Community health

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Article

International Day of Epidemic Preparedness 2024: Early detection, early action, healthier communities

Epidemics and pandemics are some of the biggest threats to a safe and healthy world. They are on the rise, and in today’s connected world, they are spreading further and faster than ever before.  Known epidemics—such as cholera, measles, Ebola, and malaria—continue to threaten large parts of the world’s population. And, as we saw with COVID-19, the world is also at risk from new infectious diseases that can claim millions of lives, bring health systems to their knees, and reverse decades of development progress. But the good news is that with effective preparedness and response measures, we can reduce the impacts of epidemics and pandemics and even stop them in their tracks.  The IFRC and our member National Societies have long focused on helping people prepare for, respond to, and recover from health emergencies. Born in the wake of the 1918 influenza pandemic, at the IFRC we know from experience that communities can be the first line of defence against epidemics and pandemics when equipped with the right knowledge, behaviours, skills, and tools.   Through global programmes—such as the Community Epidemic and Pandemic Preparedness Programme (CP3) with USAID and the Programmatic Partnership with the European Union—we’ve been engaging and training people worldwide in epidemic and pandemic preparedness and response for many years. We help people prevent, detect and quickly respond to outbreaks—saving countless lives and building healthier, more resilient communities. Stepping up our efforts in 2024In 2024, the IFRC significantly stepped up our work in epidemic and pandemic preparedness:With support from the World Bank’s Pandemic Fund, and in collaboration with key national and international partners, IFRC was selected to launch two new regional epidemic preparedness programmes. In Africa, the Preparedness for Pandemic Response (PREPARE) programme will strengthen cross-border collaboration, disease surveillance and health systems in East and Central Africa to address health challenges such as the ongoing mpox epidemic. And in Asia Pacific, the Enhancing collaborative surveillance and diagnostic readiness for pandemic preparedness and response in South-East Asia Region will improve early warning and disease surveillance systems, laboratory systems and community health workforce capacity across eight countries.With USAID support, we were delighted to expand the CP3 programme this year into 11 new countries—Burundi, Cambodia, Ivory Coast, Laos, Malawi, Malaysia, Philippines, Tajikistan, Thailand, Vietnam and Zambia—to prepare even more communities for epidemics and pandemics.Together, these new commitments take the total number of countries where IFRC is directly supporting epidemic preparedness programmes up to 48. This figure doesn’t include the great work being done at the national level by many more Red Cross and Red Crescent Societies around the world.Trusted, local, and always thereAs trusted local actors embedded in their communities and permanently present in areas other organizations cannot reach, National Red Cross and Red Crescent Societies are best placed to support community-level epidemic and pandemic preparedness. The IFRC works to strengthen National Societies’ ability to prepare for and respond to epidemics through training, technical assistance, advocacy support and coordination. Together, we also engage a wide range of stakeholders in epidemic and pandemic preparedness—such as governments, religious leaders, businesses and the media—because we know that all parts of society need to come together to keep people safe from epidemics and pandemics. The time to prepare is nowCOVID-19 was a wake-up call to the world to prepare now for the next health crisis. The pandemic claimed millions of lives and revealed major gaps in epidemic and pandemic preparedness around the world.The IFRC network is doing essential work right now to prepare communities for the next pandemic. But more investment is needed globally to strengthen health systems and ensure societies are prepared for an increasingly hazardous world.--To stay up to date with the IFRC’s work in epidemic and pandemic preparedness, sign up to our monthly newsletter which features highlights from Red Cross and Red Crescent Societies around the world.And for practical epidemic preparedness resources, check out our Epidemic Control Toolkit—available in multiple languages—for guidance on evidence-based methods to prevent and control the spread of epidemics at the community-level.

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Press release

Red Cross Amazon Alliance aims to safeguard lives and strengthen community resilience

