Enhanced solidarity to support Beira neonatology

Solidarity does go beyond borders creating a feeling of closeness, sharing and support towards people in need, no matter where.

Moved by this value, the Godolphin and Latymer School in London has recently organized and hosted a fundraising initiative promoted by its own student and aimed to raise money for Doctors with Africa CUAMM UK.

Through this inititive, the Godolphin and Latymer School has contributed to CUAMM’s mission to serve vulnerable mothers and children in sub-Saharan Africa. The funds will in fact contribute to supporting the neonatology ward at Beira Central Hospital (HCB) in Mozambique, a second-level facility that serves a total population of nearly 2 million people and where some 6,000 births are perfomed annually.

Doctors with Africa CUAMM started supporting HCB in 2002 and has been working there ever since.

On 14 March 2019 Tropical Cyclone Idai, a category 4 storm, made landfall during the night above Beira city, causing massive damage due to high winds of more than 195km/h. As a result of the devastating impact of the storm, the neonatology ward at Beira central hospital got completely destroyed. While deliverying the emergency response, CUAMM also committed to the reconstruction of the ward which was inhaugurated and handed over to the Ministry of Health on May 2021.

Today, the fully-renovated neonatology is a 600 square meters space with 17 cribs, 22 beds and a neonatal intensive care unit (NICU) where quality assistance is provided to newborns from 0 to 28 days.

The facility is a reference centre for Mozambican mothers as it stands out for the maternal and neonatal services provided through CUAMM’s support.

 

Uganda welcomes a special visit

CUAMM team in Uganda has recently received a delegation from the Italian Agency for Development Cooperation (AICS) led by AICS Director General Mr. Marco Rusconi and accompanied by AICS Desk Officer for Eastern and Southern Africa Ms. Paola Abenante, Director of AICS office in Kampala Mrs. Teresa Savanella and the AICS Uganda Program Coordinator Dr Paolo Giambelli.

The occasion was an official visit by the Italian Ministry for Foreign Affairs and International Cooperation/Directorate General for Development Cooperation (MAECI/DGCS) and AICS for a bilateral meeting on the perspectives of development cooperation with the Government of Uganda.

The AICS delegation paid a visit to two hospitals supported by CUAMM, namely St. John XXIII Hospital Aber in Lango region and St. Kizito Hospital Matany in Karamoja on the 2nd of March where they have been welcomed and guided by CUAMM Country Manager Mr. Peter Lochoro. By visiting the facilities, the delegation had the opportunity to meet up with both the hospital administration staff and CUAMM health workers.

CUAMM regional coordinator Mr. Simone Cadorin hosted the visit at St. Kizito Hospital Matany. On this occasion, the participants had the chance to discuss the “ALL IN ONE” project on antimicrobial resistance funded by AICS and implemented by Doctors with Africa CUAMM and C&S Africa Mission. This visit was also the occasion for Mr. Peter Lochoro to present the work CUAMM has been and still is doing in the region and indeed in the entire country. Doctors with Africa CUAMM works in Uganda since 1958, to date the Organization supports 13 hospitals and 354 health facilities across the country. The main area of intervention include maternal and neonatal care, prevention and control of infectious diseases and nutrition.

«Despite the challenges we face every day, we remain committed to supporting Matany hospital. Today, we are glad to showcase the results of our long-term presence in the region which is key to ensure continuity of care to the people of Karamoja» said Peter Lochoro – CUAMM Country Manager.

The visit arrived in a very challenging moment. Just a month ago the funding cuts on USAID-funded projects executed by the Trump Administration left international organization shocked, including CUAMM.

As a consequence of the notified order, Doctors with Africa CUAMM has been obliged to interrupt its activities on TB and maternal and neonatal care in Karamoja region. A decision which impact is not only devastating on staff members but also, and mostly, on people whose lives may have been saved by health services supported by cooperation interventions. Despite the funds no longer available, CUAMM remains committed to continue its work on TB and maternal and neonatal care in the region.

Training healthcare providers from FBOs

This month our team in Abidjan, Ivory Coast, hosted a 4-day training on basic obtetric and neonatal emergencies aimed at healthcare providers from faith-based health centres.

The training was organized by CUAMM in partnership with the Ministry of Health, Public Hygiene, and Universal Health Coverage through the National Maternal and Child Health Program (PNSME).

