The scars of displacement and forced migration

“Those who experience displacement, those who are forced to leave everything behind, carry a scar with them. Mine, after all, today allows me to do my job here, among the displaced people of Cabo Delgado, to the best of my ability.”

Elisa Tembe, CUAMM psychologist and Project Manager in Cabo Delgado, Mozambique, works every day with people who have lost everything. Women, men, boys and girls who, because of the violence that erupted back in 2017, have been forced to abandon their homes and their land. According to UNHCR data, since the start of the attacks there have been 1.3 million internally displaced people—one third of the total population of Cabo Delgado—while in 2025 alone, the intensification of violence by non-state armed groups has caused the forced displacement of more than 250,000 people. Since 2017, an additional 6,000 people have been killed in this prolonged and forgotten crisis.

“Leaving a place you consider home is a traumatic experience. The emotional and psychological impact is immense. Many people carry on while waiting for the moment they can return to their place of origin; others try again and again,” Elisa told us.

She knows herself the pain of leaving everything behind and the trauma of being forced to shape a new life far from home. Elisa experienced firsthand the trauma of displacement in 2020, when she left the district of Macomia together her two children due to frequent attacks. Once she arrived in Montepuez, hosted by some relatives, Elisa had to start building a new life.

“When I started working with people who had gone through the same experience as me, I realized how fortunate I had been and how life-saving it was, for me, to have friends and family around. Receiving support in a condition of despair is essential; feeling seen and listened to can truly make a difference.”

Today Elisa works with the CUAMM team in Cabo Delgado; she lives and works in Pemba, where she manages a gender-based violence project funded by UNHCR, the United Nations Refugee Agency. Her personal experience, her training in psychology, and the family education she received from childhood allow her to carry out her work to the best of her ability, relying on the trust and respect of those who work alongside her every day in the field and of the people she assists, internally displaced persons and others.

UNHCR photo exhibition in Maputo on the occasion of the UNHCR’s 75th anniversary commemoration
UNHCR photo exhibition in Maputo on the occasion of the UNHCR’s 75th anniversary commemoration

Forced displacement in fact places an often invisible burden on host communities. Pressure on resources and services (water, food, housing, healthcare), economic impacts (the labor market, social costs), social and cultural tensions (conflict, xenophobia), and the deterioration of infrastructure and local livelihoods worsen an already fragile situation and create new vulnerabilities for everyone, making integrated interventions necessary.

“In Cabo Delgado, everyone needs support. Displacement affects the entire community on a large scale, but each person responds differently to trauma. Every individual finds their own resilience and their own way of applying it. Through our intervention, we try to offer support so that the community can support itself.”

Psychological and legal components are the core of the intervention that Elisa manages as Project Manager. A multidisciplinary group composed by psychologists, legal assistants, and community activists is involved in a bunch of activities that spam from psychological and legal support, to awareness-raising and education sessions, to trainings. Through practical activities such as carpentry and cooking, and vocational training courses, the project aims to promote economic independence and small-scale entrepreneurship, therefore empower community members.

On the occasion of the ceremony organized in Maputo for the 75th anniversary of the United Nations Refugee Agency and the 50th anniversary of Mozambique’s independence, Elisa shared her story, the commitment she carries forward together with the CUAMM team, and the hope she holds for the future: that these communities may grow strong enough to face the challenges ahead on their own, and that every person may be free to live in the place they call home.

OPEN LOCAL TENDER 004-2025/CUAMM/SS/ACCOMODATION & FOOD DELIVERY SERVICES

Doctors with Africa CUAMM South Sudan is launching the present Local Open Procedure open to all vendors in South Sudan for «Accommodation & Food delivery Services» with CUAMM in Juba, South Sudan.

