CUAMM AND UNICEF SUPPORT REFUGEES POPULATIONS IN MOLDOVA

Promotion of healthcare assistance for refugees and emergency preparedness among health workers are at the core of the intervention that aims to provide quality health sevices to vulnerable populations fleeing the Ukranian conflict in Moldova.

CUAMM Doctors with Africa in partnership with The United Nations Children’s Fund (UNICEF), launches a project in Chisinau, Moldova, to promote healthcare assistance for refugees and boost emergency preparedness among health workers in peripheral facilities hence strengthen the capacity at national level.

Refugee families, vulnerable groups and mothers and children fleeing the Ukranian conflict can now access safe and quality healthcare assistance in Chisinau where two health centres are being supported with provision of lifesaving drugs, essential supplies, consumables, PPEs and medical equipment. The centres also offer vulnerable groups access to multiple services such as informative sessions and distribution of informative materials on health and hygiene promotion plus specifically child-tailored materials, routine immunization, health checks on vaccination coverage and NCDs prevalence to vulnerable populations. The centres accommodate between 150 and 250 people (the number varies depending on the refugees’ movements), mostly of Roma ethnicity and/or from Azerbaijan or Armenia. These are women, men, children, and the elderly.

Lack of human resources and specialized professionals in peripheral facilities can undermine the response capacity putting people who seek healthcare services at risk. For this reason education is a key component of the intervention implemented by CUAMM in collaboration with UNICEF that encompasses a training programme in Emergency Preparedness with the ultimate goal of improving medical teams’ emergency response capabilities at all levels.

Following consultations with the Ministry of Health and in partnership with UNICEF, emergency preparedness trainings and assessment have been designed to foster health workers’ capabilities. A 20-hour training paths of mentors (key medical and non-medical staff) in Emergency Medical Services (EMS) in each of the three targeted hospitals will be offered to ensure adequate response in case of health-related disasters while in the same facilities trained mentors will deliver a 10-hour mentoring paths to 100 medical and non-medical staff under the supervision of CUAMM. Additionally, assessment of management and clinical gaps in emergency preparedness and disaster response in the 3 concerned hospitals, establishment of an emergency medicine consultative coordination body at the hospital level (in each of the 3 hospitals), and development of a training package for hospitals’ staff will be included.

This comprehensive training program seeks to achieve a multiplier effect both establishing and institutionalising mentoring as a model of continuing professional development and leading to a significant and sustained impact on emergency preparedness hence enabling the healthcare staff of the Institute of Mother and Child, the Emergency Hospital, and the Republican Hospital in Chisinau to effectively respond to the ongoing refugee crisis and address future emergencies.

Since the beginning of the war in Ukraine, Moldova have sheltered the largest number of refugees: 89.000 refugees have been registered in the country. Starting from April 2022, CUAMM has been operating in Chisinau – the capital of Moldova – where the team provided basic medical care to the Ukrainian population through Emergency Medical Teams. The assistance offered aims not only at ensuring continuity of treatment and follow-up to Ukrainian refugees, as well as preventing the deterioration of minor illnesses; but also preventing the already fragile Moldovan health structures from being overwhelmed by the influx of refugees.

 

 

 

 

 

 

 

FROM EMERGENCY TO RESILIENCE

«Intervention continues in Ethiopia for displaced people, refugees and host communities in the Somali region, with a project financed by the Italian Agency for Development Cooperation, implemented by the International Committee for the Development of Peoples (CISP), in collaboration with Doctors with Africa CUAMM and Action Aid. CUAMM works, in particular, in the woredas of Aw-Bare, bordering Somalia, and Boklomayo, on the border with Kenya, where more than 10,000 IDPs and more than 120,000 refugees from Somalia are concentrated, living in five refugee camps.

Overall, the project is implemented in an area that is in a state of humanitarian crisis due to conflicts between ethnic groups and opposing forces that have led to the displacement of whole communities, compounded by frequent droughts, repeated flooding and the relentless spread of epidemics. In addition, with a weak health system poorly equipped with drugs and tools, the combination of these factors makes the vulnerability of host communities, displaced persons and refugees high.

