2014 Annual ReportOne Heart World-Wide

www.oneheartworld-wide.org1818 Pacheco Street

San Francisco, CA 94116415 - 379 - 4762

Together we deliver

lasting change

In 1997 One Heart World-Wide founder Arlene Samen had a life-changing encounter with His Holiness the Dalai Lama. At the me, one in ten Tibetan

newborns were dying in childbirth and His Holiness asked Arlene to go to Tibet and help the local women and infants. In response, Arlene founded One H.E.A.R.T (Health Educa on and Research in Tibet), a nonprofit organiza on focused on training community members, healthcare professionals, and new mothers in

lifesaving skills and safe birthing prac ces. One H.E.A.R.T. also provided essen al supplies and equipment to assure safe deliveries. During One H.E.A.R.T’s ten years

in Tibet, these interven ons were refined and developed into the effec ve, replicable, and sustainable model that we now call the “Network of Safety.” The

Network of Safety facilitates improved maternal and neonatal health by introducing long-term systemic changes into a community.

In 2008, poli cal unrest led One H.E.A.R.T to transfer complete program ownership to our local Tibetan staff. The organiza on was incorporated locally and con nued to implement the Network of Safety model. Since then, the Tibetan program has

con nued to grow, reaching over 50% of the Tibet Autonomous Region today. A er exi ng Tibet, we took our model to a global scale as One Heart World-Wide, a 501(c)(3) nonprofit providing on-the-ground training in maternal and neonatal health in Nepal and Mexico. Since One Heart World-Wide’s 2010 arrival, there have been dras c declines in both maternal and neonatal mortality rates in the

regions served in Nepal and Mexico. This year we are proud to report that we have successfully transi oned our Mexico program over to a local partner that will

ensure the program’s long-term sustainability. This transi on will allow us to focus our efforts in Nepal, where we will expand our opera ons to serve 35 districts in

need by the year 2025.

The One Heart Story

“We deliver

saving lives now

and into the future.”

long-lasting systemic change,

Dear Friends,

What a year! In 2014 we have seen amazing results in our Northern Nepali districts, in Mexico with the indigenous Tarahumara popula on, and in the jungles of Ecuador where we have provided technical assistance. I am thrilled to share with you that in 2014 we had no maternal deaths in the en re Nepali district of Baglung! This remarkable achievement is the first on record for the en re area, which previously suffered around 30 deaths annually.

I am excited to tell you about our big plans in Nepal to reach 200,000 more women by the year 2025, expanding our capacity to poten ally save many more lives a year. In 2015 alone we are poised to begin offering services to thousands who s ll desperately need maternal healthcare in the districts of Sindhupalchok, Dhading, and Bhojpur, growing our reach to serve over 17,000 women in 2015. Learn more about our plans for the future in the following pages.

Your support has made—and con nues to make—a tremendous difference in what One Heart World-Wide is able to accomplish. We thank you for your trust and generous investment in our mission—you help us deliver las ng, lifesaving change around the world.

With deep gra tude,

Arlene Samen Founder and President One Heart World-Wide

P.S. We would love for you to stay engaged with us throughout the year! To learn more about what we’re up to year-round, follow us on Facebook and Twi er.

5

Every 22 minutes, a womandies in childbirth and

99% of mmaternal deaths occur in developing countries. Many of

these preventable deaths occur in rural areas where women give birth at home, o en alone and under unsanitary condi ons

witout a Skilled Birth A endant.*

*World Health Organiza on, Maternal Mortality Fact sheet, May 2014

One Heart World-Wide is a nonprofit organiza on empowering communi es to save the lives of

mothers and newborns in the most remote areas of the world.

We work within exis ng health infrastructures to prevent maternal and newborn deaths by promo ng safe and clean deliveries, training community health workers, and upgrading exis ng health posts to meet

na onal standards for birthing centers.

We deliver scalable solutions

Teach families to recognize pregnancy complica ons and prepare a birth plan

Educate communi es on safe motherhood prac ces and emergency evacua on for deliveries

Female Community Health Volunteers and Community Health Workers are trained to provide essen al maternal and child health outreach (enroll women in prenatal care, recognize and address danger signs, and refer expectant mothers to a Skilled Birth A endant)

Build capacity within the local health system through

government partnerships

Upgrade health posts and referral hospitals to provide

necessary obstetrical services

Provide funds and equipment for nurses to a end Skilled Birth

A endant training to serve upgraded birthing centers

The Network

CommunityGovernment

Health Facility

Skilled BirthA endant

Community Outreach Provider

Family

Mother

Safety Modelof

surrounds a mother and her child

We deliver safe pregnancies

In 2014 we developed a strategic plan and signed a contract to expand services with the Nepali government. We are now raising funds to scale up across Nepal and serve 35 of 75 districts by the

year 2025.

