2012 Sihanouk Hospital Center of HOPE trains medical professionals and provides free high quality medical care for the poor and needy in Cambodia.

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1 2012 Annual Report Sihanouk Hospital Center of HOPE trains medical professionals and provides free high quality medical care for the poor and needy in Cambodia.

Director s Message Speak up for those who cannot speak for themselves, for the rights of all who are destitute. Speak up and judge fairly; defend the rights of the poor and needy.

2 Director s Message Speak up for those who cannot speak for themselves, for the rights of all who are destitute. Speak up and judge fairly; defend the rights of the poor and needy. These are ancient words, written well over 2000 years ago. They speak of a different time and a different people. Yet here in Cambodia these words are alive and speak volumes. They also describe the work of the Sihanouk Hospital Center of HOPE. This annual report is dedicated to the hospital's team of hardworking staff and volunteers. In 16 years of existence, SHCH has delivered 1,203,631 patient consultations, trained over 3,500 medical professionals and opened three additional medical facilities to adapt to Cambodia's growing health care needs. In 2012, the Women's Health Clinic continued to champion its mission to help Cambodian women gain access to high quality health care delivered in a respectful environment regardless of their ability to pay. As the international community recognizes the leaps in progress made in the country's fight against HIV and tuberculosis, we are proud to be partners with both government and nongovernment organizations in helping make these milestones happen. We have seen 2012 as the year where more patient consultations and services have been delivered through the hospital and our affiliated centers than previous years on record. It is through the devotion of our partners, staff and volunteers that this work is possible. Your continued support allows us to speak up, to protect, to defend--on behalf of the poor and needy. Thank you. Don Fetherman Country Director

3 A Patient Story -- Den Sokhoun Cambodia is home to a multi-billion dollar garment industry. While the economic development has provided hundreds of thousands with jobs, workers continue to fight for better wages and improved working conditions. Over 90% of these workers are young women from different provinces. Working six days a week on 10-hour shifts, a factory worker's wages amount to about $70 a month. Den Sokhoun has been a garment factory worker for years. Feeling pain in her joints and extremities, she was forced to take precious time off from work to find treatment, knowing full well that she may not be able to afford it. From the province of Kampong Cham, Sokhoun traveled almost three hours to the capital of Phnom Penh with her mother to seek help. They found out about the Sihanouk Hospital Center of HOPE. With the help of a motorbike driver, Sokhoun came to the hospital--anxious about her condition and afraid of what it will cost. Doctors found a large tumor growing inside Sokhoun's abdomen. She was taken to surgery where the tumor was found attached to her aorta and removal was too risky. Sokhoun is 23 years old. As a result of her condition, Sokhoun developed dermatomyositis. She suffered from high fever in addition to her joint pains. Dr. Kruy Lim, head of the Internal Medicine Department, followed up and immediately started treatment to ease Sokhoun's discomfort. After being treated at the hospital for 18 days, and with her condition managed by proper medication, Sokhoun got better. Her joint pains also receded. There are great doctors here and the nurses took excellent care of me. Thank you so much. -- Den Sokhoun Doctors found the tumor to be benign. Sokhoun is now back at home with her parents, grateful for her new lease on life. All the professional services rendered, weeks of stay in the hospital, medications administered and surgery were given free of charge. "I think she will live for a long time." -- Dr. Kruy Lim, Medical Director

4 I am well aware of many great efforts that have been made by a number of organizations to assist my country, but none have had a greater impact than the Sihanouk Hospital Center of HOPE. -- H.E. Sereywath Ek Former Ambassador of Cambodia to the United States 1,203,631 Patient Consultations Since 1996

As a Western volunteer, it s very encouraging to see the tenured Cambodian staff instructing the younger Cambodian doctors.

knowledgeable ones, lessening the need for foreign instruction. --Dr.

