WOMENS’ RIGHTS TO OVERCOME TABOOs

Martha Amok Mating is 27 years old, from South Sudan. She got her midwifery diploma at the Health Institute in Rumbek in January. Martha started working in Rumbek hospital in 2018, back then she was assisting the anesthetist in the theatre room. Altough she had no professional qualification, not a diploma, Martha was driven by a deep passion and the strong desire to sooner or later enter that room with a proper qualification.

«What I do it is not just a job: to be a midwife means to hold life in your hands and to be dedicated to women’s health, any time. In our culture there are many taboos: assisted birth in hospital is only one of the numerous women face everyday. I believe in education to overcome those social customs and empower young women. As I midwife, I feel this is also my responsibility. I stand with women at delivery but to ensure their well-being every day, throughout their life, is my mission».

The right to health and the right to education are one to Martha who is a woman and a midwife in one of the most fragile country in the world, South Sudan where 92% of the deliveries are not assisted by qualified health personnel and therefore records one of the highest maternal mortality rate in the world: 1.150 per 100.000 live birth. Moreover, literacy rate for women is just 28% in the country.

«I do remember well the day I went to the Hopspital Director – says Martha with a nostalgic smile on her face, I needed a job so I grasped the opportunity. I have been observing and questioning for two years. I could do nothing by myself, I was not qualified but by working alongside with professionals health workers I learned how to do things successfully. Collaborating».

Martha never stopped working. She got married, she had a baby then she decided to take the midwifery studies. She did it in Rumbek, in that same hospital where she had been working over the past years. For three years Martha was fully dedicated to finish her studies: she was in class in the morning, in the theatre room in the afternoon and breastfeeding in between. She was able to cover part of the fees and achieve her goal thanks to a CUAMM scholarship within a more comprehensive intervention at Rumbek Health Science Institute funded by the United Nations Population Fund (UNFPA) aiming at capacity building of nurses, midwives, and other health care professionals.

 

«Was that easy? It was not but you cannot just complain in life. What you have to do is to give yourself some time and think, critically. To study and to get that diploma was an opportunity not just for me but for my whole family. With that diploma, I knew I could have got a job and therefore provide financially for my family whose support was essential».

Martha does not fail to thank her parents and husband who took care of the baby during the studies allowing her to fully commit to both the studies and the clinical activity. A path she might not have undertook at all if not for a fortunate encounter, one of that marking a “before” and “after” that had the name of a Italian doctor: «he stayed in South Sudan between 2013 and 2020. Dottor Enzo Pisani was the one who encouraged me study, I was not willing to do it. I have no heard from him ever since, wherever he is now I want to say “thank you”, I want him to know that I made it. I am a midwife now».

TENDER | VEHICLE AND GENERATORE SPARE PARTS

A Local Open Procedure to select a company for the SUPPLY of Vehicle and Generator spare parts in the sites where Cuamm is operating within the country.
07 VOLUME 3_TECHNICAL ITEMS SPECIFICATIONS REQUESTED_790 2024
07 VOLUME 3_TECHNICAL ITEMS SPECIFICATIONS REQUESTED_790 2024
08 VOLUME 4_FINANCIAL OFFER_Vehic Gener Spare Parts_790 2024
09 VOLUME 5_CHECK LIST_790 2024 00 TENDER ANNOUNCEMENT_790 2024

SIMPLIFIED PROCEDURE TENDER | FOR MEDICAL DRUGS, CONSUMABLE AND EQUIPMENT

01 Invitation form

02 Contract Notice

03 Instructions to Tenderes

Annex I – Tender Form

Annex Ia – Declaration of Honour

Annex II & III Technical Specifications technical offer edited -WN15

Annex IV – Offer Form

Annex V – Administrative Compliance Grid

Annex VI – Evaluation Grid

Annex VII – Contract Form

Annex VIII – Special Conditions

Annex IX – General Conditions

Annex X Financial-Identitfication-form

Annex XI Legal Identity Fomr

CEASEFIRE NOW GAZA

«I heard the tremendous news from Gaza when in a field visit in the southern of Angola and I am shocked. We cannot accept that soldiers open fire on desperate people craving for bread at food aid trucks.

Before the umpteenth carnage of innocent people, I recall the Gospel: “Then was fulfilled what was spoken by the prophet Jeremiah: “A voice was heard in Ramah, weeping and loud lamentation, Rachel weeping for her children”.

