Report 2012

REPORT 2012

Medicus Mundi Italy Report 2012

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Medicus Mundi Italy is a Member of FOCSIV Volontari nel Mondo 窶天olunteers around the world

Medicus Mundi is an Adhering Member of the Italian Institute for Donation

Medicus Mundi Italy Via Martinengo da Barco 6/a 25121 Brescia

Tel. +39 0303752517窶認ax +39 030 43266

www.medicusmundi.it

info@medicusmundi.it progetti@medicusmundi.it promozione@medicusmundi.it amministrazione@pec.medicusmundi.it

Burkina Faso - Burkina Faso – Project for clean and correct management of wells.

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REPORT 2012

Table of Contents Presentation

p. 7

Our Mission

p. 8

Who we are

p. 10

Organization Charter

p. 13

Partnerships

p. 15

Cosponsor and Donors

p. 17

Balance Sheet Data

p. 18

Communication and Events Report

p. 21

Activities Projects

p. 30

Other Cooperation activities

p. 56

Civil Service

p. 57

Training Course

p. 58

Š The Medicus Mundi Italy Report 2012 is published by Medicus Mundi Italy. It can be freely distributed, reproduced and published, as long as the source (Medicus Mundi Italy – www.medicusmundi.it) is referenced correctly. No printed copies available.

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MEDICUS MUNDI ITALY

October 31, 2012. Professor Giampiero Carosi with a cohort of postgraduate medical students at the University of Ouagadougou (Burkina Faso) and during his keynote lecture on epidemiology and the prevention of hepatitis-B.

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REPORT 2012

Report 2012 Presentation

In April 2012 I started my term as President of Medicus Mundi Italy (MMI), substituting Professor Francesco Castelli, my former student, in this position. In an exchange of roles, my predecessor took my former post as Head of the Clinic for Infectious and Tropical Diseases at the University of Brescia (Italy). The consolidated, affectionate collaboration between Francesco Castelli and myself has lasted for over 30 years: on the one hand, it gives continuity to the presidency of MMI, however it also anticipates change due to our different, yet luckily complementary, personalities.

In this sense I hope to leave a strong mark on my term, as Francesco has been able to do during his terms in office.

In this complex situation, with a new, updated charter, I will enjoy the help and support of a recently reduced Board of Auditors, in accordance to the charter; however, the help of Doctors Inzoli and Andreis will certainly be valued and envisaged in the future as it was in the past.

Finally, I would like to thank the Chief Executive of the Board of Auditors and the entire MMI staff.

In this Report you will find key points of our mission, our organizational structure and our ongoing projects described in detail.

I would like to underline two aspects which will characterize my commitment and the working strategy of MMI in the following years: Firstly, MMI participates in a new coordinating system for NGOs from the Italian Region of Lombardy and regrouped under Focsiv (SVI, SCAIP, MLFM and ASPEM). Aim of this participation is to improve, rationalize and increase our impact at a time of growing difficulty in raising private and public funds. This goal is therefore the more important in order to reach our aim of acquiring a more prominent position at national level.

Secondly, our commitment, with our partners, to accept the challenge, in favor of the District Hospital of Kiremba (Burundi), where we will support and increase our action. The hospital is still in a situation of uncertainty due to the tragic events of Autumn 2011; on the other hand, it represents a historical, 50-yearlong commitment of solidarity for the community of Brescia which cannot be interrupted.

Finally, I have accepted with pride our renewed award, given by the prestigious Italian Institute for Donation, certifying the transparency and reliability of the way in which Medicus Mundi Italy has made use of every donation received. Our commitment is that not one Euro gets lost or misspent, and this represents a major point of honor for us because the sufferance in Africa is nowadays intolerable for us all and the necessity to alleviate it is imperative.

Prof. Giampiero Carosi President of Medicus Mundi Italy Brescia, April 16, 2013

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MEDICUS MUNDI ITALY

Our Mission

The objective of Medicus Mundi Italy (Article 2 of the MMI Charter) is to contribute to the integrated promotion of the human being through the creation of structural healthcare development programs, since it considers health as a fundamental human right (Alma Ata Declaration, 1978). Therefore, the Association commits in promoting social-healthcare cooperation activities, aimed at creating development in the world, especially amongst the most disadvantaged Countries and populations. In particular, the Association focuses on activities in the following fields:     

medical healthcare training local staff in developing Countries managing and protecting the environment and its natural resources development education in Italy operative research for a broader knowledge, in collaboration with universities and research institutions.

 Medicus Mundi Italy is a member of Medicus Mundi International Network – IOMC (International Organization for Medical Cooperation).

In 2012, in order to put its mission into practice, MMI accomplished 9 medical cooperation and sociohealthcare projects. Aims were the improvement of the quality and efficiency of local socio-healthcare services, the promotion of general and community medicine treatments and the contribution to training local medical, technical and teaching staff. Thanks to the work of 13 expatriated collaborators, medical and technical staff on short missions, in support of the dozens of local members of staff, MMI operated in Burkina Faso, Mozambique, Ecuador and, towards the end of the year, launched a project in Burundi and one in Tamil Nadu, India.

The projects completed in 2012 focused on maternal and infant healthcare, and beneficiaries were over 250,000:  in Burkina Faso, 205,000 children and 6,000 mothers have benefitted from the screening campaigns, 230 HIV+ children and 300 HIV+ mothers have received medical assistance;  nutritional support was given to approximately 25,000 children in Burkina Faso and Mozambique;  in Burkina Faso and Mozambique 636 nursing members of staff and health agents received medical training  over 6,500 Primary Health Care medical examinations have been carried out in homes in Mozambique;  over 1,100 lab analyses have been carried out in Ecuador;  Activities for prevention and raising awareness on family health and hygiene have reached over 6,500 people in rural areas.

In addition, MMI operated in Italy in the form of training and updating medical and technical staff during the 25th Updating Course on Tropical Diseases, in collaboration with the Infectious and Tropical Disease Clinic of the University of Brescia.

The collaboration with this Clinic has been very active in 2012, especially through the institution of a European Master in Tropical Diseases and International Healthcare, registered as part of the European Network of Education in International Health (TROPED).

Medicus Mundi has also created, directly or in collaboration with other organizations, communication and awareness campaigns for the public opinion related to healthcare and global development issues. MMI publishes its bulletin every six months. The humanitarian campaign “Nevereatalone”, in support to the projects fighting malnutrition in Burkina Faso, has been particularly compelling and successful.

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REPORT 2012 Finally, MMI collaborates with the Faculties of Medicine and Civil Engineering of the University of Brescia for study and research projects on health and development projects in developing Countries.

Since the beginning, the vision of Medicus Mundi Italy has been directed towards voluntary professional cooperation for development, in strict relation with the principles outlined by the WHO and without ever renouncing the strong humanitarian motivation underlying its actions. One of the fundamental choices which have always characterized Medicus Mundi Italy is the focusing on the need to promote and support adequately local human resources working in the field of healthcare. The integration of a disease-based approach with prevention and community healthcare is always to be sought, with special focus on maternal and children healthcare.

Over 30 years after the Alma Ata Declaration and 12 years after the launch of the Millennium Development Goals, MMI continues working with a “healthcare promoting” approach, not only from the strictly medical point of view, but also in a broader sense connected to social and cultural development.

MMI firmly believes in the Global Health paradigm, intended as an approach able to conjugate theory and praxis in healthcare cooperation action, the values of justice and equality proclaimed by the Alma Ata Declaration, the interdependence between populations, Countries and globalization, and the impacts of the latter on health and healthcare inequalities.

In the past years, like many other institutions and organizations operating in global healthcare, Medicus Mundi Italy, as a member of Medicus Mundi International Network, follows with increasing interest the concept of Universal Health Coverage (UHC), a point prioritized (especially) by WHO on the healthcare agenda for post-2015 development.

The concept of “Universal healthcare” refers to the guarantee of affordable access to health services for every individual who needs it (prevention, promotion, care, rehabilitation and palliative treatments). The real challenge translates into the creation of efficient and affordable health services, which give the chance to have access to good quality services, with medical staff, medicaments and necessary technologies to the whole population.

Operational Structure Medicus Mundi Italy is regulated by a new charter (approved on the 28th of April 2012), and is structured as follows: 

the General Assembly, in charge of programming the Association’s activities, of approving balance sheets and of electing the Board of Auditors and the President;



the Board of Auditors, formed of 7 members (President, Vice-President, 5 Auditors), in charge of: defining the Association’s strategies and aims; maintaining corporate relationships; nominating the Chief Executive and approving the Organization Charter; supervising the Association’s ordinary and exceptional administration; writing Balance Sheets to be submitted to the Assembly’s approbation; suggesting Charter modifications to the Assembly, writing the Association’s By-Law and the Code of Ethics.



the Board of Auditors of Account is in charge of the Association’s administration, ensures regular bookkeeping and correspondence of the financial statement with the outcome of accounting books and entries.



the Board of Arbitrators, an internal body of guarantors, is formed by 3 Members of the Association who are in charge of solving controversies which should arise between Members, or between some Members and the Association.

The new Charter includes the figure of a Chief Executive, in charge of organizing the operational structure.

Members Throughout 2012, 18 further applications for membership of Medicus Mundi Italy have been received, many of which are by young doctors or Post-graduate MD from the Faculty of Medicine of the University of Brescia. New energies are more than ever necessary in order to promote a circulation of ideas and an increase in activities.

On the 31st of December 2012, the number of members having regularly paid their enrolment fee was of 68 members, in accordance to Article 3 of the Association’s Charter.

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MEDICUS MUNDI ITALY

Who we are Human Resources Staff in Italy in 2012  1 Chief Executive in charge of organization and management/project coordinator 

1 employee in charge of administration and project managing



1 employee in charge of communication and fundraising (voluntary)



1 administrative secretary



1 part-time employee for communication, fundraising and project planning



1 administrator collaborator (voluntary)



Around 20 people (MD and not) who work as volunteers for the association in various chores: communication and fund raising, training, organization, management and project realization.

Staff expatrieted in 2012  2 Country Ambassadors and project coordinators in Burkina Faso and Mozambique 

3 medical assistants, 1 civil engineer, 1 voluntary logistician, 1 Civil Service volunteer in Burkina Faso



2 project coordinators in Ecuador and Burundi



2 voluntary nurses in Mozambique and Ecuador



1 assistant-pediatrician in the Central African Republic

Proposals and requests coming from partners in the South, from our own volunteers or from collaborators who operate or have operated in developing countries, or from other partner organizations, are evaluated by our managers and by the personnel in charge of the planning stage sorted by geographical area. The criteria adopted to select projects, aside from the criteria qualifying the quality of the proposal and the credibility of the proposer, are those defined by the guidelines of the General Assembly and by the strategies identified by the Board of Auditors.

