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AFRICA DOES NOT 8 COUNTRIES 23 HOSPITALS ANNUAL NEED HEROES; 855 HEALTH FACILITIES IT NEEDS 4,777 HUMAN RESOURCES REPORT EVERYDAY 201,119 ATTENDED BIRTHS 2019 PEOPLE WHO 539,672 PRE- AND POST-NATAL VISITS 33,393 TRANSFERS FOR OBSTETRIC ARE ADAMANT EMERGENCIES AND BIRTHS ABOUT DOING 7,211 CHILDREN TREATED FOR ACUTE MALNUTRITION THEIR DUTY AND 2,711,257 PATIENTS TREATED DOING IT WELL. 4,831 HEALTH WORKERS TRAINED EVERY YEAR. 31 SCIENTIFIC RESEARCH PUBLICATIONS Doctors with Africa [email protected] CUAMM www. doctorswithafrica.org via San Francesco, 126 35121 Padova [email protected] tel. 049 8751279 www.mediciconlafrica.org OUR COMMITMENT TO ACCOUNTABILITY, YEAR AFTER YEAR. PAG — 2 / ANNUAL REPORT 2009 / MEDICI CON L’AFRICA CUAMM MEDICI CON L’AFRICA CUAMM / ANNUAL REPORT 2009 / PAG — 3 annual r E port 2010 - doctor REPORT S wit H ANGOLA africa cuamm ETHIOPIA KENYA MOZAMBIQUE SUDAN TANZANIA italiano — EnGliSH ANNUAL REPORT 07 UGANDA annual r CUAMM E port 2010 - m E dici con l'africa cuamm dici con l'africa MEDICI CON L’AFRICA Doctors with Africa OGNI GIORNO, 8 PAESI 23 OSPEDALI ANNUAL OGNI ANNO. 1.114 STRUTTURE SANITARIE L’ACCESSO 2.915 RISORSE UMANE REPORT ALLE CURE 190.319 PARTI ASSISTITI 2018 UN DIRITTO 9.535 TRASPORTI PER EMERGENZE OSTETRICHE E PARTI PER TUTTI, 13.660 BAMBINI TRATTATI NON UN PER MALNUTRIZIONE ACUTA 15.529 PAZIENTI IN TERAPIA PRIVILEGIO ANTIRETROVIRALE PER POCHI. 11.392 OPERATORI SANITARI FORMATI Medici con l’Africa Cuamm [email protected] via San Francesco, 126 www.mediciconlafrica.org 35121 Padova tel. 049 8751279 ANNUAL REPORT 2019 Graphic design Angola Heads Collective Médicos com África CUAMM ONG - Escritório de ICON KEY Layout Coordenamento - Luanda Publistampa Arti Rua Projectada A3 casa n. 2 grafiche (Ende 96) - Morro Bento II, Talatona Photography C.P. 16624 MATERNAL AND Cover photo Luanda (Angola) Nicola Antolino t. 00244 923 351 224 CHILD HEALTH Inside photos [email protected] Nicola Berti pp. 12-13, 17, 21, 26, Ethiopia 30, 32, 34, 51, 52, 57, Doctors with Africa CUAMM 66-67, 85 NGO Coordination Office - Matteo De Mayda Addis Ababa NUTRITION pp. 39, 54, 56 Bole Subcity, woreda 3, Valeria Scrilatti house n. 2434 pp. 4, 36 P.o. Box 12777 Alessandro Froio Addis Ababa (Ethiopia) p. 7 t. 00251 (0) 116620360 Siphiwe Siberto t. 00251 (0) 116612712 Archivio Reuters f. 00251 (0) 116620847 INFECTIOUS DISEASES p. 19 [email protected] Ketty Schiavarello p. 22 Mozambique Paolo Casagrande Médicos com África CUAMM p. 24 ONG - Escritório Daniela Ramadani de Coordenamento - Maputo p. 28 Av. Mártires da Machava TRAINING Chiara Arturo n.º 859 R/C Maputo p. 48 (Moçambique) Reed Young t. 00258 21302660 p. 55 t. 00258 823016204 Eleonora Ondolati f. 00258 21312924 p. 68 [email protected] MONITORING, Daniele Maccagnan p. 80 Central African Republic EVALUATION, Médecins avec l’Afrique AND RESEARCH Uncredited images are CUAMM ONG Bureau from the Doctors with de Coordination - Bangui Africa CUAMM archive Rue 1150 1ere arrondissement (en face à l’Assemblée Nationale) Editorial staff Bangui (République Andrea Atzori Centrafricaine) CHRONIC DISEASES Andrea Borgato Dante Carraro Sierra Leone Chiara Cavagna Doctors with Africa CUAMM Donata Dalla Riva NGO Coordination Office - Chiara Di Benedetto Freetown Andrea Iannetti 22, Wilkinson Road HOSPITALS Fabio Manenti t. 00232 79764880 Oscar Merante Boschin [email protected] Francesca Papais Linda Previato South Sudan Giovanni Putoto Doctors with Africa CUAMM Bettina Simoncini NGO Coordination Office - Anna Talami Juba NATIONAL PROJECT Mario Zangrando c/o TM Lion Hotel Browker Blvd. Juba (100 meters from Editorial coordination the US Embassy) Francesca Papais [email protected] Anna Talami Tanzania Printed by Doctors with Africa CUAMM Grafica Veneta NGO Coordination Office - Via Malcanton, 1 Dar es Salaam Trebaseleghe (PD) New Bagamoyo Road, plot. nr. 14, Regent Estate Print finished P.O. 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Box 7214 Kampala (Uganda) t. 00256 414267585 t. 00256 414267508 f. 00256 414267543 [email protected] ICON KEY CONTENTS 04 INTRODUCTION 36 UGANDA 05 THE PATIENCE TO REBUILD 38 MATERNAL AND CHILD HEALTH 06 ABOUT US 42 NUTRITION 08 WHERE WE WORK 45 INFECTIOUS DISEASES 10 POSTCARDS FROM 2019 50 CHRONIC DISEASES 12 AFRICA REPORT 52 TRAINING 14 BEHIND THE FIGURES: 54 MONITORING, EVALUATION FACES, STORIES AND COMPARISON AND RESEARCH 16 FOCUS ON SOUTH SUDAN: 57 FOCUS ON HOSPITALS A REGIONAL CRISIS 64 HUMAN RESOURCE MANAGEMENT 18 FOCUS ON MOZAMBIQUE: CYCLONES IDAI AND KENNETH 66 ITALY REPORT 20 FOCUS ON SIERRA LEONE: THE NEMS PROJECT 68 EVENTS 22 ANGOLA 72 SUPPORT GROUPS 24 ETHIOPIA 74 COMMUNICATION