How long will those mothers, fathers and children be yelling and crying? For how long will hatred prevail on love? As long as we know, more than 100 people have been killed and 750 injured. That is unbelievable, that is unacceptable!

Over the past 5 months more than 30,000 palestinians have been killed, many of them were women and children.

We can no longer accept that civilians are neglected humanitarian aid, we cannot accept that humanitarian workers have no safety assurances to conduct their work, we cannot accept that hospitals become military target.

We join our voice to those of the people calling for an immediate ceasefire as we pray for the innocent people to be heard and for their cry of pains to end».

D.Dante Carraro, Director General Doctors with Africa CUAMM

 

A grim anniversary

It has already been two years since the Russian full-scale invasion of Ukraine. The Russia-Ukraine war is an exhausting conflict we do not want to ignore. The whole world has changed over the past two years. The “third world war in pieces” that Pope Francis has denounced over and over has now gone global with an additional, tragic conflict in the Middle East.

Someone may wonder “What is the point in commemorating the anniversary of the Russian invasion when numerous more atrocitites are being committed in the world?” The point is that we do not want to get used to it, we do not want to go blind in front of the human violence and brutality. On the contrary, we want to be aware of the world we are building and that next generations will inherit. To date, 59 armed conflicts are ongoing worldwide. Many of these are set in Africa. They all bring death, suffering and destruction. This is what we still witness in Ukraine. Two years after the outbreak of the war, it is the civilians who bear the burnt while the conflict has no signs of ceasing.

According to the latest data, 18 million people are in need of humanitarian assistance (49% of the entire population) of which 5.12 million are refugees (about 35% of the population). 60% of the refugees are women, 27% are under 18 and 48% are people with disability.

Behind the figures, there are people and their lives that have driven CUAMM intervention in the country since the beginning of the conflict. Together with local communities, associations like VRB and civil society’s representatives, we have been working to help those in need. To date, CUAMM supports 30 health facilities in 6 Oblast by purchasing and shipping drugs, consumables and biomedical equipment; distributing food and essential goods, hygiene kit while also offering psychological support to refugees and training to health workers with a specific focus on disaster risk reduction and first aid. Without failing to mention a specific training on mental health and gender based violence. These are the main activities CUAMM is carrying out in Ukraine.

In figures: 5 project implemented; 3 warehouses stocked; 2.7 million of aid granted to distribute 2.340 medical kit; donate 4 ambulances and 1 mobile clinic; support 66 health facilities and local NGOs; reach 12 oblasts in 2 years. Over the intervention, we have assisted 17.042 refugees and 6.700 families, we have offered psychological support to more than 1.068 people and delivered 6.700 food kits.

CUAMM commitment has also reached the neighbouring Moldova. Since the beginning of the conflict, about 1 million people have sought refuge in the country which is one of the most fragile in Europe. In order to support the national health system and address the needs of both the local population and the refugees, CUAMM have started its intervention in April 2022 by offering medical care within the RACs and in some health centres on the Ukranian border; delivering basic goods to women and children and offering training on neonatal emergencies to local health workers in 8 facilities across the country. Trainings and meetings on mental health to refugees and hosting communities are now being added to the ongoing acitivities.

«It has already been two year since the start of the conflict, – said Antonio Zardini, project manager in Ukraine – CUAMM is ensuring its presence on the ground to support those who need it most.Thanks to the Italian Agency for Development Cooperation, we will be able to renew the activities launched two years ago: psychological support to families displaced in the west; healthcare logistics assistance to the fron line facilities; training activities to volunteers and NGOs professionals working with both refugees, displaced and hosting communities. As CUAMM, all we need to nourish our dedication is to see the impact of our intervention on refugees, hosting communities and local health workers. This is what is driving us and it also something we want donors and professionals to be inspired by, because together we can keep supporting the Ukranian population».

 

CUAMM intervention in Ukraine is continuing thanks to the support from AICS and the collaboration with: Caritas Italiana, Caritas Moldova, Caritas Drohobych Sambir, VRB, VIS e AVSI.

International Tender | for the Supply of first emergency kits for Ukraine

Doctors with Africa CUAMM, under the project titled “R.I.S.E Ucraina: Risposta Integrata a Sostegno dell’Emergenza in Ucraina” project code 12/UCR/012832, is launching the present International Tender to select a service provider for  the supply of first emergency kits and other medical equipment.