In this context, where resources are scarce or inaccessible for many of the families, the lives of girls are continually endangered, in a strongly patriarchal society in which women are involved in domestic work, child-rearing, agricultural work and water supply, but have no power.

With the combination of humanitarian, environmental, epidemic and economic crises, girls and women are among the most vulnerable and CUAMM, through its intervention, decided to take action, providing support and tools to improve their sanitary conditions and protect them. In mid-November, the distribution of hygiene and sanitation kits began to 6,000 women, including 4,300 (70%) from displaced and refugee communities, and 1,700 (30%) from host communities.

The distribution reached women with disabilities, single mothers, pregnant and breastfeeding women, and was integrated during the information and awareness-raising campaign as part of the health education programme. The aim is that the women and girls involved will not only benefit from training in health, hygiene, prevention and reduction of disease transmission, but will also be provided with tools to start putting into practice the good habits suggested by community health workers and volunteers. The hygiene kit contains two bars of soap suitable for washing clothes, a bar of body soap and a washable and reusable cloth pad. CUAMM field team collected positive feedback from the beneficiaries, who received and appreciated the kit that will enable them to save some money they would otherwise have had to spend at the market where prices are constantly rising.

CUAMM’s commitment therefore aims to provide solutions and tools that will have a lasting impact over time, especially with activities concerning the implementation of awareness-raising campaigns on good hygiene practices for the prevention and recognition of Covid-19, the training of health workers in health centres and community workers. Finally, the provision of protective equipment, materials and drugs. The urgency of the context translates into the need to work at the community level on infection prevention, the adoption of healthy behaviour and the recognition of signs of illness, improving the training of health workers and encouraging people to go to health centres».

TOGETHER TO IMPROVE THE QUALITY OF HEALTH SERVICES

«Since 2017, Doctors with Africa CUAMM has been working at the PCMH, the maternal and child hospital in Freetown, the capital of Sierra Leone. Thanks to a new programme of the United Nations Population Fund (UNFPA), financed by the Italian Agency for Development Cooperation, Cuamm supports a series of health staff training, the education activities of the students of the specialisation school in Obstetrics and Gynaecology, the pharmacy and its universal health care service, with a view to reinforcing the improvement of the care provided.

Recently, we received a donation of sanitary material to fight and reduce infections. As CAUMM, we have also offered cleaning and waste collection products, increased handwashing points within the wards, and equipment such as trolleys, to deposit sterilised material», says Claudia Mocci, CUAMM project leader in Freetown.

«We are two gynaecology residents – explain Alessia Sala and Marina Valeriani, Junior Project Officer, – who arrived at the Freetown Maternal and Child Hospital a few months ago. We started working here with the other trainees and residents. It is a very different reality from what we were used to, there are so many patients, so little material available, and every day is a challenge! The first few weeks we just observed to understand how we could fit in, then we started the activity like everyone else. We are growing on a daily basis and trying to teach practices that residents here have no way of learning, such as ultrasound. For the moment, it is a challenging and difficult experience, but at the same time stimulating and educational».

A commitment that continues despite the difficulties, to guarantee the necessary care for African mothers and children.

 

ANNUAL MEETING 2023 RELIVE THE BEST MOMENTS

A special thanks to the more than 1,800 people who came from all over Italy to live together at the Annual meeting of CUAMM and to give voice to Africa.
 

A special thanks to the many guests with us on stage and to the 1,800 people who came to Milan, from all over Italy, to give voice to Africa and put at the center the future of young Africans who wish to remain in the land where they were born. Today, all together, we have relaunched the commitment to take care of mothers and children. Everyone’s support is the greatest encouragement to face the new challenges with tenacity and determination, always and in any case, WITH Africa in the heart!

Relive the best moments of the Annual Meeting!

THE VIDEO
THE PHOTOGALLERY
THE PRESS RELEASE

ANNUAL MEETING 2022 RELIVE THE BEST MOMENTS

A special thanks to more than 4,000 people welcomed the Holy Father and listened to his encouragement to continue this path, to “not be afraid to go to difficult places,” today Saturday, Nov. 19th, in Rome’s Paul VI Hall at the Annual Meeting of Doctors with Africa Cuamm.

