Medicus Mundi Italy - Report 2011

Medicus Mundi Italy

Report 2011

Medicus Mundi Italy is a Member of FOCSIV

Volontari nel Mondo –Volunteers 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—Fax +39 030 43266

www.medicusmundi.it

[email protected]

[email protected]

[email protected]

[email protected]

4

Béguédo Project

The difficult activation of new wells in Burkina Faso (pp. 36-37).

RREPORTEPORT 20112011

5

Table of Contents

Presentation p. 7

Our Mission p. 8

Who we are p. 10

Organization Charter p. 13

Partnership p. 14

Supporters p. 17

Balance Sheet Data p. 18

Communication and Events p. 20

Activities

Projects p. 26

Training Course p. 58

Civil Service p. 59

The present Medicus Mundi Italy Report 2011 is published by Medicus Mundi Italy. It

can be freely distributed, reproduced and published only if the source (Medicus Mundi

Italy – www.medicusmundi.it) is referenced correctly. No printed copies available.

http://www.medicusmundi.it

MMEDICUSEDICUS MMUNDIUNDI IITALYTALY

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Milan, 30th November 2011. Doctor Maria Guidotti, President of the

Italian Institute of Donation, hands Professor Francesco Castelli,

President of Medicus Mundi Italy, the certificate of Membership.


7

I am extremely glad to present the Report 2011 of Medicus Mundi Italy’s activities for many reasons. First

and foremost, in 2011 Medicus Mundi Italy has been admitted to the Italian Institute of Donation as Adhe-

ring Member. This is a prestigious award which rewards the goodwill and goodness of our work. We are

very proud of this award and believe it to be an encouragement for continuous improvement.

In addition, despite the financial crisis and its effects on charities, almost as if they did not represent a prio-

rity, Medicus Mundi Italy has not ceased working and finding resources which enable us to help those who

are in need of everything.

Finally, my name at the bottom of this page represents my last formal act as President of Medicus Mundi

Italy, after three terms of office which ended in April 2012. I have passionately enjoyed this period and clo-

se it with joy, leaving a new Board of Auditors and a new Charter, approved by the 2012 General Assembly.

This issue will be dealt with in the next Report.

I hope that our 2011 accomplishments are in line with our supporters’ and donors’ expectations, but most

of all with the needs of the populations with whom we have entangled our destinies in mutual help.

All my best wishes to the new Board and the new President, Professor Giampiero Carosi, so that they make

it possible for Medicus Mundi Italy to pursue more and more effectively the integrated promotion of the

human being.

Francesco Castelli

President of Medicus Mundi Italy

Brescia, 27th August 2012

Report 2011 Presentation


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Medicus Mundi Italy is a Non-Governmental Organization (NGO), a non-profit making association at in-

ternational level specialized in healthcare cooperation. Founded in 1968 in Brescia (Italy), it is part of Me-

dicus Mundi International, which is present in over 50 Countries with more than 1000 projects carried out

and is officially recognized by the World Health Organization (WHO resolution EB 63 R 27), with which it

regularly cooperates.

The objective of Medicus Mundi Italy is to contribute to the integrated promotion of the human being

through the creation of structural healthcare development and emergency programs (these last ones within

specific situations).

Medicus Mundi Italy, in cooperation with public institutions (Italian Ministry of Foreign Affairs, the Euro-

pean Union, United Nations Agencies, Regions, Provinces, Cities, etc.) and private non-profit ones, is com-

mitted to improving quality and efficiency of local healthcare services and promoting primary and commu-

nity healthcare by creating adequate infrastructures and by training medical, nursing and technical person-

nel.

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 self-

development and self-determination philosophy.

Since the beginning, the vision of Medicus Mundi Italy has been directed towards 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 al-

ways characterized Medicus Mundi Italy is the focusing on the need to promote and support adequate heal-

thcare human resources, without failing to grant financial and material aid. The main objective is to share,

with the poorest communities in the South of the world, the abundance of healthcare technology and medi-

cal-scientific know-how in the most underdeveloped countries. The option for poor people and our non-

profit service has always distinguished and still distinguishes to this day the actions performed by Medicus

Mundi Italy.

Traditionally, the role of doctors was often linked to charity and concentrated on the sick. Medicus Mundi

Italy has tried to integrate the approach based purely on the disease, taking an interest in healthcare pre-

vention and treatment in terms of community health, with particular focus on mothers and children. This

understanding and mission needed the healthcare cooperation world to open its views towards a new ap-

proach: not only curing individuals was important, but also promoting healthcare and the improvement of

healthcare systems. The traditional question “for who?”, typical of the charitable approach, has slowly been

substituted by the question “with whom?”. The main task has changed from paternalistically assisting the

weaker people, to involving them directly and making them also directly responsible. The concept of part-

nership has become the slogan of international cooperation, thanks to the training of doctors and local me-

dical attendants.

Our Mission


9

In planning future commitments, Medicus Mundi Italy has closely followed the so-called Millennium Deve-

lopment Goals in its fight against poverty, inequality, violence and injustice. These strategies allow to main-

tain competence and motivation of medical personnel at all levels and must be intensified to protect the

ideal of a non-profit service.

In this respect, the Alma Ata declaration in 1978, to which 150 countries adhered, has pointed out princi-

ples which, being based on human rights, make an appeal to everyone’s right to being healthy and they also

represent a fundamental reference for all the organizations working in this field. At the basis of the Alma

Ata declaration was the rule that healthcare programs ―have to be accessible to everyone, they have to fit

in the socio-cultural situation of each Country, they have to be governed by the local National Health Servi-

ce and supervised by independent technical committees. The declaration prophetically presented a global

approach to health meant as something not strictly linked to the medical aspects but in its broader sense as

something aimed at developing socio-cultural situations. Over 30 years later, the approach is not only that

of curing diseases but also of promoting healthcare prevention. The right to health is perceived as an ele-

ment of social justice and democratic involvement of each individual as well as of communities, in provi-

ding for healthcare for everyone.

The Alma Ata conference, dedicated to Primary Health Care (PHC), highlighted that in basic communities

there was a social unity to guarantee health for everyone, as it is only by offering necessary medical treat-

ments close to where people live and work that it is possible to concretely meet projects’ objectives.

The principles and the approach introduced by the Alma Ata Conference are still at the basis of internatio-

nal cooperation healthcare projects and they inspire Medicus Mundi International and Medicus Mundi Ita-

ly. The projects which Medicus Mundi Italy has carried out in Africa, Latin America and Asia focus on figh-

ting AIDS and supporting infantile and maternal health.


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Operational Structure

Medicus Mundi Italy is ruled by a mandate which provides for:

the General Assembly of Members, in charge of the schedule of the Association’s activities, of the

approval of Balance sheets and of electing the Board of Auditors and the President;

the Board of Auditors, in charge of managing the NGO by following the protocols outlined by the

Board of Auditors’ Meeting;

A National Secretary, responsible for organizing the operational structure.

Proposals and requests coming from partners in the South, from our own volunteers or from collaborators

which operate or have operated in developing countries, or from other partner organizations; they are eva-

luated by our managers and by the personnel in charge of the planning stage sorted by geographical area.

The criteria adopted to select project proposals, aside from the criteria qualifying the quality of the propo-

sal and the credibility of the proposer, are those defined by the guidelines of the Board of Auditors. Positi-

vely evaluated 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 consortium 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 a particular interest for the prevention, training and treatment of AIDS in developing

countries, 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, Pediatrics, and the

Graduate School of Tropical Diseases, Infective Diseases and Pediatrics of the University of Brescia.

Activities

In over 40 years of activity, Medicus Mundi Italy has operated in Africa, Latin America, Asia and Eastern

Europe by realizing the following:

Hospitals, urban and rural dispensaries, labs and multi-purpose diagnostic stations co-operating

with the local National Health Services (Albania, Bolivia, Brazil, Burkina Faso, Burundi, Ecuador,

Ethiopia, Ghana, Guinea Bissau, India, Lithuania, Rwanda, D. R. Congo);

Primary Healthcare projects and integrated initiatives for community development, environmental

hygiene, healthcare education and training for medical operators (Chad, Madagascar, Mozambique,

Somalia, Sudan, Thailand);

Medical-healthcare schools to contribute to the training of local specialists (Ethiopia, D. R. Congo);

Specialized and emergency actions (D.R. Congo, Rwanda, Burundi, Thailand, Tanzania).

Who we are


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In Italy, Medicus Mundi Italy is engaged in education development. In this view, it organizes training mee-

tings and periodically publishes its own information paper, the “Bulletin” of Medicus Mundi Italy).

