Doctors with Africa CUAMM Annual Report 2015

120 Pages·2017·5.54 MB·Italian

Doctors
with Africa
CUAMM
Annual Report
2015

Doctors
with Africa
CUAMM
Annual Report
2015
Design
Heads Collective
Layout
Heads Collective
Publistampa Arti grafiche
Photography
Archivio CUAMM
Nicola Antolino
Luigi Baldelli
Nicola Berti
Maria Nannini
Monika Bulaj
Gigi Donelli
Reed Young
Drafting
Andrea Atzori
Stefano Bassanese
Andrea Borgato
Chiara Di Benedetto
Chiara Cavagna
Andrea Iannetti
Fabio Manenti
Bettina Simoncini
Jacopo Soranzo
Anna Talami
Samuele Zamuner
Mario Zangrando
Printed by
Grafica Veneta
via Malcanton, 1
Trebaseleghe (PD)
Acknowledgement
Grafica Veneta for
printing the Report
free of charge
Printed in August 2016
Supplement no.2 to the
magazine èAfrica n.5/2016
- authorization of Court
of Padova. Press register
no. 1633 dated 19.01.1999
CONTENTS
4 Introduction 99 Report on Italy
4 Our mission continues 100 Communication
6 Sustainable Development Goals 104 Community relations
7 Strategic plan 2008-2015 and fundraising
8 The position in 10 points 107 Education
9 Mission and awareness building
10 Organization 109 Student College
110 Historical archive
13 Report on Africa 111 Financial statements
14 Angola
22 Ethiopia
30 Mozambique
38 Sierra Leone
46 South Sudan
58 Tanzania
68 Uganda
76 Focus on hospitals
86 Focus on Mothers and children first
94 Human resources management
98 Partnership
p. 04 Doctors with Africa CUAMM Annual Report 2015
OUR MISSION
CONTINUES
Rev. Dante Carraro, As usual, looking back at what throughout the year, which often tested
director of Doctors with Africa happened during the previous year is our operators’ endurance and
CUAMM like trying to “connect the dots”, finding commitment to the limit. Despite the
the connection between moments and difficulties we kept finding new
situations we experienced directly, as solutions, such as a network of mobile
individuals, communities and entire phones and a 24-hour ambulance
Countries. In fact, Doctors with Africa service. The results of our activities
CUAMM is a special dimension that has were presented with great success at a
a way of connecting the private, workshop held in February in Juba –
intimate life of each one of us to public, the capital city of South Sudan –
community and institutional life, attended by representatives of the
making the latter more virtuous and Ministry of Health and South Sudanese
more caring, while we as individuals authorities, NGO and donors.
become more aware of general and In the countries in which we operate –
social implications. Angola, Ethiopia, Mozambique, Sierra
The book “Non temete per noi la Leone, South Sudan, Tanzania and
nostra vita sarà meravigliosa” (Fear Uganda – the work described in these
not, our life will be wonderful) pages, has always been accompanied
published by Mario Calabresi in early by initiatives to spread a culture of
January, is a great example of this. We participation, because we all must give
presented it in many Italian cities, from our contribution and do our bit, no
Turin to Milan, from Udine to Padua, matter how big or small. The photo
from Trieste to Aosta and Verona. We exhibition “A waiting room – Mothers
left for Uganda with Calabresi to visit and children first”, by the Polish
Matany and other locations where photographer Kasia Ciechanowska,
Doctors with Africa CUAMM operates. was inaugurated in March, to coincide
Places he had only heard mention of, with International Women’s Day, at the
but which for us represent the roots Headquarters of the United Nations
and the origin of our work in Africa. A in New York. The event was organized
stimulating and meaningful book for in collaboration with the Permanent
everyone, particularly for our young Representatives of Italy and Tanzania
doctors who decide to leave for Africa, to the United Nations.
following in the steps of Gigi Rho and Other initiatives included the
Mirella Capra, and invest their time in a traditional College students party held
unique experience that will change at CUAMM’s headquarters at the
their future professional lives. beginning of May, the event that took
Trusting, believing in one’s dreams, place at Teatro Verdi in Padua, with
even if they lead you to uncertain, less Natalino Balasso and Massimo Cirri
beaten paths. This is the challenge we and many other activities organized by
accepted in Sierra Leone, working to groups and supporters across Italy.