More than one woman dies every minute due to pregnancy-related causes worldwide; to date, maternal mortality rate in Ivory Coast is 385 deaths per 100,000 births. As highlighted over the training, common causes of pregnancy-related deaths include: postpartum hemorrhage (51%), hypertension and complications (13%), postpartum infection (4%), abortion (3%). These direct causes account for 3/4 of maternal deaths. Altough quite common in low-resource settings,  these causes do not necessarily have to be fatal. On the contrary, they can be prevented with timely and effective care. 

The training course was designed to give healthcare providers from faith-based organizations basic yet necessary competencies to manage obstetric and neonatal emergencies. Four main topics have been covered and addressed by national and international health experts, including contributing factors to maternal and neonatal mortality, crucial tool for monitoring labor and delivery, neonatal complications, post-abortion care and Manual Vacuum Aspiration (MVA) plus two hands-on training activities.

The training also explored the three types of delay that are often referred to as a major contributing factors to maternal and neonatal mortality. Delay in decision-making, delay in accessing a healthcare facility, delay in receiving adequate care.

30 healthcare providers from different faith-based organizations participated in the training course on Basic Emergency Obstetric and Newborn Care (BEmONC). Participants had been identified in partnership with U.R.S.S.C.I.. The activity is part of a wider initiative carried out by CUAMM to promote access to quality maternal, newborn and child health (MNCH) and nutrition services, therefore aiming to support Ivory Coast national and subnational authorities to achieve SDGs 3.1. and 3.2. (Maternal and newborn mortality reduction) as well as SDG 2.2. (Reduction of the burden of malnutrition).

In addition, previous to that, a second training on infection prevention and control (IPC) was held in January in Abidjan for selected FBOs facilities staff. The training was a 5-day training of trainers (TOT) for key staff in order to make an internal cascade training of all the qualified and not qualified staff working in each facility. The IPC training was preceded by an initial survey on the existing IPC situation in each facility, utilizing the WHO Infection Prevention And Control Assessment Framework At The Facility Level to tailor the training on the most critical issues and to have a way of measuring baseline situation and subsequent improvements. 

Tender for medical supplies and equipment

Doctors with Africa CUAMM, under the project titled  “Promoting protection and access to health and nutrition services for internally displaced people and vulnerable communities in emergency situations (AID 07/12282/ETH)” is launching a flexible simplified procedure to select a supplier of medical supplies and equipment.

 

01 Invitation form

 02 Contract Notice 

03 Instructions to Bidders

Annex I – Tender Form

Annex II & III – Technical Specifications ME for MHNT

Annex IV – Financial offer

Annex V – Administrative Compliance Grid

Annex VI – Evaluation Grid

Annex VII – Contract Form

Annex VIII – Special Conditions

Annex IX – General Conditions

Annex X – Checklist

 

 

 

Tender for the provision of refreshment services

Doctors with Africa CUAMM, under the project titled “INCLUSIVE: Strengthening prevention, equitable and inclusive care for all (AID012590/06/09)” is launching a simplified procedure to select a supplier for the provision of refreshment services in Gambella, Ethiopia.

 

01 Invitation form

02 Contract Notice

03 Instructions to Bidder

ANNEX I – Tender Form

Annex Ia – Declaration of Honour

Annex II & III – Technical Specifications and Technical Offer 

Annex IV – Legal-Entity

ANNEX V – Financial Identification

Annex VI – Offer Form

ANNEX VII – Administrative Compliance Grid

Annex VIII – Special Conditions

ANNEX VIII – Evaluation Grid

Annex IX – Contract Form

ANNEX X – Check List  

Annex XI – General Conditions for Service Contracts

Annex XII – Check List 

Tender for Supply of biomedical equipment and medical consumables

Doctors with Africa CUAMM, under the project titled ” Strengthening Neonatology in Ethiopia AID 012958/ETH ” is launching a flexible, simplified procedure to select a supplier for the supply of biomedical equipment and medical consumables.