In the training field, Medicus Mundi Italy has been organizing a Course in Tropical Disease over the past

20 years, of the duration of 3 weeks, with the objective of offering an opportunity of professional and cultu-

ral expertise targeted to both prospective social workers in developing countries and medical assistants

working in Italian hospitals, structures which are more and more involved in diagnosis and therapy of tro-

pical and sub-tropical pathologies. The course is organized in cooperation with the Infectious and Tropical

Disease Clinic in the University of Brescia, the Medical Association of Surgeons and Dentists of the Provin-

ce of Brescia and the Italian Ministry of Foreign Affairs – General Division for Development Cooperation.

Medicus Mundi Italy actively works with the Infectious and Tropical Disease Clinic of the University of Bre-

scia to organize the European Master of Tropical Medicine and International Health (TROPED), inserted in

the European network of Tropical Medicine Schools.

The activities of Medicus Mundi Italy are made possible by recurring to self-financing resources, to conspi-

cuous support offered by private individuals, associations and support groups, not to mention contribu-

tions received for specific projects by public and private Institutions: European Commission, Ministry of

Foreign Affairs, Regions, Local Authorities, Bank Establishments, Italian Bishops’ Conference, etc.

Human Resources

Personnel in Italy

1 part-time employee (secretary/administration)

1 part-time employee (project administration)

1 project consultant for project organization and management

1 project employee for “Stop Malaria Now!”

Doctors, remunerated and volunteers, for short-time missions in Southern Countries

1 part-time voluntary (secretary)

Around 20 people (doctors and not) who work as volunteers for the association in various cho-

res: communication and fund raising, training, organization, management and project realiza-

tion.

Personnel expatriated to Developing Countries in 2011

2 cooperators

4 on-site project coordinators/cooperators in Burkina Faso, Mozambique, South Sudan and

Ecuador


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Recruiting Members

During 2011, Medicus Mundi Italy has received more than 22 application requests, many

of which are from young doctors and specialized doctors in the School of Medicine of the

University of Brescia. New energies are more than ever necessary in order to promote a

constant circulation of ideas and the potential growth of activities.

On the 31st of December 2011, our regularly enrolled members were 65, as established by

Art. N°5 of the Association’s Charter.


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Presidente Francesco Castelli

Vice President Silvio Caligaris

National Secretary Giuseppe Andreis

Advisor Monica Franchi

Advisor Mariarosa Inzoli

Advisor Roberto Marzollo

Advisor Alessandro Pini

Advisor Fausta Prandini

Advisor Paola Maria Rossini

Advisor Richard Fabian Schumacher Advisor Lina Rachele Tomasoni

BOARD OF AUDITORS FOR 2009-2011

GENERAL SE-

CRETA-RIAT

AND ACCOUN-

TING

GOVERN-

MENTAL RELA-

TION-SHIPS

TRAINING

COMMUNICA-

TION AND FUND

RAISING

PROJECTS

BOARD OF

AUDITORS

GENERAL

ASSEMBLY

Oraganization Charter


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In a more and more 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 more and more pressing and necessary. In this perspective, Medicus Mundi is part of:

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

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

Volontari nel mondo FOCSIV (Federazione Organismi Cristiani di Servizio Internazionale Volontario - Federation of Christian Orgnizations and International Voluntary Service) http://www.focsiv.it. Medicus Mundi Italy is a member of the Federation since 1996.

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

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

“Brescia for Mozambique” – coordination of Brescia NGOs in Mozambique.

Consultation on cooperation, peace, solidarity and human rights among populations in the city of Brescia – http://www.comune.brescia.it

Moreover it cooperates with:

University of Brescia

School of Medicine and Surgery

Infectious and Tropical Diseases Clinic

Pediatrics Clinic

Pathology 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 Department

Pediatrics Department

National network of NGOs fighting AIDS, information service, analysis and monitoring of initiatives in fighting AIDS in developing countries.

STOP MALARIA NOW! Campaign. European network to fight malaria

CLIA – International Fight against AIDS Connection

International Civil Service.

Partnerships


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Medicus Mundi International

www.medicusmundi.org

Medicus Mundi International is a network of organizations which operate in raising awareness in international healthcare 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. In 2011, the Medicus Mundi International network was composed by 15 members in 8 Countries (Benin, Germany, Italy, Kenya, the Netherlands, Poland, Spain and Switzerland). 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.

2011 started with 15 members, which were joined in October, in Brescia, by Memisa and i+solutions. The year ended with 16 members since Misereor left the network in December.

Africa CHA Platform 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/

Doctors with Africa http://www.cuamm.org/

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

EPN http://www.epnetwork.org/

Fatebenefratelli, Italia http://www.oh-fbf.it/

i+solutions htttp://www.ipsolutions.org

Medicus Mundi Switzerland http://www.medicusmundi.ch/

Medicus Mundi Spain http://www.medicusmundi.es/

Medicus Mundi Italy http://www.medicusmundi.it/

Memisa http://www.memisa.be

MISEREOR http://www.misereor.org/

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

Smile Train Italy http://www.smiletrain.it

WEMOS http://www.wemos.nl/

Medicus Mundi Equipment (MeMuA)

www.memua.it

Medicus Mundi Equipment is a Type B Social Co-operative which

collects unused equipment in Italian hospitals and makes it available –

after testing and revision – to non-profit medical activities in

Countries with few resources. The collection of the equipment started

in 1996 with a small group of volunteers of Medicus Mundi Italy and 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 jobs


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Picture right:

Bishop Enzo Rinaldini, Bishop Emeritus

of Aracuy and, as a priest, founder of the

medical infrastructure. Bishop Rinaldini

died on the 24th October 2011.

Doctor Mariarosa Inzoli Bretteri.

Father Giuseppe Ghitti.

Itaobim (Minas Gerais, Brasil), 15th May 2011.

Opening of the new haemodialysis ward, Jeoquiti-

nhoa Valley Hospital.

Picture below:

Bishop Enzo Rinaldini, Doctor Mariarosa Inzoli

Bretteri and Doctor Cynthia Aparicio.


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Throughout 2011, the projects of Medicus Mundi Italy have been cosponsored and supported by:

Agape Onlus

Agifar - Brescia

Amici del “De Angeli” - Milano

Associazione Mogli Medici Italiani

Associazione Musicale Musica Ragazzi

Associazione Nazionale degli Alpini - Sez. Castelvetro Piacentino

Azienda Ospedaliera Spedali Civili di Brescia

Banca di Credito Cooperativo di Pompiano e Franciacorta

BresciaOggi

Cassa Padana - Banca di Credito Cooperativo

CeTAmb - Brescia

Comune di Brescia

Comune di Marone

Conferenza Episcopale Italiana - CEI

Circle Line Marketing and Communication

Essere Bambino

Fondazione Banca San Paolo di Brescia

Fondazione Comunità Bresciana

Giornale di Brescia

Istituto Superiore della Sanità

Kite Italia

Ministero degli Affari Esteri - MAE

Minteq Italiana SpA

Nati per Vivere

Provincia di Brescia

Punto Missione

RadioBresciaSette

Regione Lombardia

Rotaract Club - Brescia

Rotary Club Milano Sempione

S. Giuseppe SpA

Scuola Media Buonarroti

Soroptimist International Club di Brescia

Studio Nassini e Associati

Teletutto

UBI Banca - Unione Banche Italiane

UBI - Banco di Brescia

Università degli Studi di Brescia

VI-DA

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.

Co-financers and Donors


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Balance Sheet Data 2011

During the General and Extraordinary Assembly Meeting on the 28th April 2012, the 2011 Balance Sheet was approved.

On the 31st December 2011 the Financial Statement resulted in a surplus of 14.74 €.

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

To verify all details, balance sheets are available on Medicus Mundi’s website www.medicusmundi.it

Chart n. 1 – Total donations received in 2011.


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Balance Sheet Data 2011

Chart n. 3 – Specification of the destinations to

international cooperation projects of donations received in 2011.

Chart n. 2 – Share-out and destination of total donations received in 2011.


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Press Agency

As to 2011 communication activities, an increase in presence on the media has to be registered. Some newspapers and periodicals have published articles on MMI, others have mentioned it.

Giornale di Brescia

13 April 2011

27 October 2011

29 October 2011

BresciaOggi

10 May 2011

30 October 2011

Famiglia Cristiana

10 November 2011

24 November 2011

1 December 2011

1 December 2011

15 December 2011

Online on:

Corriere.it from 12 to 18 October 2011

CorriereMilano.it from 12 to 18 December 2011

Plus:

Three television apparitions at “Il No Profit si racconta – Non Profit About Itself” on the local TV sta-tion Teletutto, including interviews with the President, Professor Francesco Castelli, Doctor Fabian Schumacher and Doctor Monica Franchi (http:// www.teletutto.it/Contenuti/Il_non_profit_si_racconta/11737.html?idnews=1227)

A radio interview with the President, Professor Francesco Castelli – RadioBresciaSette, Tuesday 25 October 2011, 17.45.