We partner with the Nepali government’s exis ng Female Community Health Volunteer system, in which each community

elects a woman to become trained in basic healthcare and health advocacy to serve the community. We provide essen al

trainings on maternal and neonatal healthcare to these volunteers so they can be er serve the women and infants in their areas.

When we establish new birthing centers we ensure that women can deliver in a safe facility with a cer fied Skilled Birth A endant,

dras cally improving the chance that a woman and her baby will survive and thrive long past the delivery process.

An overvie

ew of 2014

Dolpa

KTM

Current

20152016

2017

2018 - 2025

We deliver results

8,350Pregnancies Served

19Birthing Centers Upgraded

Community Outreach Providers Trained

41Skilled Birth Attendants Trained

990

Nepal at a Glance 2014

District of Baglung 2014

41% (baseline 20%*)of deliveries were conducted by a Skilled Birth Attendant

65% (baseline 40%*)of women received appropriate antenatal and postnatal care

45% (baseline 25%*)of deliveries occurred in certified facilities

2011

2014

2013

2012Upgraded birthing centers by year

Bobang

Nissi

Bohoragaun

Devisthan

Rajkut

Darling

Burtibang

Bhingithe

Gwalichaur

Jaljala

DagatumdandaRigha

Shisakhani Malma

Kandebas

Sukhaura

Saly

an

Batakachaur

Hu

gd

ish

ir

Dh

ull

ub

asn

ko

t

Chisti

Rangkhani

Jaidi

Paiyunthanthap

Sark

uwa Binamare

KumisheraDamek

RayadandaAmalachaur

NarayansthanPaiyun Pata

BhakundeyTityang

Resh

Singana

Baglung Municipality

Lek

ha

na

DudilabhatiHatiya

Naret

hanti

Bihunkot

Malika

Bh

imp

ok

ha

ra

Tangram

Dhamja

An

arb

hu

mi

Argal

Harichaur

Hila

Tara

Pandavkhani

Ranasingkiteni

Khunga

Taman

BungadobhanAdhikarichaur

Khungkhani

0

5

10

15

20

25

30

35

40

45

0

50

100

150

200

250

300

350

400

450

2010 2011 2012 2013 2014

Neo

nata

l mor

talit

y ra

te

per 1

,000

live

birt

hs

Mat

erna

l mor

talit

y ra

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r 100

,000

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birt

hs

Year

Maternal and Neonatal Mortality 2010-2014

Neonatal mortality rateMaternal mortality ra o

*baseline survey conducted in 2010

Bhijer

Saldang

Tinje

Chharka

Mukot

Sahartara

Lawan

Raha

DunaiMajhfal

Jufal

Tripurakot

Dho

Suhun

LahaLikhu

Pahada

Kaigaun

Rimi

SarmiNarku

Kalika

Phoksundo

2014

2011

2012

2013

2011

2014

2013

2012Upgraded birthing centers by year

District of Dolpa 2014

34% (baseline 3%*)of deliveries were conducted by a Skilled Birth Attendant

32% (baseline 0%*)of women received appropriate antenatal and postnatal care

23% (baseline 1%*)of deliveries occurred in certified facilities

0

20

40

60

80

100

120

0

200

400

600

800

1,000

1,200

1,400

1,600

2011 2012 2013 2014Year

Maternal and Neonatal Mortality 2011-2014

Mat

erna

l mor

talit

y ra

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r 100

,000

live

birt

hs

Neonatal mortality rateMaternal mortality ra o

Neo

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te

per 1

,000

live

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*baseline survey conducted in 2010

KTM

District of

Dhading

We are poised to roll out full implementation of our lifesaving programs in the Dhading district of central Nepal in 2015. Efforts will be focused on establishing essential new birthing centers and conducting trainings with community health

volunteers and Skilled Birth Attendants.

In 2014 we finalized a formal agreement with our government partners, the District Health Office, and conducted a needs assessment to guide our work in the district. We also hired a District Coordinator, Administrative Assistant, Field Supervisor, and Training Supervisor and set up a local office space with the District Health Office.

Trainings for Community Health Volunteers begin in mid-January 2015.

We are eager to begin offering services in this district, which sees far too many preventable deaths each year.

"Through an elegantly simple approach of training and equipping the right people in the right way, One Heart saves lives efficiently and affordably. Because they work with the government system that is already in place, their impact has the poten al to scale throughout the remote areas of Nepal and beyond."