help the country recover from the
devastating Ebola epidemic. We were And while the situation in South Sudan
encouraged by the words of Dr Kebbi, worsened dramatically, our
the director of our hospital in Pujehun: commitment to the cause allowed us to
«Your being here with us during these party with 22 young doctors who at the
months and your commitment to beginning of June celebrated getting
continuing to be with us in future, has their degree at the Catholic University
given us all the strength not to run, to of Mozambique (UCM) in Beira.
say, not to feel abandoned, to continue In September, the struggle and
fighting. Just like the mothers and worrying situation in South Sudan
children who, despite the risk, have worsened due to the continuous
kept coming to the hospital and clashes between the army and armed
trusting us». A hidden and untold local militia that threatened Lui
drama was unfolding beneath the hospital and the annexed midwifery
apparent normality of everyday life. We school’s activities, terrorising the
made it our mission to strengthen our population which fled into the bush.
activities in the country, in particular by CUAMM’s work focussed mainly on
resuming surgical activity and trying to normalise the situation and
admissions at Lunsar hospital, supporting the hundreds of displaced
managed by the Fatebenefratelli who fled to the bush, among which
community, in the western district of were sick children and pregnant
Port Loko. We did the same in South women who survived by eating roots.
Sudan, a country marked by instability One of them told us «I have been
p. 05
running all my life». A silent cry of pain death wasn’t so much the end but the To re-watch the “Mothers and children
we have taken to heart. completion and fulfilment of his life». first. On the border lies our house”
In this contest, official awards have a Many honoured his memory in a event held in Verona on 21 November in
significant meaning: on 18 September, composed atmosphere filled with hope. the auditorium of the University: www.
Doctors with Africa CUAMM received youtube.com/user/ mediciconlafrica/
the Premio Cittadino Europeo award, Don Luigi left everyone a piece of his playlists or https://youtu.be/
assigned to single individuals or groups history and memories. Now, it’s our MnEbFZpajkc
that have distinguished themselves for duty to preserve his “special legacy”
their contribution to strengthening made of relations, affection, To remember the words and images of
European integration and the dialogue commitment and love for Africa, so don Luigi Mazzucato: http://www.
between peoples by adopting the that Doctors with Africa CUAMM can mediciconlafrica.org/ donluigi/
values of the Charter of Fundamental continue its work to help the poor as
Rights of the European Union. A way of don Luigi always wanted and did
building peace in the field, starting by personally until the end. So in the end,
considering the hospital as a safe, the dots will be connected every time
untouchable place, choosing to stay we work believing in our mission, even
“with” the local population, despite when it leads us to a less safe or beaten
instability and uncertainty. path.
A workshop, organised in collaboration
with the Global Health Centre of
Tuscany, took place in Florence in
September, with the objective of
promoting shared methods and tools
that can be used to develop common
processes to evaluate the efficacy of
international health cooperation
projects. An objective we are
determined to achieve.
During the six days that Pope Francis
spent in Africa, across Kenya, Uganda
and the Central African Republic, in an
apostolic journey in name of
“reconciliation”, “peace and
forgiveness” that marked the beginning
of the “Jubilee of Mercy”, Monsignor
Claudio Cipolla, new bishop and
president of CUAMM, arrived in Padua.
November was filled with special
moments: on Saturday 21 November,
at the auditorium of the University of
Verona, the official and complete
results of the fourth year of the
“Mothers and children first”
programme were presented in the
presence of national and international
authorities, partners and
representatives of civil society.
Prepared by the journey in Ethiopia of
the Foundation’s representatives – who
from the start, in 2011, believed in the
project designed to guarantee access
to free and safe child delivery in four
hospitals and the territories of
reference in sub-Saharan Africa – the
Annual meeting once again was a
unique occasion to learn more about
the challenges and the future of our
intervention in Africa. Just a few days
later, don Luigi Mazzucato, director of
Doctors with Africa CUAMM for 53
years, sadly passed away.
A great loss that touched us all deeply.