Operational Strategy The projects of Medicus Mundi Italy are always spurred by precise requests of the communities in question and local partners participate from the earliest stages to strategic and operational choices. Medicus Mundi Italy is independent from political or religious sidings and acts in total respect of local cultures in a selfdevelopment and self-determination philosophy. The criteria adopted to select projects, aside from the criteria qualifying the quality of the proposal and the credibility of the proposer, are those defined by the guidelines of the General Assembly and by the strategies identified by the Board of Auditors.

Positively valued proposals, normally approved after having verified the feasibility of the project on site, are later elaborated with partners, both from Italy and from developing countries, and presented for approval to the Board of Auditors. In case of joint projects, Medicus Mundi Italy takes part in decisional and coordination meetings attended by representatives of each partner organization.

For the accomplishment of long-term and short-term training and assistance projects regarding various medical areas, with specific interest and attention for maternal and infant health, and for the prevention and treatment of main infectious diseases, Medicus Mundi Italy works in partnership with the Spedali Civili Hospital in Brescia and the University of Brescia. In particular, it collaborates with the Clinics of Infective Diseases, the Graduate School of Tropical Diseases, the Pediatric Clinic and the School of Pediatrics.

MMI’s activities are made possible by fundraising activities, by important support from private individuals, associations and supporting groups, as well as from contributions received for specific projects from several public and private institutions: the European Union, the Italian Ministry for Foreign Affairs, the Italian Bishop’s Conference, Regions, local institutions, Bank Foundations, etc.

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REPORT 2012

Organization Charter

GENERAL ASSEMBLY

BOARD OF AUDITORS

CHIEF EXECUTIVE

COMMUNICATION AND

PROJECTS ADMINISTRATION

TRAINING

FUND RAISING

SECRETARIAT

COUNTRY AMBASSADORS

BOARD OF AUDITORS FOR 2012-2015 Presidente Vice President

Giampiero Carosi Silvio Caligaris

Auditor Auditor Auditor Auditor Auditor

Monica Franchi Giuliana Marzella Roberto Marzollo Fausta Prandini Richard Fabian Schumacher 11

MEDICUS MUNDI ITALY

MANDATE AS APPROVED BY THE BOARD IN MEETING, ON THE 21st OF JUNE 2012

BOARD OF AUDITORS

Professor Giampiero Carosi

President

Mandate for corporate relationship

Doctor Silvio Caligaris

Vice-President

Mandate for Presidency and Training

Doctor R. Fabian Schumacher Auditor

Mandate for medicus Mundi International

Doctor Monica Franchi

Auditor

Mandate for Communication and Fund Raising

Doctor Giuliana Marzella

Auditor

Mandate for Partner Networks

Doctor Roberto Marzollo

Auditor

Mandate for Relationships with Pediatrics

Engeneer Fausta Prandini

Auditor

Mandate for Health and Environment

CHIEF EXECUTIVE

Doctor Massimo Chiappa

ADMIN

Doctor Giovanni Zoppi

TRAINING

Doctor Silvio Caligaris

Provisional

COMMUNICATION FUNDRAISING

Doctor Monica Franchi

Provisional

SECRETARIAT

Ms. Cinzia Ferrante

COUNTRY AMBASSADOR

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Mr. Mario Bina

Volunteer

Doctor Virginio Pietra

Burkina Faso

Doctor Bruno Comini

Mozambique

REPORT 2012

Partnerships

In an increasingly globalized context, and in view of reinforcing and sharing commitments in the international cooperation world and in developing education targeted to creating a fair and equal society, Medicus Mundi Italy firmly believes that teamwork with other associations and the participation of different Northern and Southern networks is all the more pressing and necessary. In this perspective, Medicus Mundi is member of:



Medicus Mundi International Network- http://www.medicusmundi.org



Medicus Mundi Attrezzature—MeMuA - http://www.memua.it/



FOCSIV - Volontari nel mondo (Federazione Organismi Cristiani di Servizio Internazionale Volontario - Federation of Christian Organizations and International Volunteers Service) http://www.focsiv.it.

Medicus Mundi Italy is a member of the Federation since 1996.



Italian Institute of Donation - IID - http://www.istitutoitalianodonazione.it/it/ - MM Italyhas been an Adhering member since 2011.



Italian NGO Association - http://www.ongitaliane.it



CoLomba—Lombardy NGO Association - http://www.onglombardia.org



Consultation on cooperation, peace, solidarity and human rights among population in the city of Brecsia - http://www.comune.brescia.it/



Italian NGO Network for fighting AIDS information, analysis and monitoring service against AIDS in Developing Countries - http://www.osservatorioaids.it/

Morevover it cooperates with:



University of Brescia 



School of Medicine and Surgery di Medicina e Chirurgia 

Infectious and Tropical Diseases Clinic



Pediatrics Clinic



Pathologic Anatomy Chair

School of Engineering 





CeTAmb (Center for Documentation and Research on Appropriate Technologies for Environmental Management in Developing Countries)

Spedali Civili Hospital of Brescia 

Infectious Diseases Ward



Pediatrics Department

CLIA - Collegamento Lotta Internazionale AIDS - International Fight against AIDS Connection

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MEDICUS MUNDI ITALY Medicus Mundi International Network www.medicusmundi.org Medicus Mundi International Network is a network of organizations which operate in raising awareness and in international healthcare cooperation. The Medicus Mundi Electronic Platform enables to access programs, events and news regarding the network itself to share knowledge, know-how and direct all efforts towards the common goal of granting health to everyone. 2012 started with 16 initial members of the Medicus Mundi International network, which subsequently became 20, from 11 Countries, (Belgium, Benin, Germany, Italy, Kenya, the Netherlands, Poland, Spain, Switzerland and Zimbabwe) by the end of the year. The multi-plural healthcare approach of the members of Medicus Mundi International is based on the experience matured on site and is a fundamental element of the network. Together, they can examine all aspects of medical policies and cooperation, from primary medical assistance to emergency interventions. 

Africa CHA Platform (rete africana)

http://www.africachap.org/



Action Medeor, Germania

http://www.medeor.org/



AGEH, Germania

http://www.ageh.de/



AMCES, Benin

http://membres.multimania.fr/cotonou/amces/



CORDAID, Paesi Bassi

http://www.cordaid.nl/nl/%28728%29-Cordaid.html



CWGH, Zimbawe

http://www.cwgh.co.zw



Emergenza Sorrisi, Italia, Italia

http://www.emergenzasorrisi.it



EPN (rete mondiale)

http://www.epnetwork.org/



Fatebenefratelli, Italia

http://www.oh-fbf.it/



Health Poverty Action, Gran Bretagna,

http://www.healthpovertyaction.org/



HealthNet TPO, Paesi Bassi

http://www.healthnettpo.org



i+solutions, Paesi Bassi

htttp://www.ipsolutions.org



Medici con l’Africa CUAMM, Italia

http://www.cuamm.org/



Medicus Mundi Svizzera

http://www.medicusmundi.ch/



Medicus Mundi Spagna

http://www.medicusmundi.es/



Medicus Mundi Italia

http://www.medicusmundi.it/



medico international, Germania

http://www.medico.de



Memisa, Belgio

http://www.memisa.be



Redemptoris Missio

http://www.medicus.amp.edu.pl/



WEMOS, Paesi Bassi

http://www.wemos.nl/

Medicus Mundi Attrezzature (MeMuA) www.memua.it Medicus Mundi Equipment is a Type B Social Cooperative which collects unused equipment in Italian hospitals and makes it available – after testing and revision – to non-profit medical activities in developing Countries. The collection of the equipment started in 1996 with a small group of volunteers of Medicus Mundi Italy; in 2004 it adopted the jurisdictional title of Type B Social Cooperative to guarantee the continuity and the independent development of the initiative. Medicus Mundi Equipment, as a type B social cooperative, is also dedicated to supporting and directing people in need of employment.

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REPORT 2012

Co-financers and Donors

Nel corso del 2012, i progetti di Medicus Mundi Italia sono stati co-finanziati e sostenuti da: Amici del De Angeli - Milano

Gruppo Sportivo Torricella

Amici di Monica - "Per il mio compleanno"

Il Calabrone

ANLA - Ass. Naz. Seniores d'Azienda

Kite Italia

Associazione Bambino Emopatico

Lane Mondial

Associazione Gruppo Pensionati

Lonati snc

Bassi srl BresciaOggi

Ministero degli Affari Esteri - MAE

Cembre spa

Nati per Vivere

CeTAmb - Brescia

Officine Meccaniche Galperti

Circolo un po' di vita

Protector Impianti Antiincendio

Circle Line Marketing and Communication

RadioBresciaSette

Cittadini SPA

S. Giuseppe spa

Commissione Europea - ECHO

Rotary Club Milano Sempione

Comune di ACi Bonaccorsi (Catania)

Scuola Media Buonarroti

Comune di Brescia -Consulta per la Cooperazione e la Spedali Civili di Brescia Pace, la Solidarietà Internazionale e i Diritti umani Conferenza Episcopale Italiana - CEI

Studio Nassini e Associati

Essere Bambino

Suore Ancelle della Carità

Fondazione Banca San Paolo di Brescia

Tecnochimica

Fondazione Comunità Bresciana

Teletutto

Fraternità Verde

UBI - Banco di Brescia

Fondazione San Zeno

UBI Banca - Unione Banche Italiane

Giornale di Brescia

Unione Libere Casalinghe

Gruppo Don Scalmana

Università degli Studi di Brescia

Gruppo Punto a Capo

VI-DA

Gruppo Spinning Millennium

The generosity of many private individuals, whose names are not listed here in respect to their wish for anonymity and to the Italian Privacy Law (D. Lgs. 196/2003) has to be added to all these institutions.

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MEDICUS MUNDI ITALY

Balance Sheet Data 2012

During the General and Extraordinary Assembly Meeting on the 16th April 2013, the 2012 Balance Sheet was approved.

On the 31st December 2011 the Financial Statement resulted in a surplus of 42.00 €.

The charts below highlight the share-out of incomes, the destination of received donations and the amount of donations devoted to cooperation projects.

