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Love letter to AMDA supporters in the world
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Thida
Project Coordinator, Meiktila Field Office, AMDA Myanmar |
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AMDA activities in Meiktila

AMDA Myanmar has been operating various projects, especially in the field of medical and health care, in Meiktila Township since 1995 with support from the Japan International Cooperation Agency (JICA), the Ministry of Foreign Affairs in Japan, the United Nations Development Program (UNDP) and other partners. I have been working for AMDA Myanmar since 1999, firstly as Accountant and Assistant for the Primary Health Care Project, and now as Project Coordinator for the Livelihood Improvement Program.
Livelihood Improvement Program

The ‘Livelihood Improvement Program’ has been implemented since January 2002 with support from the participants in Japan’s Postal Savings for International Voluntary Aid, Rotary International District 2780, the Global Citizen Foundation, Dr. Ogoshi, Ms. Doden and donations from well wishers around the world. The program aims at improving the livelihood of marginalized women, and provides service package; micro credit, health education, trainings, health insurance and savings for 1,500 women at 36 target villages. Project staff members visit each target village twice a month and conduct the project activities.
The project disburses the small scale loan to beneficiaries, and most of them invested it for retail sales, agriculture and animal husbandry. To understand about retail sales investment in the context of micro credit is simple. No investment, no profit. By suitable profit from project loan, at least they can earn their daily meal expenses. As for agriculture, if they haven’t money to buy seeds or fertilizers, they have to search the money from other money lenders with high interest, mortgaged properties and also to be trusted by them. Now beneficiaries can easily buy the seeds or fertilizer by the project loan. As for livestock, if the beneficiaries breed a pig or goat etc, they can repay the loan installment by other incomes. After the loan cycle completed, they own a pig or goat or …etc and they can expand their business by this livestock. Providing various training opportunity such as pig breeding, agriculture and food processing could enhance the beneficiaries’ livelihood skill. As such, throughout the loan activity, beneficiaries improved their living status. They may be able to repair their houses or construct new ones, purchase the household materials & kitchen utensils, support the education for their children, and solve the health problems of their family members.
The health education session has been provided to all beneficiaries at bi-monthly regular meeting. While they attend the regular meeting to repay the loan installment, they study about basic health such as safe delivery. Health education is done by AMDA staff at first, and then the members conduct peer education by using group discussion, game or competition method. Some beneficiaries joined the project due to their interest in loan, but late they have become interested in health education and gradually changed their behaviors. For example, beneficiaries care their and their children’s personal hygiene, clean and tidy up their kitchen, house and compound, use the fly proof latrine. So, they can prevent themselves from diseases. If beneficiaries face any health problem, project provided the health insurance by collecting the fund of their own. So they are cured properly by health staff.
Moreover, beneficiaries are motivated in village social welfare activities. They can manage the health problem for their families and could suggest to others. After hearing the news about this project, some villagers invite us to conduct our project in their villages.
Success Story

I would like to share one beneficiary’s success story with you. She and her husband were casual workers.
Her family was very poor before joining this program. When the program was introduced at her village, she tried to join it to borrow money. However, other beneficiaries did not accept her as a member since they were afraid of taking her responsibility if she could not repay the loan installment. Project staff succeeded to facilitate and convince other beneficiaries, and she became a program member. Since then, she has worked hard, bred a pig with project loan, and repaid the loan installment by fetching and selling the water. Now, her business is getting profitable one by selling various items such as ropes for farming, and now she could own even a cow by herself. Other members trust her because of her spirit and hard-working.
Our program succeeded to improve the social network among community members as well as her livelihood.
Thanks to YOU

I am delightful to have an opportunity to utilize your supports for economically unprivleged beneficiaries. If we had no fund from you, we could not conduct this Program. If we had no support from you, I couldn’t see the benefits of our beneficiaries.
I respectfully send this love letter especially for you, who support our program with kind heart.
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My Dream
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Yan Naing Htun
Assistant Program Coordinator, AMDA Myanmar |
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Our Program

My work site is in Kokang Special Region No.1, Northern Shan State of Myanmar. The main component of our program is Mother and Child Nutrition (MCN), a set of activities that help promote and improve nutritional and health conditions of the vulnerable groups such as pregnant women, lactating mothers and children under three years old. Apart from goodwill, program implementation requires hardworking spirit and skills to appropriately approach and support our target beneficiaries. MCN aims at solving prevailing malnutrition among our target beneficiaries especially children.
Causes of malnutrition are diverse; food insecurity, inadequate access to markets, improper child caring practice and limited public health services. To address them, village volunteers among local mothers are organized to form a Mother Group (MG), and empowered through a series of interactive trainings for their capacity building. As mothers fully participate in the program, they take up the responsibility of MCN basic package delivery, namely, supplementary feeding, growth monitoring, peer-education on nutrition and basic health, and home visit care for severe malnourished children, from AMDA staff.
Through the process, MCN promotes initiative among local mothers and encourage them to share their knowledge as peer educators. Thus, MCN implementation relies on the participation and motivation of local volunteer mothers.
| Region: |
Kokang Special Region No.1 |
| Main Component: |
Mother and Child Nutrition (MCN) since 2006 |
| Other Components: |
School Program, Small-scale Infrastructure |
Beneficiaries:
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2,500 beneficiaries at 53 villages, especially Pregnant women, Lactating mothers, and Children under 3 years old |
| Donors: |
The Japanese Government, Japan Post Group, The Kobe Konan Lions Club, WFP, UNFPA & AMDA Supporters in the world |
Our Challenges

Our biggest challenge is to cope with dependency among local people. They used to receive relief items freely from various aid agencies during the emergency period followed by the ban on poppy cultivation in 2002. Even entering the recovery phase, their life is still hard, struggling to find and manage income sources other than poppy. Our program focus is placed on health education, a core of MCN basic package, to be meant to bring a sustainable practice to improve their nutrition and health status. Yet, it is an indirect intervention and a long-term solution while people tend to demand an immediate answer to their current problems.
Another challenge is related to the volunteer work undertaken by the community members. It was a real challenge for both, volunteers and us, in the beginning since the concept of voluntarism had not been easily accepted by the community.
But through continuous effort by both, we all worked out to share the program goal. At this juncture, I am very proud of being a part of AMDA Myanmar to successfully tap local resources to engage the program activities.
Now, we are famous here not because of our big material distribution but because of great impacts on nutrition of mothers and children through our activities.
Yae Nar’s Story

Yae Nar is a poor pregnant woman from Wa Chu Kyine village, where MCN activity is in full swing. Among 10 pregnant women in the village, her family is the most vulnerable with their life day in day out.
“After delivering my first son, everybody was happy because I could give birth to a boy as the foremost son. But our happiness lasted just in a brief span and we lost him from our sight. My first baby deceased at infancy due to malnutrition and lack of postnatal care.” She recalled.
Now it’s her second pregnancy and she’s also one of the beneficiaries of MCN program. Being perturbed with her past experience, she pays great attention to her health at pregnancy and discussed it with AMDA staff at every visit to her village.
She said, “I appreciate supplementary feeding program so much as substituting food whenever we have no rice to cook. You know my husband is a casual labor and we lead our life from hand to mouth.” Then, she added, “I take micronutrient tablet everyday. Thanks to AMDA’s support, I have the access to such kind of effective medicine that I never dreamed of before.”
“I’m also sparing some time to take rest since I have studied its necessity at the health education talks by MG members, Even though I can’t work now, I don’t worry anymore because supplementary feeding and health knowledge can make up our daily intake together with our local food and vegetables.”
By the time when this newsletter is published, Yae Nar will have given birth to a healthy baby.
My Dream