Relive the best moments!

Read Pope Francis’ Speech

Watch the video in English

Watch the video in Portuguese

The photogallery

The press release

 

 

CUAMM’S SUPPORT TO DISPLACED PEOPLE

Doctors with Africa CUAMM is present in Ethiopia, in the Amhara region, with a humanitarian intervention to support local communities and displaced populations to guarantee health and nutritional services in response to the serious crisis caused by the conflict in the country, with a project supported by the World Health Organisation.

The commitment continues with a second and new project, “Integrated assistance and resilience support interventions for displaced populations and surrounding communities in conflict-affected areas of Amhara Regional State, North Shewa and Oromia Special Zone”, financed by the Italian Agency for Development Cooperation, in consortium with COOPI and Enhanced Rural Self Help Association, which were present at the opening event together with representatives of the health department of the North Shewa region and Debre Birhan, as well as the health directors of some of the facilities involved in the programme.

The focus is on restoring and rehabilitating urgent and essential nutrition and health services to enable displaced people and host communities to live in dignified conditions. CUAMM will work on the one hand to rehabilitate two health facilities that were severely damaged and looted during the conflict, and on the other hand to improve the provision of health and medical services. This will be achieved by focusing on reproductive health, maternal and child health, major communicable diseases, training health personnel also on gender-based violence and services for mental health and psycho-social support.

During the presentation of the project, Riccardo Buson, Country manager for CUAMM in Ethiopia, spoke, renewing the commitment of the team organisation in Debre Birhan to continue to provide essential health services for the vulnerable groups most affected by the conflict, thanking the local authorities for their renewed confidence, and hoping to work together again to strengthen relations in the area and to foster the impact of the intervention.

AFRICA IS NOT TO BE EXPLOITED, IT IS TO BE PROMOTED

Relive the best moments

Rome, Nov. 19th, 2022 – More than 4,000 people welcomed the Holy Father and listened to his encouragement to continue this path, to “not be afraid to go to difficult places,” today Saturday, Nov. 19th, in Rome’s Paul VI Hall at the Annual Meeting of Doctors with Africa Cuamm.

Msgr. Claudio Cipolla, Bishop of Padua and President of Cuamm gave the welcoming to Pope Francis by saying: “Cuamm is an expression of the missionary laity, a story made up of multiple stories, which have gave it body and soul since 1950. “WITH”: the preposition also used by Jesus, “the God WITH us.” For Cuamm it is essential not to be FOR the other but WITH the other. In so many African countries there are hospitals and dispensaries that are weak, fragile, unable to provide their people with basic health care. There are few trained doctors and nurses (in South Sudan there is one midwife in 20,000 mothers giving birth). Cuamm faces these challenges WITH the Churches and local governments, together, in the logic of sharing and mutual responsibility.”

Pope Francis’ speech was heartfelt and engaging: “I like to emphasize the fact that your story begins when, 70 years ago, a college was established, right in Padua, to host young African medical students. Young Africans. This is a clear expression of your style: to be with Africa, even before being for Africa. And this is precisely the good attitude, because there is in the imagination, in the collective unconscious, the wrong idea that Africa is to be exploited. On the contrary, your attitude is to be with Africa and your work is a concrete way of putting into practice something we ask every day in the “Our Father Prayer. “When we pray “give us today our daily bread,” we should think carefully about what we say, because so many, too many men and women, only receive crumbs from this bread, or not even that, simply because they were born in certain places in the world. I think of so many mothers, who cannot have access to safe birth and sometimes lose their lives; or so many children, who die in early childhood. Your presence here today brings my heart close to countries that are of particular interest to me, such as the Central African Republic, where I went in 2015 to open the Holy Door, in Bangui; and South Sudan where, God willing, I will travel early next year. Do not be afraid to take on difficult challenges, to intervene in remote, violence-scarred places where people do not have the opportunity to access primary health care. Be with them! Should it take years of efforts, should there be successive disappointments and failures on the way to results, do not be discouraged, ever. Be persevering with service and dialogue open to all as tools for peace and overcoming conflicts. Africa is going backwards and poverty is getting worse. I truly appreciate your work in giving voice to what Africa is experiencing; because you bring to the surface the hidden and silent sufferings of the poor that you encounter in your daily efforts. And I urge you to continue to give Africa a voice, to give it space so that it can express itself: Africa has indeed a voice, but it is not heard; you must open possibilities so that Africa’s voice can be heard; you must continue to give voice to what is not seen, to its labors and its hopes, to move the conscience of a world that sometimes is too focused on itself and little on the other. Finally, I invite you to give special attention to young people: to encourage in every way, in your activities, the job placement of local youth who crave to live their future as protagonists especially in their countries of origin”.