AND MEDIA RELATIONS 26 MOZAMBIQUE 75 EDUCATION AND AWARENESS RAISING 28 CENTRAL AFRICAN REPUBLIC 76 INTERNATIONAL RELATIONS 30 SIERRA LEONE 78 ESTABLISHMENT AND STAFF ENGAGED 32 SOUTH SUDAN 81 2019 FINANCIAL STATEMENTS 34 TANZANIA 88 THANKS TO DONORS 04 Doctors with Annual report Africa CUAMM 2019 by don Dante Carraro THE PATIENCE Director of Doctors TO REBUILD with Africa CUAMM I look back over the many experiences, stories, struggles, joys integration and development. Here, we continued our work of a whole year and am pleased to share with you a few to support the local population, restoring health centres thoughts from the various field missions in Africa and and getting them up and running, providing equipment numerous meetings held in Italy. and doctorsne, training the local staff and setting up the I think about the town of Tete, in one of the poorest and most ambulance system for emergencies, particularly obstetric rural areas of Mozambique. In early March, I paid a visit to emergencies. the provincial hospital. Its Clinical Director Dr Mauro Hernani I think of South Sudan, a country which remains difficult Monteiro welcomed me with a hug and smile, with a warmth and uncertain, steeped in tension and insecurity. Extremely that took me somewhat by surprise. “10 years ago, I received low wages, widespread poverty, fragile institutions, non- a scholarship from CUAMM to enrol and study at the Catholic existent services, and Ebola around the corner. And yet, University in Beira and become a doctor!”, he told me, “thank you here, we have gone to great extent to build hope in a future that very much. Now I’m proud and excited to use what I’ve learned to is struggling to materialise. serve my people and this important hospital”. It was truly a joy; a So, albeit with a lot of hard work, we have been able to reopen little piece of the future we want to build together. schooling activities for the midwives at Lui Hospital. On the I’d like to extend Mauro’s “thanks” to the many individuals who day of the inauguration, we were all there together, determined have so generously supported us this year, in so many ways. A to achieve this great result: government, churches, humanitarian few days after this meeting, Cyclone Idai struck Mozambique, organisations, communities. Together with CUAMM, there in the city of Beira and Cabo Delgado soon after. It was a time of was Health Minister Riek Gai Kok, the Welfare Minister, the great concern, as the disaster affected around 700,000 people Regional Governor, the Bishop of the Episcopal Church, and all in Beira, Dondo and Nyamathanda, bringing with it death and representatives of the local community. Africa, and the wider destruction. world more broadly, does not need heroes or world saviours. We have been operating in Beira for more than twenty years, It is in urgent need of ordinary, everyday people, who are and in Mozambique for forty; it caused us unspeakable pain adamant about doing their duty and doing it well. to see the places that we helped grow being destroyed by the That is why we have mobilised in every way possible, even forces of nature. But we learned the patience to “rebuild” in our own country, putting on dozens of meetings and infrastructure – with an entire healthcare system – as well events. It’s why we launched the #lostessofuturo [the as to rebuild confidence in the hearts of those who were same future] hashtag campaign, and why so many of us exhausted and weighed down by the destruction of what had gathered in Florence on 9 November. It is hard to describe been built over so many years. the feelings of that time in just a few lines: astonishment and I think of Aber Hospital, Diocese of Lira, in Oyam district, gratitude, trust and beauty, marvel and perseverance in doing north-central Uganda. It was here in 1965 where the first good. Lostessofuturo [the same future] is denied to so CUAMM doctor began to work, followed by many others. Now many women and children in Africa – the future that we are the hospital is much more autonomous and after 54 years, committed to building and rebuilding every day in the field. A despite some inevitable weak points, it continues to serve its broken red thread which is pieced back together through our people, mothers and children in particular. I think of Sierra personal and daily commitment. Only this way can we build Leone, where the 118 service was created. The 80 ambulances a single future that is richer and more beautiful for everyone. are largely operational across the country’s districts, a call Every year. centre answers every call, and training for almost 1,600 people, including drivers and nurses is now in full swing.