01. Invitation Form.docx

02. Contract notice

03. Instructions to tenderers

04. Declaration of honour

05. Simplified procedure dossier

06. Technical specification and Financial offer

07. Admin grid

08. Evaluation grid

10. Legal Identity form

11. Financial Identitification form

ERRATA CORRIGE

TENDER | FOR MEDICAL DRUGS AND LABORATORY REAGENTS SUPPLY CONTRACT IN UGANDA

01 Advertisement for Tender publication_CUAMM

02 Contract notice_CUAMM

03_Instruction to tenderers_CUAMM

Annex I_Tender form_CUAMM

Annexe II-III-Technical specification and offer_CUAMM

Annexe IV-Financial Offer_CUAMM

Annexe V-Admin compliance grid_CUAMM

Annexe VI-Evaluation grid_CUAMM

Annexe VII-Contract form_CUAMM

Annexe VIII-General Conditions_CUAMM

c4o1_Financial identification

c4o3_Legal Entity

TENDER | FOR PRINTING MATERIAL IN SOUTH SUDAN PUBLICATION REF.: 785-2024/CUAMM/SS/PRINTING MATERIALS

A Local Open Procedure to select a company for the SUPPLY of printing materials in the sites where Cuamm is operating within the country.

00 TENDER ANNOUNCEMENT_785 2024

01 VOLUME 1_1.1 INSTRUCTION TO TENDERERS_785 2024

02 VOLUME 1_1.2 TENDER FORM_785 2024

03 VOLUME 1_1.3 FORMS regarding the SELECTION CRITERIA_785 2024

04 VOLUME 1_1.4 FORMS regarding the TECHNICAL OFFER_785 2024

05 VOLUME 1_1.5 ADMINISTRATIVE COMPLIANCE GRID AND EVALUATION GRID_785 2024

06 VOLUME 2_CONTRACT FORM PROPOSED_785 2024

07 VOLUME 3_TECHNICAL ITEMS SPECIFICATIONS REQUESTED_785 2024

08 VOLUME 4_FINANCIAL OFFER_Printing Material_785 2024

09 VOLUME 5_CHECK LIST_785 2024

Why staying

The Story

Born in 1985, Jerry first went to school in the West Nile region, where he was born, and then moved about 400 km from home to attend a good college, the Teso College in Aloet, which gave him the right preparation for a scholarship to Mbarara University. Today he returns to his homeland in northern Uganda to visit his family and to follow Cuamm’s project activities.

5 years of medicine, an internship at the referral hospital in the Gulu district and a lot of clinical work between hospital and field. «For more than a year, I spent hours, entire days, in the operating room – Jerry narrates – I would go in at dawn and come out after the sun went down, days could go by without me seeing the light of noon!». Then, the experience at Nyapea Hospital first as a doctor and, in 2012, as Medical Director. A turning point in the professional life of Jerry, who was only 27 years old when he received the appointment from Bishop Lino Wanok, «one of the three most significant people in my professional lifesays Jerry – I would have met others after him but I know that it all started there, in Nyapea».

«Suddenly I was in a different role, one of responsibility, sure, but also a very stimulating one. It was a constant questioning and figuring out how best to manage staff, how to ensure the quality of services and how to optimise resources. I had gone from worrying about the patient and his health to having two new priorities: finding resources for the hospital and ensuring its proper management”.

To fulfil his role to the best of his abilities, Jerry attended a planning and management course in an Ugandan institute. An experience that opened his eyes not only to the functioning of a healthcare facility, but also to the value and importance of healthcare as a public thing.

 

The Encounter with Cuamm

During his years as Health Director, Jerry came into contact with Peter Lochoro – Country Representative of Cuamm, which was just starting to support the Nyapea hospital. From there, they began collaborating on various researches, the very first one on tuberculosis (Tb) in Karamoja. Jarry later became technical manager, while at the same time receiving a scholarship to attend a Master’s in Epidemiology at Makerere University to study in depth aspects of medicine that he had not had the opportunity to study before and which – as Jerry says – «allowed me to do my job better». A job that Jerry and Peter, now his colleague and mentor, call “Adapting Programming” and which they explain as «reprogramming by adapting and that’s exactly what we do: we evaluate, we analyse, and we continually question the operation. It doesn’t mean fumbling around, on the contrary, it means recognising changes and being able to rethink and redesign what you are doing with a constant eye on the expected outcome and impact.  We certainly can’t say it’s boring, in fact sometimes I wish it was, at least a little bit», concludes Jerry with irony.