Kevin Starr, M.D.Rainer Arnhold Fellows ProgramMulago Founda on

IntheField

Fifteen-year-old Tashi suffered in labor for more than a day before she walked for five hours through high mountain passes to reach the nearest One Heart

World-Wide birthing center in Dunai. She received four prenatal check-ups at the recommendation of a One Heart trained community outreach volunteer and was told about the importance of a safe delivery so she bravely decided to make the

trek to a Dunai birthing center even though neither her family nor husband could accompany her due to the demands in the field during harvest season.

After over four more hours of labor in the birthing center, she received an episiotomy—a procedure that proved lifesaving for both her and her baby. When

Tashi’s baby was born he was lifeless and blue. The Skilled Birth Attendant and doctor worked together with bag and mask, suction device, and a laryngoscope to revive the baby and clear his airway. Once he breathed his first breaths on his own

he was placed in an incubator. Tashi was grateful for her own life and her baby's and vowed to champion the importance of safe births in her village. Community

outreach volunteers, Skilled Birth Attendants, medical equipment, and a safe environment with electricity were all critical to the survival of both baby and

mother.

Together we deliver lifesaving care

The RoadAhead

Wedeliver

solu ons for the future

The Problem

200,000 pregnant women annuallyin 35 districts in Nepallack adequate maternal and neonatal healthcare

Maternal and neonatal mortality are

2-3 mes the na onal average

One Heart World-Wide is one of the only organiza ons partnering with the government and local NGOs to cover these areas of desperate need.

One Heart’s Solu on

Add services to 3 more districts in 2015

Increase services to 4 more districts every year from 2016-2025

First 6 months

program set up

full program implementa on with trainings and facility upgrades

Next 18 months

Program delivery meline for a new district

Following 18 months

Last 24 months

quality assessment to ensure sustainability, effec veness of training and outreach, and

quality of facili es

con nued monitoring and evalua on and transi on process to

District Health Office

Following 5 and ½ years of One Heart World-Wide presence in a district, the District Health Office is prepared to sustain the high quality program on an ongoing basis and we transfer the

en re program to their management.

One Heart World-Wide creates a self-sustaining network of safety for women and newborns

along a con nuum of care from pregnancy to the post-natal period.

In collabora on with government partners and local stakeholders, One Heart World-Wide

• Develops basic health infrastructure• Provides maternal health educa on to

communi es and health providers• Fosters community empowerment

• Integrates informa on technology into medical service provision to enable more efficient and

effec ve communica on and evalua on

8,350

17,000

26,711

44,960

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

2014 2015 2016 2017

Expe

cted

pre

gnan

cies r

each

ed

4 Year Plan

Added Districts:

Sindhupalchok Bhojpur

Added Disctricts:

Sindhuli Jarjarkot Pyuthan

Rolpa

Added Districts:

Dolakha Udayapur

Baitadi Salyan

The transition from Mexico

We deliver sustainability

One Heart World-Wide is pleased to report on the successful transfer of our Mexico program to a local partner, ensuring long-term sustainability and local ownership for

the program. The program provides cri cally needed maternal and neonatal healthcare services to the indigenous Tarahumara, whose popula on had

experienced the highest maternal mortality rate in all of Mexico before One Heart World-Wide began working there.

Local founda on Vida Digna has worked for 10 years to serve indigenous inhabitants of the Sierra Tarahumara by providing educa onal and health programs. Vida Digna approached One Heart World-Wide in 2013 reques ng a partnership to fund and

implement our maternal and neonatal health programs there. Over the last year One Heart World-Wide and Vida Digna program staff worked closely together to ensure a

seamless transi on and the transfer was finalized with a memorandum of understanding in May of 2014.

All staff, partnerships, and assets of One Heart Mexico were transferred to Vida Digna, who con nues to implement the One Heart model to deliver services to those who need it most in their country. One Heart World-Wide is now ac ng as technical consultant to the program and will con nue to work with Vida Digna as advisors to

ensure the its con nued success.

Partne

erships

The Nepali Government

We do not establish a parallel healthcare system,

but strengthen exis ng governmental and local

capacity

One Heart World-Wide works in close collabora on with the government of Nepal, partnering with the Family and Child Health

Divisions of the Ministry of Health and Popula on to make safe deliveries possible in Nepal. Our service delivery model aligns itself

with the priori es, policies, and curricula of the governmental healthcare systems in the districts where we work. The model is endorsed at the na onal, regional, and local level,

facilita ng a natural partnership for implementa on with the government.

