Operational details & security context
Médicos del Mundo has intervened in Mozambique since 2000, its long history in the country means that it has at its operational level the necessary resources to carry out its interventions.
1. Material and logistical resources: Médicos del Mundo has an office in Matola, a peripheral city of the capital of Maputo (16 km away), where the country coordination is hosted. The office is fully equipped with all the necessary equipment and equipment (computers, printers, internet, offices, etc.), and has a kitchen, a room and everything necessary to accommodate the volunteer. In addition, 3 vehicles are available to carry out the interventions in the province;
2. Human resources: MdM has a permanent technical team based in Matola (1 expatriate: country coordination, and 14 national staff) an Cabo Delgado (1 expatriate and – so far – 3 national staff) to develop its interventions in the country and carry out coordination and supervision tasks. In addition, the team in the field works closely with its specific team at the headquarters of Madrid, giving support to both the formulation, monitoring and evaluation of interventions, among other coordination tasks;
3. Local, technical and financial partners in the field: networking is the cornerstone of the MdM intervention strategy in Mozambique. The projects are implemented in collaboration with the Ministries of Health (MISAU) and the Ministry of Gender, Children and Social Action (MGCAS) and their decentralized services (Provincial and District Offices), as well as with civil society organizations. Community Development Association Women (ACODEMU), Youth Association for Young People (AJPJ), Fundaçao Wiwanana, and the Spanish NGOs ASF and ONGAWA (project consortium). In parallel, permanent contact is maintained with representatives of donors and international agencies present in Mozambique: EU, AECID, WHO (Health Cluster), UNICEF (Nutrition Cluster), etc. There are currently 4 projects under execution, of which 3 are supposed to be completed by December 2020.
Mozambique lies on the east coast of Southern Africa bordering the Mozambique Channel, between South Africa and Tanzania. With the size of 801,590 km² and its 28 million inhabitants the country ‘strong ties to the region’s economic engine, South Africa, underscore the importance of its economic, political and social development to the stability and growth of Southern Africa as a whole.
Mozambique is predominantly a country of emigration, but more recently internal labor migration is on the increase as the economy opens up to extractives and energy companies. At present, there continue to be significant emergency operations, recovery and development challenges coupled with cross-cutting concerns such as the spread of HIV and AIDS, human smuggling and recent increases in irregular migration. Currently, there is a large increase in irregular migrants from the Horn of Africa. Many of these irregular migrants come from Somalia and Ethiopia and seek asylum in Mozambique. However, many also try to move onward to South Africa.
As regarding to the climate vulnerability, Mozambique (like most of the countries of the Southern Africa and Indian Ocean Region – SAIO) is affected by a several crisis due to climate change such as the widespread food security crisis as a result of the El Niño phenomenon (2016-2017) and, recently, the floods caused by the cyclones IDAI and Kenneth (during the 2018-19 rainy season).
Generally, coastal areas have a risk of tropical cyclones during the rainy season (November to April) and widespread flooding can also occur around river basins, especially the Zambezi.
Nevertheless, Mozambique was affected by two major tropical cyclones, which had a major impact on the people and infrastructure of Sofala, Manica, Nampula, Tete, Zambezia and Cabo Delgago provinces. Critical infrastructure has been restored and main roads are open. However, not all bridges have been repaired and travel in the rainy season may therefore be restricted
Terrorists are likely to try to carry out attacks in Mozambique. There has an been an increasing intensity of attacks in Cabo Delgado since October 2017, with attacks reported in the districts of Palma, Mocimboa da Praia, Macomia, Nangade, Quissanga, Muidumbe, Meluco and Ibo. Militants have used explosives, machetes and firearms to conduct lethal attacks, as well as burning vehicles and homes. There are reports of an increased security presence in the province, including roadblocks, and there are regular clashes between militants, armed vigilante groups and Mozambican security forces. That is the reason why it will not be permitted for volunteers to travel to that province.
Presidential, legislative and provincial elections took place in Mozambique on 15 October 2019, won with a large majority by FRELIMO, the party that rules the country since 1975. In the past, the electoral period has resulted in civil unrest and intermittent outbreaks of violence. There have been recent demonstrations directed at commercial trucks from South Africa in Matola, south of Maputo. If you’re travelling in the area, you should exercise caution, avoid all demonstrations and follow instructions of local authorities.