01 Invitation form

02 Contract Notice 

03 Instructions to Bidders

Annex I – Tender Form

Annex II & III Technical_Specifications_and_Technical_Offer

Annex IV – Financial offer

Annex V – Administrative Compliance Grid

Annex VI – Evaluation Grid

Annex VII – Contract Form 

Annex VIII – Special Conditions  

Annex IX – General Conditions

Annex X – Checklist

Giving voice to the future: preventing teenage pregnancy in Angola

In Angola, in the heart of the Cunene province, change comes through awareness. Since November 2023, Doctors with Africa CUAMM has been committed to the “START” project, funded by the European Union and implemented together with Adespov and Codespa: an initiative dedicated to strengthening the health and nutritional status of women and children, while promoting gender equality. Among the most delicate challenges faced daily is that of early pregnancies, a phenomenon that often marks the boundary between the possibility of an independent future and the forced abandonment of studies.

October 26 was a significant day at the Simione Mucune school. Together with partners from AJMMO (Youth Association of Women for Women), a meeting was held with 55 girls, aged between 11 and 15, to speak openly about health, rights, and the future. It was not just an informative moment, but a true space for listening.

“In addition to the risks to the physical and mental health of the adolescent and the child, early pregnancy can affect the school, professional, and personal life of the young mother. Many pregnant adolescents face discrimination, a lack of support from family and the community, and difficulties in completing their studies and accessing job opportunities,” the association’s president firmly stated when discussing the impact of this issue.

Pregnancies between the ages of 15 and 19 are often the result of a complex mix of factors: cultural conditioning, socio-economic fragility and, above all, a profound lack of information and access to reproductive health services. The enthusiasm and curiosity shown by the students confirm how urgent it is to break the silence. The girls did not just listen: they called loudly for more meetings on female empowerment and the creation of a safe and personal space where they can share doubts and daily problems without fear of being judged.

For Cuamm, investing in the health of adolescents means investing in the entire community. Supporting these girls in their educational journey and personal growth is the most effective way to guarantee them the freedom to choose who they want to become.

Because an informed girl today is the pillar of a stronger and more independent society tomorrow.

In the Heart of Ouham-Pendé Acting for the Health of Women and Children in CAR

The Central African Republic (CAR) faces significant health challenges. With an estimated population of 6.4 million in 2024, nearly half under the age of 14, the country grapples with widespread and extreme poverty (65.7% of the population in 2023) and ranks 188th out of 191 countries on the Human Development Index. Access to healthcare remains limited due to insufficient infrastructure, a shortage of qualified personnel, and difficulties in procuring medicines and equipment.

Maternal and child health indicators are particularly alarming: high fertility rates (6 children per woman), among the highest maternal and infant mortality rates in the world, and inadequate coverage of prenatal consultations and births assisted by qualified staff. There is also a significant gap between healthcare supply and demand: 93% of midwives are based in urban areas, while 60% of the population lives in rural areas.

Adding to this complex picture is gender-based violence, worsened by ongoing conflict and instability.

Our Mission: Strengthening Local Capacities and Improving Access to Care

In response to this situation, our NGO has committed to improving the health of populations in the Ouham-Pendé prefecture through the project “Responding to the Health and Multi-Sectoral Needs of Populations Affected by the Humanitarian Crisis”, funded by ECHO.

Our work focuses on strengthening the skills of local healthcare personnel in obstetrics and gynecology, ensuring quality care for pregnant women and newborns.

Concrete Actions on the Ground

Our team, consisting of a doctor, a midwife, and a nurse, is deployed at Koui Hospital to support and train local staff and provide free consultations. We also work on rehabilitating infrastructure and supplying essential medicines and equipment. Four peripheral health centers (FOSA) benefit from our support in training, supervision, and equipment provision.

A recent mission assessed medicine and equipment availability, the adequacy of protocols, staff training needs, and data collection quality. An interactive training day was organized, focusing on basic life-saving practices.

Challenges Ahead, a Constant Commitment

Despite progress, challenges remain. The absence of an ultrasound machine in Koui and stockouts of essential medicines hinder the quality of care. Services for GBV survivors are available but require strengthened psychosocial support.

We are deeply inspired by the commitment and courage of our team and local staff, who work under difficult conditions. We remain determined to strengthen local capacities and improve access to quality healthcare for women and children in Ouham-Pendé.

 

This publication was co-funded by the European Union. Its contents are the sole responsibility of Doctors with Africa CUAMM and do not necessarily reflect the views of the EU.

 

A lifesaving humanitarian chain

Félicité gave birth on January 22 at Bossangoa hospital, Central African Republic. She walked miles, alone, to seek health care and give birth safely. No prenatal visits during pregnancy, no ultrasounds—nothing would have ever suggest her that that decision had saved her life and that of her baby.