To verify all details, www.medicusmundi.it

balance

sheets

are

available

on

the

MMI

website

Decentered Cooperation € 40.952 (8,83%) Italian Cooperation € 50.319 (10,88%) 5 x 1000 € 16.550 (3,57%)

Other Institutions (CEI, Foundation, Other Institutions) € 101.171 (21,85%)

Privates € 254.087 (54,87%)

Total € 463.079

Chart n. 1 - Total donations received in 2012

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REPORT 2012

Balance Sheet Data 2012

Projects (on-site realization costs, abandonments) € 349.773 (75,55%)

Structural Costs (staff, consulting, administrative and other costs - surplus € 97.405 (21,03 %)

Activities in Italy (training, information, communication € 15.859 (3,42%)

Total € 463.037

Chart n. 2 - Share-out and destination of total donations received in 2012.

Bolivia € 3.118 (0,89%)

Burundi € 2.826 (0,81%)

Burkina Faso € 168.456 (48,16%)

Ecuador € 41.298 (11,81%)

South Sudan € 16.712 (4,78%)

Mozambique € 87.852 (25,12%)

Others € 29.511 (8,43%)

Totale € 349.773 Chart n.

3 - Specification of the destinations to international cooperation projects of donations received in 2012.

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MEDICUS MUNDI ITALY

Balance Sheet Data 2012

Efficiency Index The following indexes are meant to measure economic efficiency, according to the standards identified by the Italian Institute of Donation (Survey: Indici di Efficienza delle organizzazioni associate all’Istituto Italiano della Donazione, - Efficiency Indexes in Organizations associated to the Italian Institute of Donation, Milan, November 2012). The re-elaboration of these indexes has a double significance:

 Administrative value – Indexes prove to be effective measurements of the NGO’s performance, especially in relation to its achieving its annual goals  Communicative value – the diffusion of this information is in line with the NGO’s demand for increasingly more transparency, vital in its relationships with its stakeholders.

Fundraising efficiency index = 0.07 – This criterion underlines, in a synthetically and transparently, total costs of fundraising activities. It shows the average quantity employed in raising every single Euro (parameters taken into account: Costs for Communication and Fundraising Initiatives/ Spontaneous donations, Donations aimed at projects, Periodical Contributions.

Resource use index – Promotion and Fundraising activities = 5% - this criterion indicates the percentage of resources used in Fundraising (parameters taken into account: Costs for Communication and Fundraising Initiatives/ Total Costs – without positive results for 2012).

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REPORT 2012

Communication and Events



Press Agency

A.

ITALIAN PUBBLICATIONS In relation to the communication activities carried out in 2012, visibility on Italian publications, both offline and online, has increased in comparison to last year. Some newspapers and magazines have published articles focusing on MMI, others have cited it. Citations and articles on Famiglia Cristiana (weekly), Internazionale (weekly), Focus (monthly), Corriere.it and Milano.Corriere.it (both online) were made possible in collaboration with the Italian Institute of Donation.

Giornale di Brescia (daily) 23rd February 2012 14th April 2012 29th April 2012 4th June 2012 17th November 2012 10th December 2012 11th December 2012 BresciaOggi (daily) 23rd February 2012 11th December 2012 Brescia Medica F. Castelli, Così vicini così lontani, Inserto redazionale a “Brescia Medica” n. 360, MaggioGiugno-Luglio 2012, pp. 4-10.

F. Castelli e R.F. Schumacher, Il progetto ESTHER in Burkina Faso, Inserto redazionale a “Brescia Medica” n. 360, Maggio-Giugno-Luglio 2012, pp. 11-19.

Civile (monthly) March 2012 Corriere.it (online) 1 week from the 10th to the 16th December 2012 Milano.Corriere.it (online) 1 week from the 10th to the 16th December 2012 FamigliaCristiana.it (online) 28th September 2012 - http://www.famigliacristiana.it/volontariato/fotogallery/non-facciamoli -mangiare-da-soli.aspx 5th November 2012 - http://www.famigliacristiana.it/volontariato/organizzazioni/articolo/ donare-non-basta-serve-insegnare.aspx Famiglia Cristiana (weekly) 8th November 22nd November 6th December 13th December

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MEDICUS MUNDI ITALY Internazionale (weekly) 16th November 2012 30th November 2012 7th December 2012 14th December 2012 Medicina e Persona (online) P. Villani, La Patologia Neonatale del Centre Medical Saint Camille di Ouagadougou: quattro anni di esperienza e di amicizia - http://www.medicinaepersona.org/cm/pagina.jhtml? param1_1=N11d20760791675da4dd Quaderni dell’Africa 27th June 2012 - http://quadernidallafrica.wordpress.com/

B.

TELEVISION AND RADIO BROADCASTS 

C. 



FURTHER WEBSITES AND RESPECTIVE FACEBOOK AND TWITTER PAGES CARLO POMA HOSPITAL  Neonatologia, una rete per i Paesi in via di sviluppo - https://www.aopoma.gov.it/lay_not.php?

IDNotizia=2321&IDCategoria=1 FOCSIV – Volounteers around the world - http://www.focsiv.it  



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“Nevereatalone” Campaign Launch: Radio Voce 22nd February 2012 (http://www.youtube.com/watch?v=QSEWUwRqJSM) Teletutto 22 nd February 2012 (not available anyore on the company’s website)

7th May 2012 (http://www.focsiv.it/index.php?option=com_k2&view=item&id=793:itinerariateatro-e-focsiv-presentano-lacqua-un-diritto-dellumanita&Itemid=283) 25th May 2012 – Grande successo per lo spettacolo H2Oro (http://www.focsiv.it/index.php? option=com_k2&view=item&id=813:grande-successo-per-lo-spettacolo-h2oro-con-il-blitz-didario-fo-per-il-40%C2%B0-della-focsiv&Itemid=52) 19th June 2012 (http://www.focsiv.it/index.php? option=com_k2&view=item&id=838:cooperazione-ed-immigrazione-a-brescia-un-convegnopromosso-dai-soci-focsiv-in-lombardia&Itemid=175)



Italia – Burkina Faso, a new alliance for the future of Africa: 19th Luly 2012 (http://www.focsiv.it/index.php? option=com_k2&view=item&id=917:italia-burkina-faso-una-nuova-alleanza-peril-futuro-dell%E2%80%99africacattai-%E2%80%9Csiamo-nel-paese-da-40-annimassima-disponibilit%C3%A0-di-confronto-e-collaborazione-con-la-nostracooperazione%E2%80%9D&Itemid=52) 20th July 2012 (http://www.focsiv.it/index.php? option=com_k2&view=item&id=924:italia-burkina-faso-una-nuova-alleanza-peril-futuro-dell%E2%80%99africa&Itemid=196)



Brescia for Burundi - 21st August 2012 (http://www.focsiv.it/index.php? option=com_k2&view=item&id=971:brescia-per-il-burundi-progetto-integrato-per-lapromozione-della-donna-e-lo-sviluppo-delle-comunit%C3%A0-rurali-a-ngozi-muyinga-ekirundo-burundi&Itemid=196)

REPORT 2012 

IID – Italian Institute of Donation - http://www.istitutoitalianodonazione.it  “Nevereatalone” Campaign – 7th March 2012 (http://www.istitutoitalianodonazione.it/tools/ Pareri.asp?r=564&a=5093&s=7632&v=3455&l=50715&t=26) anche su Facebook e Twitter  Yearly MMI Report – (http://www.istitutoitalianodonazione.it/tools/News.asp? r=564&a=5032&s=7561&v=3436&l=51413&t=5) e anche su Facebook e Twitter  Mozambique Activity Report (http://www.istitutoitalianodonazione.it/tools/news.asp? r=564&a=5032&s=7561&l=51458&t=5&v=3436 e anche su) Facebook e Twitter  Bèguédo Project– Formula UBI, by UBI Banca (http://www.istitutoitalianodonazione.it/tools/ news .asp?r=564&a=5032&s=7561&l=51498&t=5&v=3436) e anche su Facebook e Twitter



ISSUU - http://issuu.com  ISSUU is an Internet application enabling the implementation of dynamic functions and interactive services on our website. MMI was registered on ISSUU in 2011 and uses it to publish texts in .pdf format, available for online browsing with joomla codes.  MMI Charter Italiano > 784 views English > 24 views  MMI By-law Italian > 396 views English > 26 views  2011 yearly Report Italian > 639 views English > 36 views  MMI Bullettin – in Italian n. 1/2012 > views 364 n. 2/2012 > views 256  Reports in Italian: - Emergenza alimentare in Burkina Faso: primo resoconto di Alessandro Pini – 7 agosto 2012 > views 410 - Situazione sanitaria e progetti umanitari in Mozambico. Relazione di Medicus Mundi Italia – 3 ottobre 2012 > views 261 - Ritorno a casa (Rep. Centrafricana) – 26 ottobre 2012 > views 227  Far funzionare un laboratorio di analisi nella Manga del Cura in Ecuador – 26 novembre 2012 > views 234



Medicus MUNDI INTERNATIONAL NETWORK  

“Nevereatalone” Campaign - http://www.medicusmundi.org/en/contributions/projects/2012/ nevereatalone-never-eat-alone/?searchterm=italy Medicus Mundi International Annual Report 2012 - http://www.medicusmundi.org/en/ contributions/reports/2012/arv-combination-suspension-for-paediatric-hiv-aids-patients/? searchterm=Burkina%20Faso

D.

NEWSLETTER – INFORMATION SERVICES ON FURTHER WEBSITES



Focsiv – 4th September 2012 – Newsletter n. 5



Assifero - Monday 1st October 2012 - Quando il marketing strizza l’occhio alla filantropia. Il caso di UBI Banca - Con la carta di credito "Formula Ubi" scatta il meccanismo dei punti (Progetto Béguédo) - http://www.assifero.org/notizia.php?IDNotizia=4631

21

MEDICUS MUNDI ITALY

Communication and Events



Advertising In 2012, MMI was inserted in the Italian Institute of Donation’s advertising campaign, aimed at giving visibility to IID’s Adhering Members. The campaign was publicized on paper publications, on Famiglia Cristiana, and online on Corriere.it and Milano.Corriere.it.



Online Communications

1.

Website www.medicusmundi.it Throughout 2012, the website has constantly been updated in its contents; in addition, it hosted news and links to activities carried out by other non-profit associations, in order to establish promotional collaboration in the whole Service Sector.

Although MMI did not pay for any promotional campaign, the daily average of visits was 355, therefore very high when compared to other associations with analogous balance value: 2,582,985 total yearly visits (Hits) 129,690 one-time visitors standing on the site for over 15 minutes (visits) 939,140 yearly page views (Pages) It is important to inform readers that the 2011 Yearly Report had 14,646 clicks (hits) and the 2011 Balance Sheet had 24,884.

Below, two samples with percentages of visitors’ origins in the months of June and December 2012.