In 2012, 54 specialists from nine countries contributed to the training and development of SHCH staff as well as medical professionals from all over

5 As a Western volunteer, it s very encouraging to see the tenured Cambodian staff instructing the younger Cambodian doctors. Sustainable healthcare in Cambodia will develop only when knowledge is dispersed from more experienced Cambodian physicians to the less knowledgeable ones, lessening the need for foreign instruction. --Dr. Michael Paling Radiologist from USA Our Mission The SHCH Training program continues to be strongly supported by international volunteers. In 2012, 54 specialists from nine countries contributed to the training and development of SHCH staff as well as medical professionals from all over Cambodia. Total: Workshop and Training Program par cipants Medical and University Students Trained at SHCH (1996-present) Total: 3,

6 Sihanouk Hospital Center of HOPE conducted Outreach and Training ac vi es in 22 of 24 provinces throughout the country.

Our Impact 442 HIV patients received care and support 6,612

delivered more patient consultations and services than any

Our Community Outreach Team serves a target area of 13

48,208 Patient consultations and services delivered at SHCH

7 Our Impact 442 HIV patients received care and support 6,612 HIV Home Visits As the country develops, SHCH continually adapts to its growing needs. This year, the hospital and its affiliated facilities have delivered more patient consultations and services than any other year on record. Our Community Outreach Team serves a target area of 13 communes (total population 137,560). 48,208 Patient consultations and services delivered at SHCH Hospitaliza ons 1,012 Surgical 3,102 Chronic Care Facility Telemedicine Mobile Clinics 11,579 HIV cohort 19,652 EHC 1,449 TB Clinic 5,949 Emergency 5,465 TB clinic Mobile Clinic

8 Pochentong Medical Center Embassy Medical Center Community Medical Center Diagnostic Center Surgical Center Women s Health Clinic

Our Reach HOPE worldwide Medical Centers (HMC) In 2007, HOPE worldwide Medical Centers (HMC) were developed as a social enterprise to meet the need for quality, affordable primary health care while

9 Our Reach HOPE worldwide Medical Centers (HMC) In 2007, HOPE worldwide Medical Centers (HMC) were developed as a social enterprise to meet the need for quality, affordable primary health care while also creating a sustainable revenue source for Sihanouk Hospital Center of HOPE. HMC offers one of the only medical practice facilities whose fees vary according to the patient s ability to pay. HMC provided 88,986 outpatient visits and 7,021surgical procedures and consultations in 2012.

10 We make a living by what we get, We make a life by what we give. -- Winston Churchill

11 Our Finances Finances Revenue Sources TB Reach 7% Other Restricted Grants 9% Total Revenue (Cash Only) In Kind Donations (US Price) Total Expense (Cash Only) $ 3,123,235 $ 952,694 $ 2,856,616 ITM 6% Global Fund 24% Unrestricted Grants 40% Medical Center Dona on 10% Individuals/other 4% With support from HOPE worldwide Medical Centers, SHCH is diversifying revenue sources and adopts costsavings measures without negatively impacting patient care.

A Donation that Inspires Chap Salim, 71, an elderly resident of Phnom Penh, was admitted to Sihanouk Hospital Center of HOPE for hypertension and a degenerative, aching hip.

12 A Donation that Inspires Chap Salim, 71, an elderly resident of Phnom Penh, was admitted to Sihanouk Hospital Center of HOPE for hypertension and a degenerative, aching hip. When she was released from the hospital, she went home feeling compelled to someday give back. After saving for seven years, Salim returned to donate $1,000 to the hospital. I am so happy to donate this money. I trust this hospital to provide free medical care to the poor. I don t want anything in return. -- Chap Salim patient turned donor

Our Partners Major Supporters and Partners American Schools and Hospitals Abroad AmeriCares Foundation Asia Health Education Foundation Astra Zeneca Pharmaceuticals Australian Embassy Build Cambodia

Commission Family Health International General Electric Global Fund for AIDS, TB, and Malaria, Cambodia Habitat for Humanity, Cambodia Health Volunteers Overseas Major Individual Donors Anonymous