As to the European joint project Stop Malaria Now! (cosponsored by the European Commission), 15 multimedia briefings have been distributed to German, Spanish, Polish and Italian publications so as to give complete information and to guarantee wide media coverage.

Communication and Events


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Advertising

Radio Number One – the end of 2010 saw the beginning of a collaboration with the local Radio Num-

ber One and the promotion of a radio campaign supporting the project Stop Malaria Now! The collabo-

ration continued in 2011 (April-May). The new campaign has focused on the slogan “Show your face

against malaria”, and has so contributed to increase the amount of photos uploaded on the Stop Mala-

ria Now! Website. The radio announcements have been played 5 times a day. Loudspeakers and the

radio station have spoken of the campaign several times. The Stop Malaria Now! Campaign has appea-

red on the Radio Number One homepage.

In 2011, the Italian Institute of Donation’s advertisement campaign, aimed at giving members visibility,

has cited MMI. The campaign has been carried out through paper issues on “Famiglia Cristiana” and

online on Corriere.it and CorriereMilano.it.

Online Communications

1. Newsletter

With the opening of the new website the forwarding of bimonthly newsletters has been implemented. The list of sen-ding date and objects is below:

In addition:

On 8 October a nominal and personalized letter regarding the International Mother and Child Health Confe-rence on 28 October was sent to 63 journalists’ email addresses. Sender’s email: [email protected]

On 5 December a nominal and personalized letter was sent to 13 email addresses. Sender’s email: [email protected]

Relazione comunicazione ed eventi


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2. Website

In 2011 our website’s platform has been updated with a newer Content Management System, which enables

to operate on servers with upgraded operating systems (from Debian 5 to Debian 6). The PHP platform,

previously 5.2.6, has been updated to 5.3.3 (updating from 5.2 to 5.3 has been a considerable step forward)

as well as the web administrative interface. Thanks to this, many new functions have been added and the

most was made of some Internet Apps such as Curl libraries for data acquisition from external sources

(ISSUU and Dropbox), and GD Library for a better integration of pictures.

The website, whose contents are constantly updated, has had the following figures in the second semester

2011:

Visits: 976449

Visitors remaining more than 15 minutes: 67616

Visualized Pages: 402143

Figures of the monthly visits to the website in the second semester 2011 are shown below.

Below is the chart of contacts in December 2011, divided by nation.



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3. Facebook

The Facebook Fan page (http://www.facebook.com/medicusmundiitalia), promoted and updated without

paying for any advertisement, was launched on the 5th of April 2011. By the present date (19 June 2012),

the page obtained 89 Fans.

4. Bulletin - the MMI Bulletin is available for online consultation and download.

Offline communication

Bulletin - published regularly every six months, the Medicus Mundi Italy “Bulletin” represents, in its

simple form, a useful tool to spread the news about our activities. Our “Bulletin” is available for online

consultation and download (www.medicusmundi.it).

5 x 1000 - a specific postcard has been written and sent, also via email, for the 5 x 1000 Donations Peti-

tion.

Bookmark Calendar - Like every year, before Christmas a MMI Bookmark Calendar for 2012 has been

printed and distributed.

Brochure of 28th October 2011 Conference – the Brochure of the convention Mother and child

health – before and past 2015 - Open Conference and Workshop - Santa Giulia, Via Piamarta 4, Bre-

scia -Friday, 28 October 2011 has been prepared, printed and distributed.

Events

Within the whole calendar of 2011 activities, we point out:

1. Events organized by MMI:

10-28 October 2011, Brescia – our Updating Course on Tropical Diseases was held with 14 par-

ticipants.

27 October 2011, Brescia – General Assembly of Medicus Mundi International c/o Medicus

Mundi Italy’s headquarters.

28 October 2011, Brescia – Conference and Workshop “Mother and Child Health – before and

past 2015”.



24

2. MMI has partecipated to the following conferences and evnts:

8 March 2011, Brescia - Professor Castelli held a lecture during the Conference: Woman: Victim

or Protagonist? Mother and child health in developing countries. A History of inequalities, wit-

nesses, future perspectives. Mother and Child health in developing countries. ESTHER Project.

31 March 2011, Brescia (Italy) – Professor Castelli held a lecture at the Seminary: Integrated

approach for the treatment and prevention of AIDS/HIV mother-child transmission. The syner-

gy between NGOs, Associations, Private and Public Institutions. The Millennium Development

Goals.

4 March 2011, Basel (Switzerland) – Doctor Fabian Schumacher represented MMI at the Me-

dicus Mundi International Yearly Assembly.

31 March 2011, Brescia (Italy) – Doctors Fabian Schumacher, Laura Morali and Federica Bruni

attend the CIAI - Italian Childhood Assistance Center Seminar.

March 2011, Granada (Spain) – Doctor Sabrina De Nardi and Cinzia Ferrante attended the

yearly “Stop Malaria Now!” Project summit in Granada.

14 April 2011, Florence (Italy) – Professor Castelli held a lecture titled AIDS: international

overview on the epidemic at the Updating Course on Tropical Diseases and Healthcare Coope-

ration, University of Florence.

18 May 2011, Geneva (Switzerland) – Doctor Fabian Schumacher represents MMI at the Medi-

cus Mundi International and WHO General Assembly.

30 June 2011, Genova (Italy) – National Conference of Italian Charity Associations for Africa:

“Women in Africa”. Doctors Marianna Bettinzoli and Marianna Perissotto attend the event.

September 2011, Brescia (Italy) – MMI participates to the project “LeXGiornate”, promoted by

the Association Soldano, Brescia.

10-28 October 2011, Brescia (Italy) – Updating Course on Tropical Diseases with 14 partici-

pants.

27 Ottobre 2011, Brescia - Assemblea ordinaria di Medicus Mundi Internazionale c/o sede di

Medicus Mundi Italia.

28 Ottobre 2011, Brescia - Conference and Workshop “Mother and child health – before and

past 2015”.

24 November 2011, Berlin (Germany) – Cinzia Ferrante and Doctor Giovanni Zoppi attended

the yearly “Stop Malaria Now!” Project summit.

30 November 2011, Milan (Italy) – some MMI Advisors attended the Award Ceremony where

our President, Professor Francesco Castelli received the certificate of membership from the Ita-

lian Institute of Donation.



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December 2011, Brescia (Italy) – Collaboration to the “Tenda della Solidarietà – Tent of Solidarity” –

event organized by the Board for Peace of the City of Brescia. This is a traditional initiative taking place

in December and in which various cooperation and international charity associations gather for a com-

mon goal.

Qualifications

In 2011, MMI obtained the following qualifications:

Formation of local personnel in Developing Countries – Decree N. 2011/337/002057, 31/05/2011,

Italian Ministry for Foreign Affairs.

Adhering Member of the Italian Institute of Donation – Authorization N. 2011/05, 27th July 2011.



26

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27

In 2011, MMI has supported and collaborated also with the following activities in Bolivia and Burkina Faso:

Medicus Mundi Italy’s Projects

AAFRICAFRICA

Burkina Faso Fighting AIDS affecting adults Italian Ministry of Foreign Affair

Burkina Faso Fighting AIDS affecting children Private Donors

Burkina Faso Water, health and economic development City of Brescia / Rotary Club Milano

Burkina Faso Fighting children death “Fondazione Comunità Bresciana” Foundation

Mozambique Integrated Project Italian Bishops’ Conference / City of Brescia

Mozambique Rural and health community training Italian Ministry of Foreign Affair

South Sudan Supporting healthcare activities 5 x 1000 Italian Govern. Taxes

LLATINATIN AAMERICMERICAA

Brazil Dialysis Service Region of Lombardy/City of Bre-scia/City of Maro-ne/”Fondazione Comunità Bre-sciana2 Foundation /”Associa-zione Cuore Amico” NGO

Ecuador Analysis laboratory and community healthcare “Fondazione della Comunità Bresciana “ Foundation/ Friends of De Angeli, Miland (Italy)

EEUROPEUROPE

Germany/Polland/Spain/Italy

Italy Stop Malaria Now! European Commission

Bolivia In 2011, MMI continued to work with Dr. Aparicio Cinthya of the John XXIII Hospital

of La Paz, the Program AIEPI - Attention Prevalent Childhood Disease.

Burkina Faso In 2011, MMI supported logistically by dr. Paul Villani, who has lent his work neonato-

logist at healthcare facilities Camillian Centres of Ouagadougou.