00_Tender announcement_004-2025 pdf

01_VOL 01_1.1 Instructions to tenderers_004-2025 pdf

02_VOL 01_1.2 Tender Form_004-2025 word

03_VOL 01_1.3 Form regarding Selection Criteria_004-2025 pdf

03_VOL 01_1.3 Form regarding Selection Criteria_004-2025 word

04_VOL 01_1.4 Form regarding Technical Offer_004-2025 word

04_VOL 01_1.4 Form regarding Technical Offer_004-2025 pdf

05_VOL 01_1.5 Administrative Compliance Grid and Evaluation Grid_004-2025 word

05_VOL 01_1.5 Administrative Compliance Grid and Evaluation Grid_004-2025 pdf

06_VOL 02_Contract Form proposed_004-2025 pdf

07_VOL 03_Technical items specifications required_004-2025 pdf

08_VOL 04_Financial Offer_004-2025 excel

08_VOL 04_Financial Offer_004-2025 pdf

09_VOL 05_Check List_004-2025 pdf

A frugal technology for safe births

For the first time since it left the garage of its inventor, the Argentine mechanic Jorge Odon, the OdonAssist™ device has been used in the delivery room by healthcare personnel and not only by specialist doctors. This took place in Wolisso, Ethiopia, at St. Luke Hospital, where midwives and surgical technicians personally assisted women during childbirth.

“The success of these eight deliveries shows that we are on the right track,” says Michele Orsi, gynecologist at the Policlinico of Milan and CUAMM Project Manager. “Thanks to its ease of use, low associated risks, effectiveness, and high acceptability, the device has the potential to be truly revolutionary in expanding access to operative delivery in fragile settings.”

This first result highlights the potential of OdonAssist™, a tool that is as simple as effective and innovative. Thanks to this “inflatable sleeve,” the risks associated with operative vaginal delivery—necessary in cases of prolonged labor or fetal distress and traditionally performed using instruments such as forceps and vacuum extractors—are minimized.

“The tools available so far are instruments that require greater training and familiarity in their use,” says Michele Orsi, “and if they are not used correctly, they can cause complications that are difficult to manage in the absence of specialists and adequate equipment.”

Limited staff, often not highly specialized, and lack of equipment are common conditions in healthcare facilities across sub-Saharan Africa, where specialist doctors are scarce. The need, therefore, is to minimize risks and ensure safe childbirth. Safety, effectiveness, and acceptability are precisely what make OdonAssist™ a promising tool. For these reasons, as part of the feasibility study conducted in Wolisso, delivery-room healthcare staff were directly involved alongside the gynecologist. Assessing acceptability among both healthcare workers and women in labor in this context will be a key parameter in understanding the future prospects of this innovation.

The women who gave birth thanks to OdonAssist™ at St. Luke’s Hospital met specific inclusion and exclusion criteria of the feasibility study launched early this year thanks to an initiative funded by FID and implemented by CUAMM in collaboration with the University of Besançon and St. Luke’s Hospital in Wolisso. This study made Ethiopia the first low-resource country on the African continent to be involved in this type of research and today makes it the first and only country in which healthcare personnel have used OdonAssist™ operationally in a delivery room.

THE DEVICE

OdonAssist™ is safe and designed to be affordable. The device—born from the innovative intuition of Argentine mechanic Jorge Odon—is an inflatable tool intended for assisted vaginal delivery and is produced by Maternal and Newborn Health Innovation, a company registered as a Public Benefit Corporation. Compared to other instruments currently in use, OdonAssist™ is designed to be safer, easier to use, and more acceptable to both women and healthcare providers. It consists of a thin polyethylene sleeve and a retractable plastic introducer, at the end of which is a small cup that rests on the fetal head. Once positioned around the fetal head, the operator inflates a small air chamber at the end of the sleeve, ensuring a secure yet gentle grip around the baby’s head and facilitating traction through the birth canal. Thanks to this innovative design, the device combines three key mechanical principles that support the progression of the fetal head: propulsion, flexion, and traction. OdonAssist™ therefore presents itself as a potential alternative to forceps and vacuum extractors, helping to avoid cesarean section during the second stage of labor, when the mother is actively pushing.

Invitation to Tender for the Supply of Vehicle Rental Service Provision – Debre Birhan

Doctors with Africa CUAMM, under the project titled “ Integrated response to ensure access to Health and WASH services for vulnerable communities and people affected by the conflict in the Amhara region – AID 13057/ETH” is pleased to inform you that your company has been invited to take part in the flexible, simplified procedure  for the Provision of vehicle rental service, circulated in Debre Birhan, Amhara Region, Ethiopia.