Cuamm director, don Dante Carraro took the stage in the second part of the morning that was conducted by the journalist and longtime friend Piero Badaloni, by saying to the audience that: “Africa is going backwards, as pandemic, war and energy and financial speculation are affecting it dramatically. In fact, as we struggle with our life, the burden is heavier on Africa: just think that in Ethiopia, a pair of latex gloves, the kind you use in the hospital, costed 0.5 cents in the beginning of the year while they are currently priced 1 euro! Consequently, the whole cost of living has increased. But as Cuamm, our task is to look forward with confidence”.

Fabio Manenti, head of Projects at Cuamm presented the results of “Mothers and Children First. People and competencies”: “The target we need to reach is 500,000 assisted deliveries, in the first year there were 93,000, but only about 50 percent of women give birth in hospitals and there is still a lot to do. The climate crisis, food crisis and global crisis we are facing because of the war, are also worsening the quality of care and this is something we do not see”.

Among the main themes of the meeting, there was the commitment to train young Africans “Human resources are the most important asset for Cuamm and for Africa,” explained Giovanni Putoto, Cuamm’s head of Programming. Investment in training should be made at all levels, from hospitals to schools to universities that train doctors, specialists and managers, as in the case of the high-level Master program launched in Mozambique, with the collaboration of the University of Padua, the University of Maputo and the University of Beira”.

Also Professor Pietro Invernizzi, director of the Department of Medicine and Surgery at Bicocca University in Milan, stressed the importance of collaboration with Italian universities: “We train new generations of professionals who will have to deal with our health, and we realize that we are dealing with an internal fragility. Africa motivates us, so we decided to start an institutional and collaborative effort with Cuamm.

Collaboration continues on different paths as the one with religious congregations that Cuamm launched in recent years and that was presented today by Sister Anastasie Mokli: “In the health field, our work has always started progressively, as under the trees, with care for children and mothers, then we opened small dispensaries and, little by little, we added different services to respond to different needs. Now through collaboration with Cuamm we will also be able to improve our skills and resource management”.

“This collaboration with congregations made it clear to us that interventions from the ground up, from the frontline, were necessary to revitalize Africa. We have come to involve 25 congregations in 23 countries. We started with field missions that helped us bring to light the common problems and challenges in health systems that need to be addressed together,” added Andrea Atzori, Cuamm’s head of International Relations.

“The vaccination campaign in Africa is progressing. Thanks to Cuamm’s efforts, more than 1 million vaccine doses have been administered: and that is a great achievement,” said Francesca Tognon, Cuamm physician.

Prof. Alberto Mantovani, scientific director of Humanitas claimed his involvement and support for Cuamm’s vaccine campaign, “Intellectual asset of young Africans is remarkable. The sequencing of the virus was recently reported in Science, which is useful in mapping how the variants we are so concerned about are generated. It’s an achievement that shows us that it is possible to carry out high-level research in Africa, research that everyone needs. This is what Cuamm does through its training program, it cultivates culture and intelligence that serves a continent and the idea of a global health”.

At the end of the event, Niccolò Fabi moved the audience by performing “Costruire” before leaving the floor to don Dante Carraro for the final greeting in which he relaunched the commitment for the future.

A special thanks to the youth orchestra I “Polli(ci)ni” from Padua, which embellished the event with its music.