28

BURKINA FASO

FOCUS

Surface area 274.000 Kmq

Total population 16.469.000

Gross National Income per capita (US$) 1.250

Total health expenditure on GNI 2000 >5.1

2009 > 6.6

Population below $ 1 per day -% ===

Human Development Index (1-187) 181

Life expectancy at birth (years) 52

Under 5 mortality ratio (per 1000 living

births)

176

Maternal mortality ratio (per 100.000 bir- 300

WHO – World Health Statistics 2012

WHO – Global Health Observatory

http://www.who.int/gho/publications/world_health_statistics/2012/en/

http://apps.who.int/ghodata/?vid=22600


29

Place

Ouagadogou and Nanoro (Burkina Faso)

Partnerships

The project is carried out jointly by Medicus Mundi Italy (head of group) and the International Lay Volunteering Association (LVIA) from Cuneo, Italy.

Local Partners

Camillian Vice Province in Burkina Faso

Centre Médical Saint Camille (CMSC ), Ouagadougou

Centre d’Accueil Notre Dame de Fatima (CANDAF), Ouagadougou

Centro di Ricerca Biomolecolare Pietro Annigoni (CERBA ), Ouagadougou

Centre Médical avec Antenne Chirurgicale - St. Camille (CMA-SC), Nanoro

Co-financers

MAE - Italian Ministry of Foreign Affairs

Supporters

Private Donors

Duration of the Project

38 months (2008-2011)

Project Goal

Develop performances offered to HIV/AIDS patients in the 4 structures of the Camillian delegation in Bur-

kina Faso. This objective will be met mainly by using antiretroviral therapy, in accordance with WHO pro-

tocols for countries with limited financial resources and to dispositions of the local Ministry of Health.

Therefore, the project provides for requalification of diagnostic and first-aid structures (laboratory and

radiology) in the four Health Centers of the Camillian Vice Province in Burkina Faso, in partnership with

the local health service. The four Health Centers in question are: the Centre Médical Saint Camille

(CMSC ), the Centre d’Accueil Notre Dame de Fatima (CANDAF), in the District of Sector 30, Ouagadou-

gou, the District’s “Ospedale San Camillo” Hospital, Nanoro, and the CERBA.

Activities

1. Reinforce the cooperation between Reproductive Healthcare measures in the District.

2. Supply 15 medical structures of the District of Nanoro (the CMA-SC Hospital and 14 healthcare cen-ters) with reactants and essential goods.

3. Screen and diagnose children with HIV-infected mothers, by performing RT-PCR at two months and serologic tests at 18 months of age.

Burkina Faso – Fighting AIDS affecting Adults in the District of Sec-tor 30 of Ouagadougou and in the rural District of Nanoro

External view of Na-

noro Hospital


30

5. Ensure protocols are correctly enacted by the district team.

6. Supply the medical structures with substitutes of maternal milk.

7. Supply the new ambulatories and the Day Hospital at CANDAF/CERBA Center with new furniture and medical equipment.

8. Supply the pharmacies of CANDAF/CERBA Center, of CMSC Center and “Hopital Saint-Camille” Hospital in Nanoro with medicines for the prevention and treatment of infections.

9. Supply the laboratories of CANDAF/CERBA Center, of CMSC Center and “Hopital Saint Camille” Hospital in Nanoro with reactants and essential goods.

10. Train local staff so as to provide them with clinical and diagnostic skills.

11. Train 30 agents to an integrated syndrome approach to HIV/AIDS cases.

12. Organize a calendar of domestic medical examinations.

13. Ensure monitoring of activities.

The project was conducted in partnership with “Esther Italy”, an intra-hospital program fighting AIDS, and was supported by the University and the Spedali Civili Hospital of Brescia. In 2011 the project has been mo-nitored by two cooperators: Dr. Virginio Pietra (physician and head of project) and Mario Civettini (administration-logistics).

The project ended in May 2011.

Counselling in Nanoro


31

Risults

Summary of Project Outcomes

The project contributed to the reduction of HIV/AIDS incidence (amount of new cases) and mortality in Burkina Faso. The project has improved healthcare measures offered to HIV-infected patients treated in the Health Centers of the Camillian Vice Province in Burkina Faso, our project partners, who work in colla-boration with the local Ministry of Health. Two of these centers are in the District of Bogodogo, in Ouaga-dougou, the capital – the Centre Médical Saint Camille (CMSC) and the Centre d’Accueil Notre Dame de Fatima (CANDAF). The third center, the District’s “Hopital Saint Camille” Hospital (ODSC), is in the rural district of Nanoro. Initially planned for the duration of 3 years, the project was prolonged by two months. It has been carried out from the 1st of April 2008 to the 31st of May 2011. The intervention has increased the support Medicus Mundi Italy has given since 2003, in partnership with the University of Brescia and the Ospedali Civili Hospital in Brescia, to Camillian healthcare centers in Burkina Faso in their fight against AIDS/HIV. This intervention is to be read within the Italian contribution to the European initiative ESTHER (Ensemble pour une Solidarité Thérapeutique inter-Hospitalière en Réseau). The focus has been in particular on the Prevention of Mother-to-Child transmission (PMTCT) of HIV/AIDS in the district of Nanoro and on medical assistance to HIV patients in the three centers.

The results of the project are listed below:

a. Prevention of Mother-to-Child transmission (PMTCT) of HIV/AIDS in the medical District of Na-noro

Mother-to-Child HIV transmission (during pregnancy, childbirth and breastfeeding) takes place, in case of no intervention, in 30% of HIV-infected women’s pregnancies. It is the main cause of pediatric AIDS. HIV screening and diagnosing in gestation and enactment of prophylaxis protocols (such as administering ARV medicines to mother and infant, artificial breastfeeding and early weaning) established by WHO and UNI-CEF for contexts with limited resources enable to reduce this risk to less than 5%.

WHO and UNICEF encourage PMTCT also as entry point for HIV/AIDS therapy for all HIV-infected mem-bers of the pregnant woman’s family (partner, children, other wives). This procedure is called PMTCTplus. Successfully introduced in the Centre Médical Saint Camille (Ouagadougou) in 2001, PMTCT and PMTCT-plus protocols have gradually become frequent medical measures in ante-natal centers throughout Burkina Faso. However, in rural areas, where medical centers are scarce and logistical difficulties, illiteracy and po-verty are more frequent, these measures have not had a relevant impact.

The project’s activities included technical assistance in training and supervising local staff and logistic or-ganization, as well as financing an emergency stock of medicines and reactants so as to guarantee continui-ty of provided services in case of temporary interruption of public endowments. These activities enabled the District’s medical centers to reach scores as high as those of urban centers in terms of tested pregnant women, almost 80%, of prophylaxis enactment, over 90% (Chart 1), and of Mother-to-Child HIV transmis-sion, one case out of 77 (1,3%).

These results have also shown that obstacles to PMTCT in rural areas can be overcome, mainly by opera-ting on the offer of medical services, by ensuring continuity, free access and quality of the services, and by motivating state-employed staff without recurring to financial incentives. The project has been vital in the achievement of such results also since it was carried out in a “conjunction” period, in between two rounds of the Global Fund (main donor in the fight against HIV/AIDS in Burkina), which caused strong irregulari-ties in governmental supplies of reactants and essential goods necessary for PMTCT.

Until 2010, HIV-screening and diagnosing in children of HIV-infected mothers in the District could be car-ried out only after the 18th month of age. Before this age, serological test results are likely to be distorted by the presence of maternal antibodies.

From 2010, early (from the sixth week of age) screening and diagnosing are available, since the Project trained personnel of all 17 centers in the district to perform Dry Blood Spot tests (DBS) on bibulous paper. Thanks to this sampling method, samples can be centralized, with no need of a cold chain, to the molecular biology lab of the Centre Médical St. Camille, where proviral DNA is extracted and amplified via RT-PCR.


32

b. Assistance of HIV patients treated in the three centers

Throughout the project, the three centers have given medical assistance to 1,594 HIV-infected adults (of which over 60% were female) and to 220 HIV-infected pediatric patients. As a whole, the percentage of pa-tients who were lost of sight or died (episodes occurring mainly in the first 12 months from their registra-tion because of the advanced initial clinical stadium of most patients) has been less than 10%. WHO esti-mates foresee, for contexts with limited resources, percentages of 20% of patients lost of sight and 15% of patients who die within the first year of follow up.

As to the 1,351 patients (1,212 adults and 139 pediatrics) who started tritherapy, it was verified that 1,066/1,351 (78.9%) are now asymptomatic. Therapeutic failures (failure of first-line ARV protocols, mainly for lack of treatment observance and need for a pharmacological second-line) have been only 82/1,351 (6.0%).

The project’s contribution to the achievement of such results was determining for both personnel training and supplying of equipment in the three centers, in particular for creating new day-hospital and diagnostic services to CANDAF (Ouagadougou) patients, within the Bio-Molecular Research Center “Pietro Annigo-ni” (CERBA). In addition, the project – similarly to the results obtained about PMTCT in the District of Na-noro – has provided an emergency stock of reactants and anti-infection medicines, which guaranteed free access and quality of biological monitoring and treatments during the above mentioned period of irregular public endowments.

Finally, specific training provided by the Project enabled psychological and material tutoring for patients given, on a voluntary basis, by three HIV “expert” patients associations. The benefit given to those who ha-ve to start ARV treatment or who need hospitalization eases therapy observance and the overcome of the acute phases of the disease.

The project has also enhanced knowledge about collateral effects of ARV medicaments on burkinabé pa-tients and about local epidemiology of other infections linked to HIV/AIDS (hepatitis B and C, HPV).

All results of the project have been documented and presented at major Italian and international conferen-ces on HIV/AIDS, and published on Italian and international scientific reviews. As foreseen, the project enabled the three centers to operate as “tutors” for other 6 Medical Districts in Burkina Faso who have asked for training support, in particular regarding PMTCT and pediatric HIV/AIDS.

Indicatori Luglio – Dicem-

bre 2008

Gennaio – Dicem-

bre 2009

Gennaio – Maggio

2010

Giugno 2010 –

Maggio 2011

Numero strutture che

offrono PTMB 6/15 14/17 17/17 17/17

% adesioni al test HIV tra

le gestanti 697/2.747

(25,4%)

2.747/5.913

(46,5%)

1.508/2.150

(70,1%)

4.510/5.686

(79,3%)

% madri HIV+ perse di

vista 10/12

(83,3%)

7/41

(17,0%)

4/28

(14,3%)

3/33

(9,0%)

% gravidanze e parti di madri HIV+ protetti da

profilassi ARV

2/12

(16,7%)

34/41

(82,9%)

13/15

(86,7%)

30/33

(91,0%)

TAB. 1 – Risultati delle prestazioni di PTMB nel Distretto di Nanoro (2008 – 2011)


33

Structure N° patients N° deaths(%) N° Lost Sight (%) San Camillo Ouagadougou

Adults

Children

773

201

20 (2,6)

17 (8,4)

34 (4,4)

4 (2,0)

CANDAF/CERBA

Adults

Children

436

-

28 (6,4)

-

26 (6,0)

-

San Camillo Nanoro

Adults

Children

385

19

43 (11,2)

01 (5,3)

29 (7,5)

1 (8,3)

Total

- Adults

- Children

1.594

220

91 (5,7)

18 (8,2)

89 (5,6)

5 (2,3) TAB. 2 – Risultati del follow up dei pazienti HIV/AIDS seguiti dalle 3 strutture (aprile 2008 – maggio 2011)

Description and explanation of due changes

All activities included in the program of action approved by the Italian Ministry for Foreign Affairs have been completed. The only exception was the participation of 3 representatives of the centers to the Upda-ting Course on Tropical Diseases at the University of Brescia. Their participation was impeded because of unexpected lack of personnel in the three centers; it was therefore impossible to find representatives who could be on leave for a relatively long period of time (4 months). Therefore, the funding destined to cover these trainings were used for short trainings on the premises and to cover the greater expenses on medica-ments and equipment.

Conclusion and final recommendations

The project confirmed the importance of involving the private no-profit medical sector and of associations of patients in order to achieve national goals, thus encouraging the development of contracting out strate-gies, officially adopted by the local Ministry of Health. The project has also contributed to proving that an HIV/AIDS control program, aimed at African rural populations, can be effective if organization, quality and economic access to medical measures (ante-natal examinations, diagnosis services, day-hospital and hospi-talization services) improve. Such, in fact, are the elements on which a Health System can be incisive while other facts, related to cultural resistance and often considered as the main obstacle to medical intervention in African rural populations, lie outside of its jurisdiction. The Project has also confirmed the feasibility and effectiveness of HIV/AIDS prophylaxis, monitoring and healthcare protocols outlined by WHO and UNI-CEF for contexts with limited resources, as well as the possibility of integrating such protocols with routine services given by first aid centers (Health Centers) or Reference Centers (Medical Centers, District Hospi-tals).

The local institutions in charge of the project results is the Camillian Vice Province in Burkina Faso, in col-laboration with the Ministry of Health’s delocalized structures (Medical Districts of Nanoro and Bogodogo).

Administration of the project’s results and the activities following its conclusion have been ensured by the training activities, thanks to whom the three centers are now covered in terms of competent local personnel and of well defined diagnostic and therapeutic protocols.

Some professional figures’ salaries (2 doctors, 3 lab technicians and 3 nurses), financed by the Project, have been covered by the third party. Moreover, this third party continues to pay salaries of the personnel giving valued service to the project. The continuity of the supply of medicaments, reactants and essential goods is guaranteed by the emergency stocks and the administrative funds created during the Project, prior to the arrival, planned after the end of 2011, of the funding of the 10th Global Fund round (2011-2015). In case these funds get delayed, the NGO has organized in Italy, in collaboration with the University and the Speda-li Civili Hospital of Brescia, a fundraising campaign for “therapeutic adoption”. The continuity of domicilia-ry healthcare measures is guaranteed by the volunteers of three associations of patients.


34

Burkina Faso – Fighting AIDS affecting Children in the Centre Médical Saint Camille, Ouagadougou

Place

Ouagadougou (Burkina Faso)

Local Partner

Camillian Vice Province in Burkina Faso

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

Altri partner

AO Spedali Civili di Brescia – Dipartimento di Pediatria

Università degli Studi di Brescia – Facoltà di Medicina e Chirurgia – Clinica Pediatrica

Co-financers

Private Donors


2010-2012

Project Goal

The project aims at reinforcing the services of medical assistance given to children affected by HIV/AIDS in the CMSC Hospital, Ouagadougou, by providing:

a. 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 coope-ration with several local Recreational and Nutritional Centers (CREN);

b. Training local medical staff in technical skills on antiretroviral therapy and on actions against malnu-trition;

c. Support to research activities aiming at defining pilot modes of intervention;

d. 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, both participants and non-participants to the Prevention of mother-child in-fection program-PTME.


35

Supply the medical center with ARV medications (antiretroviral) and with medications for the pre-vention and treatment of opportunistic infections.

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 in-tends 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 the 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 coping with HIV is supervi-sed.

Ensure pediatric patients that the integrated syndrome approach is supervised.

Develop training contents so as to make them available not only to the medical staff of St Camille Ho-spital and the CRENs, but also to DIU (Diplome Inter-Universitaire) students.


36

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)

Co-financers

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.

Project duration

2 years (September 2011-2013)

Project Goal

The project aims at promoting the improvement of healthcare and hygienic conditions, access to drinkable water and the set up 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, ac-cess 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 set up of a basic processing activity of agricultural products. The creation 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);

Burkina Faso – Water, Health, Hygiene and Economic Develop-

ment in the Rural Area of Beguedo [Béguédo Project]


37

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.

The Project activities began in October 2011. In November 2011 the first two forages (deep wells) have been handed over to the population of Natenga and Gnintaala, two areas of Fingla. The respective Mana-gement Committees of the wells have been constituted. During the same month, a first technical mission has been carried out by two PhD students of the University of Brescia: Doctor Marianna Bettinzoli (MMI, in charge of the medical part) and Engineer Luca Rondi (CeTamb, in charge of the water supply part).

Wells and everyday gathe-

ring of water supplies in

Burkina Faso. The most

basic forms of hygiene are

ignored.


38

Place

Nanoro and surrounding rural areas (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).

Further Partnerships

University of Brescia, School of Medicine and Surgery - Department of Infectious and Tropical Disea-ses.

University of Brescia, School of Medicine and Surgery - School of Specialization in Infectious and Tropical Diseases.

Co-financers

“Fondazione Comunità Bresciana” Foundation

Donors

Rotaract Club Brescia

Duration of Project

2011-2012

Project Goal

The project derives from the experience Medicus Mundi Italy has acquired in the Nanoro District in the pre-vention of vertical mother-child HIV transmission and which has enabled the identification of the strong limitations and deficiencies in ante-natal healthcare services.

The project aims at contributing to reducing mother and children mortality in the Sanitary District of Nano-ro by improving access and quality of the antenatal healthcare services in the District’s 17 Medical Centers (District Hospital St. Camille and 16 Health Centers).

Activities

1. Establish technical and administrative procedures for prenatal healthcare services with the District Management, by supporting quarterly supervision of Reproduction Healthcare and analysis of stati-stic data.

2. Training Centers’ staff (40 agents) for technical, accounting and administrative tasks related to ante-natal healthcare services.

3. Involve feminine leadership in identifying pregnant women who do not make use of prenatal services and in searching for women out of sight during pregnancy.