One Heart World-Wide:• Renovates and fully-stocks exis ng health

posts to become func oning cer fied birthing centers

• Trains the government’s nurses to become cer fied Skilled Birth A endants

• Is the implemen ng government partner for all maternal and child health educa on for

Community Health Volunteers$2,000,000

$860,000

Es mated Total Investment per District

Nepali Government One Heart World-Wide

5 1/2 year periord

Our government partners provide:

• Health facili es to upgrade

• Salaries for all health providers working in upgraded facili es

• Refresher trainings for health workers

• Financial incen ves to pregnant women receiving care in birthing centers

• Equipment replacements in the upgraded facili es as needed

• Basic birthing center supplies

For years other organiza ons have sought out One Heart World-Wide’s guidance to implement our maternal healthcare model in their programs. In 2014 One Heart

World-Wide con nued to provide ongoing support for Jungle Mamas, a vital motherhood program for rainforest advocacy organiza on, The Pachamama

Alliance. Jungle Mamas u lizes One Heart World-Wide’s Network of Safety model to ensure that all of the indigenous Achuar women of the Ecuadorian Amazon

have access to culturally and spiritually adapted maternal and neonatal healthcare.

One Heart President Arlene Samen traveled to Ecuador in August to facilitate collabora on with the Ecuadorian Ministry of Public Health for service provision and training opportuni es. One Heart Chief Opera ng Officer Sibylle Kristensen

and Arlene also advised The Pachamama Alliance on best prac ces in data collec on, accountability, and sustainably scaling up within the Jungle Mamas

program.

Thanks to the Network of Safety model, in 2014 there were no reported maternal deaths in the area, over 300 birthing kits were distributed to expectant mothers, and 42 maternal and child health providers have now received training. Further, for the first me in history the local team has been able to collect sta s cs on

birth outcomes, allowing the team to measure the program’s success.

One Heart World-Wide staff are proud to provide technical assistance to The Pachamama Alliance in their important work to save a society at risk of vanishing.

Partnership with Jungle Mamas

In 2014 we laid the groundwork to undergo a full-scale program implementa on over the next two

years with partner organiza on Medic Mobile. By 2016 the program will reach 40 communi es in the district of Baglung and 800 community health volunteers will

be trained to use a cell phone containing Medic Mobile’s innova ve SIM card. Using their new phones,

community health volunteers in remote villages will track every pregnancy, antenatal care visit, birth

outcome, and postnatal care visit. If signs of health complica ons are detected during visits with new or expectant mothers the Medic Mobile pla orm will

send automated recommenda ons for immediate ac on.

Key organiza onal partnerships

WE CARE Solar designed “Solar Suitcases” toprovide maternal health workers with a compact

and easy-to-install light and power system in developing countries. In 2014 we installed 10 of WE CARE Solar’s suitcases in our birthing centers that needed the light and power most urgently.

Electricity is extremely unreliable in much of ruralNepal where we work, and the solar suitcases

provide essen al ligh ng for nigh me deliveriesand power for birthing center equipment when

electricity is unavailable for around 8 hours a day. In 2015 we plan to install 10 more suitcases to ensure that the Skilled Birth A endants in our

newest birthing centers have the power and light they need to conduct safe deliveries.

One Heart World-Wide has partnered with local organization Karuna Sechen since 2013 to implement a pelvic organ prolapse prevention and treatment program in the districts where we work. An estimated 25% of Nepali women suffer from pelvic organ prolapse, a condition with serious consequences on women’s health and general wellbeing.

During the last year we trained 66 community health volunteers, 13 health workers, and 24 health facility management committee members on screening, prevention, and treatment for the condition. Trained staff also treated 60 women for the condition.

Additional training and screening programs will take place in January and February of 2015 in the District of Baglung to serve 10 more communities. One Heart World-Wide will also begin implementing the program in the district of Dhading in 2015.

Investment

Commun ty

Community investment and partnership are key to One Heart World-Wide’s las ng success anywhere we work. We make a concerted effort to involve the community with everything we do in a district, and community members become involved in

turn to support One Heart’s work however they can.

In the district of Baglung the community surrounding the Ha ya birthing center raised funds among themselves in 2014 in order to buy addi onal land to expand

the widely used birthing center. When we establish a new birthing center, community members o en volunteer their me and personal resources to help

with building renova ons, demonstra ng a true investment in the programs.

Ann DownGood Works Ins tute Founder

"We enthusias cally support the work of One Heart World-Wide because they do incredible work in saving the lives of disadvantaged women and children around the world. Having visited Tibet and Nepal over the past twelve years, I know their model saves lives now and for genera ons to come."