Félicité needed  C-section. Her baby, born underweight, came into the world with a rare tumor that develops at the base of the coccyx during pregnancy—a sacrococcygeal teratoma. Something very similar to a soccer ball, way bigger than the tiny body of the newborn.

“It’s an extremely rare tumor,” says Mara Carrupt, CUAMM nurse working at the CHUPB in Bangui. “One of those conditions that are almost never seen, and for this reason, they make the news even when treated in our hospitals in Italy.”

The hospital in Bossangoa, along with Dr. Enzo’s team, saved the mother with a cesarean section and cared for the baby until she was stabilized. However, no surgeries might have been performed on the baby in this last-mile facility in the Central African Republic. Félicité and her baby were urgently transferred to the capital on a humanitarian flight.

Bangui Pediatric Hospital is indeed the only referral center for pediatric emergencies in the country. It is the only facility where a pediatric surgery might be performed. 

The staff at the Pediatric Complex vividly remember the arrival of the two. The mother’s face was frozen in fear, lost. From the very beginning, the entire hospital came together around them. On February 4, Dr. Enduma’s team took the baby into surgery. The procedure was delicate but successful—the mass was removed. Subsequent tests, including X-rays and an abdominal ultrasound, allowed doctors to rule out complications, but monitoring continued day and night for twenty days. There was always someone in the ward. At night, the nurses watched over the tiny crib, carefully following the precise instructions of Major Sylvie, the head nurse. From the medical staff to the nurses and even Félicité’s roommates, the initial anxiety turned into hope and strength. 

The baby was finally out of danger.

Today, CUAMM team, aboard a 4×4, is driving the road from Bangui back to their home, a small village near Bossangoa. It is a distance that often marks the boundary between life and death. Instead, it now reveils a “miracle” as everyone at CHUPB is referring to.

“Perhaps this baby was truly born under a lucky star,” says Armelle Couvert, Cuamm Project Manager in Bangui. “She was born in a hospital, where Dr. Enzo’s team took care of her. And while a good star may have watched over her from above, guiding her fate, here on Earth, her journey was the result of an extraordinary humanitarian chain.”

The success of the intervention in ensuring that Félicité and her baby received the necessary care was also made possible thanks to the support of CUAMM’s donors in the Central African Republic, namely the Italian Agency for Development Cooperation –AICS, which supports the maternity ward in Bossangoa, as well as the European Union and UNFPA for their support to CHUPB.

 

 

Bari joins the Fast Track Cities

Bari is officially one of the Fast Track Cities and it is ready to launch free screening activities at the Proximity Socio-Health Center. The Municipality of the Apulian capital has appointed Doctors with Africa CUAMM Bari as initiative coordinator, in collaboration with the Infectious Diseases Clinic of the Bari Polyclinic. Funded by the Municipality of Bari’s Welfare Department, the project aims to guide the most vulnerable segments of the population toward local psycho-social and healthcare services and to offer screenings for Hepatitis B, C, and HIV. A total of 200 screenings are planned to be offered from the present time to May. The first sessions will take place on February 18 and 25 at the Proximity Socio-Health Center on Via David.

The Fast-Track Cities initiative is a global partnership between cities and municipalities around the world and four core partners – the International Association of Providers of AIDS Care (IAPAC), the Joint United Nations Programme on HIV/AIDS (UNAIDS), the United Nations Human Settlements Programme (UN-Habitat), and the City of Paris.

The initiative aims to accelerate the response to HIV in urban areas, in line with the 2030 Sustainable Development Goals.

How? By strengthening testing and early diagnosis services, improving access to antiretroviral treatments—especially for the most disadvantaged groups who are far from traditional healthcare pathways—and fostering collaboration between hospitals, clinics, and local organizations. The challenge is to achieve the “95-95-95” target: 95% of people with HIV diagnosed, 95% on treatment, and 95% with viral suppression. At the same time, it seeks to reduce new HIV infections and related deaths while eliminating stigma and discrimination.

Many cities have joined the initiative. In Europe, besides Paris, cities such as London, Berlin, Barcelona, and Lisbon have also signed up. In Italy, cities like Milan, Florence, Bologna, Turin, Ancona, and Cremona are among those participating.