 

TENDER ANNOUNCEMENT | FOR WORK CONTRACT

The NGO Doctors with Africa CUAMM Ethiopia, is launching the present Local Open Procedure to select a contractor for the REHABILITATION OF THE MEDICAL WARD AT ST. LUKE HOSPITAL, Wolisso, Oromia Region.

01 Contract Notice

02 Instructions to Tenderes

03 Tender Form

04 Technical Form

ANNEX I – Declaration of Honour

ANNEX II – Legal Identity form

ANNEX III – Financial Capacity

ANNEX IV – Technical Offer

ANNEX IX – General Conditions

ANNEX V – Financial Identification

ANNEX VI – Administrative Compliance Grid

ANNEX VII – Evaluation Grid

ANNEX VIII – Contract Form

ANNEX X – Special Conditions

ANNEX XI – Technical Specifications

 

 

ANNUAL MEETING AND THE SPECIAL AUDIENCE WITH POPE FRANCIS

Padua, 9 November 2022 – Stories of commitment and perseverance which are the results of a year- long work “with” Africa, future challenges, hidden and distant tragedies that are unknown yet caused by the serious global crisis we are all in. These will be the core topics at the Annual Meeting of Doctors with Africa Cuamm, which this year will be opened with the special audience with Pope Francis.

 The event, open to everyone upon registration, will take place Saturday 19th November at 9h in the Paul VI Hall, Vatican City (Rome).

Life in Africa is an obstacle course, a bumpy climb where toils are added to toils and weights to weights, with the ultimate risk of being squashed, with the risk that it is always the poorest, and the weakest, mothers and children who pay. But ‘Africa is not just a misfortune that befell close to us’, as Don Dante Carraro, director of the Padua-based NGO, often emphasises. It is much more, it is a great sense of life, despite everything. By going beyond the problems and looking at the good that is being built every day, we can learn a lot from this continent.

Climate change, droughts, Covid-19 and also the war in Ukraine. These are problems that impact our daily lives and that have devastating effects in Africa, effects that no one talks about and on which Doctors with Africa Cuamm wants to draw everyone’s attention and wants to recount them and ‘offer them’ to the Holy Father, who with his words and his example can be a guide and point of reference to continue on this path of caring and support to the poorest and most fragile.

Numerous topics will be discussed over the Meeting: from the first results of the programme ‘Mothers and children first. People and competencies’, which focuses on the training of competent and motivated health workers; to fragile countries such as South Sudan and the Central African Republic; from the commitment to the vaccination campaign in Africa to telling “What goes unseen”, the great tragedies and the dramatic effects of this global crisis on Africa. The skyrocketing prices of basic goods and material for the ordinary activities in hospitals; the number of malnourished children; the almost fourfold increase in the cost of petrol, with very heavy consequences on the referral system; diabetes drugs costing three times as much. “What goes unseen” from where we stand is a lot and will be told at the Cuamm Annual Meeting, together with the silent yet constant commitment of Doctors with Africa Cuamm, which has been working in the field over 70 years, alongside the last, “with” Africa always, despite everything.

 

Neri Marcorè, Sveva Sagramola and Niccolò Fabi are the three special friends who will give a voice and face to this heartfelt appeal that Cuamm will be launching before Pope Francis. They are witnesses who in different ways share the commitment ‘with Africa’ and with their involvement can help mobilise as many people as possible.

 

A special mention to “I Polli(ci)ni” Orchestra from Padua that will enrich the event with some pieces from its repertoire.

 

PROGRAMME

9h Paul VI Hall – Vatican City – Rome

Host Sveva Sagramola

 

First part:

Pope Francis’s entrance

Greetings from Monsignor Claudio Cipolla, Bishop of Padua

 

Audience by Pope Francis

Second part:

Spot from Sierra Leone

“The effects of the global crisis”

Don Dante Carraro, Director of Doctors with Africa Cuamm

Spot from Uganda

Results from the first year of the project Mothers and children first. People and competencies.”