Panama/Geneva, 19 December – In response to escalating threats posed by the climate crisis, increasing disasters and biodiversity loss, the International Federation of Red Cross and Red Crescent Societies (IFRC) has announced the reactivation of its Amazon Programme, The Red Cross Alliance for the Amazon.This initiative, initially uniting the National Red Cross Societies of Bolivia, Brazil, Colombia, Ecuador, and Venezuela, aims to enhance community resilience and support those affected by climate impacts in the Amazon rainforest. The Red Cross’s local presence and global reach make it a key partner in protecting Amazonian communities and ecosystems. With branches and volunteers embedded in all nine Amazonian countries, the Red Cross combines deep local knowledge with expertise in risk reduction, climate resilience, and humanitarian operations to address the region’s growing needs.The Amazon, home to 10% of all known species and responsible for generating 20% of the world’s oxygen, is nearing a tipping point. Deforestation, wildfires, and extractive activities—compounded by extreme climate events such as floods, fires and prolonged droughts—threaten the lives and the livelihoods of over 40 million people, including 350 groups of Indigenous Peoples.“At the heart of our proposal is the convergence of indigenous knowledge, Red Cross experience, and technological and research developments. This formula, implemented in close coordination with states, indigenous peoples and other stakeholders, will maximise efforts to strengthen community resilience andanticipate and respond to crises affecting Amazonian populations”, said Xavier Castellanos, IFRC Under Secretary General, National Society Development and Operations Coordination.The Red Cross Alliance for the Amazon focuses on disaster risk management and climate resilience, community health, sustainable livelihoods and response to disasters and climate displacement. Harmonising, maximising and streamlining the Red Cross work in these areas will help anticipate and reduce the impact of hazards which could be exacerbated by the climate crisis in the coming years.From January to August this year alone, fires destroyed 62,268 square kilometres of the Amazon, an area twelve times the size of the city of London. Compounded by a historic drought, this devastation has severely affected access to health and food and increased the risk of climate-induced displacement.Faced with such multi-crisis scenarios, the Red Cross is already working in several communities in the Amazon. In Ecuador, volunteers are working with indigenous peoples to implement agricultural techniques that reduce the risk of droughts, contributing to income diversification and ecosystem restoration to improvefood and economic security.In Colombia, the Red Cross provides health care and access to medicines in remote and hard-to-reach areas.The Red Cross Alliance for the Amazon builds upon solid experience. Red Cross Societies in Amazonian countries havecollaborated with over 53 Amazonian communities to promote community health and reduce the risk of disasters. This new effort seeks to scale up these successes while aligning with the IFRC’s global expertise in climate resilience and disaster management. For more information and to set up an interview, please contact: [email protected]   In Panama: Susana Arroyo Barrantes +50769993199 In Geneva: Tommaso Della Longa +41797084367  / Hannah Copeland +41762369109 

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Article

Reach Initiative: How a simple act can have a revolutionary impact on family health

Every morning, Aisha sets out on foot to fetch water from the river, carrying heavy buckets back home, knowing each drop is precious. Aisha’s life revolves around caring for her three young children, but despite her best efforts to provide for her family, illness has seemed unavoidable.Her youngest, Musa, has often suffered from painful stomach troubles. Frequent trips to the clinic were becoming a strain on her family. Like many in her village, Aisha had always believed that sickness was just a part of life—something they would have to endure.Things began to change when volunteers for the Nigerian Red Cross arrived in her village. They came as part of the Resilient and Empowered African Community Health (REACH) initiative, a program of the International Federation of Red Cross and Red Cresent Societies (IFRC) and the Africa Centre for Disease Control (Africa CDC) to improve health and hygiene practices in underserved communities.The volunteers and villagers gathered under the shade of a large tree, and with warmth and patience, the volunteers explained how regular handwashing with soap and water can, in fact, save lives.Aisha and her neighbours listened intently as the volunteers explained how washing hands with soap, especially before eating and after using the bathroom, could prevent diseases like cholera and diarrhoea.For many in the crowd, this was a revelation. In many villages here, soap is a rare luxury, often reserved for laundry or bathing, and few had ever thought to use it to wash their hands. The volunteers demonstrated proper hand-washing technique, showing the community members how to scrub their hands thoroughly, reaching every nook and cranny to remove invisible germs.Intrigued, Aisha decided to try it. She set up a simple handwashing station outside her home, using a jerrycan, a small bar of soap, and some rope to make the process easier. She taught her children the new routine, and they watched, wide-eyed, as she explained that this small act could keep them safe.Over the following weeks, something extraordinary happened. Musa, who had been frequently ill, stayed healthy. The constant worries about stomach aches and fevers lessened, and Aisha realized that this small change had a profound effect on her family.It wasn’t long before her neighbours started noticing, too. One by one, other families in the village began setting up their handwashing stations. For the first time, the community was discovering a sense of control over their health.The impact was visible. Children attended school more regularly, free from the recurring ailments that had once disrupted their studies. Parents had fewer trips to the clinic, easing both their schedules and financial strain. Aisha became a quiet champion of the handwashing movement, proudly showing others her setup and sharing the knowledge she had gained.Through the REACH initiative, Nigerian Red Cross Society volunteers (NRCS) have been going door-to-door, gathering people in small groups in villages, schools, and marketplaces, teaching them about handwashing and hygiene.Halima, a mother of four, reflects on the change in her household: “My children used to be sick all the time—coughs, stomach pain. Since we started washing our hands, they’ve been healthier. Now, it’s the first thing we do when we come back from the market or the farm.”For young Sani, a student, it’s a new habit he’s eager to share. “At school, they taught us how to wash our hands properly. I showed my family, and now we all do it. I feel proud because I know I’m helping to keep them safe.”Lilian Adeogba, IFRC Program Officer for the Reach Initiative, notes that while handwashing may seem simple, it is a powerful tool in the fight against infectious diseases. “Diseases like cholera, diarrhoea, and respiratory infections spread quickly, and without proper hygiene, families, especially young children, fall ill often," she say."In a place like Adamawa, where healthcare resources are limited, teaching people to wash their hands is not just about cleanliness—it’s about saving lives.”

