Structure

IEMRA will be headquartered in Cologne, Germany, convenient to pharmaceutical corporations, government, and logistics facilities that will be utilised. This will be the center of management, finance and procurement, co-ordination, and control of all IEMRA activities.

The Zagreb office will be the operations center in the former Yugoslavia, coordinating the aid distribution process. Field staff will include Medical Officers, Escort Officers, drivers and warehouse personnel. Three mobile field offices, staffed and operated by medical and logistics personnel, are also planned for the former Yugoslavia.

The United States program will be an aid generation branch of IEMRA, based in Washington D.C., registered under its own auspices, and involved in autonomous aid generation programs, though under the direction of Cologne. This office will have responsibility for all activity in North America.

IEMRA is being staffed by a compact core of professionals in a 'flat', team oriented structure in three locations; Cologne, Washington and the former Yugoslavia. With responsibility in the hands of those carrying out the tasks, IEMRA will operate as effectively and directly as possible, avoiding administrative and bureaucratic inefficiencies.

Growth

The expansion of IEMRA will follow a precise path that will establish the Head Office in Cologne and aid generation capabilities in the U.S., expand humanitarian aid operations in the former Yugoslavia, and then further increase aid generation activities in Europe and the U.S.

As a scale for expansion, amount of finance available for growth is the most appropriate as this is the greatest variable in the growth equation. After establishing the Cologne Office, funds will be allocated as laid out in the Finance section, between activity costs and actual aid.

Personnel

IEMRA is recruiting a small number of people, experienced in the areas in which they will work, to form a compact and effective team. The unusual circumstances in the former Yugoslavia have produced a specific job market where experience is extremely important. The region has skilled and knowledgeable logistics and medical personnel, and it is from this group that IEMRA will recruit international and local staff to fill the necessary roles.

Former Yugoslavia

The current crisis in the former Yugoslavia is IEMRA's first mission, with the goal of immediate and future support of the medical field in the former Yugoslavia. Realized in the first instance through the provision of medical aid to the hospitals, clinics, refugee centers and other aid agencies active in the region, and in the medium and long term support in rebuilding the regional infrastructure.

IEMRA's role is strictly neutral, with no partiality shown to any side in the conflict, and IEMRA calls on the universal right to humanitarian aid, to request assistance, and to demand freedom of action in this humanitarian mission.

Zagreb Office

The Zagreb operations office will be staffed by internationals and locals with specific experience in the relevant areas. This office will co-ordinate the activities of the Zagreb, Belgrade, and Split warehouses that will provide logistical capabilities from different geographical directions to the different areas in need.

Finance

IEMRA's finances will be centered in Cologne, Germany, where the Financial Manager will control the flow and accounting of funds. Funds generated outside of Germany will be transferred there, with the exception of operating and procurement funds required in the U.S., which will be retained by that office from funds generated there.

Budgeting

The budget per se has not been included in the Business Plan, however two budget summaries follow. The first refers to the initial capital IEMRA requires to establish the Cologne office and begin regular aid operations. The second summary refers to IEMRA at full planned size, to achieve this will require a building process (dealt with under Growth) and budgets during that process will be considerably smaller, based on the growth steps planned.

Budget Summaries - Europe (Conversion Rate DM > US .5917 as at 2.09.93)

NB These operating costs are as accurate as possible for this operating level, however this is still only a projection of costs.

II: IEMRA at Full Planned Size - Europe and the U.S.

Bank accounts in Germany will be the central mechanism for allocating funds to the different aspects of operating. This will include an account that will hold a percentage of donations to be allocated after the conflict for regeneration of the health care infrastructure in the former Yugoslavia. The Deutsche Apotheker- und Ärztebank e.G. will provide the required banking services in Germany.

Legal

IEMRA is being registered under German law as a non-profit Stiftung (Foundation), in the legal district of Cologne. This status entitles IEMRA to tax free benefits and allows the issue of tax deduction certificates to donors and sponsors. The U.S. branch will be registered in America under its own {IEMRA (U.S.A.)} auspices as a non-profit organization, under U.S./ IRS 501C3 registration. Legal establishment as a non-profit humanitarian organization will also be carried out in Switzerland to provide legal representation in that country where much of the world's peace and humanitarian community resides.

The required legal structure of IEMRA includes a Board of Trustees, Executive Board and nominated management. The two Boards are the ultimate sources of authority and legal representation of the organization. Authority necessary to manage the organization and represent it legally will be conferred by the Boards onto management staff.

