicap International

MOTHER AND CHILD HEALTH

According to the World Health Organisation, Benin has amongst the

In Burundi, around 10 % of the population lives

L. AERTS - HANDICAP INTERNATIONAL

Unexploded armaments such as landmines

These physical rehabilitation projects have

Handicap International began working in DPR Korea in

Handicap International has been working in Vietnam

P. DE VUYST - HANDICAP INTERNATIONAL

EXPENDITURE PER TYPE OF DEVELOPMENT PROJECT

We place great emphasis on the sound management of the

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