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Article

On the frontline of floods and infectious diseases, volunteers raise awareness, protect vulnerable people and save lives

Architophel Ntsiakulu and Adama Barka live in very different parts of Central Africa’s western, coastal region. But they share something very powerful in common: a dedication to help fellow community members protect themselves from the impacts of unforeseen crises.A volunteer with the Gabonese Red Cross, Architophel Ntsiakulu has been at the forefront of efforts to help people protect themselves from Mpox. Meanwhile, Adama Barka, a volunteer in Cameroon, is in the midst of helping communities recover from devastating floods. Here are their stories.At the forefront in the fight against MpoxArchitophel Ntsiakulu, 25, is a dedicated figure within the Gabonese Red Cross. For the past five years, this volunteer from the 6th district of Libreville has devoted her time to awareness campaigns and community actions. This year, she has played a key role in prevention efforts against Mpox, a disease that, while receding, still raises doubts and misunderstandings among local communities.“What motivated me to become a volunteer was the desire to be useful to my community,”shares Architophel. Her work involves reaching out to residents to raise awareness of preventive measures: hand hygiene, recognizing symptoms, and managing suspected cases. While imported cases of Mpox have been reported, with no established local transmission, it is crucial to educate communities about risks and proper behaviors.However, challenges abound. “Many people think Mpox is just a myth. We put in extra effort to explain, with patience, the importance of preventive measures.” Through on-the-ground visits to schools, markets, door-to-door outreach, and the distribution of visual materials, Architophel and her team have reached hundreds of households.Community recognition serves as a great motivation for Architophel. “During one visit, residents thanked us for our work and even incorporated WASH (water, sanitation, hygiene) practices into their daily routines.”This positive impact is the result of thorough training and constant dedication.Cameroon: Adama Barka, Heroine of Far North FloodsThe devastating floods that hit Cameroon’s Far North region left hundreds of thousands in distress. With over 450,000 people affected, Adama Barka, a young volunteer with the Cameroon Red Cross, was at the heart of the humanitarian response.A native of Yagoua, the capital of Mayo-Danay division, Adama witnessed her community being profoundly shaken by this natural disaster. “When the floods started, our superiors immediately mobilized us to respond. We helped displaced people reach emergency camps and set up tents to shelter them,” she recalls.In collaboration with the International Red Cross and Red Crescent Movement, the Cameroon Red Cross launched a coordinated and integrated response plan to address urgent needs: cash assistance, protection activities, and awareness campaigns about waterborne diseases like cholera.A Vital Role in Preventing EpidemicsAdama and her fellow volunteers also led awareness campaigns to prevent waterborne diseases, a major threat following floods. “We show people how to treat water, what water is safe to drink, and how to avoid diseases caused by contaminated water,” she explains. These efforts have helped limit the spread of epidemics in affected areas.Shared challenges and a spirit of solidarityWhether raising awareness about Mpox in Gabon or responding to floods in Cameroon, Red Cross volunteers play a crucial role in protecting communities. They face numerous challenges: limited resources, resistance from populations, and sometimes even risks to their own safety. Yet their commitment remains steadfast. Their dedication is a call for solidarity and a reminder that #ProtectHumanity is about safeguarding the future.To support the work of Adama and thousands of volunteers engaged in emergency response and to help those affected by the floods in Cameroon, the IFRC launched an emergency appeal aimed at raising 4.5 million Swiss Francs to help the Cameroon Red Cross provide supports for more than 99,000 people impacted by the floods.

