ANNUAL
REPORT
2021

SOCIAL REPORT 22021

CUAMM
IN FIGURES

0
years
0
country
0
hospital
0
district
0
university
0
nursing schools and midwives
0
human resources on the field
0
volunteers in Italy
0
obstetric emergency transports
0
ante natal visits
0
assisted patients
0
visits for children under 5 years old
0
assisted deliveries
0
patients in antiretroviral therapy
0
healthcare workers formed
1
hospital (Chiulo)
46
human resources

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3
hospitals (Turmi, Wolisso, Gambella)

1
nurse and
midwives school (Wolisso)

135
human resources

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4
hospitals (Beira, Montepuez, Nhamatanda e Dondo)
1
university (Beira)
181
human resources

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1
hospital (Bangui)
75
human resources

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5
hospital (SJOG Lunsar, PCMH Freetown, Pujehun CMI, Bo, Makeni)
93
human resources

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5
hospital (Cueibet, Lui, Rumbek, Yirol, Maridi)
2
midwives school (Lui e Rumbek)
333
human resources
3.400
human resources in “extraordinary management”

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2
hospital (Songambele, Tosamaganga)
149
human resources

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2
hospitals (Aber, Matany)
1
nurses and midwives school (Matany)
106
human resources

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STAKEHOLDER
MAPPING

STAFF SERVING
IN AFRICA
IN 2021

STAFF SERVING
IN ITALY
IN 2021

ACTIVITIES
AND RESULTS

The COVID-19 pandemic has shown that we are all bound by the same destiny. Doctors with Africa CUAMM acted to launch an emergency intervention from Italy to Africa.

COVID-19 AND GLOBAL HEALTH:

INTERNATIONAL HEALTH COOPERATION IN TIMES OF COVID-19

In Africa, data on confirmed cases of and deaths caused by COVID-19 have been vastly underestimated. There are many reasons for this, including the widespread unavailability of tests and – even more problematic – the lack of systems for civil registration and vital statistics such as Italy’s National Institute of Statistics (ISTAT) for keeping records of births, deaths and the cause of the latter. For example, South Sudan has done a total of about 300,000 COVID-19 tests, while Italy did over 1 million tests daily at the height of the pandemic. According to WHO data, Africa has reported around 250,000 deaths since the start of the pandemic; yet only six of Africa’s 54 countries have reliable systems for registering deaths and their causes. In South Africa, a significant proportion of the number of excess deaths recorded since the start of the crisis – 300,000 – is likely attributable to COVID-19. Thus it is important to exercise caution and avoid making ill-considered affirmations about the supposed lesser impact of COVID-19 on Africa (a conjecture put forth by numerous media outlets). To prevent the emergence of new and dangerous variants in Africa, its population must be vaccinated, COVID-19 vaccine patents should be suspended, and investments should be made in testing, epidemic surveillance systems and registration systems.In Africa, data on confirmed cases of and deaths caused by COVID-19 have been vastly underestimated. There are many reasons for this, including the widespread unavailability of tests and – even more problematic – the lack of systems for civil registration and vital statistics such as Italy’s National Institute of Statistics (ISTAT) for keeping records of births, deaths and the cause of the latter. For example, South Sudan has done a total of about 300,000 COVID-19 tests, while Italy did over 1 million tests daily at the height of the pandemic. According to WHO data, Africa has reported around 250,000 deaths since the start of the pandemic; yet only six of Africa’s 54 countries have reliable systems for registering deaths and their causes. In South Africa, a significant proportion of the number of excess deaths recorded since the start of the crisis – 300,000 – is likely attributable to COVID-19. Thus it is important to exercise caution and avoid making ill-considered affirmations about the supposed lesser impact of COVID-19 on Africa (a conjecture put forth by numerous media outlets). To prevent the emergence of new and dangerous variants in Africa, its population must be vaccinated, COVID-19 vaccine patents should be suspended, and investments should be made in testing, epidemic surveillance systems and registration systems.

