Mozambique

Mozambique Appeal No. 01.18/2003 Programme Update No. 2

Format
Situation Report
Source
Posted
Originally published

Attachments

Period covered: June - November 2003
The Federation's mission is to improve the lives of vulnerable people by mobilizing the power of humanity. It is the world's largest humanitarian organization and its millions of volunteers are active in over 181 countries. For more information: www.ifrc.org

In Brief

Appeal coverage: 116.4%; Click below to go to the attached Contributions list, or refer to Federation's website.

Outstanding needs: 0

Related Emergency or Annual Appeals:

  • Southern Africa: Food Security and Integrated Community Care (Emergency Appeal no. 15/2003)
  • Southern Africa regional programmes (Annual Appeal no. 01.24/2003)
Programme Summary: The Mozambique Red Cross Society continues to scale up its community-based health and HIV/AIDS prevention, care and support activities in cooperation with its partners and involving the community members and volunteers. Efforts are being made to ensure proper integration amongst different health and care programme areas. On the other hand, the extensive supplementary feeding across the country in response to the drought situation is also stretching most of the branch capacities. A number of programme activities jointly planned with the Federation, particularly disaster preparedness and organizational development, cannot be implemented due to lack of funds in the first and second quarters. Along with the assistance from the new Federation in-country representative and other partners, Mozambique Red Cross has made progress in strengthening its governance base, human resources, financial and IT developmen t. Several income-generation plans are underway to help ensure future sustainability. Coordination with these partners has also been enhanced.

Operational development

Mozambique Red Cross has managed to make great progress in the implementation of all programmes during the reporting period. One of the most visible indicators was the disaster response in the provinces where communities had been trained in the community-based disaster preparedness programme, mainly in Inhambane and Zambezia. This experience underlines the importance to expand disaster preparedness activities to other disaster -prone areas. Cyclones and floods affected the northern and central parts of Mozambique in the first quarter of 2003. The southern and other parts of the centre were, however, affected by the continued drought spell that has hit large parts of the southern Africa region. Although Southern Africa Regional Climate Outlook Forum (SARCOF) weather forecast predicted normal and above normal rains from October to December, no rains were forthcoming by November.

Mozambique is one of the countries in the world with high HIV/AIDS prevalence rate. The average rate for Mozambique in 2002 was 13.6%, with as high as 17.4% in Maputo and 26.5% in Sofala province. HIV/AIDS prevention activities have been scaled up and community home-based care (HBC) volunteers have been trained and

started on home visits. In connection with the HBC and prevention activities, Mozambique Red Cross had positive experiences with a community garden pilot project in Maputo city to improve the diet of persons living with HIV/AIDS (PLWHA). This will be replicated in other parts of the country, and preventive activities are constantly being expanded. Recently the national society started preventive training for the military in Catembe South of Maputo. By September the health programme had already surpassed the numbers of beneficiaries reached in 2002.

The development of the financial management capacity has resulted in increased transparency and financial credibility, an indication that Mozambique Red Cross has moved from the Federation working advance system to the cash transfer system. The internal audit is in the process of being established. The organizational management has been strengthened and serious measures have been implemented to tighten up the organization. Mozambique Red Cross is still struggling to finance its core costs and the finance resource development strategy is being revised and further developed. The move from working advance to cash transfers has caused, nevertheless, some delays in the transfer of funds from the Federation.

Mozambique is ranked number 170 in the UNDP Human Development Index. Recent municipal elections have been very peaceful, and preparations for the presidential and parliamentary elections in 2004 have begun. Mozambique Red Cross Society will hold the executive board and presidential elections in 2004.

Health and Care

Goal: A sustainable improvement in the general health of the targeted vulnerable communities through the provision of community-based health and care interventions in line with ARCHI1 2010.

Objective: The Federation Secretariat supports the Mozambique Red Cross capacity to implement community-based care programmes, including water and sanitation and organizational development, thereby improving the general health situation in targeted communities and increasing the communities' coping capacity in disaster situations.

Community-Based Health Care

Mozambique Red Cross total intervention within the health programme benefited a total of 1,041,630 people across the country in 2003. The activities in the provinces of Sofala, Gaza and Tete, and partly in Maputo province are financed by Finnish Red Cross through the Federation.

Objective: The capacity of the Mozambique Red Cross to design and implement community-based health care projects in two provinces: Tete and Gaza, and some activities in Maputo province will be strengthened.