01 Invitation form

02 Contract Notice

03 Instructions to Bidders

Annex I – Tender Form

Annex Ia – Declaration of Honour 

Annex II-and-III_Specifications-and-Technical-Offer 

Annex IV – Financial offer

Annex IVa – Legal Identity form

Annex IVb – Financial Identification

Annex V – Administrative Compliance Grid  

Annex VI – Evaluation Grid template

Annex VII – Contract Form template

Annex VIII – Special Conditions template 

Annex IX – General Conditions services 

 Annex X – Checklist

Stepping Forward to Enhance Services for Newborns and Children

Improving the quality and accessibility of maternal-newborn and child health services: this was the core objective of the three-year “PROTECT” project in Mozambique, funded by the Italian Cooperation, which is nearing completion. A dual event in Maputo and Beira served to showcase the results and best practices of an intervention that reached 3 health centers (Zimpeto Center, Maputo Children’s Center, and Machava Center) and the Mavalane General Hospital in Maputo Province; 6 health centers (Munhava, Ponta Gêa, Chingussura, Nhaconjo, Macurungo, and the Multipurpose Center) and the Beira Central Hospital (HCB), specifically targeting the Pediatric Emergency Department (SUP), Neonatology, and the Delivery Room, in Sofala Province.

The project was implemented by Doctors with Africa CUAMM alongside Comunità Sant’Egidio and Auci, in collaboration with the University of Padua, the Beira District Services for Health, Women, and Social Action, the Directorate of the Beira Central Hospital, the Directorate of the Mavalane General Hospital, and the Provincial Health Directorate of Maputo.

While infant and neonatal mortality rates in Mozambique remain high and not alligned with the 2030 Sustainable Development Goals, notable progress has been recorded over the last decade.

Thanks in part to PROTECT, the Beira Central Hospital—the reference facility for the entire Sofala Province—has seen a decrease in pediatric and neonatal mortality. The quality of care provided to newborns with pathologies has improved, leading to a reduction in the early neonatal mortality rate. Furthermore, the quality of the pediatric emergency service has advanced with the introduction of the triage system, and access to both services has increased, supported by the dedicated ambulance system managed by CUAMM.

The numbers bear witness to this dedication:

  • At the Beira Central Hospital, pediatric mortality is now 4% (well below the project target of 10%).
  • Neonatal mortality stands at 7%, and mortality in the first seven days of life is 4.7%.
  • In the health centers, neonatal mortality within the first 24 hours has dropped to under 1%, a success bolstered by the efficient transfer service provided by the Cuamm-managed ambulances.

“I dream of reducing neonatal mortality in our neonatology unit so that mothers and caregivers have total faith in us and that we can be proud of the public service we offer,” shared Dr. Geronimo, a physician in the Beira Neonatology unit.

Focused Support: The Neonatology Unit

The HCB Neonatology service is the main provincial referral center for sick newborns. The primary causes for admission are perinatal asphyxia, prematurity, infections, and malformations, with approximately 150 to 170 newborns admitted each month—around 2,000 annually.

Since 2023, the project has supported the Neonatology unit to enhance the quality of care for sick newborns admitted to the Neonatal Intensive Care Unit, the Joint Admission Unit, and the area dedicated to the Kangaroo Mother Care (KMC) method.

Continuous clinical and technical support was provided, including: 36 “on-the-job” training sessions involving 353 participants, the stable presence of a pediatrician, the addition of 4 maternal-child health nurses and 1 pediatric nurse for a total of 9 months over 3 missions; the development of 8 diagnostic-therapeutic protocols for managing the most common clinical conditions.

“Working with the project team allowed us to exchange ideas and discuss approaches to newborn care. Even with the few resources we have, by changing our behavior, it is possible to achieve better results. This was the most important lesson, and our commitment must continue because the neonatology unit is our home,” added Dr. Geronimo.

A powerful synergy was forged with the project “Strengthening the system of healthcare personnel training institutions and supporting the development of telemedicine” at the Beira Health Sciences Institute, also financed by the Italian Cooperation. A professional course in Neonatal Nursing for 20 nurses already working at HCB, Beira General Hospital, and Nhamatanda Rural Hospital, who will return to their posts in 2026 after a year of training, ensuring the continuity of quality care for newborns. “We learned so much through the training. My dream is to have a team of nurses all trained in neonatology,” added Nurse Angela, head nurse at the Beira Neonatology unit.

