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World
Red Cross and Red Crescent Day 2006 - May 8 |
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Case
Studies - Africa |
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| Chad - Kenya - Namibia - Niger - Sudan - Zambia |
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| Information sheet: Cameroon volunteer
case study |
“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. |
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| 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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