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Annual report 2005 Malteser International - Ordine di Malta

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supports the local health care systems in<br />

the provinces of South Kivu and Ituri in<br />

the east of the country. The basis for this<br />

is our cooperation with the health care<br />

facilities in the provinces and with local<br />

non-governmental organisations. We<br />

regularly provide more than 300 health<br />

care centres and other me<strong>di</strong>cal facilities<br />

with me<strong>di</strong>cine and me<strong>di</strong>cal equipment,<br />

so that they can carry out their services<br />

uninterrupted. In this way, over 900,000<br />

people in Kivu and around 1.8 million<br />

people in Ituri get access to improved<br />

primary health care. We believe a<br />

crucial factor is the training of local staff,<br />

conducted by our experts and provi<strong>di</strong>ng<br />

me<strong>di</strong>cal advice. In ad<strong>di</strong>tion, we collect<br />

comprehensive data to track health care<br />

development in the region and assess the<br />

effect of local measures.<br />

In 2003, we extended our programmes<br />

in both regions to provide more<br />

comprehensive help in terms of psychosocial<br />

and me<strong>di</strong>cal care for the numerous<br />

victims of sexual abuse. Since then,<br />

28 centres linked with primary health<br />

care facilities have opened up in South<br />

Kivu for sexual abuse victims, offering<br />

specialist me<strong>di</strong>cal treatment and psychosocial<br />

care. A crucial role here is played<br />

by expert training and further education,<br />

Birgit Betzelt<br />

focussing on combating trauma, as well<br />

as the monitoring of local staff and<br />

workers from local aid organisations.<br />

Thanks to sensitisation and awareness<br />

campaigns amongst the population and<br />

of the military in cooperation with local<br />

authorities, we are able to confront sexual<br />

abuse on a wide basis. Over the last year,<br />

more than 10,000 abused and raped girls<br />

and women have sought me<strong>di</strong>cal and<br />

psycho-social treatment at the health care<br />

centres supported by us. We estimate that<br />

a further 10,000 girls and women will<br />

seek professional help this year, too.<br />

A further focus of our work in South<br />

Kivu is our programme for food security,<br />

which aims to make the population<br />

more independent of external aid on a<br />

P R I M A R Y H E A LT H C A R E :<br />

Every human being should have access to<br />

fundamental me<strong>di</strong>cal care – a fact that is<br />

taken for granted, but which is not yet a<br />

reality in many countries. In ad<strong>di</strong>tion to<br />

the prevention and treatment of infectious<br />

<strong>di</strong>seases, the most crucial elements of<br />

primary health care are immunisation<br />

programmes and safe access to drinking<br />

water, food and me<strong>di</strong>cine. Others include<br />

care for pregnant women, children and<br />

the chronically sick, as well as training for<br />

me<strong>di</strong>cal staff and health education. With<br />

as little as EUR 35, we can ensure primary<br />

health care for a child or an adult person in<br />

Africa or Asia for a whole year.<br />

DR Congo: Work<br />

with women forms<br />

a focal point of<br />

our projects in<br />

South Kivu.<br />

long-term basis. To this end, we have<br />

set up 13 nutrition centres in which<br />

undernourished children under the age<br />

of five can be nursed back to health, as<br />

well as ten centres for small livestock<br />

bree<strong>di</strong>ng. Via 23 centres for food security,<br />

we <strong>di</strong>stribute seeds to the population,<br />

making a sustainable contribution to selfsufficiency<br />

in these areas. At the nutrition<br />

centres, we train staff who then establish<br />

demonstration gardens to show the<br />

population suitable cultivation methods<br />

and provide nutritional advice.<br />

DR Congo: Support for over 300 health care centres with me<strong>di</strong>cine and me<strong>di</strong>cal equipment.<br />

10<br />

A F R I C A

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