Saving Lives in the Emergency Department

The HCB Pediatric Emergency Department (SUP) receives approximately 28,000 children annually, aged one month to 14 years. Over 12,000 children under five access emergency services, with 2,000 annual transfers by ambulance.

As part of the intervention, a triage system was developed to streamline patient management, reduce waiting times, and improve care. Emergency personnel (doctors, nurses, and health technicians) were trained on the correct use of the color-code tool and the management of major pediatric emergencies. This included 3 theoretical training courses with practical components and 36 “on-the-job” training courses, involving a total of 422 healthcare professionals from HCB, Beira General Hospital, health centers, and ambulance services.

Regarding the emergency transfer of sick newborns and children from health centers to the Hospital, 1,909 health workers were trained over three years on stabilization and transfer techniques. This was complemented by strengthening the data collection and review system, along with supervision to monitor improvements.

The Power of Community Activism

A fundamental role was played by the 20 community activists who, after a training period, were assigned to various health centers and the Beira Central Hospital. Their mission was to raise awareness among women about danger signs during pregnancy, the importance of prenatal visits, and adequate nutrition.

In the Maternity and Postpartum wards, the activists supported mothers by reinforcing their knowledge on newborn care, including hygiene and exclusive breastfeeding, as well as the importance of the first-month check-up and adherence to the vaccination schedule. Crucially, the activists promoted the Kangaroo Mother Care method for low-weight newborns and fostered family involvement, particularly that of the father or husband, in the care of mother and child.

During the project, approximately 6,800 awareness sessions were conducted, reaching over 240,000 mothers and caregivers.

I was proud to be part of the project team. I learned many things about caring for the mother and newborn and passed it on to all the women I supported. It was my responsibility to explain to the mother how to care for her newborn and to convince her, for instance, to adopt the Kangaroo Mother Care method. The doctor did not speak the local language and could not follow the woman through her difficulties with her family and managing other children at home. So, I had to mediate and convince the whole family that the newborn, even if premature and underweight, could recover with that method,” concluded one of the project activists.

The Commitment Continues

The “PROTECT” project concludes as a vital pillar in the fight against maternal and neonatal mortality, a success born from teamwork. “We would like the intervention to expand to all 19 health units in the district and for the training package to be shared across all 13 health units with Maternity services,” stated Dr. Sónia Ana Mudengue, Director of the District Services for Health, Women, and Social Action in Beira City.

CUAMM’s technical support to improve the quality of neonatal and pediatric services in Sofala province will continue, with different modalities and levels of intervention, to be planned, as always, together!

25 years of care and training

St. Luke’s Hospital in Wolisso marks its 25th anniversary, celebrating a quarter of a century dedicated to providing care for the most vulnerable and training the next generation of health professionals through its attached nursing and midwifery school.

In December 2000, both the hospital and the nursing and midwifery school became fully operational, launching a collaboration that would transform access to healthcare across the South West Shoa Zone, a region of around 1.24 million people.

To mark this milestone during the Jubilee Year, Doctors with Africa CUAMM held a commemorative ceremony attended by notable guests, including Mons. Giuseppe Andrea Salvatore Baturi – Secretary General of the Italian Episcopal Conference (CEI), Lukas Teshome Fikre – Bishop of Endebe, Don Dante Carraro – Director General of Medici con l’Africa Cuamm, along with representatives from the Ethiopian Ministry of Health and regional health authorities from Oromia.

“We are delighted to celebrate 25 years of St. Luke’s Hospital, a milestone made possible thanks to the community, the Church, and the generosity of many supporters. Today we celebrate, but above all, we reaffirm our commitment to serving the most vulnerable, especially mothers and newborns, to further reduce maternal and infant mortality,” said Don Dante Carraro – CUAMM Director General during the ceremony.

The hospital’s construction was made possible through the joint efforts of the Oromia Regional Office for Emergency Prevention and Management, the Oromia Health Bureau, and the Ethiopian Catholic Church. It was conceived as a response to a severe lack of healthcare services: in the 350-km stretch between Addis Ababa and Jimma, no hospitals or qualified training institutions existed at the time.

“This hospital is like life itself,” said Mons. Baturi – President of the Episcopal Conference of Italt (CEI). “We helped it come to life, and now we want to continue helping it grow. We thank all those involved in its management. Our faith calls us to share charity with the community, building a new world where children can be born safely and women and young people can grow up healthy.”

