It is a privilege to attend, and I thank the joint committee for its interest in Concern's work in East Timor. I am the regional director for Asia but am based in Dublin. Concern works in approximately six to eight countries in Asia, a number that can go up and down depending on what emergencies have happened recently. It is my responsibility to oversee the work, including that in Timor-Leste. Concern has been working in East Timor since 1999, following the events of that year.
I hope that the paper gives members an overview of our work. It would not be of any added benefit to go through it step by step, since it is fairly self-explanatory. However, I would like to highlight one or two areas. Unfortunately, I do not know any of the members, so I am not aware of their level of knowledge of East Timor. However, I assume that it is relatively advanced, and I will therefore avoid going into its history. Instead, I will focus on Concern's work.
At a global level, Concern is focused on the sectors of primary education, health care, livelihood security, HIV-AIDS and emergency preparedness, mitigation and response. In Timor-Leste, the programme involves livelihood security, health and nutrition and emergency preparedness and response. We are not actively engaged in the education sector and the HIV-AIDS work we are doing fits into the areas of livelihood security and health.
We have had a programme in place since January 2003 in two districts — Lautem in the far east of the country and Manufahi in the central highlands — and we work in two sub-districts within those areas. Essentially the work is at a community, family, village, and household level. Concern's work for the past five years has been at the grassroots and has demonstrated to us the essential nature of long-term, sustainable grassroots development. That foundation is fundamental before moving to the next stage at a higher, more strategic level.
We work closely with local NGOs as far as they exist in Timor-Leste. The country's history does not lend itself to a developed civil society but that is changing. It is gradually emerging and strengthening and we have been able to work at the forefront of that with local NGOs. The work involved in the livelihood security programmes includes food, food security, agriculture, natural resource management, watershed management, forest resources and permaculture.
We are designing a programme for the five years until 2010, Concern's current commitment to Timor-Leste, which was renewed last year. We will now work at a district level as opposed to local community level. The objective is to replicate and make sustainable our successful interventions to date. At the same time, as the committee will know because DCI's work has been focused on this area, the decentralisation of government structures in Timor-Leste is being planned. It is important that Concern, in collaboration with DCI, engages with the process. We will not be in Timor-Leste forever so we aim to build capacity for the Government and civil society to be in a position where we can withdraw knowing that the impact we have had can be sustained. The new programme at district level will be more engaged in influencing policy and processes in rural development in the two districts I mentioned.
We are currently carrying out nutrition assessments. The nutritional situation in Timor-Leste is increasingly serious. We admit that we have had difficulty in securing government agreement regarding what must be done and mounting a nutrition programme. That is a matter we can discuss later, since any influence DCI and the Irish Parliament could exert would certainly be of benefit to us. The 2003 acute malnutrition rate of 12%, according to Ministry of Health figures, is extremely worrying and we cannot ignore it. At a local level we are trying to assess how bad the situation is. We have a team on the ground undertaking a nutritional assessment with a view to initiating a programme.
Those are the highlights that I would like to draw out. As I mentioned, the decentralisation processes are crucial for us. We want to see those plans come to fruition. I understand from my own visit to Timor in July that the policies will be in place concretely from the middle of 2006 for a decentralised structure between regional and district level. It will create three new regions of east, west and central, with a secretary of state for each, and set up government units between the current districts and sub-districts. That will be a critical level for us to work and engage with the government. In the long term it is not sustainable to work at the level of communities. If government structures do not have the requisite rootedness in a decentralised scenario, one could be working at too high a level and find oneself not having an impact on the poorest in the country, which is the objective of our mission. That is something on which we are keeping tabs to understand at what level we can engage with the government as it matures and develops and as the structures are put in place.
I will stop there in order that we have time for questions. There is more detail in the paper, which I hope everyone has had a chance to read.