22

REPORT 2012

Communication and Events

2.

Newsletter

The sending of newsletters, focusing on one specific theme each, has been constant over 2012. The newsletter represents a useful source of information on events and MMI initiatives, promotion and fundraising (mail marketing), information and diffusion of project reports published on our website.

The chart below shows the amount of receivers, total readers and percentages of the mail being opened after 30 days: overall, these values reach about 21.48% and, therefore, remain above the national average of the non-profit sector, estimated around 20.43% (Source: http://www.gdmtech.it).

In full respect of current Anti-Spam Regulations for the Internet (it is not possible to enforce new receivers to our newsletter system), a specific letter was written to be forwarded to new addresses. Its object was ‘Why you should sign up for the Medicus Mundi Italy newsletter’ and it was forwarded five times, reaching 1533 new receivers.

3.

Facebook

The Facebook Fan page (http://www.facebook.com/medicusmundiitalia/) was constantly updated with posts throughout the year. In November 2012 (on the 13th), a 30€ Coupon for free advertising, courtesy of Facebook, was activated.

Relevant data for 2012 are summarized below: 

Page   

N. 410 Fans N. 9,296,940 Friends of Fans, that is the (estimated) number of friends of Fans who daily access the page (single users) N. 200 the average number of persons who daily saw any content associated to the page (single users)

23

MEDICUS MUNDI ITALY

Communication and Events



b.

N. 24 the average daily viral effect, that is the number of persons who saw the page or one of its posts through an item shared by a friend. These pages include daily ‘Likes’ on the page, elements published on the page’s diary, ‘Likes’, Comments and Shares of posts, replies to questions published, replies to events, the page’s mentions, tags in pictures or check-ins in a place (single users)

Posts  82 posts from 1/1/2012 to 31/12/2012     

3,434 total impact of posts, that is the number of persons who saw the page’s post since publication (single users) 41 average of total impact of posts (65 max peak) 9,757 total viewings of a post since publication, that is the number of post viewings since publication (Total) 118 average of total viewings of post since publication (183 max peak) Dati Demografici aggregati per età (Fig. 1) e dati demografici e geografici relativi a dicembre 2012 (Fig. 2).

c.

24

Demographic Data divided by age (Fig. 1) and demographic and geographical data referring to December 2012 (Fig.2).

Age

Women

Men

13-17

851

716

18-24

78949

80651

25-34

62357

58061

35-44

44283

40406

45-54

30796

24813

Fig. 1

Fig. 2

REPORT 2012

Communication and Events

3.

Twitter

The Twitter page was activated on the 5th of July 2012 - @MedicusMundiIta

4.

Youtube

The Youtube page was activated on the 5th of July 2012 .



Offline Communication

A.

REPORTS AND UPDATES ON ONGOING PROJECTS Nel 2012, MMI ha incrementato la pubblicazione di relazioni e aggiornamenti sui progetti in corso, strutturate in brochure informative in formato .pdf, arricchite di fotografie e grafici, caricate sul sito dell’associazione e sul sito www.issuu.com, a disposizione degli utenti. Ne esiste una sola copia a stampa, ad uso interno per l’archivio.  Balance Sheet 2011 – Descriptive Note Report 2011  Mozambique Projects Situazione sanitaria e progetti umanitari in Mozambico.Relazione di Medicus Mundi Italia, a cura di A. Cristina Carvalho  Central African Republic Project Ritorno a casa (Rep. Centrafricana), a cura di Francesca Pezzolo  Analysis Laboratory Project in Ecuador Far funzionare un laboratorio di analisi nella Manga del Cura in Ecuador  “Nevereatalone” Campaign Crisi alimentare in Burkina Faso nel 2012, a cura di Virginio Pietra e Marina Martinetto http://www.medicusmundi.it/images/stories/pdf/campagne_umanitarie/downloadnonmangiaredasolo.pdf Sintesi attività aprile–agosto 2012, a cura di Virginio Pietra - http://www.medicusmundi.it/ images/stories/pdf/edicola/campagnaNMDS-agosto2012.pdf Sintesi attività aprile-luglio 2012, a cura di Alessandro Pini - http://www.medicusmundi.it/it/ comunicazione/edicola/262-burkina-faso-sintesi-attivita-per-campagna-nmds.html

B.

BULLETTIN Published every six months, in its simplicity the Bullettin of Medicus Mundi Italy represents a precious instrument, useful to publicize news on our activities. 1,600 copied have been printed and distributed per issue.

The ‘Bullettin’ is available online: it can be consulted, browsed and downloaded from our website as well as from www.issuu.com.

25

MEDICUS MUNDI ITALY

Communication and Events

C.

“PEDIATRICIANS IN AFRICA” CALENDAR For 9 years, MMI – in partnership with the NGOs Essere Bambino, Associazione Nati per Vivere, Associazione Bambino Emopatico, Kiteitalia and the profit-making companies Mondial Filati and Solener Fotovoltaico – has printed a calendar to support projects in Burkina Faso. Also thanks to Claudio Morali’s appealing graphic project, the calendar has become an item for ‘Pediatricians in Africa.’ Copyright F. Bruni, M. Brusati, L. Morali. F. Ricci, R.F. Schumacher. In 2012, 1,716 copies were printed.

D.

5 X 1000 For the collection of 5 x 1000 signatures, a special postcard was prepared and sent, in paper and via email.

E.

BOOKMARK - MINI CALENDAR Like every year, before Christmas an MMI bookmark – mini calendar for 2012 was prepared and di stributed (500 copies).

F.

POSTCARDS For the ‘Nevereatalone’ campaign, 3,500 promotional postcards were printed and distributed.



Events

Below are the main events held in 2012.

A.

TRAINING COURSES, EVENTS AND ASSEMBLIES ORGANIZED BY MMI    

22nd February 2012 – ‘Nevereatalone’ humanitary campaign launch 28th April 2012 – Ordinary and Extraordinary General Assembly – Brescia 1-19 October 2012 – Course in Tropical Medicine – Brescia 22-25 October – Theoretical and Practical course ‘Basic neonatal treatment in low-resource countries’ – Parma, Chiesi Research Centre  10th December – Ordinary General Assembly – Brescia In the first semester of 2012, MMI offered logistic, cultural and didactic support to the Updating Course in Tropical Medicine and International Healthcare of the University of Brescia – Topical Medicine and International Healthcare.

26

REPORT 2012

Communication and Events

C.

FACE-TO-FACE Towards the end of 2012, MMI started implementing its promotion strategies on local basis through face-to-face approach (with dialoguers). This allows to establish direct relationships with the community while dialoguers can invite attendees to donate.

Special attention was given to establishing dialogues with students, through several informative meetings in Middle Schools (Nave, Brescia), in High Schools (‘Giornata Copernicana’), Training course at ‘Fondazione Tovini’ Foundation.

In addition to the usual promotional material, small gadgets have been prepared as ‘thank you ‘ or to encourage new enrolments.

A list of stands in public and urban spaces follows:

D.

2 dicembre 2012

Mercatini di Natale

Leno

9-16 dicembre 2012

Tenda dei Popoli

Brescia

11 dicembre 2012

Officina del Volontariato

12 dicembre 2012

Banchetto espositivo Freccia Rossa

Università di Medicina di Brescia Brescia

15 dicembre 2012

Sala Piamarta, Brescia

20 dicembre 2012

Premiazione concorso “Diamo un logo e uno slogan alla Consulta della Pace” Banchetto espositivo Freccia Rossa

21 dicembre 2012

Intervento al Convegno Cetamb

Università Ingegneria, Brescia

Brescia

QUALIFICATIONS

In 2012, the qualification of Adhering Member was confirmed for MMI by the Italian Institute of Donation – IID.

E.

CHARTER

On the 28th of April 2012, the Extraordinary General Assembly approved the new Charter of Medicus Mundi Italy.

27

28 4

Infrastructure 2005-2012 Hospital beds for 10 000 population

1.1 [1.0-1.5]

% Prevalance of HIV among adults aged 15 -49 428.113

11.3

Children aged < 5 years underweight 2005 -2011

Malaria – Number of reported cases

584

12.9

1.976

5.65

8.645

0.47

713

BURKINA FASO

Number of laboratory health workers

Density for 10 000 population

Number of environmental and public health workers

Density for 10 000 population

Nursering and midwifery personel

Density for 10 000 population

Physicians in the country

WHO – World Health Statistics 2013 WHO – Global Health Observatory

DATI

19

1.571.874

1.3 [1.2-1.6]

9

147

0.9

657

N.D.

1.348

2.0

200

BURUNDI

7

1.756.874

11.3 [10.0 – 12.7]

4.2

665

===

===

3.4

7.131

0.26

548

MOZAMBIQUE

15

1.233

0.4 [0.3 – 0.6]

2.3

===

===

===

19.8

27.764

16.9

23.614

ECUADOR

9

1.310.367

===

20

===

0.4

50.715

1.0

1.146.915

5.4

757.377

INDIA

35

0

0.4 [0.3 – 0.5]

===

===

===

===

N.D.

N.D.

38.2

221.235

ITALY

MEDICUS MUNDI ITALY

REPORT 2012

Medicus Mundi Italy’s Projects

AFRICA Burkina Faso Burkina Faso

Urgent project against severe acute malnutrition Fighting HIV affecting children

European Commission ECHO Private Donors City of Brescia / Rotary Club Milano Sempione

Burkina Faso

Water, health and economic development

Burkina Faso

Fighting Children Mortality

Burundi

Promotion of Women

Mozambique

Integrated Project

City of Brescia / CEI - Italian Bishops’ Conference 8x1000

Mozambique

Rural and Health community training

MAE - Italian Ministry of Foreign Affairs

‘Fondazione Comunità Bresciana’ Foundation City of Brescia

LATIN AMERICA Ecuador

Analysis laboratory and community healthcare

CEI - Italian Bishops’ Conference/ Friends De Angeli Milano

ASIA India

COUNTRY AMBASSADORS

Sayalkudi Women Project

‘S. Zeno’ Foundation - Verona

Dott. Virginio Pietra

Burkina Faso

Dott. Bruno Comini

Mozambique

29

MEDICUS MUNDI ITALY

BURKINA

FOCUS

FASO

Surface

274.000 Kmq

Total population

16.460.000

Gross National Income per capita ( US$)

1.250

Total expenditure on health as % of GDP

2000

>5.1

2009

> 6.6

Population below $ 1 per day - %

===

Human Development Index (1-186)

183

Life expectancy at birth (years)

54/57

Mortality rate of children under 5 years old (per 1,000 live births)

146 [133-183]

Maternal mortality ratio (per 100.000 bir-

300 [190-520]

ths) WHO – World Health Statistics 2013 WHO – Global Health Observatory

30

REPORT 2012

Burkina Faso - Urgent project Against Severe Acute Malnutrition (SAM) in the Centre-West Area

Place Medical District of Nanoro and Réo Co-Financer ECHO - European Community Humanitarian Aid Office Partnerships In Italy Il progetto è svolto in consorzio con l’Associazione Internazionale di Volontariato Laico (LVIA) di Cuneo (capofila).

