Operational details & security context
Doctors of the World intervenes since 2000 in Mozambique, its long history in the country means that at its operational level it has 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 (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.
Within the framework of the project, an amount of money has been allocated to invest in physical and procedural measures to improve preventive measures and the security of the volunteer's home.
2. Human resources: MdM has a permanent technical team based in Matola to develop its interventions in the region and carry out coordination and supervision tasks (1 international staff member working on coordination tasks, and 14 national staff members). 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), Nhamai, among others. In parallel, permanent contact is maintained with representatives of donors and international agencies present in Dakar: EU, AECID, WHO (Health Cluster), UNICEF (Nutrition Cluster), etc. There are currently 7 projects under execution, of which 3 are completed in 2018.
The majority of countries in Southern Africa and the Indian Ocean Region (SAIO) are currently affected by a widespread food security crisis as a result of the El Niño phenomenon which has developed since early 2015.
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's 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 extractive 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.
Since October 2015, at least 10,000 people have fled to neighboring Malawi and Zimbabwe in relation to conflict between 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 some areas in 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)
Peace talks between the two parties have gathered momentum in 2017, however President Filipe Nyusi met Renamo leader, Afonso Dhlakama, in August. Working groups are developing recommendations on political decentralization and military affairs for endorsement by parliament, set for February 2018. Meanwhile, the ruling party’s congress in September 2017 marked an important political milestone in the run up to municipal (2018), presidential, legislative, and provincial (2019) elections.
The safety & security situation in Mozambique is influenced by the political conflict between FRELIMO (party in power) and RENAMO (the political opposition party), that have been in peace since the 2017 peace agreement. The clashes are located in Sofala, Manica, Zambezia and Tete provinces, whereas MDM Mozambique works in the district Matola. The framework of political and social context in these regions can be considered almost safe without particular risks for MDM expatriated, volunteers and local staff.
Security conditions in Maputo Province:
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. Beaches or offshore islands are not policed. Is not recommended walking alone or driving alone at night and to display valuables or money. There has been an increase in reports of carjacking, particularly in Maputo and between Boane and the Swaziland border crossing points of Namaacha and Goba. It is important to be aware that there have been cases of robbery, or requests for bribes.
There have been kidnappings reported in Mozambique, mainly in Maputo. While most victims have been Mozambicans, foreigners have also been targeted.
Traffic accidents are common due to the condition of the roads and poor driving and vehicle standards.
Travelling on public transport can be hazardous due to the poor conditions of vehicles 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 highly recommended to have a travel health insurance and accessible funds to cover the cost of any medical treatment abroad and repatriation.
- In February 2017, the national health services in Mozambique reported an increase in cholera cases in the country. The most affected areas were Nampula province (Meconta and Monapo districts), Tete province, the capital Maputo and the neighbouring city of Matola.
- 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 taking into account 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 also disseminate to the local staff.
MDM Mozambique guarantees appropriate living and health condition for its staff. No particular health risks are identified. No specific vaccination needed. Malaria, tuberculosis, cholera and HIV are prevented with normal precautionary behavior targeted during the in-country induction.
(Actually, if you come from one of the Yellow Fever List countries, you need it`s vaccine certification).