COVID-19 IN ITALY:

SIDE BY SIDE WITH ITALY’S MOST VULNERABLE

Doctors with Africa CUAMM has worked in support of Italy’s COVID-19 vaccination campaign since June 2021, partnering with the Veneto Region, the local health authority “ULSS 6 Euganea”, and the Diocese of Padua to set up Padua’s first volunteer-run vaccination hub. Located in Rubano, Padua, and staffed by around 190 dedicated volunteers, the hub operated for 234 days to administer COVID-19 vaccines, ultimately getting more than 48,000 shots into arms, including first, second and third (booster) doses. The intervention was part of a broader project called “Italian Response to COVID-19” that took place in 19 health facilities in 6 Italian regions with the goal of improving hygiene infrastructure and practices, patient assistance, and personnel protection and efficiency.

“A VACCINE FOR ALL OF US”

The data shows that African countries come in last place in terms of the number of COVID-19 vaccine doses administered to the overall population. Indeed, WHO data as of April 2022 reported that only 16% of the African population were fully vaccinated, while 21% had received at least one dose. The continent’s low vaccine coverage is also a global security issue, so pushing for effective vaccination campaigns there is also a way to help limit the spread of new variants.
From the outset, Doctors with Africa CUAMM’s A Vaccine for All of Us” campaign was devised as a support to local healthcare services (which were already fragile prior to the pandemic) at both the center and peripheral levels in the most remote districts and health centers, as well as in communities. The main goal continues to be that of improving health service delivery, increasing its availability, quality and use.

MATERNAL AND CHILD HEALTH

0
deliveries attended in hospitals
0
deliveries attended at district health centers
0
major direct obstetric complications (MDOCs)

NUTRITION

0
patients discharged
0
patients cured

INFECTIOUS DISEASES

0
malaria diagnoses
0
Pneumonia diagnoses
0
tubercolosis diagnoses
0
diarrhea diagnoses
0
individuals tested for HIV

CHRONIC DISEASES

0
total no. of visits
0
total no. of admissions
0
total no. of women screened
0
no. of VIA+

EDUCATION

0
people trained through short-term courses or longer in-person residential courses
0
health professional graduates

THE CRUCIAL ROLE PLAYED BY TRAINING

Training health personnel is a crucial way of improving and strengthening both the quality of care and health service delivery capacity.

In addition to the training done every day by Doctors with Africa CUAMM personnel while working alongside local health workers and authorities, CUAMM also held numerous ongoing education courses in 2021, with the participation of some 2,915 individuals including community agents, nurses, midwives, doctors and paramedics.

In 2021, training activities led to diplomas for 92 health professionals, including 36 doctors who graduated from the Faculty of Medicine at the Catholic University of Mozambique in Beira.

RESEARCH

0
main thematic areas
0
published studies
0
authors (from Italy, Africa and elsewhere) who contributed to CUAMM’s research efforts
0
partnerships with public and private research centers, international universities, institutions and hospitals, including
0
African partners

FOCUS
ON HOSPITALS

0
hospitals managed by Doctors with Africa CUAMM
0
in Angola
0
in Etiopia
0
in Mozambique
0
in Sierra Leone
0
in South Sudan
0
in the Central African Republic
0
in Tanzania
0
in Uganda

FUNDRAISING

FUNDRAISING IN ITALY

CUAMM support groups are made up of volunteers, many of whom are development workers who have returned from missions in the countries where CUAMM is active and decided to channel their enthusiasm and energies to help make Africa’s voice heard in every corner of Italy. These volunteers are enormously important for all they do to promote and support outreach initiatives and events as well as “special projects” to provide health prevention and assistance to the poorest groups in Italian society.

INTERNATIONAL FUNDRAISING

In recent years our International Relations division has become a strategic keystone for Doctors with Africa CUAMM. Its aim is to foster the development of new relationships and associations with other actors engaged in international development. The latter group includes a growing number of private foundations, some of which with ties to private entities and others to corporations with social responsibility aims. Doctors with Africa CUAMM now has many projects and initiatives underway with such international partners in each of the countries where we are active; they support our work alongside, and sometimes in integration with, our more traditional development cooperation donors and help advance CUAMM’s overall strategy. These partnerships and associated projects are fostered further with meetings that also involve other institutions, foundations, universities, professional groups and private citizens in the challenge launched by CUAMM’s strategic plan, helping in turn to put a more global spotlight on our organization’s activities.

More specifically, in 2022 CUAMM’s International
Relations division worked on:
the dissemination of best practices in the field of global health in partnership with the London International Development Center, the Trialect Traineeship Program, the German Health Alliance, Bournemouth University Disaster Management Centre (BUDMC), the Directorate-General for European Civil Protection and Humanitarian Aid Operations (ECHO), the Lancet Migration Hub, Together for Girls and the American Chamber of Commerce in Italy (AmCham).
emergency response, thanks to our partnerships with (and the support of) the Directorate-General for European Civil Protection and Humanitarian Aid Operations (ECHO) in response to urgent needs in Ethiopia, Mozambique and Angola; the U.S. Agency for International Development (USAID) in response to the COVID-19 emergency in Italy; and the United Nations Humanitarian Response Depot (UNHRD).
international fundraising in support of our many programs in Africa, thanks to partnerships with numerous companies and private foundations.

SUPPORTING CONGREGATIONS
ON THE FRONT LINE

Doctors with Africa CUAMM has launched a project in support of 25 religious congregations working on the front line to help manage hospitals and health centers in 23 African countries; its goal is to provide them with health training and technical assistance. We also help strengthen relations between the congregations, governments and local ministries. In 2021, technical assistance missions were carried out in three centers in Togo and one in Zambia; further missions are planned in 2022.
CUAMM provided training in the following areas: Health facility management, health facility administration, project management, international fundraising.

WHERE WE WORK

EVENTS IN 2021

NORTHEAST
ITALY

NORTHWEST
ITALY

CENTRAL
ITALY

SOUTHERN
ITALY

0
events altogether
0
book presentations of What We Can Learn from Africa: Health as a Common Good
0
CUAMM support groups
0
Special project in the Veneto region: Checkups and events for the prevention of cardiovascular diseases
0
events altogether
0
book presentations of What We Can Learn from Africa: Health as a Common Good
0
CUAMM support groups
0
special projects in:
– Pinerolo (Turin): Becoming part of your new community
– La Spezia: Taking care of the homeless
0
events altogether
0
book presentations of What We Can Learn from Africa: Health as a Common Good
0
CUAMM support groups
0
Special project in Florence: Free HIV and Hepatitis C screening
0
events altogether
0
book presentations of What We Can Learn from Africa: Health as a Common Good
0
CUAMM support groups
0
Special project between Bari and Foggia: Health services in slum areas

SPECIAL PROJECTS
IN ITALY

EDUCATION AND
PUBLIC AWARENESS

HEALTH IS GLOBAL

Doctors with Africa CUAMM shows its commitment to advancing people’s right to health in a range of ways, including through educational and awareness-raising initiatives. We are convinced, in fact, that helping familiarize young people, doctors and health professionals with development and cooperation issues can lead to both a more just world and more responsible medical practices. That’s why we organize two residential training courses every year at CUAMM’s Padua headquarters, with 220 hours of lectures for medical residents and doctors from across Italy who are interested in learning more about health issues in developing nations – from public health to infectious diseases, and gynecology to pediatrics. Some will want to take part in order to prepare for a possible mission overseas themselves. Due to the dire global health situation, all of these training opportunities took place online in 2021. However, participants were still able to interact with the trainers and among themselves, both while engaging in group work and through a variety of other modes of remote interactive exchange.

For years, CUAMM has offered medical students and residents the possibility to undertake a period of training in Africa; thanks to our partnership with SISM, every month Doctors with Africa CUAMM provides four medical students with the opportunity to do an internship in Ethiopia or Tanzania to begin to get acquainted with the world of international health cooperation.
Launched in 2002, the Junior Project Officer (JPO) program is instead aimed at medical residents. In agreement with the Conference of Rectors of Italian Universities (CRUI), the program offers a period of field training lasting from 6 to 12 months and recognized by the student’s university as part of her or his formal education.
Although like our other training opportunities, these important field-training programs were also delayed or suspended in 2021 due to the pandemic, we are pleased to report that 361 medical students and 271 medical residents from 39 universities across Italy have taken part in them from the time they were instituted on through the end of 2021.

UNIVERSITIES INVOLVED
IN CUAMM PROGRAMS


Medical students
Areas from which SISM
medical students with
the Italian Medical
Students’ Association
(SISM) leave with
CUAMM for Africa


Medical residents
Universities from which
medical residents leave
with CUAMM for Africa


Midwives project
Universities from which
midwives leave with
CUAMM for Africa

MIDWIVES

0
midwives have left for Africa since 2016, including:
0
students
0
recent graduates

SISM

0
medical students have left for Africa since 2016, including:
0
for Tosamaganga, in Tanzania
0
for Wolisso, in Ethiopia