Programs

Activities related to the generation of funds and aid are classified as Programs, while activities aimed at the distribution of aid are classified as Operations. IEMRA's primary focus in aid generation is funds, as this is the most flexible form of aid and can be used to buy the specific medical supplies that will be needed. To generate the necessary funds IEMRA uses a number of methods of fund raising;

1) Formal Funding Proposals

Various government and private organizations in Europe and the United States that provide funding for humanitarian organizations.

2) Advertising and Direct Marketing

Given the seriousness of the Yugoslav crisis and extensive and in-depth media coverage it is cost effective to fund raise through targeted appeals to different groups in the community using advertising and direct marketing.

3) Networking

Being in contact with a large number and wide variety of organizations and individuals has resulted in an ever growing network that provides support to IEMRA in a number of ways, including funding.

The U.S. Pharmaceutical Program is a primary aid generation program, with goals of physical and financial support. As outlined under Strategy, this program is based on benefits to both the industry and IEMRA and has the goal of providing a direct link between the producers of pharmaceuticals and those who need them urgently.

An important aspect of fund raising is the offering of the possibility of tax deductions to donors. Due to the nature of IEMRA, the Cologne legal district has granted IEMRA the right to a provisional tax number prior to having its full legal capital requirement in place. Related to this is the increase in tax deductions available when a donor enters into a sponsorship type relationship with IEMRA in Germany, an option that will be used in our relations with larger donors in this country. In the U.S., the IRS 501C3 status will allow tax deduction benefits to donors.

Operations - Former Yugoslavia

Operations are a process that begins with need identification, procuring the required medical aid, and distribution of that aid to the site specific points of need. The Cologne office will be active in each phase and will co-ordinate with both Zagreb and the U.S. with regard to their roles.

Cologne

The Cologne Office will be the center of all activities; carrying out central financial, fund raising, public relations and management functions. This office will guide and support the Zagreb operational office and the U.S. fund raising branch.

Zagreb

IEMRA's office in Zagreb will be the coordination and control center for the entire aid distribution logistics system in the former Yugoslavia region. It will support and advise the operations out of Split, Belgrade and the three mobile field offices currently planned for Sarajevo, Pale and Zenica. This office will control finances in the former Yugoslavia and work closely in coordination with Cologne.

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Aid Distribution

Through this mission, IEMRA will provide aid to as many medical institutions in the former Yugoslavia as it can effectively and efficiently support while achieving its goal of targeted provision of aid. Over sixty medical institutions in Bosnia have been identified and the Croatian Ministry of Health is compiling a similar list of Croatian institutions for IEMRA. A policy of targeting specific aid where it is needed means IEMRA will not attempt to provide blanket coverage of all needs, but rather focused medical support where it is most needed.

Identification and Ordering of Medical Supplies

Medical Officers in the field will be the primary mechanism for identifying and assessing medical needs. This information will be combined with that collected by Escort Drivers on delivery of supplies, requests from the institutions themselves and information provided by the International Committee of Voluntary Agencies (ICVA), to prioritize medical needs. Ordering of medical supplies needed will then be referred to Cologne by Zagreb. At this stage the possible sources of particular supplies will be approached, in Europe and the U.S., and those supplies procured as quickly as possible.

Logistics

If procured in the U.S. the supplies will be transported via commercial or military aircraft to Germany or directly to the former Yugoslavia. If procured in Germany, the aid will be flown or trucked to the same warehouses in Zagreb or Split. From these locations IEMRA's own vehicles will transport the aid to the institutions that need it, ensuring site specific provision of the aid.

This logistical system will rely on a fleet of trucks and vans of different types to transport aid to the different destinations. In potentially dangerous areas international drivers will be used, and where safe, local drivers will be contracted. Warehouses will hold transit goods, and be the staging points for convoys.

To gain access to these areas IEMRA will prenegotiate agreements with all parties concerned. By observing strict impartiality, and travelling independently, IEMRA will avoid many of the access difficulties experienced by the United Nations because of their unavoidable political associations. In risk areas deliveries will be accompanied by Escort Drivers in order to provide support and representation for the delivery. However, it is a goal of IEMRA's to be accepted by the United Nations as eligible to travel inside UN protected convoys when conditions make this necessary or advisable.

Performance Evaluation

To fulfil its stated mission of effectively and efficiently meeting the immediate needs of the medical field in the former Yugoslavia, IEMRA must constantly evaluate its activities. This will be done at two levels; the organizational, and at the individual level. The organizational evaluation will be based on financial measures involving percentages of funds used for aid and for costs, and budget comparisons. The

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