MdM Spain has been present in Central America and Mexico for more than 25 years, intervening at different socio-political moments and with projects that have evolved according to the health needs and the humanitarian context in this region. In Honduras, it has been present since 1998, intervening at different times, particularly in natural disasters caused by "Hurricane Mitch", institutional strengthening of the Ministry of Health, in the area of HIV, maternal and child health, sexual and reproductive health, in other words, it has a long history of working for the right to health. During its trajectory in Honduras, it has been consolidating itself as a reference organisation for its organisational character and its contribution to the development of public health policies and the implementation of the framework of international agreements in favour of vulnerable, excluded and minority populations. MdM currently has a guiding document for its interventions in the Mesoamerican region - the Strategy of Doctors of the World Spain and France in the Mesoamerican Region, 2017 - 2020. The strategic axes of work are defined as a) sexual and reproductive rights, prevention of gender-based violence and b) people, migration and forced displacement. In its interventions, MdM works in alliance with the health sector, the human rights sector, public universities and community-based social organisations that share the same objective of protection and care. This strategy has allowed us to consolidate our work in Honduras, developing humanitarian aid projects, as well as development cooperation projects, with multidisciplinary teams that respond to the work in the country.
Operational details & security context
Brief description of the operational and security context
Information on the operational and security context should be neutral, apolitical and should not contain sensitive information. Tenders that do not meet this requirement will not be published.
Médecins du Monde has been working in Honduras since 1998, and its long history in the country means that it has the necessary operational resources to carry out its interventions.
Material and logistical resources: Doctors of the World has two offices, one in Palmira in Tegucigalpa - Francisco Morazán (main office), close to the Technical Cooperation Office (OTC) of the Agency for International Development Cooperation (AECID) and the other in Residencial "Los Médicos" circuit, close to the Medical College of Honduras, headquarters in San Pedro Sula (field office) in the department of Cortés. The office is fully equipped with all the necessary material and equipment (computers, printers, internet, offices, etc.). In addition, 3 vehicles are available to carry out the interventions in Tegucigalpa and 2 in San Pedro Sula; likewise, all the biosecurity measures for the prevention of COVID-19 are guaranteed in the spaces.
Human resources: MdM has a permanent technical team based in Tegucigalpa (1 country coordination, country administration and technical teams, the same for San Pedro Sula, with a base administration) to develop its interventions in the department and carry out coordination and supervision tasks. In addition, the field team works in close proximity to its specific team at the headquarters in Madrid, providing support for the formulation, monitoring and evaluation of interventions, among other coordination tasks. Something to highlight is that the country posts, as well as the base logistician, accompany all the work in Honduras and are integrated into the regional team that covers Honduras, El Salvador, Guatemala and Mexico, so that the volunteer would accompany the intervention of the various projects being implemented, including those with a regional scope.
3. Local, technical and financial partners on the ground: MdM in Honduras, works closely with the Ministry of Health (SESAL), through its various health and metropolitan regions, as well as with the Ministry of Human Rights (SEDH), National Autonomous University of Honduras (UNAH), Directorate for Children, Adolescents and Family (DINAF), with community-based organisations such as Committees of Relatives of Disappeared Migrants on the Migratory Route, Returned Migrants with Physical Disabilities resulting from the Migratory Route, Medical Dispensaries of the Pastoral de la Salud, Municipal Emergency Committees (CODEM), as well as participation in the Humanitarian Network of the Country, through the Health and Protection Cluster, as well as the Coordination of Spanish NGODs present in the country; It is also worth mentioning the relations maintained with agencies of the United Nations system (UNICEF, UNHCR, UNFPA, UNHCHR, UN Women, IOM), as well as with donors, AECID, AACID, among others.
Honduras is one of the countries with high rates of violence (Homicide Rate 41x100,000 inhab.). It is a corridor for drug trafficking from South America to the United States, sustained by organised crime structures and gangs.
Since the 2009 coup d'état, violence in general is considered to have increased due to the situation of social crisis and impunity, manifested in the reduction of democratic space and the assassination of journalists, human rights activists and opposition politicians. Situations of threats and intimidation, killings of family members, extortion, sexual violence against women and girls, assassinations, forced recruitment and control of territories by gangs, which fight for territorial and social control of the communities they try to dominate, are described.
Security measures: To mitigate risks, the following is proposed:
MdM-Honduras has a method for risk analysis and regularly updated security rules. The security situation in the country is continuously monitored, allowing MdM to adapt its interventions according to the evolving context. Prior to arrival, the volunteer is briefed on the context and security at headquarters and in the country, as well as at the beginning of his or her mission in Honduras. All the volunteer's movements are planned. In addition, the volunteer, like all MdM staff in Honduras, is provided with an updated contact list and a means of communication, as well as a mapping of red zones (where it is not possible to pass through, yellow zones, where the risk is intermediate and green zones, where there is no risk at all).
Safety is a necessary condition for project implementation. The main tools for security management in the field are:
1. The logistical and safety procedures guide and the safety risk analysis matrix. The main risks relate to traffic and health accidents, although so far they have never been substantiated in a way that has jeopardised the implementation of the project. Mitigation measures include safe driving practices, the application of good health practices in direct care activities, and the maintenance of good hygiene practices for the prevention of COVID-19.
2. Mandatory Safety Rules for all MdM staff, including volunteer profiles.
3. The security briefing given to all expatriate staff prior to deployment. All deployed personnel are insured in accordance with the Volunteer Law and the Aid Worker Law.
The availability of support mechanisms from the MdM headquarters in Madrid: a 24-hour emergency telephone number, a security consultancy profile, a gender consultancy profile, a psychosocial intervention support protocol with a volunteer psychosocial rapid intervention group.