From the outset, the project was ambitious: for the first time, local authorities were asked to consider a public-private non-profit partnership with the Ethiopian Catholic Church. Another unique aspect is Ethiopia’s religious geography, which makes St. Luke’s a notable point for ecumenical growth, fostering dialogue, respect, patience, and collaboration for the common good.

“St. Luke’s will continue to be rooted in the health system, providing care for those most in need in a climate of peace, justice, and hope. Updating the school will improve student skills and competencies, with professional exchanges both within Ethiopia and abroad. We aim for quality, equity, and sustainable health financing to advance universal health coverage. The future will be the ‘new face’ of the hospital: the next 25 years begin today!” said Bishop Lukas Teshome Fikre.

From the very beginning, CUAMM has supported the hospital and school with the dual aim of strengthening health systems and training local professionals, fostering strong Italy-Ethiopia cooperation. Over the years, this exchange has included programs for medical students and residents. Since 2002, 342 students have participated in the SISM program, and 86 residents have completed six-month placements at St. Luke’s.

From its early years, St. Luke’s Hospital has been recognized for its focus on maternal and child health and community medicine. Today, the hospital is a regional referral center, with 163 beds, an emergency department, medical and surgical wards, and a maternity ward performing over 3,000 births annually. Doctors with Africa CUAMM continues to work alongside the Ethiopian Catholic Secretariat, focusing on the management of diocesan health facilities and staff training.

In 25 years of dedicated service, St. Luke’s Hospital has recorded: 250,000 admissions, 1.6 million outpatient visits, 70,000 births, 160,000 prenatal visits, 255,000 vaccinations, and 67,000 major surgeries.

Equally essential is the role of the nursing and midwifery college, which has consistently trained competent health professionals. To date, over 906 students have graduated: 452 from the regular nursing program, 202 from the upgraded nursing program (from Nursing Assistant to Diploma, supported by the Oromia Health Bureau), and 252 midwives.

 

Addressing the Needs of Refugees in Gambella

Present in the Gambella region since 2017, Doctors with Africa CUAMM combines health system strengthening and resilience-building interventions with emergency response. Our goal is to improve accessibility, equity, and quality of healthcare services for all—ensuring no one is left behind.

We work on two complementary fronts: within host communities and inside refugee camps.

Support to Host Communities

In host communities, we are implementing a disability-sensitive health system strengthening program as part of a three-year project carried out in collaboration with the Gambella Regional Health Bureau. Many disabilities prevalent in the region can be prevented or treated when timely access to care is available.

To date, we support nine health facilities (2 hospitals and 7 health centers) focusing on the primary, secondary, and tertiary prevention of physical/motor, cognitive and sensory disabilities.

Key components of this strategy include: strengthening reproductive, maternal, newborn and child health (RMNCH) services; promoting demand and uptake of health services among people with disabilities; expanding eye care and rehabilitation services; refurbishing and upgrading hospital infrastructures; ensuring the availability of essential consumables and medicines; training health staff to deliver high-quality, inclusive healthcare; mobilizing communities to identify, refer, and support individuals with disabilities.

Support to Refugees in Camps

In 2018, as the South Sudanese crisis escalated, CUAMM began supporting the provision of quality, comprehensive, and gender-responsive healthcare in refugee camps, in collaboration with government authorities.

Currently, we work in Nguenyyiel Refugee Camp, managing 1 Health Center and 2 Health Posts. Over the past year, we also supported the rehabilitation of the Tierkidi Health Center.

The Refugee Crisis and CUAMM’s Emergency Response

Following renewed conflict in South Sudan’s Upper Nile State, a significant influx of refugees entered the Gambella region, placing enormous pressure on an already fragile health system. Thousands were left without access to protection, medical care, adequate shelter, or safe water.

In July 2025, CUAMM conducted a rapid needs assessment among new arrivals and affected host communities. The assessment revealed severe service gaps, including: lack of primary healthcare services in Moun, Matar, and Luakdong/Tormorok; weak referral mechanisms; limited nutrition coverage; disrupted immunization services; poor WASH conditions, increasing disease outbreaks; overcrowded shelters, food insecurity, and heightened risks of gender-based violence.

To respond to this emergency, we mobilized internal emergency funds to launch an immediate lifesaving intervention addressing the most critical gaps through Mobile Health and Nutrition Team (MHNT) aiming at delivering lifesaving services in the most affected areas.

Ethiopia currently hosts over 1.1 million refugees, one of the largest refugee populations globally. Many families live in makeshift shelters with inadequate sanitation, insufficient nutrition, and limited access to healthcare—conditions that dramatically increase the risk of disease and mortality. The south sudanese refugee crisis is compounding the fragile system in the border region of Gambella. Doctors with Africa CUAMM remains committed to ensuring adeguate care where it is needed most and to building sustainable long-term solutions thanks to the collaboration with the Ethiopian Humanitarian Fund.

Renewing our commitment to Ukraine

This week in Kyiv, Ukraine, we took part in the event organized by the Italian Cooperation on the occasion of the Italian Cooperation Day with the aim of bringing together partners, agencies, and civil society organizations working on the front line to support the civilian population. It was a moment for dialogue and knowledge sharing, a platform to amplify results and good practices.

The CUAMM team on the ground participated in the meeting alongside partners, NGOs, and local organizations, presenting CUAMM’s work in the country, sharing the results achieved over the past three years, and reaffirming its commitment moving forward.

For the past three years, CUAMM has been working in the country with a twofold objective: assisting civilians and strengthening the health system severely affected by the conflict. Over the past year, we have done so through the RISE project, funded by the Italian Cooperation and implemented in collaboration with Caritas Italiana, Caritas Drohobych (SDD), Volonterskiy Rukh Bukovyny (VRB), CUAMM UK, and Caritas Moldova. The intervention focused on providing emergency health assistance to vulnerable communities, including internally displaced people, refugees, and host communities in Ukraine and Moldova.

The main activities included: distribution of emergency medical kits, psychosocial support events, training in mental health, life support, and neonatology, and distribution of food kits and essential items.

This is a commitment we are ready to carry forward. Thanks to the renewed support from the Italian Cooperation, in the coming months we will be implementing SHIELD Project –  Strengthening Health and Protection for Vulnerable Communities in Conflict-affected Sumska and Kharkivska in collaboration with CESVI and two local partners – an intervention that combines health and protection. At the center of our work are four main activities located in the oblasts of Kharkiv and Sumy, near the border area: distribution of medical supplies, structural rehabilitation interventions, delivery of emergency kits and capacity building activities for health professionals in collaboration with UNFPA.

RISE Project, figures from the project

In Ukraine
8,359 outpatient consultations
11 emergency kit deliveries to the areas of Dnipro, Zaporizhzhia, Vasylkiv, and Sumy, ensuring response within 72 hours from notification of the request—as required by WHO’s Rapid Response Mechanism
1,270 people reached through psychosocial support events
• 2,179 people involved in the Vasylkiv Summer Camp
• 448 people trained in mental health topics and Basic Life Support
• 4,288 people who received food kits and essential items
• 1,865 people who received winter protection kits
• 865 children who received nutritional kits and essential items

In Moldova
1,493 outpatient consultations
• 764 people reached through psychosocial support events
• 100 health professionals trained in neonatal care
• 4,775 people who received essential items

Doctors with Africa CUAMM has been active in Ukraine since the start of the humanitarian crisis in March 2022. Since then, we have reached more than 40,594 people and supported over 29 health facilities with medicines, consumables, biomedical equipment, and logistical support materials.

 

Nurturing Hope in Bossangoa

The classroom is crowded at the Bossangoa School of Nursing and Midwifery. In the institute, which we began building just a year ago with the support of many, classes have just started. Thirty students, both male and female, are now entering their educational journey to become healthcare workers: among them, future birth attendants and professional midwives.

It is a unique opportunity and an important achievement in Bossangoa district, an area that until now had no opportunities at all for people eager to study, as explained by Meanendji Gaston, student at the school.

“Until last year there was nothing here. Today, with this institute, we have the chance to study without having to travel to the capital, Bangui. We will be trained here, in our own region, and one day we will be able to help the women in this area.”

At the heart of this major project, carried out in collaboration with the Central African government and the Ministry of Health, lies a clear objective: contributing to the reduction of maternal mortality.