On site Medical Districts of Nanoro and Réo (counterpart), Burkina Ministry of Health Project Duration May 2012 – February 2013 Project Goals

RUTF

Ready to Use Therapeutic Food

SAM

Severe Acute Malnutrition

CREN

Centro di Riabilitazione e Educazione Nutrizionale

The main project goal – in collaboration with the Regional and District medical authorities of two Districts – is to ensure staff training/supervision for the screening and treating of cases, and to guarantee effective management and logistic organization of medicaments and RUTF supplies, provided by UNICEF. Activities 1.

Organizing and completing two screening campaigns among children affected by SAM;

2.

Support of local health service for the correct treatment of patients affected by SAM;

3.

Creation of free access to medical treatment;

4.

Train 250 community health agents and 43 mobile health agents, and supply them with necessary equipment;

5.

Train 90 nurses and health agents from the Medical Centers in the two districts on the treatment on how to start therapy in SAM cases;

6.

Support the collection, analysis and publication of data on malnutrition.

The Humanitarian Campaign ‘Nevereatalone’ is connected to the project (see p. 58).

Results In 2012, LVIA and MMI actively collaborated and gave their technical support to the medical centers. Particularly important was the training of medical staff on the treatment of moderate and severe malnutrition, and on the effective use of the nourishments foreseen by international protocols. These interventions concerned the CREN Centers of the Hopital Saint Camille in Ouagadougou, Koupela, Nanoro, the Hopital Saint Louis, Temnaoré, the Health Centers in Bousse and Latodin.

Since May 2012, three of our doctors, Doctor Virginio Pietra, Doctor Alessandro Pini and Doctor Gemma Cattaneo, who substituted the latter in September for academic reasons, coordinated the on-site activities in both Districts. They were in charge of logistics (purchase and distribution of nutrients in the CREN and health centers), supervision of local medical staff and collection of epidemiologic data.

Several screening campaigns have been conducted on children affected by malnutrition in the two medical districts. These campaigns allowed to monitor the nutritional condition of almost 200,000 children, 22,000 of which suffered from malnutrition and around 3,000 from SAM.

31

MEDICUS MUNDI ITALY

Meetings at the Regional Health Office enabled to improve the collection and analysis system of data. However, problems and delays have still been reported on the costs for the treatment of SAM patients, the working schedule of data collection and publication, and the availability of IT equipment for online data management.

The Medical District of Nanoro received support to improve, progressively, the organization and stocking of medicaments and nutrients.

Together with training and logistics activities, epidemiologic data, on evidence registered during missions, have been collected.

In 2012 the following have been treated and trained in the fight against SAM:



250 community health agents



61 pharmacy managers in health centers



18 CREN animators



40 mobile health agents

In the second half of 2012 the training of nurses of the local Health Centers on how to start therapy in patients affected by SAM started. It will be concluded in February 2013.

Postcard Advertising the Humanitary Campaign ‘Nevereatalone’.

Back and front See p. 58

32

REPORT 2012

Burkina Faso - Fighting AAIDS Affecting Children in the Centre Médical Saint Camille, Ouagadougou

Place Ouagadogou (Burkina Faso) Local Partners 

Camillian Vice Province in Burkina



Centre Médical Saint Camille - CMSC, Ouagadougou



AEM “Aide moi à être mère”



CREN Suore di St. Marie de Torfou e Suore Apostole del Sacro Cuore di Gesù

Other Partners 



AO Spedali Civili Hospital, Brescia 

Clinics for Pediatrics



Clinic for Infectious and Tropical Diseases

University of Brescia – School of Medicine and Surgery – Pediatrics Clinic

Co-Financers: Private Donors Duration of the Project: 2010-2012 Project Goal This project is a spin-off of the ESTHER project (2003-2010), which was co-financed by the ‘Istituto Superiore della Sanità’ Institute. It aims at reinforcing the services of medical assistance given to children affected by HIV/AIDS in the CMSC Hospital, Ouagadougou, by providing: 

  

Support to the model medical assistance given to HIV+ children in the medical centers in charge of the Camillian Vice Province (assistance goal). This includes also treatment of malnutrition, in cooperation with several local Recreational and Nutritional Centers (CREN); Training local medical staff in technical skills on antiretroviral therapy and on actions against malnutrition; Supporting research activities aiming at defining pilot modes of intervention; Facilitating access and administration of antiretroviral medications and drugs treating malnutrition.

This involves the creation of a specific database, the acquisition of medical-diagnostic devices, aiming at treating patients affected by HIV/AIDS and by diseases linked to HIV (logistic aim).

Activities 

Train nurses and the local doctor of the CMSC in treating HIV+ children;



Train nurses working in the Pediatrics ward and the CREN of the CMSC, as well as of further CRENs in treating malnourished children;



Screen (by examining RT-PCR at 2 months of age and serology from the 18th month) children with HIV infected mothers, regardless of their participation to the Prevention mother-to-childtransmission Program;



Supply the medical center with ARV medications (antiretroviral) and with medications for the prevention and treatment of opportunistic infections;

33

MEDICUS MUNDI ITALY 

Train a person in charge of the distribution of ARV medications and of the adherence supervision;



Identify and collaborate with specific personnel (psychologists, educators, social workers) who aim at supporting and improving HIV+ children psychologically, as well as their families. This measure intends to reinforce compliance and adherence, and to establish a communication program;



Establish a communication program which informs adolescent patients about the diagnosis, in order to facilitate their passage to adult day-hospitalization;



Supply the CSMC and the other CRENs participating to the project with the necessary products for treating malnourished children, according to the latest WHO/UNICEF guidelines;



Ensure that the enactment of protocols concerning both malnutrition and fighting HIV is supervised;



Ensure pediatric patients that the integrated syndrome approach is supervised (PCIME);



Develop training contents so as to make them available not only to the medical staff of St Camille Hospital and the CRENs, but also to DIU students (Diplome Inter-Universitaire sous-régional d’Afrique francophone pour la formation à la prise en charge globale des patients infectés par la VIH);



Identification of priority families for at-home counseling and setting up a calendar of at-home examinations;



Supervising one extra center using pediatric ARV.

Results Under the supervision of Doctor Fabian Schumacher, in 2012 the postgraduate students of Pediatrics Ilaria Parissenti, Chiara Gorio and Fabiana Barbieri worked on-site. Our young doctors operated in the Camillian centers in Ouagadougou: here, since 2003, MMI has been collaborating non-stop with the Centre Médical Saint Camille (CMSC), managed by Camillian fathers, in the fight against HIV. At the moment the Pediatrics ward supports the ‘Nouvelle Pédiatrie’, where HIV+ children are treated both in the form of day clinical treatment (around 200 patients), and hospitalization with ARV therapy (HAART – which was redefined in 2012). The ward also collaborates with the general day hospital of all children born in the center (around 5,000 a year), with special attention for the children participating to the Prevention of HIV Vertical Transmission Program (MTCT). The ward also hospitalizes children suffering from severe malnutrition, transferred from the Center of Nutritional Education from the same structure. The children are treated with the same protocols which MMI applies in specific projects fighting ECHO. From the academic point of view, the Pediatrics ward also supported an internship, completed by an Obstetrics student, Marta Arrighini. She wrote her final dissertation on the prevention of mother-child HIV transmission. Three further final dissertations in Pediatrics have been completed in the center, including Doctor Father Paul Ouedraogo’s. The Camillian Pediatrician subsequently returned to Ouagadougou, where he substituted Doctor Father Salvatore in the position of director of the CMSC.

34

REPORT 2012

Burkina Faso – Water, Health, Hygiene and Economic Development in the Rural Area of Béguédo [Béguédo Project] Place Villages of Fingla, Diarra, Béguédo centre e Béguédo Peulh - Province of Boulgou (Burkina Faso) Local Partner DAKUPA Association of Garango Partnership Project managed by MMI (main partner) in collaboration with ‘Fondazione Tovini’ Foundation and ‘Fondazione Sipec’ Foundation Further Partners  CeTamb (Centre for Documentation and Research on Appropriate Technologies for Environmental Management in Developing Countries) 

ABB (Burkinabé Association of Brescia)



PhD Program in Methodologies and Techniques for International Development Cooperation, University of Brescia

Co-Financer City of Brescia Supporters  Rotary Club Milan Sempione  UBI BANCA Bank, via the marketing circuit and collections of points. This initiative is linked to the program “Formula UBI – UBI BANCA”, reserved to all owners of Mastercard “Enjoy” and “Libra” credit cards.

Duration of the Project 2 years (2011-2013) Project Goals The project aims at promoting the improvement of healthcare and hygienic conditions, access to drinkable water and the creation of profit-making activities in the villages of Fingla, Diarrà, Béguédo Peuhl and Béguédo Centre, in the Béguédo Area.

In particular, we want to contribute at reinforcing the prevention of AIDS and of main endemic diseases present in the area. Furthermore, we want to improve hygienic conditions in families and communities, access to drinkable water and to toilets in healthcare centers and primary schools in the area. This will be enacted by promoting awareness programs within communities, by training healthcare and school staff, families and local management committees, and by creating and rehabilitating wells and latrines.

In addition, by involving the Burkinabé community of Brescia, we want to promote local development by setting up new profit-making activities, such as the enhancement of cereal production and the creation of a basic processing activity of agricultural products. The construction of a multi-purpose center and a bakery will enable new skills and the knowledge on social enterprises to be diffused.

Activities in charge of MMI  Increasing community awareness on HIV-AIDS, malaria, respiratory diseases, diarrhea, forms of hepatitis: training Community Health Agents, organizing meetings and debates, cultural awareness meetings, promoting improved domestic hearths; 

Activities for the improvement of hygienic and toilet conditions in the Medical Center: training of healthcare staff, of village midwives and of Management Committee members;



Supply Medical Centers and Emergency Units with general and hygiene equipment, production of “eau de javel” (disinfectant);



Create the Clubs de Santé Scolaire;

35

MEDICUS MUNDI ITALY 

Supply equipment for the promotion of hygiene in schools;



Training of teachers, school staff, AME (Association des Mères Educatrices) and APE (Association des Parents d’Elèves) members;



Creation of two new forages and rehabilitation of two nonfunctional forages;



Creation and training of wells Management Committees;



Creation of 100 family latrines and 4 latrines and washbasins in schools;



Raising community awareness on hygiene and toilets.

From the well to the marketplace: selling water in plastic bags in Béguédo.

36

REPORT 2012 Results Throughout 2012, the on-site activities have been the following: 

Training and equipping 5 community builders. The training gave them the skills to measure, project and build family latrines.



Training and equipping three couples of hygiene volunteers for the family latrines. The couples, composed by three women and three men, have attended courses on the benefits of using latrines and on the risks caused by open-air defecation.



Training and equipping four couples of hygiene volunteers, for a correct use of drinkable water. Participants have learned how to use animation instruments, good hygienic and drinkable water practices, the development of a neighborhood plan and the preparation of a home inspection.



The Fingla Health Center was equipped with medical-technical equipment which will enable the opening of an independent maternity ward in the institution.



Creation and training of the Clubs de Santé Scolaire (CSS). Every Club is formed by 5 students, a teacher, a janitor and an admin employee. Through the use of images, students were taught good and bad uses of drinkable water and latrines, as well as hygiene promoting activities.



Supply of hygiene promoting material in schools. Supplies included promotional material such as: bins and other containers for stocking water, kettles, soap bars, aluminum buckets to clean the latrines, aluminum cups, posters and leaflets to be pinned in classrooms, etc.



Training of teachers and school staff on health, water, hygiene-medical services and hygienic services.



Training admin and janitor staff in schools (APE, AME): they were involved in terms of hygiene in schools and hygiene in food products. Issues such as health, management of drinkable water and a correct management of hygienic-medical services were discussed with participants.



Construction of 30 family latrines.



Training and community awareness on hygiene and hygienic services, HIV- AIDS, malaria, respiratory diseases, diarrhea, and basic hygiene in the villages of Fingla and Diarra. During the first semester of 2012,awareness was raised amongst 2,236 persons (1,722 women and 514 men) from the villages of the medical area of the Fingla medical center. During meetings, the animators signaled to the health services suspect cases of tuberculosis in order to start diagnostic examinations.



Inauguration of forum-theaters and public meetings. In order to contribute to improving information on the population’s health conditions, 4 theater forums on malaria were organized in Natenga, in the Bissa language, and in Lempala, Gnintala and Diarra-center. In the Garango district, malaria still is the main cause for hospitalization of children under 5. The issues raised in these forums focused on prevention, basic medical and community treatments of malaria. The forums involved 419 women and 260 men also on the use of impregnated mosquito nets and the choices to be made in case of fever.



In order to start a discussion amongst people, 12 films on malaria, tuberculosis and AIDS have been shot in the villages of Fingla and Diarra. The screenings were attended by, totally, 3,267 people. The medical staff always supervised the animators’ work and supported them in stressing the importance of the issues at stake, such as the fight of main endemic diseases, amongst the population.

37

MEDICUS MUNDI ITALY

Burkina Faso – Improving Antenatal Care in the Medical District of Nanoro Place Nanoro and surrounding villages(Burkina Faso) Local Partners District Hospital ‘Centre Médical avec Antenne Chirurgicale St. Camille’, Nanoro - CMA-SC Nanoro Sanitary District (territorial structure of the Ministry of Health of Burkina Faso) Other Partners:  University of Brescia – School of Medicine and Surgery – Pediatrics Clinic 

Spedali Civili Hospital of Brescia, Infectious Diseases Ward

Co-Financers ‘Fondazione Comunità Bresciana’ Foundation Sponsors Rotaract Club Brescia Project Duration 2011-2012. The project was concluded in November 2012.

Project Goal The initiative is the result of the experience MMI gained in the District of Nanoro concerning the prevention of vertical transmission of HIV from mother to child and the identification of the district’s shortcomings in the provision of antenatal services. The project aims to reduce infant and maternal mortality in the Medical District of Nanoro, by improving accessibility and quality of antenatal services in the 17 local Healthcare Centers (Hospital District Health Center and 16 Health Care Centres of the District).

Activities 1.

Renovate and furnish 4 spaces for the storage of medicaments and reactants necessary to ensure antenatal care, at the District Hospital of Nanoro and the Medical District Headquarters; 2.

Didactic material for training staff on regulations and protocols on antenatal counseling, especially regarding screening of pregnancy risks;

3.

Purchase and institution of a stock of medicaments, reactants and consumption goods to ensure free antenatal services to all pregnant women of the District; prepare 300 kits of medicaments to treat STDs which occur more frequently in the district during pregnancies;

4.

Didactic material on regulations and protocols regarding STD screening and treatment;

5.

Training, updating and promoting kits for assistant obstetricians in the 18 Health Centers in the Medical District.

Results 

Restoration, cleaning, thorough disinfection and reorganization of 4 storage spaces in accordance to standards of management of stocking spaces;



Around 600 pregnant women made use of 100% free medicaments, consumption goods and reactants included in the antenatal cares, including HIV screening;

38

REPORT 2012 

Medicaments, reactants and consumption goods necessary to ensure free antenatal cares for all pregnant women in the District were purchased for 2012 and for the institution of a small stock for the first trimester 2013. Purchases included gloves for consultations, medicaments for intermittent malaria therapy, dip sticks for the detection of albuminuria, iron and folic acid for women in post-partum.



Around 300 women made use of reduced-cost services for treating STDs;



Over 30 HIV+ pregnant women and their newborns underwent free prophylaxis protocol of motherto-child-transmission (MTCT);



Around 300 kits for the most common STDs were prepared and distributed, on an experimental basis, in the health centers, in the first semester. Quantities of the expected cases of STDs amongst pregnant women were calculated in proportion to statistic data from the previous year.



20 obstetricians from the rural Maternity wards in the 8 Health Centers and Social Promotion (CSPS) of the Medical District received training and updating from the doctor in charge of the project and the family health ambassadors (SF) from the district. The following issues were taken into account: management of risks in pregnancy; screening and treating STDs, and the new national MTCT protocol (effective since the beginning of 2012). In particular, problems related to encouraging both women with STDs and their partners to attend the Health Centers and receive treatment.



The project concluded in November 2012, under the direction of Doctor Virginio Pietra and the logistic collaboration of Doctor Marina Martinetto.

Waiting at the Health Centre

39

MEDICUS MUNDI ITALY

BURUNDI

FOCUS

Surface

27.830 Kmq

Total Population

8.383

Gross National Income per capita ( US$)

400

Total health expenditure on GNi (%)

2000

>6.3

2009

>11.4

Population below $1 per day - %

81.3

Human Development Index (1-186)

178

Life expectancy at birth (years)

52/54

Under 5 mortality ratio (per 1000 living bir- 139 [116-199] ths) Maternal mortality ratio (per 100.000 bir-

800 [370-1800]

ths) WHO – World Health Statistics 2013 WHO – Global Health Observatory

40

REPORT 2012

Burundi - “Brescia for Burundi”. Integrated Project for the Promotion of Women and the Development of Rural Communities in Ngozi, Muyinga e Kirundo Place Provinces of Ngozi, Muyinga e Kirundu - Burundi Partnerships      

SVI – International Voluntary Service (Head of Project) ‘Fondazione Tovini’ Foundation ‘Fondazione SIPEC’ Foundation SCAIP – Piamartino International Collaboration Assistance Service Missionary Diocesan Center (Diocese of Brescia) ‘Maria Enrica’ Foundation

Local Partners  

Bureau d’Appui au Développement et à l’Entraide Communautaires (BADEC), Dioceses of Ngozi Diocesan Caritas, Dioceses of Muyinga

Co-financers City of Brescia, Council for Cooperation, Peace, International Solidarity and Human Rights Duration of Project: 2 years (2012-2014). The project started in July 2012.

Project Goal The project aims at promoting gender equality and at improving socio-economic conditions for women and families of farmers in the rural communities of Ngozi, Muyinga and Kirundo.

The project includes actions of alphabetization, defense of individual rights, socio-healthcare education, improvement of living and environmental conditions, teaching of agricultural and zootechnical skills, giving notions of production and processing of agricultural products and on cooperative work.

Foreseen Activities (in charge of MMI) 1.

Arrange rooms for socio-healthcare training and education activities.

2.

Inaugurate the “House of Women”, in charge of: monitoring violations of women’s rights; providing legal, psychological and medical assistance to victims of sexual abuse and violation of fundamental rights; providing accommodation for 40 women who have suffered violence.

3.

Offer a 40-week socio-healthcare prevention and education course to 210 women. The course focuses on: hygiene, nutrition, basic healthcare.

4.

Provide for necessary equipment for socio-healthcare prevention and education activities, and for first-aid interventions.

The project is coordinated by Doctor Claudia Bertola; the activities in charge of MMI started only in the last trimester of 2012

41

MEDICUS MUNDI ITALY

MOZAMBIQUE

FOCUS

Surface

801.590Kmq

Total Population

23.391.000

Gross National Income per capita ( US$)

930

Total Health expenditure on GNI (%)

2000

>6.0

2009

> 5.4

Population below $1 per day - %

59.6

Human Development Index (1-186)

185

Life expectancy at births (years)

52/53

Under 5 mortality ratio (per 1,000 births)

103 [88-121]

Maternal mortality ratio (per 100,000 births)

490 [300-850]

WHO – World Health Statistics 2013 WHO – Global Health Observatory

42

REPORT 2012

Mozambique - “Brescia for Mozambique”. Integrated Multisectorial Development Project in Mongu and Mocodene Joint project in collaboration with ‘Fondazione Tovini’ Foundation (Head of Project), SCAIP Onlus, SIPEC Foundation and SVI – International Voluntary Service.

Local project coordinator is Engineer Bruno Comini.

Place: Morrumbene District – Inhambane Province (Mozambique) Local Partners: 

- Inhambane Diocesis / Missao Santa Maria de Mocodoene



- Serviço Distrital de Saude, Mulher e Accao Social de Morrumbene



- Missao Santa Maria de Mocodoene



Serviço Distrital de Saúde, Mulher e Acção Social de Morrumbene

Further Partnerships: 

Spedali Civili Hospital of Brescia, Clinic of Infectious and Tropical Diseases



Spedali Civili Hospital of Brescia, Clinic of Pediatrics

 Co-Financers: 

Italian Bishops’ Conference



City of Brescia

Duration of Project: 3 years (2011-2014) Project Goal The initiative “Brescia for Mozambique” represents a series of coordinated actions promoted by NGOs in Brescia to sustain agricultural, educational and medical development in the Province of Inhambane, the poorest and most under-developed Region in Mozambique.

The program aims at increasing technical and professional skills and improving health conditions, the financial situation and access to electricity for the populations of the rural areas of Mongue and Mocodene.

Activities in charge of Medicus Mundi Italy 

Supplying equipment and medical material for the 9 Healthcare Centers of the Morrumbene District;



Training, prevention and assistance in terms of maternal-infant health, support the moving health brigades in rural areas (brigadas moveis);



Supervision, counseling and ongoing training for the staff of Local Health Centers: neonatal assistance, delivery assistance, training to immunization program (PAV), hygiene and safety in medical dispensaries, monitoring, evaluating and elaborating statistic data.



Training and socio-healthcare education: courses for parteiras (delivery assistants), for community leaders and animators (Mocodene), sexual education and HIV prevention.

43

MEDICUS MUNDI ITALY

Risultati In its second year of activity, the project obtained the following results: 

We continued supporting the brigadas moveis (mobile medical brigades), who perform examinations on children and infants in the health centers and the villages in the outskirts: weight checks, immunizations and general checkups on the children’s health situation. Mosquito nets were distributed to families who did not have one. The following chart shows the final balance of examinations carried out in the period in question: Year 2012 n. patients Month January

448

February

358

March

399

April

458

May

402

June

318

July

239

August

247

September

291

October

425

November

282



168 healthcare education sessions were carried out on different issues (prevention of vertical HIV transmission; malaria prevention; calendar of immunizations for children; prevention of malnutrition; prevention of pregnancy complications by performing ante-natal examinations and deliveries in the health centers (which reduces complications related to child deliveries).



Theoretical-practical courses were held in May and November to reinforce skills of medical staff within the Maternal-Infant Healthcare and Prevention of Vertical Transmission Programs. Participants were given didactic and informative material on the issues in question: 

May 2012: delivery assistance course for 14 healthcare assistants in the 10 Health Centers



May 2012: infant assistance course for 18 healthcare assistants



November 2012: ‘biosegurança’ (health and safety in the workplace) course for 19 healthcare assistants and basic hygiene course for medical workers.



November 2012: ‘biosegurança’ (health and safety in the workplace) course for 19 employees in the health centers and basic hygiene course for medical workers.



From June to October, community leaders and community health agents received training. The courses were held in the local language by the medical staff of the district, with the supervision of the director of the Mother and Child Healthcare Program, and focused on prevention and detection of malaria, malnutrition, tuberculosis and HIV/AIDS. The courses involved in total 70 health agents and community leaders.



In October 2012 a theoretical-practical training course for 30 delivery assistances or traditional obstetricians (‘parteiras’), was organized. The course was one-week-long, in the local language, and was held by the medical staff of the district. It focused on identifying the main signs of danger and prevention of complications during pregnancy and delivery, raising awareness and orienting pregnant women on the importance of assisted deliveries in medical centers, the prevention and treatment of malaria and malnutrition during pregnancy, and the prevention of vertical transmission of HIV/AIDS from mother to child (Prevention of Vertical Transmission Program).

44

REPORT 2012 

Raise awareness amongst 30 practitioners of traditional medicine (the so-called ‘curandeiros,’ September 2012): an updating activity for some curandeiros involved in the 2011 program was completed, together with a new awareness campaign for new curandeiros. Meetings focused on prevention and basic medical hygiene. Great relevance was given to basic methods and instruments for the prevention of HIV transmission, malaria and TB, in order to increase percentages of screening or dépistage, as well as the importance of immunizations for children and the identification of intestinal parasites etc.



In 2012, two so-called ‘integrated’ supervisions were carried out in each of the 9 suburban medical centers by the medical staff of the Morrumbene District, that is 18 supervisions in total. These focused on: medical aspects, Maternal-Infant Healthcare services, broad Immunization, hygiene and prevention of diseases on the workplace Program, pharmacy and lab service, etc.



360 young people from Mocodene, who received technical-professional training courses, were the beneficiaries of sexual education and HIV prevention activities. In the months from August to November 60 meetings were organized (series of 10 meetings for 6 participating classes). The students of the community secondary school ‘Saint Mary’ in Mocodene were taught by a qualified educator; every class was formed by, on average, 60 students.



From the 20th of May to the 1st of June a short-term training mission for healthcare assistants and obstetricians was organized. A short course on delivery assistance and complications was held by Doctor Giudi Peruzzi. The course was organized according to common problems related to managing pregnancies and deliveries in the district. Sessions, both theoretical and practical (with the use of a mannequin for the simulation of delivery in its different forms), lasted 20 hours and saw 18 participants.

At the end of December 2012 the second year of the project was complete, under the coordination of Engineer Bruno Comini.

Screening o dépistage - Programmed Examination for the detection of malnourished children Dépistage is a mass examination which tests the situation of malnutrition in children.

Every child’s weight, length and arm perimeter are measured. The arm perimeter is measured by using a three-colored strip on a specific height of the child’s humerus.

If the dimension fits in the green section, the child is not malnourished; if it fits in the yellow section, the child’s malnutrition is moderate; if it fits in the red section, the child suffers from acute malnutrition.

45

MEDICUS MUNDI ITALY

Mozambique - “Brescia for Mozambique”. Training on Farming and Agriculture and Promoting Community Health for the Rural Development of the Morrumbene District (Inhambane Province).

Joint project in collaboration with Scaip ONG (Head of Project) Place District of Morrumbene – Province of Inhambane – Villages of Morrumbene and Mocodene (Mozambico) Local Partners 

Inhambane Diocesis - Missão Santa Maria de Mocodoene



Serviço Distrital de Saúde, Mulher e Acção Social de Morrumbene



District Service for Finanzial Activities in Morrumbene



Mondlane University – Dep. of Agronomy and Forest Engeneering - Maputo

Further Partners 

AO Spedali Civili Hospital of Brescia, Department of Infectious and Tropical Diseases



AO Spedali Civili Hospital of Brescia - Pediatrics Department

Co-Financer MAE - Italian Ministry of Foreign Affair Duration: 3 years (2011 - 2014) Project Goal: The project, presented as a consortium by SCAIP and Medicus Mundi Italy, fits in a vast long-term and multidisciplinary development program of the Inhambane Province in Mozambique. The initiative is promoted by a cooperation between NGOs and associations from Brescia and local (provincial and district) authorities. It is generated by the experience gathered during pilot projects started in past years by NGOs in Brescia on the territory. These pilot projects were focused on decentralized cooperation to boost agricultural, educational and medical development in favor of one of the poorest provinces of Mozambique.

The project aims at improving agricultural and farming production and trading, and at increasing sociofinancial and socio-healthcare standards. The actions that are undertaken in this respect are: increase of productive and commercial skills and knowledge, technical assistance, access to revolving credit and support of community/family medical programs targeted to rural communities of the Morrumbene District.

The project’s main aims are to:  Increase family food autonomy through diversification and improvement of agricultural production and farming at family level in villages  Improve local non-formal training in the agricultural and professional-technical field 

Increase and support the offer of basic family healthcare services, in particular the ones regarding mother-infant healthcare and HIV prevention.

Activities in charge of MMI  Reinforcement of the maternal-infant healthcare program (MIH) and of the prevention against vertical transmission of HIV (PVT)  Information and awareness campaign on community health targeted to 45 community leaders  Involvement and sensitivity campaign targeted to traditional medicine practitioners/healers  

46

Support the NUT program, giving nutritional support and check-ups for children suffering from malnutrition, orphaned or HIV+, in collaboration with the District’s social assistance service; Supervision, consultancy and monitoring of personnel performance in 9 local medical units at community-healthcare level.

REPORT 2012

The maternity ward, the delivery room, lecture and practical training exercise.

47

MEDICUS MUNDI ITALY Results included: 

In 2012 the Brigadas Moveis (BM) intervened 159 times in the Morrumbene District. Healthcare education sessions were held on several topics (prevention of vertical HIV transmission; malaria prevention; immunization schedule for children; prevention of malnutrition; prevention of pregnancy complications through ante-natal care and prevention of delivery complications by carrying out deliveries in medical units). Throughout the year, the BM saw 3,867 people, sending or transferring the uncertain or severe cases to the Medical Units or the District’s Headquarters for more detailed examinations or specific treatments not included in the basic medicaments kit available to BM.



In 2012, within the Maternal-Infant healthcare program, 981 ante-natal examinations, 1,330 family planning and 353 post-partum visits were performed (data is incomplete and refers to certain months) As to the prevention of HIV vertical transmission, during ante-natal treatment, every pregnant woman is usually tested for HIV every three months. Cases that result positive at the first and the second test are transferred to the closest medical Units, where routine CD4 and hematological/ serological controls will be made; in case of necessity, they will be inducted to ARV treatment.



Training courses for over 50 community leaders, held by the district’s medical staff, focused on prevention and detection of malaria, malnutrition, tuberculosis and HIV/AIDS.



Formative meetings were held with 30 Traditional Medicine Practitioners, as foreseen. Issues raised included: prevention and basic medical hygiene, basic methods and tools for the prevention of HIV, malaria and TB transmission, and to increase the percentage of screenings, children immunizations, as well as the individuation of intestine parasites.



In 2012 a nutritional support and control program was created for vulnerable children in the S. Mary of Mocodene mission and the Morrumbene Hospital. The program operates in parallel with the district’s Social Assistance Service, which is in charge of establishing economic/social needs of beneficiary children. In general the service is aimed at categories of vulnerable children (motherless, twins, children of malnourished and/or TB/AIDS affected mother, etc.), therefore exposed to the risk of malnutrition, and to malnourished but not socially/economically disadvantaged children, beneficiaries of an ambulatory/hospitalization national program on nutritional support. Ten cases of severe or moderate acute malnutrition were given nutritional support in day hospital treatment: these children’s families are socially/economically disadvantage. In 2012 the two centers distributed 102 monthly supplies of nutritional support to 38 children.



In 2012, two supervisions were carried out in each of the 9 suburban medical centers by the medical staff of the Morrumbene District, that is 18 supervisions in total. These focused on: medical aspects, Maternal-Infant Healthcare services, broad Immunization, hygiene and prevention of diseases on the workplace Program, pharmacy and lab service, etc. In May a supervision was carried out; it included a short-term training for local medical staff, focusing, in particular, on delivery assistance and neonatal basic healthcare. Course lecturers were Doctor Fabio Uxa (neonatologist at the Institute for Childhood ‘Burlo Garofalo’, Trieste, and consultant for the WHO Center for Maternal and Child Health) and Doctor Anna Cristina Carvalho (infectologist at MMI and at the University of Brescia). The course involved 14 participants, all healthcare assistants, obstetricians and auxiliaries. During the mission the health centers have been visited, formative meetings were held with local trainers as well as with the District Headquarters for Healthcare Services.