Now our MCN program covers 53 villages in Kokang Special Region No.1 counting up for around 12% of the region. With the success gained over the 2-year period, I would like to see the expansion of our operation into more villages especially for those who can not access to the public health information and services.
I believe this will improve not only nutritional status but also accessibility to public health services.
Through MCN program, I really want to achieve the good and tangible results and true improvement of our beneficiaries in Kokang. Though it may take time, I truly believe that my dream will come true!
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People’s Empowerment and My Empowerment with Ajinomoto and AMDA
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William Inafuku,
Project Coordinator, AMDA Peru |
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The project that AMDA Peru has been implementing is focused on empowerment of the local volunteers who participate as health promoters. The project aims to facilitate their initiative for community-based health promotion that includes disseminating information on health and nutrition to their neighbors, the ultimate beneficiaries of our project. In addition to the training program organized by the project, such a dissemination process leads to their further development and empowerment.
I have been working for AMDA Peru for almost four years and witnessed the different levels of progress and achievement among our beneficiaries. How much they obtained varies from person to person, and it always depends on their decision, i.e. whether they utilize what they learned or just let it go. And that calls for my attention, because in my opinion, empowerment is not what we teach or bring to the beneficiaries, but the real empowerment is what the people do and how they change by using what they gained. Our role is to facilitate and encourage them. Having evaluated the project of these years, one of my conclusions is that I have been empowered by the project, too. In this regard, I would like to share with you my experiences in the project with a support from Ajinomoto Co., Ltd., a donor as well as a partner of the project.
Working for the project at the community level targeting the direct beneficiaries, we coordinate the activities with the Ajinomoto office in Lima, while we assist health promoters in their coordination with community leaders and government officers. Through these experiences, I have acquired the managerial skills and knowledge of grass-roots projects, including how to better build the relationships among stakeholders.
Before joining AMDA, I had worked for different types of social projects in the provinces outside Lima as the needs, I had believed, existed in the remote areas. But the work experience in AMDA allowed me to explore widely and look into “lighthouse’s darkness.” Yes, I found the enormous needs under the lighthouse, just one or two hours from the central Lima. The situation was even worse than that in remote provinces. Often, the light or opportunities we miss even if they existed in front of you. You need to turn on a small lamp and see them clearly.
This year I had a chance to travel to Japan and delivered a speech at the 15th International Congress of Dietetics (ICD 2008) held in Yokohama. I spoke on “Project for Community Empowerment on Nutrition and Maternal and Child Health” that we are working now with the support from Ajinomoto Co., Ltd. That was a great opportunity at ICD as I was able to meet the people who work in the company, particularly those in the Corporate Social Responsibility (CSR) department.
It is not a “thank you paragraph.” All I write next can be easily proved by anyone who has a chance to work with the company and see how they are doing. I was impressed by their strong commitment to the CSR policy. I am not very much familiar with any other companies’ CSR policies in Japan, but from my long experience in Peru as a consultant, I could say that Ajinomoto is very different from other companies. The main difference I feel is that their CSR’s objective is beyond public relations, corporate image, or environmental concerns. It is integral part of their corporate culture focusing on development of the local people, which is not necessarily limited to food-related issues. When you talk with different people who are not from the CSR department, you can also see their involvement in these issues. Through this experience, I found that it was possible for a private company to be committed to CSR in a real sense and it depends on the motto or belief of each company.
While in Japan, I could also meet AMDA fellows and various professionals who work in similar projects in different countries. The exchange of ideas, cultures, realities, and experiences was a great opportunity for me to strengthen my capacity. I am sure that everyone in AMDA can review his/ her experiences and find their empowerment, like myself.
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My Story with AMDA
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Osward Chabu
Field Project Coordinator, AMDA Zambia |
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My joining AMDA

In 2004 before I joined AMDA, I had been working as a lecturer at two private colleges. I was offering Sociology, Psychology and Social work to students who were pursuing teaching as their career.
In May 2004, a vacancy was announced for an officer who would coordinate community activities at the community centre.
Although I loved teaching, I decided to change and entered into social work, something I had been thinking to do in my life. Same month, I attended an interview and succeeded to work as a junior officer from the following month. In another aspect, it was really a big decision for me as my salary dropped by almost one-third.
My Memory

My responsibilities included facilitating all the activities at the community centre such as organizing training courses on small business and agriculture for community health workers. This was to empower community members with the concept of sustainability on their activities at the community and household level.
The local staff members in AMDA Zambia had committed themselves to their work and had carried out a lot of activities in restructuring operations so as to help local communities. We introduced few IGA such as tuck shop, water project, car park, computer lessons, and recreation centre in addition to farming as the major activity that had helped us to raise some income although it was a struggle. When I talk about farming, it is about growing soya beans, vegetables and rearing chickens which was the major source of income. Dividends were once distributed to assist TB treatment supporters. The objective of these activities was not only empowering local volunteers but also sustainability to continuously improve nutrition for mothers and children.
Here, I wouldn’t forget Dr Virgil Hawkins, a former country director of AMDA-Zambia, who contributed a lot in putting up the system in place. I do remember seeing him holding a hoe and watering the farm. That gave a great encouragement to all the staff and truly have we worked as a team regardless of where s/he comes from.
With what we produced from the farm we assisted malnourished children from George Health Centre and we also supported TB patients with the provision of soya beans. This really impressed me and I realised that people have the potential to develop if time and resources are made available.
My Learning

Firstly, a man has the capacity to develop even with little resources at exposure. Developing sense of ownership in every aspect of life always result in developmental achievement. From this assertion I would like to state that the spirit of “togetherness” that existed among local staff and the management brought good yields. It actually helped AMDA Zambia projects to continue up to this time. I was also encouraged by the attitude and strategies of the management to allow local staff to conduct activities independently as a way of initiating how to become a responsible leader. Planning is done as an individual responsibility and it is examined in the meeting so that other members can add some ideas before implementation. There was communal participation for communal development.
My Challenges

The first and foremost challenge I faced was the transition from teaching in school to conducting community activities that required empathy, purity, warm heart in order to win people’s interest. Yet, working with community members including health workers is difficult as people have different perspectives and approaches to life.
These days, development concept is at a revolutionary stage where people define it from a sustainability point of view. Whatever we do, a question arises, whether it is sustainable, in other words, whether it continues without any support from outside. This poses me a big challenge because the project used to receive items for distribution to community workers as incentives. Entering the new phase,all that was gone instead Dr. Hawkins asked me to put up long term measures that would help the community to learn how to survive with minimum resources available. People at this time reacted negatively and stopped coming for community activities, as they no longer benefited from those items. It was a difficult time for me as I did not want to fail.
To attempt a breakthrough, we changed a strategy and employed full-time workers to manage the farm. After struggle, this change even helped, in the end, those who did not understand above-mentioned revolution and ran away from the farm. For me it was the achievement.
Another challenge was associated with the budget scale of AMDA-Zambia’s projects. Being a small organisation compared to some other big organizations with a lot of money which also engage in health arena in Lusaka, community volunteers tend to prefer working with those big organization that provide monetary incentives. It was a real challenge. Sustainability concept was not easily accepted. But through continuous emphasis on voluntarism contributing one’s own community, people started understanding our goal. At this point of time I would like to state that I am proud of being a part of AMDA-Zambia leading to success with little resource. We have become famous in Lusaka District not because of big money but because of great contribution we have shown through our activities. We have become an icon even to other organisation when talking about how to tap and utilise the capacity of local human resources. From time to time other organisations planning to conduct training for volunteers are referring to our office, and for me that is a great achievement out all the challenges we went through.
My Expectation

Having looked at all the challenges and achievements scored in our activities, I would like to see the expansion of our services into rural areas. This means that we need to improve our services day after day. I know the biggest issue is on financial constraints that may not allow us to conduct activities to our full expectation.
I would also like to see our local staff being empowered with capacity building especially in relation to the field activities. Our staff members have full capacity to make a difference in the community and the health sector. It is high time we start preparing for our future responsibilities as managers and coordinators. Yes I know it might not be today or tomorrow but in the soonest time.
I really want to achieve something substantial in serving people and their life in different ways. I work so hard not as a manager but just like anybody else. Off course, I am working with some personal expectation, too. Things should become better both financially and technically. The other expectation I have is that working with NGO would give a lot of exposure in different countries either outside or inside Africa especially Japan. Though it may take long to come forth, I know one day it will …..
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