Fabio Manenti, Head of Projects at Doctors with Africa Cuamm

Musical interlude – “Pollicini” Orchestra

Spot from Central African Republic

“People and competencies”

Giovanni Putoto, Head of Programme at Cuamm

Pietro Invernizzi, Director of the School of Medicine and Surgery at Bicocca University, Milan

Valentina Iacobelli and Francesco Tagliente, residents at Matany, Uganda

Musical interlude – “Pollicini” Orchestra

“High-quality collaborations”

Andrea Atzori, head of International Relations and Emergency department at Cuamm

Spot from the vaccination campaign

“Evaluation of the vaccination campaign in Africa”

Francesca Tognon, Operational research at Doctors with Africa Cuamm

Alberto Mantovani, Scientific Director at Humanitas Research Hospital, Milan

“What goes unseen”

Niccolò Fabi, songwriter

Don Dante Carraro, Director of Doctors with Africa Cuamm

ACCREDITATION PROCEDURES

Journalists and media operators who wish to participate must send a request, within 24 hours of the event, through the Holy See Press Office’s online Accreditation System at: press.vatican.va/accreditations

 

The ANNUAL MEETING enjoys the patronage of FNOPO, is realised with the special support of Gilead Sciences S.r.l. and with the contribution of Banca Etica. Technical Sponsor: Freccia Rossa – official train

Media Partner: Vatican news, Vatican Radio, Tv2000, In Blu, Avvenire, Rai Radio 1, Corriere Buone Notizie, Africa Rivista.

MOTHERS AND CHILDREN FIRST is a programme in collaboration with Fondazione Cariparo, Fondazione Cariverona, Fondazione Cariplo, Fondazione Compagnia di San Paolo, Fondazione Cassa di Risparmio di Lucca.

WORLD DIABETES DAY

“Education to protect the future “: this is the slogan proposed by the International Diabetes Federation on November 14th, during the World Diabetes Day. A slogan with the aim of increasing access to diabetes education, so that we can contribute to improve the lives of more than half a billion people living with diabetes worldwide.

These are many initiatives scheduled for November 14th in the African countries. In Freetown, Sierra Leone, Doctors with Africa CUAMM supports the organization march of diabetes awareness, organized in collaboration with the Health Department. In Ethiopia several proposals are also scheduled: a convention on the topic, a march, awareness-raising and screening activities. The march is going to be in the main squares of Addis Abeba, with the involvement of about 5,000 participants. In Mozambique, CUAMM proposes three dates. In Maputo, also on the 14th, proposes an event that will see the Deputy Minister of Health participation. In the Zambesia region will take place a march and a “health fair” with screening and awareness. In the region of Sofala, the next days, it will be an official moment with the authorities and a health fair.

CUAMM’s commitment in the fight against diabetes has primarily focused in Ethiopia, Mozambique, Sierra Leone, Tanzania and Uganda by raising awareness and prevention in health centers and in the villages, realizing screenings to check blood sugar, the state of health in general and the parameters for early detection of non-communicable diseases. The aim is to start treatment as soon as possible. All in collaboration with the local authorities: reaching, in some cases like Mozambique, the drawing up of “Ministerial Guidelines for diabetes care and treatment, in addition to hypertension”. Another example is Sierra Leone, where the first “Guidelines on managing gestational diabetes” have been prepared.

A work made possible thanks to the many people who assure their support and thanks to partnerships with interlocutors like AICS and World Diabetes Foundation.

The biggest problem now is to bring out the hidden part: too often diabetes, like other chronic diseases, is unrecognized as something serious to be treated.

The figures are clear: 537 million people around the world living with diabetes; 24 million just in Africa. However, in Africa, 54% of cases go undiagnosed. The number of people living with diabetes is supposed to rise by 129% by 2045, according to predictions. 1 in every 8 children born alive is affected by hypoglycemia during pregnancy. In 2021, just in Africa, 416,000 people died because of diabetes.

It is clear that in the hospitals where we operate the overall picture of NCDs has grown worse even more due to the Covid-19 pandemic, with a strong impact on healthcare systems: many diabetes, hypertension treatment and prevention services, along with awareness campaigns, have been interrupted – says Father Dante Carraro, Doctors with Africa CUAMM director –. Furthermore, the gap has not yet be filled, due to the severe global crisis that influences everyday life in Africa. Just think that, in Tanzania, the cost of diabetes treatments has tripled.