In October 2012 the first year of the project was completed, under the supervision of Engineer Bruno Comini. Nurse Luciana Resconi operated on site as supervisor and coordinator of the program activities in support of the District Maternal-infant healthcare program and the training of Medical Units staff.

48

REPORT 2012

Manga del Cura Project in Ecuador (see. pp. 52-53) Doctor Chiara Poppi in the laboratory and the clinic.

Some training programme activities.

Day-hospital examinations.

49

MEDICUS MUNDI ITALY

ECUADOR

FOCUS

Surface

283.561 Kmq

Total Population

14.465.000

Gross National Income per capita ( US$)

7880

Total health expenditure on GNI - %

2000

>4.2

2009

>8.8

Population below $1 per day - %

4.4

Human Development Index (1-186)

89

Life expectancy at birth (years )

73/79

Under 5 mortality ratio (per 1,000 living birth)

23 [17-30]

Maternal mortality ratio (per 100,000 bir-

110 [62-180]

ths) WHO – World Health Statistics 2013 WHO – Global Health Observatory

50

REPORT 2012

Ecuador — Reinforcing Basic Healthcare Diagnosis, Education and Prevention Services for the Communities of ‘Manga del Cura’

Place Manga del Cura (Ecuador) Local Partners  Archdiocese of Portoviejo  Direccion Provincial de Salud de Manabì  Universidad Técnica de Manabì - Facultad de Ciencias de la Salud  COPAMAC (Cooperativa di Risparmio e Credito)  Comunity of Salesian Sisters, Padua  Comité “Pro Mejoras”  Pastoral Social Caritas Ecuador  CUET – Corporaciòn Universitaria Estudio y Trabajo Co-Financer  CEI - Italian Bishops’ Conference Supporters  Circle Line Marketing and Communication  Amici del “De Angeli” Association, Milano Project Duration 3 years (2012-2015). The project started in November 2012.

Obiettivo del progetto: Contribuire al rafforzamento dei servizi di analisi, formazione e prevenzione in ambito di salute di base per le Comunita’ della “Manga del Cura".

Project Goal Contributing to reinforcing analysis, training and prevention services for basic healthcare in the ‘Manga del Cura’ communities.

Activities  Completing secondary structures and integrating analysis lab equipment  Supply lab with consumption goods  Periodical screening, medical assistance and basic healthcare education in rural communities (“mobile lab”)  Analysis campaign for specific pathologies or population groups  Coordinating and supervising analysis lab services  Ongoing training for 40 community healthcare promotion  Education, promotion and prevention of basic healthcare in 54 rural communities  Creation and promotion of 40 family orchards  Creation and management collaboration networks with local subjects and institutions (universities, schools, Comité, Savings and Credit Cooperative, Caritas Ecuador)  Collaboration with local universities and research centers for diagnostic research on relevant pathologies  Support Health Centers in promoting public healthcare campaigns.

The project started in November 2012. While waiting for approval from the Italian Bishop’s Conference, from January to October 2012, MMI finance with its own funds the laboratory activities. Doctor Chiara Poppi (biologist and project coordinator) and Daniela Faccio, specialized nurse, were present on-site.

51

MEDICUS MUNDI ITALY

INDIA

FOCUS

Surface

3.287.487 Kmq

Total Population

1.224.614.000

Gross National Income per capita ( US$)

3550

Total Health expenditure on GNI - %

2000

>4.4

2009

>4.2

Population below $1 per day - %

41.6

Human Development Index (1-186)

136

Life expectancy at births (years )

64/67

Under 5 mortality ratio (per 1,000 living births)

61 [56-68]

Maternal mortality ratio (per 100,000 bir-

200 [130-350]

ths) WHO – World Health Statistics 2013 WHO – Global Health Observatory

52

REPORT 2012

India - Promoting Sayalkudi Women with Technical Training, SocioHealthcare Education and the Creation of Profit-Making Cooperatives in Ta-

mil Nadu.

Place Villages of Sayalkudi, District of Ramanathapuram (Ramnad)- Tamil Nadu – India Partnerships 

Fondazione “Giuseppe Tovini” (Head of the Project)



SIPEC Foundation



Medicus Mundi Italia ONG

Local Partners 

Sivagangai Multipurpose Social Service Society (SMSSS)



St. Joseph Hospital of Puliyal

Co-Financer San Zeno Foundation Project Duration 2 years(2012-2014). The project started in November 2012.

Project Goal 

The project aims at improving living conditions for disadvantaged women in the Ramnad District, by promoting their participation in local development processes. 100 women will reinforce their selfsupporting abilities by receiving adequate technical and working skills for the production, preservation and selling of palm products (the main commercial activity in the area).



MMI, in particular, supports social promotion for women from the Sayalkudi villages by increasing opportunities in the fields of education, socio-healthcare prevention and basic welfare services in rural areas for the populations of the target villages.

 Foreseen activities (in charge of MMI) 

Awareness and promotion campaign on useful, basic healthcare and domestic hygiene habits; familiarizing with local health centers and health services among Self Help Groups of women (SHG);



Training and promoting social awareness in female Self Help Groups on issues such as water, waste disposal, protection of the environment, women’s rights, domestic violence and right for education;



Education, basic family and community healthcare prevention in villages: basic assistance, family planning, prevention of HIV/ AIDS and other STDs.

53

MEDICUS MUNDI ITALY

Further Cooperation Activities

1)

Solidarity Fund for the children of the John XXIII Hospital, La Paz (Bolivia). The collaboration and support activity for the John XXIII Hospital has actively continued in 2012, especially with the Pediatrics and Neonatal Pathology (which opened in August 2005) Wards. The activity is financed by MMI private funds.

2)

Burkina Faso – In 2012, MMI provided logistic support for Doctor Paolo Villani, a neonatologist who operated in the Ouagadougou Camillian structures.

3)

Therapeutic Adoption for the AIDS patients of the Saint Camille Hospital, Nanoro (Burkina Faso). Funds raised in 2011 in the ‘Therapeutic Adoption’ Campaign covered expenses for home examinations, counseling and HIV-tests for patients in financial need in the rural district of Nanoro.

4)

Humanitarian Campaign ‘Nevereatalone’, promoted by Medicus Mundi Italy and Spedali Civili Hospital (Brescia). In 2012, a dramatic famine affected Burkina Faso (peak in the months between April and October 2012). The famine was due to several reasons, especially the draught which damaged harvests and cattle. The consequent alimentary crisis occurred on a chronically nutritionally deficient situation. Months of hunger, which might be sustainable for adults, are deadly for children, completely dependent on their equally malnourished mothers. MMI and Spedali Civili Hospital (Brescia) promoted the Humanitarian Campaign ‘Nevereatalone’ to prevent severe forms of malnutrition in the most fragile population groups – namely pregnant women and infants.

5)

Medical screening and treatment of HIV+ patients in the ‘Siriri na Ngia’ Hospital, Maigaro – including launch of a pediatric center for the treatment of HIV (Central African Republic). In collaboration with the Franciscan Sisters of the Holy Heart (Gemona, Italy), MMI sent Doctor Francesca Pezzolo to the hospital of Maigaro. Doctor Pezzolo worked in 2011 at the ‘Siriri na Ngia’ Hospital, in the Dioceses of Bouar, (Nana-Mambere Prefecture), in the fields of pediatrics, acute malnutrition assistance, HIV+ patient assistance and ultrasound scan services. Doctor Pezzolo was active in the training of medical staff focusing on distributing ARV medicaments and providing psycho-social support. She also contributed to the launch of a pediatric center for the treatment of HIV and gave medical assistance to HIV+ patients.

54

REPORT 2012

Civil Service

Civil Service 2012

Medicus Mundi participates, in collaboration with FOCSIV Volunteers Around the World, to the ‘White Helmets’ Project in Burkina Faso. It consists in the placement of a person at the Centre Medical Saint Camille (Ouagadougou), and at the Sanitary District of Réo.

Since March 2012, the voluntary nurse Emanuela Baratti worked initially in the Pediatrics ward of the Centre Saint Camille, within the project fighting pediatric AIDS. Subsequently, she focused on supporting MMI staff in the urgent project against severe acute malnutrition in the Réo district, where she was supervised by our local medical coordinator and trainer, Doctor Virginio Pietra.

Bag of Misola, complementary flour for weaning children, in the fight against malnutrition in Burkina Faso.

55

MEDICUS MUNDI ITALY

Updating Course in Tropical Diseases

The Updating Course in Tropical Diseases has now reached its 25th edition. The course was organized by Medicus Mundi Italy under the patronage of the Italian Federation of Physicians, Surgeons and Dentists (FNOMCeO), the Italian Medical Association of Surgeons and Dentists and the Medical Association of Surgeons and Dentists of the Province of Brescia and in collaboration with the Infectious and Tropical Disease Clinic in the University of Brescia.

The course has always been intended for health workers (doctors, dentists, nurses, obstetricians, biologists and physiotherapists) soon to leave for developing countries and/or interested in Tropical Diseases. Such diseases are now extremely common not only in endemic areas, but also in Italy, where basic health services have to deal with imported diseases more and more often. The course is open to a limited number of attendees, 20 at maximum.

MMI was in charge, with its human and financial resources, of the organization of the course in its every phase: programming, teacher recruitment, teaching material preparation, lab training, tutor recruitment and logistics.

Some members of the NGO having direct and personal experience in medical cooperation projects delivered theoretical lectures and supervised laboratory training activities.

The teachers are all experts in medical problems in developing countries and come from Italian Universities and Hospitals, as well as from NGOs operating in international medical cooperation.

The course, both theoretical and practical, has the following goals:



provide basic technical skills for clinical treatment of tropical diseases;



provide basic technical skills for global management of a sanitary district in developing countries;



provide cultural skills for diagnostic approach and clinical treatment of imported diseases in non-endemic areas.

The Course lasted 3 weeks (Monday-Friday), from the 1st to the 19th of October 2012, taking in total 105 hours.

In 2012, we had 10 attendees, 3 obstetricians, 2 doctors, 5 nurses.

Also for 2012, 50 ECM credits were assigned to nurses and doctors who passed the final test.

The course took place at MMI’s headquarters, in Via Martinengo da Barco 6a, Brescia. Lectures were held at the “Istituto Figlie del Sacro Cuore” Institute, Via Martinengo da Barco 4, Brescia.

56