 

Future aspirations

When congratulated on the commitment and dedication he has shown so far towards his work, Jerry replies by focusing on the future: «I am happy with what I have been able to do, but I do not want to stop here. My next goal? A PhD in tropical diseases, to acquire excellent skills and then to be able to combine my work with academic, teaching activities. Passing on knowledge and strengthening skills is crucial: only by relying on qualified and dedicated professionals can we respond to everyday needs, be ready for future challenges and have a decisive impact on our country’s health indicators».

So what are the future challenges? «To give an example, I can talk about the West Nile, my region. I left ten years ago and that place has changed: it did not used to be a malaria area, there was a dense forest and the climate was quite cold. In recent years, the forest area has been reduced, the temperatures have risen and the anopheles mosquitoes have arrived. Today, therefore, malaria prevention is also important here. From a health point of view, the indicators are growing positively, but the refugee crisis caused by the civil war in neighbouring Sudan has had a big impact on the health system».

“I was born and raised in Uganda, this is where I gained experience and this is where I wanted to spend my skills. This continues to be my wish”.

 

The American Ambassador to the Holy See in Moldova with CUAMM

Since the start of the war in Ukraine in February 2022, amost one million refugees (UNHCR, 2023) have fled the country to Moldova. Starting from April 2022, Doctors with Africa CUAMM has intervened to both bring support to the displaced population in Moldova through Emergency Medical Teams and to foster the preparedness of health professionals through neonatal emergency trainings.

On February 8th our team on the ground have guided the Ambassador to the Holy See – Joe Donnelly in a on-site visit to see first-hand CUAMM’s response to the refugee crisis. The visit started at the Institul Mama şi Copilul IMSP (Mother and Child Institute) in Chișinău which cooperated with CUAMM in offering specialized training on neonatal emergency from June to August 2023.

«It is a priviledge to support CUAMM’s work in Italy and I am thankful for this opportunity to learn more about its work in Moldova– said Ambassador Joe Donnelly during the visit at the IMSP. Providing training for medical personnel dealing with neonatal emergencies is an investment in the future of the children».

The training, designed in collaboration with the MoH and implemented in collaboration with the IMSP, was structured in three phases with the ultimate goal of fostering capabilities on emergency neonatal resuscitation and stabilization among local medical staff. It was offered in 7 regional hospitals where multidisciplinary team ranging from 12 to 20 individuals had been engaged for a total of around 100 local doctors trained. In addition, training and mentorship activities have also been implemented in order to ensure adequate leadership during the emergency response.

The visit at the Department of neonatology gave the Ambassador the occasion to meet both health workers; Dr. Sergiu Gladun – Director of the facility and Dr. Larisa Crivceanscaia – Head of the Neonatal Department and President of the perinatal medicine association of the Republic of Moldova whose commitment and collaboration was key during the activities.

In addition to specialized training, CUAMM intervention has also ensured basic medical care to more than 1,800 Ukrainian refugees (both adults and children) accomodated in RAC Testemitanu 6. Testemitanu is one of the 44 RACs opened by the Moldovan government during the crisis, it currently hosts around 200 people among which both Ukranian refugees and third country nationals. Health services were offered at the centre from Monday to Friday since April 2022, thanks to the support of 32 Italian volunteer medical doctors plus local doctors and nurses with different competencies ranging from internal medicine to cardiology to intensive care and paediatrics, etc. Among the services provided: health screening and outpatient activities; drugs distribution and storage monitoring that made it possible not only to ensure continuity of care but also prevent the already fragile Moldovan health structures from being overwhelmed by the influx of refugees.

 

The Ambassador at the Holy See - Joe Donnelly with Laura Braga - International Relations Department at CUAMM; Martina Sainaghi - CUAMM Project Manager together with the health staff at Testemitanu RAC.

«As CUAMM we are committed to respond to humanitarian crisis both in Africa, Europe and Italy to reaffirm the right to health and protection for all – said Andrea Atzori – Head of International Relations at CUAMM. Nowadays, contribution and partnership with governments, international partners, local actors and private sector is key to address present and future crisis and to stand with the most vulnerable, anywhere at any time. For this reason, we are thankful to the U.S. Embassy to the Holy See and to Ambassador Joe Donnelly for renewing the support».

Ambassador Donnelly has recently paid a visit to the suburbs of Foggia, Apulia where CUAMM is working to strengthen healthcare services for migrant and refugee communities thanks to funds from the US programme “Julia Taft”. The visit to Moldova was not only a fruitful occasion for sharing experiences and results but it also reaffirmed the importance of multi-level collaboration in time of crisis.