ANNUAL REPORT 2018 ANNUAL REPORT 2018 Graphic design Angola United Kingdom Heads Collective Médicos com África CUAMM Doctors with Africa Escritório de CUAMM10 Queen Street ICON KEY Layout Coordenamento - Luanda Place Publistampa Arti Rua Projectada A3 casa n. 2 London EC4R 1BE grafiche (Ende 96) - Morro Bento II, [email protected] Talatona Photography C.P. 16624 Luanda (Angola) USA MATERNAL AND Cover photo t. 00244 923 351 224 Doctors with Africa Valeria Scrilatti (Ponto Focal) CUAMM10 Rockefeller Plaza, CHILD HEALTH Inside photos [email protected] 16th Floor, New York, NY Valeria Scrilatti skype: cuamm.angola 10020 pp. 4,7, 52 Nicola Berti Ethiopia pp. 12, 7, 22, 24, 26, 28, Doctors with Africa CUAMM 32, 53 , 62 Coordination Office - Addis NUTRITION Paolo Casagrande Ababa pp. 18, 10 Bole Subcity, woreda 3, De Mayda house n. 2434 pp. 37, 51, 80 P.o. Box 12777 Addis Ababa Alessandro Froio (Ethiopia) p. 40 t. 00251 (0) 116620360 Andrea Frazzetta t. 00251 (0) 116612712 INFECTIOUS DISEASES p. 47 f. 00251 (0) 116620847 Simone Cadorin [email protected] p. 30 Luigi Baldelli Mozambique p. 82 Médicos com África CUAMM Archivio Cuamm Escritório de pp. 42, 44, 48 Coordenamento - Maputo TRAINING Reed Young Av. Mártires da Machava p. 50 n.º 859 R/C Images not credited Maputo (Moçambique) are from the t. 00258 21302660 Doctors with Africa t. 00258 823016204 CUAMM archive. f. 00258 21312924 MONITORING, [email protected] Editorial staff EVALUATION, AND Andrea Atzori Central African Republic RESEARCH Andrea Borgato Médecins avec l’Afrique Dante Carraro CUAMM Chiara Cavagna Bureau de Coordination - Chiara Di Benedetto Bangui Andrea Iannetti Rue 1150 1ere Fabio Manenti arrondissement (en face à Oscar Merante Boschin l’Assemblée Nationale) CHRONIC DISEASES Francesca Papais Bangui (République Giovanni Putoto Centrafricaine) Bettina Simoncini Anna Talami Sierra Leone Mario Zangrando Doctors with Africa CUAMM Coordination Office - HOSPITALS Editorial coordination Freetown Francesca Papais 22, Wilkinson Road Anna Talami t. 00232 79764880 [email protected] Printed by Grafica Veneta South Sudan Via Malcanton, 1 Doctors with Africa CUAMM NATIONAL PROJECT Trebaseleghe (PD) Coordination Office - Juba c/o TM Lion Hotel Browker Finished printing Blvd. Juba 100 meters from June 2019 the US Embassy JUBA [email protected] Supplement N. 1 to èAfrica magazine N. Tanzania n. 3/2019 – Court of Doctors with Africa CUAMM Padua authorization. Coordination Office - DAR Print register ES SALAAM New Bagamoyo Road, plot. nr. 14, Regent Estate P.O. BOX 23447 Dar Es Thanks to: Salaam (Tanzania) t. 00255 (0) 222775227 Grafica Veneta for the f. 00255 (0) 222775928 complimentary printing [email protected] of this report Uganda Doctors with Africa CUAMM Coordination Office - Kampala Gaba Road Kansanga Plot nr. 3297 P.o. Box 7214 Kampala (Uganda) t. 00256 414267585 t. 00256 414267508 f. 00256 414267543 [email protected] ICON KEY CONTENTS 04 INTRODUCTION 38 NUTRITION 05 THE SUM OF SMALL (GREAT) THINGS 41 INFECTIOUS DISEASES O6 ABOUT US 46 CHRONIC DISEASES 08 WHERE WE WORK 48 TRAINING 10 POSTCARDS FROM 2018 50 MONITORING, EVALUATION, AND RESEARCH 12 AFRICA REPORT 53 FOCUS ON HOSPITALS 14 NUMBERS, FACES, AND STORIES SCOPE AND COMPARISON 60 HUMAN RESOURCE MANAGEMENT 16 SOUTH SUDAN FOCUS: A REGIONAL CRISIS 62 REPORT ITALY 18 ANGOLA 64 EVENTS 20 ETHIOPIA 66 CUAMM SUPPORT GROUPS 22 MOZAMBIQUE 68 COMMUNICATION AND MEDIA RELATIONS 24 CENTRAL AFRICAN REPUBLIC 69 EDUCATION AND AWARENESS RAISING 26 SIERRA LEONE 70 INTERNATIONAL RELATIONS 28 SOUTH SUDAN 72 STRUCTURE AND STAFF 30 TANZANIA 75 BUDGET 32 UGANDA 82 THANK YOU FOR BEING “WITH AFRICA” 34 MATERNAL AND CHILD HEALTH 04 Doctors with Annual report Africa CUAMM 2018 by Don Dante Carraro THE SUM OF SMALL (GREAT) Director of Doctors THINGS with Africa Cuamm The first image from 2018 is of the Bibibidi refugee camp in the pictures with their hands in front of their faces to share on social Yumbe district of Uganda. We have worked hard to grapple with a media with the hashtag #ioconlafrica [I’m with Africa]. From dramatic regional emergency in Uganda, Ethiopia, and South September to CUAMM’s Annual Meeting, the #ioconlafrica Sudan that has continued throughout the year. We have worked in campaign aimed to mobilize people, groups, and institutions to the refugee camps and peripheral health facilities, in training local express their faith in this too often neglected continent. The personnel and in hospitals, working closely with the local project went from the virtual world to the real world of Piazza del authorities. Nettuno in Bologna, where a participatory installation was set up. Because our first priorities are always the needs of mothers and Saturday, November 10, in Bologna: Annual Meeting 2018. We children, we have worked to connect communities and services, talked about Africa, our projects, our results, the