- 60 volunteers will be trained on ARCHI health activities and tools thereby improving the ability of the provincial branch to implement its health related activities

Some 730 volunteers were trained in community-based health care and community-based first aid, and 156,867 benefited from home visits in Gaza and Tete, and partly in Maputo province.

- The health awareness among the population of the target province is increased through health promotion, disease prevention and first aid activities in line with ARCHI 2010.

A total of 83,760 people benefited from first aid and treatment of the most common diseases and 360,690 were trained in health education through lectures, theatre and practical activities.

- Information, education and communication materials will be produced and disseminated on priority topics such as malaria, cholera, tuberculosis and malnutrition, contributing to the ability of the population to warding of these diseases.

In Gaza and Tete, and partly in Maputo province 50,000 pamphlets on malaria and 50,000 pamphlets on cholera were printed and distributed together with 23,198 mosquito nets. A total of 24,506 malaria cases were treated in 57 first aid posts. In addition, 146 volunteers were trained in cholera response and preventive measures in eight provinces. This process is bearing fruit as malaria is on the decrease. The number of malaria cases treated at first aid posts between January and September this year was 21,571 compared to 2002 statistics of 27,845 cases while the number of mosquito nets distributed was 24,506 against 15,000 mosquito nets distributed in 2002.

- Two participatory rural appraisal (PRA) training sessions will be conducted together with the linking of two health technicians

The performance of the volunteers and health technicians was improved by introducing the Participatory Impact Monitoring and Evaluation System (PIMES). Three health technicians were replaced and new ones recruited for the Sofala, Tete and Gaza provinces respectively.

- 40 medical kits, 60 first aid bags and 20 balances for children will be purchased and distributed to improve the provincial Red Cross branches ability to provide immediate first aid.

In Gaza and Tete, and partly in Maputo province, 440,313 people were assisted with first aid, treatment of the most common diseases and health education during emergency response and mitigation after the two cyclones that affected the northern and central part of Mozambique in the first quarter. About 177 medical kits were purchased and distributed and 20,000 tablets of chlorine were purchased and distributed

- Monitoring of the nutritional status in children less than five years at first aid posts will be conducted.

A total of 300 mothers were trained in supplementary feeding, hygiene information and children immunisation in the Gaza, Tete and partly in Maputo province. Training on supplementary feeding was carried out as part of the drought response. The number of volunteers trained increased to 455 and 12 new health technicians at districts level were trained for the supplementary feeding activities.

Impact

Response to the cholera epidemic had a great impact and only Sofala province still registers one to two cases per day from the eight provinces affected by cholera since January 2003. The mortality rate has reduced to 0.9% between January and August is kept down at 0.9%.

Constraints

Due to the lack of funds allocated by the Federation in the first and second quarters, it was not yet possible to complete the plans in the three provinces of Sofala, Tete and Gaza. There is an overload of work due to the extraordinary supplementary feeding activities, which came on top of the current programme as a response to the drought situation. Mozambique Red Cross is implementing health development activities in 15 districts and supplementary feeding emergency activities in 12 districts.

HIV/AIDS

Objective: Prevent the spread of HIV/AIDS and improve the quality of life of persons living with and affected by the epidemic

Progress/Achievements:

- To improve knowledge, attitudes, skills, practices and behaviour of youth (10 to 24 years) on HIV prevention

Training activities on HIV/AIDS prevention have been carried out for youth in and out of school in several provinces, namely in Tete province (Chi=FAta, Changara districts and Tete city), Nampula province (Nacala, Meconta districts and Nampula city), Maputo City (Catembe), Maputo province (Ressano Garcia).

Volunteers were trained in theatre techniques:

  • In Sofala province (B=FAzi and Nhamatanda districts): 40 "out-of-school" prevention volunteers; 40 in-school prevention volunteers; 40 active and influential members of the community; 20 prevention volunteers (adults in communities).

  • Zambezia province (Mopeia and Maganja da Costa districts): 40 out-of-school prevention volunteers in Mopeia district; 40 in-school prevention volunteers; 40 active and influential members of the community (AICM); 20 prevention.

  • In urban district of Maputo City: 30 out-of-school prevention volunteers; 20 in-school prevention volunteers

  • Maputo province (Moamba): 31 out-of-school prevention volunteers; 25 in-school prevention volunteers

  • Ressano Garcia : 22 community-based health care(CBHC) volunteers; refreshment training of 30 prevention volunteers

  • Gaza province: 48 home-based care volunteers for Chokwe, Guijá and Manjacaze.