Financial Summary

Founda on Dona ons $ 1,214,000.00Individual Dona ons $ 203,000.00Other Dona ons $ 263,000.00

Total Revenue $ 1,680,000.00

Program Expenses $ 772,000.00Administra ve Costs $ 154,000.00Fundraising Costs $ 101,000.00

Total Expenses $ 1,027,000.00

Change in Net Assets $ 642,000.00$ 529,000.00

$ 1,171,000.00

Revenue

Expenses

Net Assets at the End of 2014Net Assets at the Beginning of 2014

Founda ons 72%

Individuals 12%

Other 16%

$1,680,000

Programs 75%

Fundraising 10%

Administra ve 15% $1,027,000

Funds Raised

Organiza onal Efficiency

Who We AreBoard of Directors

Founder & President: Arlene SamenChair: Jay Blumenkopf

Vice President: Dr. Michael DraperSecretary: Janaki Welch

Treasurer: Meihong XuDirectors: Deanna Byck, Tom Broadbent,

Greg Jacobson, Evan Kaplan, & Connie Wong

Chair: Dr. Tim De Ver Dye, Anthropology/ Epidemiology

Dr. Sibylle Kristensen, Global Maternal Health/Perinatal Epidemiology

Dr. Susan Niermeyer, Pediatrics/Neonatal HealthDr. Beena Kamath, Pediatrics/Neonatal Health

Susan Stalls, MidwiferyDr. Jeane e Lager, Obstetrics/Gynecology

Dr. Pa Fernandez, Health PsychologyDr. Suellen Miller, Midwifery/Global Maternal Health

Dr. Sienna Craig, Anthropology

Medical Advisory Board

SAN FRANCISCOFounder & President: Arlene Samen

Chief Opera ons Officer: Dr. Sibylle KristensenDevelopment & Communica ons Manager: Ellen Eoff

Program Administrator: Marsilio Gabuardi

Staff

NEPALKathmandu Office:

Program Director: Surya Bha aAdministra ve Director: Purusho am Pradhan

Program Officer: Bishwo Shan MallaMonitoring & Evalua on Officer: Roshan Karn

Finance Officer: Narayan GhimireTraining Officer: Asha Rai

Administra ve & HR Officer: Nikki ShresthaLogis cs & Administra ve Support: Suraj Shah

Office Assistant: Roji TamangIT Officer: Binaya Shresta

Baglung Office - SWAN: Execu ve Director: Khem Bahadur Thapa

Program Manager: Dhurba ShresthaBaglung District Coordinator: Shambhuraj Baral

Clinical Field Supervisor: Sunita AdhikariFinancial Assistant: Ramu GC

Field Supervisor: Shiva Kala RaiAdministra ve Officer: Kalpana Basnet

Dolpa Office - Dharma Karma:Administra ve & Program Manager: Bhupa Raj Dhakal

Dolpa District Coordinator: Dan Bd. KarkiFinance Officer: Nikesh SthapithField Supervisor: Bhagwa Rana

Dhading Office:District Coordinator: Sanjeeb Shahi

Americans for PhilanthropyAndrea and Michael Manship

Ann DownAshton Family Founda on

BPM MicrosystemsCaridad Partners

Christopher BowenCOMO Founda on

Dan and Kim Huish Founda on Deanna and Dann Byck

Direct ReliefDorothea Haus Ross Founda on

Elmo Founda onFrancie Mortenson

George Family Founda onGreg Jacobson

Hanna and Dieter PaulmannJasmine Social Investments

Jay BlumenkopfJill Smith

JNF Founda onKaren and Michael Draper

Karen Miller and John Ballard

Lucky Star Founda onLUSH Fresh Handmade Cosme cs

Mcilvenny Family Mei Xu and William N. Melton

Muller Family Founda onNoVo Founda onOne Dollar for Life

Ping and Amy Chao Family Founda onPlanet Wheeler Founda onPresent Purpose Network

Renee and Evan KaplanSamahope

Stefan HearstThe Baumann Founda on

The Blank Family Founda onThe Greenbaum Founda on

The Hershey Family Founda onThe Mulago Founda on

The Shapiro Family Founda onTRA Fund

Vanderbilt Family Founda onWeyerhaeuser Family Founda on

Dharma KarmaD-Rev

Fundación Vida DignaKaruna Sachen

Medic MobilePachamama Alliance/Jungle Mamas

Social Welfare Council of Nepal WE CARE Solar

Major supporters

Key Partners