4. Ensure availability and accessibility to micronutrients, anti-malaria medicaments and IST medical kits for pregnant women.

5. Ensure availability and accessibility to reactants (rapid tests), ARV medicaments and basic consump-tion goods necessary for PMTCT.

6. Elaboration of a screening and prophylaxis protocol of mother-child transmission of Hepatitis B wi-thin the context of intervention.

7. Ensure follow-up and treatment of HIV+ pregnant women and their infected relatives at the District Hospital via counseling and screening of relatives of HIV+ pregnant women, performclinical, day-hospital and biological monitoring of patients, prophylaxis/treatment of infections, stocking of ARV medicaments and recovering of patients (when necessary).

This project began in December 2011. Local MMI project referees are Doctor Virginio Pietra and Doctor Marina Martinetto.

Burkina Faso – Improvement in prenatal healthcare in the sanita-ry district of Nanoro


39

Nutritional Center at the Hospital

of Nanoro.


40

MOZAMBIQUE

FOCUS

Surface area 801.590Kmq

Total population 23.391.000

Gross National Income per capita (US$) 930


2009 > 5.4

Population below $1 per day - % 59.6




births)

135

Maternal mortality ratio (per 100.000 bir- 490






41

Place:

Morrumbene District – Inhambane Province (Mozambique)

Local Partners:

- Inhambane Diocesis / Missao Santa Maria de Mocodoene

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

- Missao Santa Maria de Mocodoene.

Partnerships:

Project carried out by MMI jointly with Tovini Foundation (leader partner), SCAIP NGO, Sipec Foundation, SVI - International Voluntary Service.

Engineer Bruno Comini is the local coordinator of the project.

Further Partnerships:

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

Spedali Civili Hospital of Brescia, - Department of Pediatrics

Co-Financers:

Italian Bishops’ Conference

City of Brescia

Duration of Project:

3 years (2011-2013)

Project Goals

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, financial situations and access to electricity for the populations of the rural areas of Mongue and Mocodene.

Activities in charge of Medicus Mundi Italy

1) Supplying equipment and materials for Healthcare Centers in rural areas

2) Training, prevention and assistance in terms of maternal-infant health

3) Nourishment control and support for malnourished children and/or HIV+

4) Training of local nurses/medical attendants in the field of maternal-infant healthcare and for the preven-tion of contagious diseases

5) Training meetings on sex education and HIV prevention

Mozambique - “Brescia for Mozambique”: integrated multisectoral development project in Mongu and Mocodoene


42

Results

In its first year, ending in December 2011, the project gave the following results:

Supplying of equipment and materials for Healthcare Centers in rural areas:

1 baby dummy for practical demonstrations of basic assistance to newborns; 10 clocks to mark the exact hour of birth; 10 thermometers; 10 bathtubs for babies; 10 reanimation beds for babies; closets, shelves, tables and waiting chairs for the health centers; 10 baby bottles.

Training, prevention and assistance in terms of maternal-infant health

REINFORCEMENT OF MATERNAL INFANT HEALTHCARE (MIH) PROGRAMS AND PREVENTIONS OF VERTICAL MOTHER TO CHILD HIV TRANSMISSION (PMTCT):

In order to expand the area covered by the family healthcare service in the rural areas of the sanitary district of Morrumbene, we support the so-called brigadas moveis (mobile medical units). These units examine children and newborns in healthcare centers and in rural villages. Primarily, the briga-des have been equipped with mosquito nets to be given to families in need of them.

The brigades’ activities have taken place from April to November 2011 and have included weight mo-nitoring, vaccinations and general examinations on children’s health conditions. The following chart shows the final balance of examinations carried out in the period in question:

In addition, courses have been held in June, October and December in order to strengthen the medi-cal staff’s skills on MIH and PMTCT. Course attendees have also received didactic and promotional material on prevention and treatment of major endemic diseases (TBC, malaria etc.).

TRAINING OF 18 COMMUNITY HEALTH AGENTS (ACS) (MAY-JUNE 2011):

The training of ACS is part of a strategy planned by the MISAU (Ministry of Health) in order to reduce child morbidity and mortality in rural areas. ACS identify and take care of severe malnutrition cases who, mainly for lack of human and financial resources, are not assisted by the national health service. In this view, a course has been organized in Mocodene, in May and June. 29 ACS and 4 trainers have participated. Attendees’ food and travel expenses have been covered and reimbursed. With simulations of real cases and the support of didac-tic material, the course has dealt with the following issues:

Diagnosing malnutrition and food deficiency

Balanced nutrition

Malaria

TBC

HIV/AIDS

Month n. patient

April 498

May 244

July 363

August 303

September 498

October 471

November 413

Month n. partecipants

June 28

October 7

December 9


43

TRAINING OF 30 OBSTETRICIANS (OCTOBER-NOVEMBER-DECEMBER): in order to increase and improve the num-

ber of assisted child deliveries, some courses for 25 obstetricians (or traditional midwives) have been organi-

zed in Morrumbene. Courses were of 3-day length each and were delivered by 4 teachers. Attendees’ food and

travel expenses have been covered and reimbursed. The training was aimed at reducing maternal and infant

death in childbirths with complications and at increasing the amount of assisted traditional child deliveries. It

has dealt with the following issues:Signs, symptoms and preventive measures of childhood malnutrition;

Identification of symptoms of complications during pregnancy and child delivery;

Prevention of vertical transmission of HIV/AIDS to other women in labor and obstetricians during

childbirth;

Humanizing of assisted child delivery;

Transmission, prevention and consequences of malaria on pregnant women;

Malaria in newborns and in pregnancy.

Sensibilizzazione e formazione di 30 praticanti di medicina tradizionale e 30 leader comunitari

Raising Awareness and Training of 30 traditional medical practitioners and 30 community leaders

TRAINING OF TRADITIONAL MEDICAL PRACTITIONERS (NOVEMBER 2011): a confrontation took place between the

District’s traditional medical practitioners (the so-called “curandeiros”) and operators of the national health

system. We managed to involve 27 instead of the 30 we expected, nonetheless we believe this to be very positi-

ve. The meetings, held in Morrumbene, have focused on prevention and basic sanitary hygiene. Special rele-

vance has been given to methods and tools which are vital for the prevention of HIV, malaria and TBC tran-

smission. Similarly, special focus has been given to increasing screening examinations, child vaccinations,

identification of bowel parasitic diseases etc. This action aims at making curandeiros adopt basic hygienic-

sanitary habits and preventive measures of the diseases suggested by the healthcare centers, in order to en-

courage their “patients” to adopt them as well.

TRAINING OF COMMUNITY LEADERS (NOVEMBER2011): 28 community leaders from villages have been involved in

the project. Aim of their involvement is raising awareness and increasing information and knowledge on basic

hygiene and sanitary measures, as well as prevention of HIV/AIDS, malaria, TBC, diarrhea and other endemic

diseases. Community leaders are important representatives in rural areas, since they have the village’s trust.

They are able to identify families’ basic medical needs and to send the worst cases to the medical center and,

when needed, to the rural hospital of Morrumbene. The training program, of 3-day length, was delivered by 4

Health Technicians of the local Sanitary District and has taken place in villages with a health center (Cambine,

Malaia, Mocodene, Gotite and Sitila). The following issues have been dealt with:

Malnutrition, symptoms and related diseases

Balanced nutrition

Malaria

TBC

HIV: disease, prevention and transmission

Supervision, counseling and training of Local Medical Units Staff

Doctor Anna Cristina Carvalho (infectiologist) from “Spedali Civili” Hospital, Brescia (Italy) and Doctor Fabio

Uxa (neonatologist) from “Burlo” Hospital, Trieste (Italy) have been in situ from June 10th to 24th 2011. Here,

they have delivered professionalizing courses on prevention of vertical transmission of HIV and TBC, and on

newborn assistance, with special focus on basic post-partum cares.

During the monitoring mission of November and December 2011, Doctor Roberto Marzollo, Pediatrician and

Auditor of MMI, has used the opportunity to give a “refreshing course” to the Medical Units staff (nurses and

technicians) who had attended the neonatology course in June.

Nutritional support and monitoring of malnourished children and/or HIV+

The attention given to training and medical assistance related to families cannot neglect nutritional support to

malnourished children. We therefore purchased artificial milk and nutritionals for the children hospitalized in

the Morrumbene Hospital. This procedure has been monitored and controlled by the director of the Morrum-

bene Hospital and by the District manager of the mother-infant healthcare program.