As bishop Claudio said: «Don Luigi’s
p. 06 Doctors with Africa CUAMM Annual Report 2015
SUSTAINABLE DEVELOPMENT
GOALS (2016-2030)
1 2 3 4
No Zero Good Quality
Poverty Hunger Health and Education
Well-Being
5 6 7 8
Gender Clean Water Affordable Decent Work
Equality and and Clean and Economic
Sanitation Energy Growth
9 10 11 12
Industry, Reduced Sustainable Responsable
Innovation Inequalities Cities and Consumption
and Communities and Production
Infrastructure
13 14 15 16
Climate Life below Life on Pace, Justice
Action Water Land and Strong
Institutions
17
Partnership
for the Goals
Approved by the UN General Assembly on 25 September 2015, they show
the international community the way towards development for the next 15
years. Doctors with Africa CUAMM is mainly focussing on the third
objective, but has taken a multi-sector approach, sensitive to the related
social determinants of health.
p. 07
STRATEGIC PLAN
2008-2015 AND BEYOND
Doctors with Focus on the strategic plan of activities making it crucial for us to take
Doctors with Africa CUAMM and an active part in alliances and
Africa CUAMM’s healthcare policies partnerships at national, European and
Healthcare policies are often influenced global level.
strategic plan by factors that take little account of the (From Strategic Plan 2008-2015, pp.
needs and right to health of women, 16-17)
clearly describes children and the differently abled or of
the efficacy of the adopted strategies. Mother and child health
some of the steps With the advent of major foundations In its sixtieth year of operations, there
and global funds, the policy development was felt to be a need to focus attention
being taken by the process has been further complicated by and intervention on the health of
fear of forgoing access to key funding, mothers and children, in line with
organization to even when the terms and conditions of Strategic Plan objectives. This gave rise
that funding or the country’s absorptive to the document, “The right to have a live
programme its capacity are not ideal. mother and child”, from which we have
Another problem is that some states extracted a few salient points.
intervention. contradict their declared commitment to
achieve the Millennium Development
Goals by adopting macroeconomic rules
that strictly prevent public spending to
exceed a given threshold within the
social sector. In any event this threshold
lies well below the level required to
deliver the essential package of
healthcare services needed to improve
the health status of the poor. Doctors
with Africa CUAMM has no wish to be left
out of this very important debate,
involving donors, agencies and African
ministries, but often excluding the
people who work in close contact with
the poor.
Our acquaintance with problems, our
values and our commitment require
intelligent participation in the policy-
making process at all levels. Our
activities in the field have provided us
with precious knowledge about
successes and pitfalls encountered in
activity implementation. It is essential to
share these critically analysed
experiences and include them in national
and global policy-making processes to
avoid waste and injustice. All this entails
extensive lobbying and advocacy
01
A trip along the last
mile (CUAMM Archive)
02
A mother and her child
in a health centre in
South Omo, Ethiopia
(Nicola Berti)
01 02
p. 08 Doctors with Africa CUAMM Annual Report 2015
THE POSITION
IN 10 POINTS
Accordingly, 1 6
Doctors with Contribute to reducing maternal Measure and monitor coverage rates
and neonatal mortality by strengthening and the quality and equity of mother
Africa CUAMM, district healthcare systems, through and child services with validated tools
application of the 2008-2015 strategy. and indicators.
in practical and
operational terms, 2 7
has decided to Guarantee delivery of preventive and Potentiate innovation.
treatment services of proven efficacy,
give highest, if not according to the continuum of care
model. 8
sole, priority to
Participate in thematic and research
mother and child 3 networks in support of global strategy
for mother-child health.
health in its Promote the development of human
resources as a central element of
programmes and sustainability via support for basic 9
training (nursing and midwifery schools,
projects. universities), on-the-job training and Inform, involve and motivate civil
improvement of working conditions for society, industry, foundations and
local healthcare providers. national and local public institutions to
actively promote the protection of
women and children’s right to health.
4
Increase access to assisted delivery 10
by eliminating hospitalntariffs
(free delivery) and contributing to the Give account of the results achieved
start of alternative forms of financing. and experiences acquired to local and
international communities and
institutions.
5
Support the public-private partnership
by integrating government healthcare Source: “The Right to Have a Live Mother
services with those from the non-profit and Child”, pp. 14, 15, 16.
healthcare sector (missionary
healthcare facilities).
03 06
Local staff at work Ugandan women
in South Sudan walking to the hospital
(Nicola Berti) (CUAMM Archive)
04
An Ethiopian mother 07
and her child Jeeps are one of the
(CUAMM Archive) essential means of
transportation in the
05 last mile
Pujehun Hospital (CUAMM Archive)
during Ebola
(Luigi Baldelli)
03 04