Since October 2015, at least 10,000 people have fled to neighboring Malawi and Zimbabwe because of abuses committed by the army and RENAMO fighters. On 2016, the number of internally displaced people continued to grow, forcing the government to set up camps in Manica province, where authorities said over 1,000 families were living (
www.hrw.org/world-report/2017/country-chapters/mozambique). Nevertheless, RENAMO has maintained armed militias and from time to time parts of the center of the country have witnessed active conflict between its residual militia and Mozambique’s armed forces. Thus, on March 2016 there were several meetings for political mediation aimed at abandoning arms and returning to political dialogue, like those between the EU HR/VP Federica Mogherini and the President Nyusi. Even if President Nyusi (from FRELIMO party) initially welcomed the EU's engagement in supporting Mozambique to overcome the current crisis, on April 2017 he has announced the end of involvement of international meditators in the country's peace process, as the population had demanded a greater role of the political representatives of RENAMO and FRELIMO and reduced international intervention in the pacification of the country ( https://www.iom.int/countries/mozambique)
Security conditions in Maputo Province:
- Crime. Most visits to Mozambique are trouble-free, but street crime, sometimes involving knives and firearms, is common in Maputo and increasing in other cities and tourist destinations. There are some areas in cities which are more dangerous; seek local advice. Be vigilant at all times. Beaches or offshore islands are not policed. Avoid walking alone at night and don’t display valuables or money. Avoid withdrawing cash from ATMs at night.Some visitors to Mozambique report being victims of police harassment, including robbery, or requests for bribes. Beaches or offshore islands are not policed. Is not recommended walking alone or driving alone at night so as display valuables or money. There has been an increase in reports of carjacking, particularly in Maputo and between Boane and the eSwatini border crossing points of Namaacha and Goba. Cases of police harassment, including robbery, or requests for bribes are increasing.
- Criminal kidnaps. There have been kidnappings reported in Mozambique, mainly in Maputo. While most victims have been Mozambicans, foreigners have also been targeted.
- Road travel. Traffic accidents are common due to the condition of the roads and poor driving and vehicle standards.
- Overland travel on public transport can be hazardous due to poor vehicle and road conditions.
- Low lying areas around major rivers flood regularly during the rainy season (November - April) making many roads impassable.
- Protests or demonstrations can occur in the cities with little notice.
-Malaria is endemic in the country, even if in Maputo caseload is lower.
-Hospital facilities are generally poor in Mozambique, especially in the north of the country. In cases of serious illness or injury, medical evacuation to South Africa or the EU may be necessary. It is higly recommended to have a travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation.
-In the 2010 Report on the Global AIDS Epidemic the UNAIDS/WHO Working Group estimated that around 1,200,000 adults aged 15 or over in Mozambique were living with HIV; the prevalence percentage was estimated at around 11.5% of the adult population compared to the prevalence percentage in adults in the UK of around 0.2%. Exercise normal precautions to avoid exposure to HIV/AIDS.
MdM has elaborated the Safety Measures Guidelines as well as the Safety and Evacuation Plan and a Local Operational Manual for all its local offices (all the documents are regularly updated). The Local operational manual for Mozambique has been realized with the support of the MDM Mozambique staff, specifically arranged in accordance with the local environment considering the specific existing risks in order to develop appropriate security, health and safety procedures for staff. Due to the differences between the two contexts, a specific focus on the two areas is included in the plan. A copy of the manual is given to the staff and EU Aid Volunteers before reaching the Country and disseminate to the local staff.
MDM Mozambique guarantees appropriate living and health condition for its staff. No health risks are identified. No specific vaccination needed, but Yellow Fever is recommended. Malaria, tuberculosis, cholera and HIV are prevented with normal precautionary behaviour targeted during the in-country induction.
We uphold the Humanitarian Principles: humanity, neutrality, impartiality and independency.
We affirmatively engage the most vulnerable communities.
More information is available here: