World Red Cross and Red Crescent Day 2006 - May 8

Case Studies - Africa

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Chad - Kenya - Namibia - Niger - Sudan - Zambia

“My wish is to have the power to advise my sisters because we have to
help one another.”

In Cameroon, sex workers are often social outcasts. Many know little about the health risks and do not have the power to negotiate with their clients over using a condom. The HIV rate is believed to be much higher among sex workers than in the rest of the population and, with every sex worker likely to have at least 150 clients a year, the health consequences for Cameroonian society could be tragic.

Through its ‘Filles Libres’ (Free Girls) project, the Cameroon Red Cross aims to reduce stigma and discrimination and to fight the spread of HIV/AIDS. The project has already proved successful in Yaoundé, where the Red Cross set up a support centre and sex workers are encouraged to attend the newly opened Red Cross health centre.

Here, they are treated with dignity and in confidence. They can access voluntary counselling, be tested for a range of conditions and apply for small amounts of credit for income-generating projects. About 40 women have already set up businesses such as hairdressing salons and food stalls.

In September last year, the Cameroon Red Cross took the project to Douala, the economic capital and the sex-work hub of the country. Here, the HIV rate is estimated at 12% or higher.

The Red Cross trained 21 volunteers, nine of them sex workers, as peer educators. In the past four months, they have organised over 300 educational talks, reaching over 1,600 sex workers. “When I accepted the invitation,” says one, “I told myself that the Red Cross could help me.”

Peer educators are a real strength in a project like this, where women often have bad experiences of treatment by ‘outsiders’. These volunteers are so important to the Red Cross because they know what the life is like – many have lived it for themselves.

The project has proved so successful that is has already been replicated in Sao Tome and Principe, the Central African Republic and Equatorial Guinea.
Information sheet: Chad volunteer case study

“The practice still goes on, even though it has been denounced by many international organisations and conventions as dangerous and inhumane.”

It is estimated that 4,000 to 5,000 girls undergo female genital mutilation (FGM) in Chad every year. The procedure, which involves the surgical cutting or removal of female genitalia, leaves girls and women facing serious health risks throughout their lives. It is officially forbidden and carries a jail sentence of up to five years but current legislation is unclear.

Beyond the enduring health risks, FGM is also one of the main reasons why so many young girls in Chad leave school at an early age, as they are often forced to get married or are too ashamed to be seen by male students.

Tribal chiefs are widely respected by local populations and stand the greatest chance of bringing about change. Today, they are becoming increasingly aware of the tragic consequences of FGM thanks to an advocacy project run by Red Cross volunteers in southern Chad.

Recently, several chiefs from the Bodo area gathered for a training session organised by Chad Red Cross volunteers. By the end of the meeting, they had agreed to get involved in the fight against FGM and pledged to explain to rural villagers why the practice must be banned.

Bodo’s tribal chief went even further. He decided to establish a local society to provide advice and assistance for the women who actually carry out FGM and help them to find another way to earn a living. The Chad Red Cross is supporting this initiative and has suggested small businesses and agricultural activities as alternatives.

There are already 400 trained Red Cross volunteers running advocacy campaigns against FGM in Chad. This number includes 45 volunteers who are working in Sudanese refugee camps in Eastern Chad. The aim is to extend the project to neighbouring areas and a regional meeting of tribal chiefs has been set up to take this forward.

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Information sheet: Kenya volunteer case study

“Somebody help me!” 

Within minutes of a five-storey building collapse in the central business district of Nairobi, Kenya, in January, people were using their bare hands and basic tools to comb the dusty concrete debris for survivors. Among them were over 70 volunteers from the Kenya Red Cross with stretchers and first aid kits to assist the injured.

“When we arrived, we found an extremely chaotic situation,” explains Anthony Muchiri, an action team volunteer from the Nairobi branch. “We moved the injured from the collapsed building to a mobile medical centre. They were treated here before we ferried them to the national hospital in our ambulance and those from other agencies.

“Later on, we mobilised more volunteers from the Thika, Embu, Kajiado and Karen-Langata Red Cross branches.” The volunteers set up food and accommodation tents and attended to the needs of the rescuers and Red Cross personnel. The Kenya Red Cross also dispatched flash lights, body bags, tents, air pipes, torches and hardware gloves to assist the operation.

Crowd control was a huge problem in the initial stages but emergency workers had an easier time moving the injured to hospital after roads were cordoned off.

Several people remained trapped in the debris for hours and could be seen signalling for help. Most of the injured had head and facial injuries and fractures to the hands, hips and legs. Others had internal bleeding. Bystanders, including children, were also injured. The Red Cross volunteers moved over 15 people to hospital within 30 minutes of the disaster. Some almost certainly owe their lives to the fast response of the Red Cross volunteers.

Together with the Kenyan government, the Red Cross also quickly established an information centre for relatives and friends of those injured or killed in the disaster.
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Information sheet: Namibia volunteer case study

“We are very happy to live this new life. Our children get to attend school and we are not moving from one place to another. We have finally settled here and this is our land.”