HOPE worldwide Japan HOPE worldwide UK Institute of Tropical Medicine, Antwerp Japan Relief for Cambodia Kaiser Permanente Khmer HIV/AIDS NGO Alliance Medical Associates/ Atrius Health Ministry of

13 Our Partners Major Supporters and Partners American Schools and Hospitals Abroad AmeriCares Foundation Asia Health Education Foundation Astra Zeneca Pharmaceuticals Australian Embassy Build Cambodia The Capital Group Companies Center for Connected Health CENAT, Cambodia Clinton Health Access Initiative CNM, Cambodia The Charitable Foundation, Australia Direct Relief International European Commission Family Health International General Electric Global Fund for AIDS, TB, and Malaria, Cambodia Habitat for Humanity, Cambodia Health Volunteers Overseas Major Individual Donors Anonymous Donors Vincent Borrelli Mara Fornaro William Ganong Mary Hamilton Soun Lay Aliza Mason Emily Morse Eunice Olsen Ian Tootill Ben Yang Hoops for HOPE program HOPE worldwide HOPE worldwide Australia HOPE worldwide Japan HOPE worldwide UK Institute of Tropical Medicine, Antwerp Japan Relief for Cambodia Kaiser Permanente Khmer HIV/AIDS NGO Alliance Medical Associates/ Atrius Health Ministry of Health, Cambodia NCHADS, Cambodia Operation USA USAID World Health Organization - Western Pacific Regional office of WHO - Stop TB Partnership World Mate Board of Directors Mr. Bernard Krisher, Chairman of the Board Founder, Japan Relief for Cambodia Dr. Haruhisa Handa, Vice-Chairman Founder, World Mate Mr. Randy Jordan, Board Member CEO, HOPE worldwide We are very grateful for all donations received. You are changing lives in Cambodia. Thank you!

14 If you want to go fast, go alone. If you want to go far, go together. -- African proverb To our partners, senior management team, dedicated staff, volunteers and donors, thank you for 16 years of walking this path together.

15 Senior Management Team Mr. Don Fetherman Executive Director & HOPE worldwide Country Director Dr. Sutton Whitaker, MD Deputy Director of Research & Health Services Dr. Tan Kim Meng, MD Deputy Director of Development Dr. Sopheak Thai, MD Chief Medical Officer Director of Infectious Disease Department and Grant Manager Mr. Keith Goodwin Chief Administrative Officer Dr. Preap Ley, MD Chief of Surgery Dr. Kruy Lim, MD Medical Director Mrs. Grace Whitaker Human Resources Director Dr. Khun Rithya, MD Medical Chief of Staff Mrs. Keo Rotha Nursing Director

16 This annual report is in honor of the memory of our beloved King Father Norodom Sihanouk, His late Majesty the King Father Preah Karuna Preah Borom Ratanak Kaudh

18 managed by HOPE worldwide is a 501(c)(3) organization Sihanouk Hospital Center of HOPE Local: Street 134, Sangkat Vealvong, Khan 7Makara, Phnom Penh, Cambodia Mail to: P.O. Box 2318, Phnom Penh3, Cambodia / Tel: (855-23) / Fax: (855-23) info@sihosp.org / US Address : HOPE worldwide 1285 Drummers Lane, Suite 105, Wayne, PA Tel:

ANNUAL ANNUAL ទ យ រព ស ហ REPORT រ ម ន ណ ល នក សង ឃ ម REPORT. r of HOPE SIHANOUK HOSPITAL

ANNUAL ANNUAL ទ យ រព ស ហ REPORT រ ម ន ណ ល នក សង ឃ ម REPORT. r of HOPE SIHANOUK HOSPITAL ANNUAL ANNUAL REPORT REPORT ម r of HOPE Cente ន ទ យ រព ស ព ហ រ ម ន ណ ល នក សង ឃ ម 2017 2017 SIHANOUK HOSPITAL Table of contents Donation and letter from Her Majesty... 1 Country Director s note... 2 Message