44

Place

Morrumbene District – Inhambane Province – Villages of Morrumbene and Mocodene (Mozambique)

Local Partners:

Inhambane Diocesis – Missao Santa Maria de Mocodoene;

Serviço Distrital de Saúde, Mulher e Acçao Social de Morrumbene;

District service for financial activities in Morrumbene;

Mondlane University – Department of Agronomy and Forest Engineering – Maputo

Partnerships:

Project carried out by MMI jointly with SCAIP NGO (leader partner)

Engineer Bruno Comini is the local coordinator of the project.

Further Partnerships:

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

Spedali Civili Hospital of Brescia, Pediatrics Department.

Co-Financer:

Italian Ministry for Foreign Affairs – MAE

Duration of the project:

3 years (2011-2014). The project started in October 2011.

Project Goal:

The project, presented as a consortium by SCAIP and Medicus Mundi Italy, fits in a vast long-term and mul-tidisciplinary development program of the Inhambane Province in Mozambique. The initiative is promoted by the cooperation of 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 socio-financial and socio-healthcare standards. The actions that are undertaken in this view are: increase of pro-ductive 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 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 verti-cal transmission of HIV (PVT)

Information and awareness campaign on community health targeted to 45 community leaders

Involvement and sensitivity campaign targeted to 30 traditional medicine practitioners/healers

Nutritional support for children suffering from malnutrition and mothered by HIV+ women in rural areas

Supervision, consultancy and monitoring of personnel performance in 8 local medical units at com-munity-healthcare level.

Mozambique - "Brescia for Mozambique". Training for farming and promoting community health for the Rural Development of the Morrumbene District (Inhambane Province)


45

Practical lab experience during the updating cour-

se on TBC, Morrumbene, January 2011.

Morrumbene, June 2011. Practical exercise of new-

born reanimation on a dummy

Morrumbene, June 2011. Doctor Uxa with

course attendees during a practical lecture in

the delivery room, Morrumbene Center.

Morrumbene, June 2011. Final day of newborn as-

sistance course.


46

SOUTH SUDAN

Note—Suth Sudan obtained independence from

Sudan on the 9th July 2011. Therefore, before

this date the country is to be considered as parte

of the State of Sudan.

FOCUS


Population 8.260.490 (a. 2008)

Gross National Income per capita (US$) ===

Total health expenditure on GNI 2000 ===

2009 ===

Population below $1 per day - % ===

Human Development Index (1-187) ===

Life expectancy at birth (years) ===

Under 5 mortality ratio (per 1000living bir-

ths)

===

Marternal mortality ratio (per 100.000 bir-

ths)

===






47

Place

South Sudan: Villages of Mapourdit, Yirol (out station of Mapourdit), Marial Lou (Tonj County) and Gord-him (Aweil East County). Local Partner: AAA - Arkangelo Ali Association (NGO recognized by the government of South Sudan). Co-financing: “5 x 1,000”- Italian National Government Funding. Duration of the project: 18 months (2010-2011). Project Goal: Improve basic healthcare services in Mapourdit and Yirol and propel health actions in the Marial Lou and Gordhim Hospitals, with special attention to pediatric assistance. Activities

Supporting the activity of Village Volunteers and of Traditional Birth Assistants, who focus on basic pediatric assistance in villages by supplying medical kits.

Supporting and supervising the work of village medical practitioners (VV and TBA).

Supporting the training of local medical personnel targeted to the assistance of malnourished chil-dren.

Giving professional training to improve healthcare competence and knowledge of the medical staff of the Marial Lou and Gordhim Hospitals.

Supporting organization and management activities in the “sensitive” fields of healthcare centers (supply and management of medicaments and equipment for nutritional support).

The project included sending a professional MMI nurse on site to support and monitor the healthcare acti-vities. Achieved Results:

1793 children treated at home or in hospital;

36 childbirths in villages and 151 in the pediatrics ward of the Gordhim hospital;

Purchase of medicaments and medical equipment for obstetricians and Village Volunteers;

Support of training and tutor-based monitoring of the obstetricians’ and Village Volunteers’ activi-ties;

Epidemiological reports for the Ministry of Health of South Sudan.

South Sudan—Supporting healthcare activities in Mapourdit and Yirol and pediatric healthcare activities in Marial Lou and Gord-him


48

BRAZIL

FOCUS

Surface area 8.514.877 Kmq

Population 194.946

Gross National Income per capita (US$) 11.000


2009 >8.8





births)

20

Maternal mortality ratio (per 100.000 bir-

ths)

56






49

Place

Itaobim – Minas Gerais (Brazil)

Local Partners

"Vale do Jequitinhonha" Hospital

Prefeitura di Itaobim (Mg)

"Do Rim di Montes Claros" Hospital

Kidney Therapy Unit Pro-Rim of Brasilia de Minas

Further Partnerships

Spedali Civili Hospital of Brescia, Department of Nephrology and Urology

University of Brescia, School of Medicine and Surgery, School of Specialization in Nephrology.

Co-financers

Region of Lombardy

City of Brescia

City of Marone (Brescia)

“Fondazione Comunità Bresciana” Foundation

Donors

“Associazione Cuore Amico” NGO

Duration of Project

24 months (2009-2011) – the project ended in July 2011.

Project Goal

Supporting the redevelopment of the “Vale do Jequitinhonha” Hospital, through the activation of dialysis services and kidney disease prevention, for the benefit of the region of Itaobim. HVJ Hospital lacks the nee-ded resources to purchase equipment for treating patients. Due to the gradual increase of secondary patho-logies, local healthcare authorities give primary importance to intervention in kidney disease prevention; the request that the HVJ created a new haemodialysis center in the area has come directly from the Mini-stry of Health of the State of Minas Gerais. The city of Itaobim, financed by the State of Minas Gerais, has seen to the creation of the necessary structure for setting up the service. In addition, the city council is also committed to covering the charges of medical and healthcare staff (nurses), and the supply in medicaments and other materials in order to guarantee continuity to the service in future.

Activities:

Completing the structure used for the haemodialysis service;

Training of nurses and technicians on the dialysis service;

Providing an updating course for the haemodialysis service staff (nurses and technicians with nursing skills);

Creation of a water-treating system for haemodialysis;

Supplying furniture for the haemodialysis ward and day-hospital;

Purchasing, installing and launching 14 haemodialysis machines and accessories (14 chairs, a compu-ter, a ECG, a defibrillator and further more);

Having the haemodialysis ward of HVJ Hospital work in full activity;

Monitoring, consulting and medical-scientific supervision activities.

Brazil - Requalifying the “Vale do Jequitinhonha” Hospital, by ac-tivating the Dialysis Service and Kidney disease prevention in the Region of Itaobim (Minas Gerais).


50

Results

In 2011, the following results were achieved:

Training of local medical staff for haemodialysis service (specialized nurse and technicians with nur-sing skills);

Purchase and supply of equipment and furniture necessary to the ward;

Supply of furniture to the building containing the haemodialysis ward;

One specialized nurse and 10 technicians with nursing skills trained for the service;

Purchase of a water-treating machine;

Purchase of 14 machines and 14 armchairs for haemodialysis;

Hiring of a nephrologist to supervise the ward;

Training of 2 internists to manage the ward;

Training of one specialized nurse and completion of an updating course for technicians with nursing skills, trained in the project’s first year;

Supply of 1 supporting haemodialysis computer, 1 ECG, 1 defibrillator for the ward;

Supply of furniture for the waiting room;

Activation of the haemodialysis service.

Thanks to the project, the “Vale do Jequitinhonha” Hospital in Itaobim has become a clinic of excellence for haemodialysis in the whole region. Thanks to the new service, many patients and their families are not for-ced anymore to undertake long, tiring and expensive weekly journeys to the few hospitals offering dialysis service in Minas Gerais.

The continuous training of staff during the project enabled nurses and technicians to be tutored and upda-ted. During the second year, 2 internists have been trained; for logistic reasons it was not possible to enhan-ce their nephrology skills during the first year. Thanks to the launch of the haemodialysis service and the financial incomes produced by refunding from the Brazil Federal Health Service, the Hospital will improve other services and launch new ones. Some of the current lacks in medical services will be provided for by responding to the many medical needs and by improving the quality of medical assistance in the region.

Being included in the Minas Gerais Government PRO-HOSP program, it will be possible to cover future ma-nagement, maintenance and training of staff costs, thanks to PRO-HOSP funding destined specifically to adhering centers.

The ward was opened on 15th of May 2011, in the presence of local authorities and MMI representatives (Doctor Maria Rosa Inzoli and Doctor Cinthya Aparicio), on a mission to monitor and give a final evaluation to the project.

The strong rooting of the hospital within the Region of Itaobim and the local community has been proved. In November 2011 a supervisory mission, focusing on the activated service and refresh training of the dialy-sis ward staff, was carried out by a nurse specialized in Nephrology sent in situ by MMI.