It is shortly after noon and Namibia Red Cross volunteers and staff are on their way to Omatako village in western Tsumkwe, Namibia, to distribute seeds. About 150 San residents await them and more villagers are walking towards the distribution point.

A nomadic people for centuries, these San villagers now live a very different life. Their village has real homes, a primary school, a small clinic, crop fields and livestock such as goats and cattle. The people are among the 2,000 vulnerable households targeted by the Red Cross seed distribution operation. Other groups to benefit are orphans, vulnerable children and home-based care clients.

The Namibia Red Cross volunteers and food security staff distribute four kilos of maize seed, 20 kilos of fertilizer and 20 grams of vegetable seed per household. This is enough to feed over 50 people and to keep some of it for the next season. It also allows people to sell some of the harvest to buy other basic products.

“I am really honoured to witness this chapter of evolution in our lives,” says San Chief, John Arnold. “As a San person facing food insecurity, the seed will help us defeat hunger.”

His words are echoed by other villagers. “I can’t wait to start planting,” says Ngugas Kambembe. “The rain has been good to us and I have a lot of work ahead of me to make sure my children and my community get enough food.”

The seed distribution clearly makes a real difference to the lives of the villagers but it would not be possible without the commitment and dedication of the Red Cross volunteers.

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Information sheet: Niger volunteer case study

“We use theatre to teach people about first aid and how to prevent or live with HIV/AIDS, polio, meningitis and malaria.”

“As a Red Cross volunteer, you should be used to seeing things like this but sometimes tears run down your face without you noticing,” says Oscar. “It’s a human reaction… Sometimes what you see is overwhelming.”

Oscar has been a Red Cross volunteer in Maradi, Niger, for more than 20 years. He’s tall, thin, wears big glasses and his face lights up when he smiles.
Oscar joined the Red Cross “because of its humanity” and he takes every opportunity to recite the organisation’s seven guiding principles.

In August last year, he worked at a supplementary feeding centre offering assistance to people affected by the drought and locust invasion, which destroyed crops in this West African country. Poverty is chronic in Niger and the infant mortality rate is one of the highest in the world. Many families were forced to sell their animals and means of subsistence because of the crop devastation.

An estimated 20 per cent of children under the age of five in Niger were moderately malnourished. Oscar’s task was to show their mothers how to use Unimix, an enriched food made of soya, corn and vitamins mixed with oil that will hasten recovery and prevent diseases.

“It is very important that they understand how to use it,” he explains. “They need to know how much their child needs every day and that the water used to mix it must be boiled beforehand to prevent the children becoming more sick.”

With support from the International Federation, the Niger Red Cross provided supplementary feeding and basic health services to 24,500 children and their families in four of the most affected areas. In Maradi, the Red Cross aimed to support 6,000 moderately malnourished children under five.

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Information sheet: Sudan volunteer case study

“You find 20 people in a house where five used to live. Sanitation and latrines are just not there. With the rains, there could be disaster.”

In March this year, an outbreak of cholera in Southern Sudan stabilised but there were fears that the epidemic could still spread and move to the north of the country. This fear was based on the onset of the rainy season and an increase in the flow of people returning to their homes following the year-old peace agreement.

In situations like this, Red Cross/Red Crescent volunteers are invaluable in helping to counter the spread of disease. In this instance, the Sudanese Red Crescent provided affected areas with chlorine tablets to purify water, oral rehydration salts and hand soap to improve hygiene.

Equally important, Red Crescent volunteers were stationed at water collection points such as boreholes and wells dispensing chlorine tablets with each jerry can of water.

They also visited people in their homes promoting better hygiene, urging people to wash food, baby bottles and utensils, and reinforcing the need to cook all food thoroughly.

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Information sheet: Zambia volunteer case study

“The incredible reduction in measles mortality in the last four years has been so dramatic that it is an unprecedented public health historical event.”

Anton Chilufya is a volunteer with the Zambia Red Cross. He was among the first in his country to involve himself in the fight to eliminate measles at a community level. His work involves visiting families in his neighbourhood every month, checking that everyone, particularly young children, are healthy.

Children in Zambia, as in many other African countries, face poor health conditions. They are at risk from measles infection, particularly since one child can infect others both at home and at school.

One of Anton’s objectives is to persuade parents to have their sons and daughters immunised against measles. Then he takes the children on his bicycle to the closest vaccination centre, often some distance away. Such help is vital to parents, whose responsibilities on the land and with other children made it difficult to leave home.

Anton’s commitment to his community made him a key partner in the fight to eliminate measles. He is one of thousands of Red Cross and Red Crescent volunteers throughout Africa who have been active in recent years supporting the Measles Initiative.

Launched in 2001, the Measles Initiative aims to vaccinate 200 million children and prevent 1.2 million deaths over five years. As of 2005, the Initiative had mobilised more than $144 million USD and had helped 33 countries in Africa. The aim this year is to expand the programme into Asia, particularly India and Pakistan.

The goal is to reduce global measles deaths by 90 per cent by 2010 compared to 2000 levels. If this is to be achieved, volunteers like Anton who are dedicated to making a difference within their communities are a vital link.

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