“With the decentralization of training for qualified healthcare personnel, the Ministry of Health together with Cuamm worked to establish this institute, which already welcomes students from the region. It is precisely through the training of new healthcare professionals that we intend to help reduce maternal and child mortality and morbidity in the country,” stated Madame Aline Zaofin, Director of the Bossangoa school of nursing and midwifery.

The lack of adequately trained healthcare workers is indeed one of the most critical challenges faced by the Central African health system—which currently has only 5 professional health workers for every 10,000 inhabitants. This number falls far short of WHO recommendations, which state that a population needs at least 50 health workers per 10,000 inhabitants to ensure adequate care.

Opening of the academic year at Bossangoa school of nursing and midwifery.
Opening of the academic year at Bossangoa school of nursing and midwifery.

The construction of the school and the launch of a formal education program recognized by the Ministry is part of a broader initiative strongly supported by Cuamm, which has been active at the Bossangoa hospital since 2023 to support maternal and child health services.

“Our presence here has a simple and clear goal,” explains Dr. Enzo Pisani. “We want to reduce maternal mortality. To do so, we must intervene on four levels: community, transport, hospital, and training.”

Today, we are working in an integrated and continuous way across all four levels—from the communities to the hospital. We intervene in the villages to recognize delivery complications in advance; we have created an emergency referral system which, thanks to an ambulance and motorcycle taxis, ensures rapid transportation to the hospital; and we are strengthening the hospital’s capacity to manage cases on arrival.

“The whole system relies on the ability of healthcare workers, and this is why training is the fourth level on which immediate action is needed,” Pisani continues. “Strengthening the skills of local staff and training new professionals is essential to achieving our goal.”

The renovation of the maternity ward at the Bossangoa hospital, recently launched, is also a key step in the project. The renewed space—improved in both structure and equipment—will ensure minimum quality standards for obstetric emergency care and will also serve as a practical training environment for students.

“I am truly happy to begin this course of study,” said Bialle Eloge – student in Bossangoa. “I can’t wait to strengthen my theoretical and practical skills so that I can really help my community.”

“This facility means a lot to us. It allows us to stay in the district and pursue studies that we otherwise could only undertake by moving to the capital. Now we have an alternative. Here we have everything: we can attend classes, live on campus, and access all the necessary services, including dormitories and a cafeteria. This will help us students and our families,” said student Gazaworo José Christian.

The Bossangoa institute of midwifery and nursing is the first and only education center outside the capital, Bangui. It is located more than 300 kilometers away—distance that, until now, has been a source of exclusion and marginalization for many young people eager to build a better future for themselves and their communities.

“I am truly happy to see this institute operating today. We built it with a strong spirit of collaboration that reflects the government’s commitment to investing in training and decentralization, offering growth opportunities even outside the capital. A few years from now, this will allow us to have well-trained healthcare professionals right here in the Bossangoa district,” said Mgaissona Nestor – Regional Director of Higher Education.

The Central African Republic (CAR) ranks among the five countries with the lowest Human Development Index (HDI) in the world, according to the latest report from the UN Development Programme (UNDP). Life expectancy at birth is 56 years (2024), the neonatal mortality rate is 39 per 1,000 newborns, infant mortality 103 per 1,000 live births, and maternal mortality 835 per 100,000 live births—the second highest in the world.

Today, with the start of courses for these 34 young people, hope is growing for an entire community. We are committed to nurturing this hope by continuing to support their training and ensuring the best possible study conditions, so that tomorrow they can join us in the ambitious and urgent goal of eliminating maternal mortality in the country.

 

Tender for the Supply of an Off-Road Vehicle

CUAMM Tanzania is luanching a Simplified Procedure for the purchase of an Off-Road vehicle.

01-Invitation-form

02-Contract-Notice.docx

03-Instructions-to-Tenderes

ANNEX I – Tender Form

ANNEX Ia – Declaration of Honour

ANNEX II & III – Technical Specifications technical offer

ANNEX IV – Identification form

ANNEX V – Financial offer

ANNEX VI – Administrative Compliance Grid

ANNEX VII – Evaluation Grid 

 ANNEX VIII – Contract Form

ANNEX IX – Special Conditions 

ANNEX X – Check List