51


52

ECUADOR

FOCUS


Population 14.465.000

Gross National Income per capita (US$) 7880


2009 >8.8





births)

20

Maternal mortality ratio (per 100.000 bir-

ths)

110






53

Place Manga del Cura (Ecuador) Local Partners: Archdiocese of Portviejo Co-Financers: “Fondazione Comunità Bresciana” Foundation, Brescia (Italy) Donors:

Circle Line Marketing and Communication

“De Angeli” Friends, Milan (Italy) Duration of the Project: 1 year (January-December 2011) Project Goal: The project aims at improving the quality of healthcare assistance and at reinforcing healthcare services in the Manga del Cura Region, by increasing diagnostic precision and Disease Prevention in the area. In the first phase, the first step to addressing the health problems experienced by the Manga del Cura po-pulation is the creation of a bio-chemical analysis laboratory, with the objective of surveying infectious di-seases and monitoring chronic ones. An analysis lab is an answer to the need for Disease Prevention: it con-tributes to keeping the population’s health under control so that treatment does not occur too late during therapy. It also addresses the need for diagnosing diseases, which are often not detected at all, for therapy control and treatment monitoring once health assistance is finally administered. In the second phase, aside from guaranteeing the fully operational regime of the lab, a program focused on strengthening the healthcare assistance network, disease prevention and health education is to be started. Beneficiaries is the Manga del Cura population, in particular those communities living in the most remote and inaccessible areas. Activities

Redevelopment of the health dispensary to start up a clinical analysis laboratory;

Supply and testing of equipment and instruments for the analysis laboratory;

Purchase of reactants, medicaments and various lab accessories;

Starting of the lab-analysis service;

Training and internship of two local lab technicians.

Ecuador — Analysis laboratory and community healthcare promo-tion in the area of the "Manga del Cura"


54

The lab has been set up in a building once used as a medical dispensary. In order to convert the building into a medi-

cal analysis lab, restructuration and adaptation works were necessary. The building has been supplied with the equip-

ments necessary to its functioning and the lab started its regular activities in July 2011. A young lab technician was

assigned as intern in order to collaborate with the project coordinator, Doctor Anna Bolzan, biologist sent in situ by

MMI.

The service offers a variety of general medical examinations, agreed with the exigencies of the subcenters’s

(dispensary) doctors and of the private practitioners from El Paraiso La Catorce.

Together with the lab restructuration, a course for healthcare promoters was started, so that these become spokesper-

sons in terms of health care prevention, family and community hygiene for different local communities. During the

year, a group of volunteers from 38 out of the 54 Manga del Cura communities has been trained. Some attendees ha-

ve been appointed coordinators for the area, for the active collaboration shown during the meetings and for having

organized activities promoted by the lab in their respective communities.

The project coordinator has followed the healthcare promoters’ training, in collaboration with doctor and nurses

from the subcenter and some private practitioners. Training activities included several workshops of two day’s length

(from February to November 2011). Workshops were structured with theoretical lectures focusing on the area’s main

medical issues and practical first-aid lessons, with simulations of clinical cases. The chart below summarizes issues

and problems touched during the training course:

febbraio 2011

TEMA 1 “Salute e malattia in un’ottica antropologica”

TEMA 2 “Cooperare per rafforzare il sistema sanitario locale: rete di salute La Manga del Cura”

aprile 2011

TEMA 1 “Igiene personale, pulizia domestica e sanamento ambientale”

TEMA 2 “Acqua per vivere”

TEMA 3 “Corso teorico di primo soccorso”

giugno 2011

TEMA 1 “Salute materno infantile”

TEMA 2 Pianificazione familiare

TEMA 3 “Corso pratico di primo soccorso”

agosto 2011

TEMA 1 Infezioni respiratorie e infermità diarroiche

TEMA 2 Diagnosi precoce e prevenzione dei tumori femminili

TEMA 3 Sviluppo psicomotorio nel neonato

TEMA 4 Analisi del sangue: comprendere un emogramma completo

TEMA 5 Utilizzo dei manuali di procedure per l'attenzione integrale delle malattie prevalenti dell'infanzia (AIEPI) (Guida teorica ed applicazione). Prima parte.

novembre 2011

TEMA 1 Infezioni delle vie urinarie

TEMA 2 Diabete. Colesterolo. Pressione arteriosa

TEMA 3 Utilizzo dei manuali di procedure per l'attenzione integrale delle malattie prevalenti dell'infanzia (AIEPI) (Guida teorica ed applicazione). Seconda parte.


55


56

Plcae

Europe and Africa

Co-Financer

European Commission

Partnership

Deutsches Medikamentenhilfswerk Action Medeor e.V.- Germany (capofila),

Stowarzyszenie Polska Misja Medyczna – Poland,

Federación de Asociaciones Medicus Mundi España – Spain,

Fundacja Pomocy Humanitarnej „Redemptoris Missio“

Medicus Mundi Poland – Poland,

Eine Welt Netz NRW e.V. – Germany,

CUAMM Medici con l'Africa

Kenya NGO/Private Sector Alliance Against Malaria – Kenya


4 years (1st phase 2008-2009 - 2nd phase 2010-2011)

Project Goal

Raising awareness on malaria in Europe by activating public support campaigns in order to increase politi-cal, financial and strategic commitment, on behalf of European governments, in fighting malaria. A further aim is reaching the Millennium Development Goal concerning malaria.

STOP MALARIA NOW! is a program conducted jointly by several NGOs from Germany, Italy, Kenya, Po-land, Spain and Switzerland committed to healthcare and development.

The “Stop Malaria Now!” project promotes awareness and advocacy campaigns in Europe, in order to share knowledge and experience on fighting malaria. This disease is strictly linked to poverty and one of the main causes of death in the African South-Sahara region.

Healthcare coordinator for Italy: Dr. Fabio Buelli—General coordinator for Italy : Dr. Sabrina De Nardi.

The target groups of the initiative are:

European representatives for healthcare and development NGOs;

Private donors of European NGOs;

Local, regional and national administrators in charge of healthcare and development in the Euro-pean Union;

Local and national press and media.

In 2011, activities have included:

Internet campaign “Show Your Face Against Malaria!”;

Distribution of “lobbying letters” to local and national politicians to demand greater efforts in fighting mala-ria;

Articles about malaria on local newspapers and national magazines;

Distribution of gadgets and informative material in schools, local events and conventions;

Awareness campaign on local radios (Radio Number One).

Developmnet Education

STOP MALARIA NOW!

http://www.33ff.com/flags/bandieremondo/bandiera_Unione-Europea.html


57


58

Training Course

Updating Course on Tropical Diseases 2011

The Updating Course in Tropical Diseases has now reached its 24th 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 phy-

siotherapists) 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 impor-

ted diseases more and more. The course is open to a limited number of attendees, 20 at maximum.

Teachers, who come from Italian Universities and hospitals, and from NGOs focusing on international healthcare

cooperation, are experts on medical problems in developing countries.

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 10th of October to the 28th, taking in total 105 hours.

In 2011, we had 14 attendees, 8 doctors and 6 nurses.

Also for 2011, 50 ECM credits were assigned to nurses and doctors who have 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.


59

Civil Service

Civil Service 2011

Medicus Mundi applied, with the help of FOCSIV (Federation of Christian Orgnizations and International

Voluntary Service), to the UNSC (Ufficio Nazionale per il Servizio Civile – Italian General Office for Volun-

tary Service) with a project for Burkina Faso entitled WHITE HELMETS ABROAD.

The project aims at reducing the incidence and mortality of HIV/AIDS in the sanitary district of Sector 30

(400,000 inhabitants) in Ouagadougou, the capital city, and in the rural sanitary district of Nanoro

(150,000 inhabitants). Doctors or nurses trained in the correct application of the therapy and in the fight of

mother-to-child transmission will be able to teach professional skills to local staff and to gain working expe-

rience in countries with limited resources.

Therefore, the program aims at inducting volunteers in day-hospital and diagnostic wards (lab and radiolo-

gy) of three medical centers run by the Camillian delegation in Burkina Faso, in accord with the local sani-

tary system. The three centers are: the Centre Médical Saint Camille (CMSC ) and Centre d’Accueil Notre

Dame de Fatima (CANDAF), in the District of Sector 30, Ouagadougou, and the District Hospital of Nano-

ro. This project is conducted in collaboration with the University and the Spedali Civili Hospital of Brescia,

within the Italian participation to the ESTHER project. Throughout the project, similar interventions will

be extended also to the District Hospital Saint Camille, Nanoro.

In February 2011 two volunteers, Doctor Alessia Melzani and Doctor Arianna Andreoli went to Burkina Fa-

so, where they have been working for 10 months under the supervision of Doctor Virginio Pietra, our local

health coordinator and trainer.

Documents

Medicus Mundi Italy - Report 2011