  • Cabo Delgado province (Pemba): 35 peer youth prevetion volunteers and 28 in-school-peer youth prevention volunteers.
Prevention activities are being expanded to the following areas: Maputo City (urban district), Maputo province (Moam ba), Sofala province (Buzi and Nhamatanda districts), Zambézia province, (Maganja da Costa and Mopeia districts).

- To improve social, economic and physical well being of persons living with and affected by HIV/AIDS through incre ased social and legal status (i.e. advocacy for PLWHA)

On World Red Cross Day, 8 May 2003, activities were organized under the anti-stigma campaign related to HIV/AIDS in several provinces. In Catembe, several activities were carried out, namely, theatre, dance, debates and visits to chronically ill people and to the gardens project that is being implemented by a group of volunteers, mainly women. Several guests from the Red Cross, radio and television media participated in the visits.

This year , more than 100 families were trained on how to grow vegetable gardens using biological and drought-resistant methods in Catembe (Maputo City) in liaison with the CHBC activities. Prevention activities in and out of school, during this period included talks, theatre, debates and video sessions to about 123,717 beneficiaries, of whom 63,656 were men and 60,061 women. The materials distributed to the provinces include 167,481 male condoms, 500 female condoms, 120 bicycles for HBC volunteers, two vehicles, seven motorbikes, two computers, one photocopy machine, one TV-video set and one overhead projector. Educational materials produced and distributed include 1,100 manuals "Acç=E3o com Jovens" (action with youth) and "Sa=FAde sexual" (reproductive health), 300 CHBC manuals, 47 HIV/AIDS video cassettes, 9,280 leaflet, 2,000 posters, 320 T-shirts, 48 caps, 300 overalls, 329 album of posters, 2,350 youth magazines, 320 wooden penis models, 48 video cassettes and 200 training certificates.

Community home-based care activities have been expanded to new areas in Gaza province, namely Chokwé, Manjacaze, Guijá, Bilene and Chibuto districts. Support has been given to KINDLIMUKA (association of PLWHA) consisting of training, provision of medicines, condoms and educational materials

- To improve the capacity of the national society in management of the programme as well as the provincial and district levels programme formulation, design, implementation and monitoring

There are 1,260 registered clients, 986 assisted beneficiaries, 615 homes visits done, 7,322 counselling sessions conducted for beneficiaries, 720 beneficiaries referred to Voluntary Counselling and Testing (VCT), 128 referred to hospitals and other services, 620 orphans identified and registered, 300 supported orphans (blankets and school materials), medicines distributed include 29 kits PS1(First Aid), 15 medical kits, 27 HBC kits with soap, towel, hygiene materials. CHBC activities have been carried out in Maputo City (Catembe), Maputo province (Ressano Garcia), Gaza province (five locations in Xai-Xai district), Manica (Sussundenga, Machaze and Mossurize districts), Nampula (Meconta district) and Tete (Chi=FAta and Changara districts).

Preparations for the expansion of prevention HIV/AIDS scaling up activities to new areas, namely, Cabo Delgado province (Pemba City), Maputo City (urban district), Maputo province (Moamba), Gaza (five districts) on the baseline surveys, contacts with AICM (active and influential community member) selection of volunteers to be part of the programme. In Gaza province, preparations or the extension of CBHC to five new districts were carried out which involve contacts with local authorities, selection and training of active and influential members of the community and volunteers. Recruitment of three provincial coordinators for Cabo Delgado, Sofala and Zambézia provinces and recruitment of four district coordinators for Zambézia and Sofala provinces were done.

Impact

In the areas where the scaling up of activities is being carried out, the involvement of the active and influential members of the community is key to facilitating programme implementation. In some areas where the programme activities are being combined with the production of vegetable gardens as well as with income-generation activities, the beneficiaries acknowledge that their living conditions have improved.

There is a good involvement of women as volunteers in the prevention and CHBC activities, which contributes to a positive action of women and, thus, contributing to a better gender balance. The anti-stigma and discrimination activities are contributing to acceptance of PLWHA in the communities. There is commendable involvement of the community in the search for local solutions for the orphans care as well as greater acceptance and willingness of community members of the voluntary and counselling and tests.

Constraints

There are still difficulties in communication between the national society at the headquarters and the branches at the provinc ial and district levels, which results in great delays in the submission of reports and justifications for the expenses.

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