difficulties and building referral systems to transfer obstetric emergencies. In challenges met. We heard each other’s stories and met face to February, we launched a major new project in Sierra Leone, face amidst smiles, greetings, handshakes, and hugs. Italy and seeking to turn an emergency into an opportunity. We recovered Africa, together! It was a joining of passion, enthusiasm, hard the ambulances donated during the Ebola emergency (which work, and objectives. We feel a strong sense of responsibility to were at risk of being unused) to start a sort of national “911.” This tell the people and institutions that believe in us about what we major undertaking is already producing its first results. have done during the year. Our action in the field needs dialogue and assessment, as in the Throughout the year, we have done so, including through original conference “The Role of the Hospital in Primary Health productions such as the 6-episode web series “Niccolò Fabi a Care,” now in its third year, held in Pisa in early March with the casa loro”, online at Repubblica.it since December. The series aim of supporting quality cooperation. Put on with the Global explores the many different ways of making a place “home,” with Health Center of the Region of Tuscany, and the Sant’Anna School small stories, extraordinary in their simplicity, about African men of Advanced Studies, the conference was an important learning and women who want to be helped where their families are and opportunity involving leading Italian NGOs to improve where they live. assessment and transparency. Throughout Italy, we have organized opportunities to meet In this “sum of small (great) things” this year, we can’t forget all and discuss at many different levels. In Rome, Vicenza, the love we have received. Teresa Saglio passed away on March Padua, Bologna, Turin, Florence, Reggio Emilia, and Milan, we 6 in her Tanzania. She was a long-time volunteer nurse for have joined forces with friends and high-profile spokespeople to CUAMM, named Knight of the Republic in 2003. She would speak engage communities to focus on Africa, tangible problems, about the privilege she had of spending 48 of her 91 years in demographic and migration dynamics, and the health of women Africa. Her life, until the end, was about being “with Africa” with and children in Africa and in our cities. her dedication, skill, and love for the poor. We feel profound gratitude for this and many other untold stories of dedication and In many African countries, the crisis continues to affect the courage. Only TOGETHER can we hope to meet the challenge of population, both in cities where the people are struggling more creating a more just world. I would also like to express gratitude and more, and in rural areas, where there is dignified but very for our CUAMM team, which conceived, coordinated, and deep poverty, worsening day by day. This is why we accepted the implemented these moments of a year with their meticulous work invitation to work in a new difficult setting, a country in 188th behind the scenes, driven by passionate dedication. place out of 188 on the Human Development Index, the Central African Republic. This is the newest frontier where we are acting, the new “furthest outpost.” Our action officially started on July 1 during a field mission with the President of the Bambino Gesù hospital, Mariella Enoc. We know that Pope Francis (who visited Bangui at the start of the holy year) encourages us to rally to the cry of his “beloved children,” the most vulnerable people of this devastated country. Italy-Africa-Italy, we felt how deeply our fates are intertwined when on the morning of September 9 an airplane from Juba to Yirol in South Sudan crashed into the lake near the landing strip. This was a moment of sorrow mixed with relief; One of the 21 passengers on board was our young doctor from Catania, Damiano Cantone, who survived. Our relief for Damiano’s survival joined with our sorrow for the loss of 18 victims, including 4 children. Their names didn’t make the headlines, but these people and their families are dear to us. This same sense of solidarity inspired “ioconlafrica.” In this simple but concrete gesture to give a voice to Africa, people took 05 ABOUT US www.doctorswithafrica.org MISSION Doctors with Africa CUAMM was AREAS OF FOCUS the first NGO working in the “The priority issues define and for children in the training working side by international health field to be which health issues are delicate early stage of side with health personnel recognized in Italy and is the addressed with which their lives. We support in the hospitals, health largest Italyn organization for the actions (what)”. the period of exclusive centers, and public health promotion and protection of Strategic Plan breastfeeding up to six departments. health in Africa. We work with a 2016–2030 p.