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Article

IFRC at COP29: Invest when and where it matters most – early on, in the health of people hardest hit

Extreme heat and prolonged heatwaves.Unprecedented floods and storms in every corner of the globe.Dry spells and storms that defy precedent.These are some of the ways climate change is having profound and sometimes devastating impacts on the health of people and communities around the world. As world leaders met at the COP29 climate summit being in Baku, Azerbaijan (11-22 November), IFRC is once again spotlighting what it sees every day through its emergency responses to sudden floods, extreme heatwaves, prolonged drought, economic crisis and hunger.Not only are people dying, losing homes and livelihoods, the climate crisis is having long-lasting impacts on people’s health and well-being. Extreme heatwaves, floods and storms are putting more and more people at risk of infectious diseases and malnutrition while reducing their access to care.“The impacts of the climate crisis are having a massive effect on people’s health,”IFRC Secretary General Jagan Chapagainsaid during the first day of the COP29 Conference. “So we must address the health impacts in a very comprehensive way.”Equally important is how and when those issues are addressed, he adds. Financing and investment on community health and preparedness must not only be increased, they must be directed to local communities where it is needed most.“The investment has to be at the right level and they must reach the right place,”Chapagain said. “At the moment, there is not enough investment and that investment is not reaching the community level. Less than ten percent of climate financing reaches the community level.“We need to be supporting community action on the ground, where people are living and facing the consequences every day.”That investment cannot wait until after disaster strikes. “How and when do you make that investment is also important,”he added. “If you make the investment early – with early warning systems oranticaptory actions -- it saves lives, livelihoods and dollars.”A burning issueCase in point is the growing threat of extreme heat. In recent years, global temperature records are being broken month after month, as climate change makes heatwaves – an already silent and deadly killer – more extreme. Every year, heat kills almost half a million people worldwide.Yet only 0.5 percent of multilateral climate adaptation finance goes to health measures that could drastically reduce that number. Such health measures could also improve people’s well-being and save money in the long run. By 2030, experts predict between USD two to four billion in additional health costs will be incurred if adaptation action is not taken now.Solutions involve a range of actions, from buildingclimate-resilient cities and health systems, to developing national heat-action plans andearly-warning early-action protocols. Other actions would ensure that social protection and health systems are responsive to climate-related shocks, while nature-based solutions could harness the natural protective power of ecosystems to shield communities from extreme heat or storm surges.“As climate impacts intensify, health systems must adapt to protect the most vulnerable,” said Petra Khoury, Director of IFRC’s Health and Care Department, speaking at a special COP29 event organized by the Alliance for Transformative Action on Climate and Health (ATACH), a programme hosted by WHO.“The IFRC network is on the frontlines, building climate-resilient health systems through community mobilization,” she said. "Solutions addressing the triple nexus of health, climate and migration should be community centered.“Bringing both host and displaced communities in the decision-making process and solutions is key to mitigating the impact of this nexus.”Among other things, the IFRC is working to scale up community level surveillance of climate–related diseases, deepen its existing community engagement efforts and broaden the scope of its work though a 'one health' approach.The ‘one health’ approach is a moreholistic way of improving human health by looking at the health of the environment in which people are living. For example, if livestock are rendered vulnerable to illness by heat, lack of food or water, that has a knock-on effect on human health. Up to 75 per cent of emerging infectious diseases that affect human beings start in animals.The IFRC is also heavily involved in street-by-street, house-by-house surveillance around diseases such as dengue, malaria and cholera, and many others, but climate change demands greater efforts in community engagement around disease tracking, prevention and response.To do all this, investments must be made at all levels – from national government budgets but also from multilateral development banks, multilateral climate funds, health financing institutions, bilateral development agencies, and private-sector actors.Putting this into action also means integrating health and heat action as part of a holistic approach to adaptation action in national climate plans, as well as enhancing coordination across government with local authorities, actors and communities.There have already been signs of progress. At COP28, the UAE Framework for Global Climate Resilience strengthened adaptation action while 151 countries signed the first-ever COP Climate and Health Declaration. And there is mounting awareness about the urgency of addressing the health impacts of heatwaves. IFRC continued to sound the alarm hosting the first Global Summit on Extreme Heat with our annual Heat Action Day on 2 June.Recent severe hurricanes – sometimes referred to as ‘monster storms’ – along with a spate of severe flooding in large parts ofEurope,Western and Central Africa, theAmericas andSoutheast Asia and Oceana are also showcasing the urgent need for this kind of local investment.These floods are displacing millions of people, leaving them without access to safe water and sanitation. Often the communities hit hardest also already are coping with limited access to safe water, sanitation, nutrition, healthcare and education.Whether COP29 is ultimately judged a success will depend on whether commitments are made toward reversing these realities with real investments in health, preparedness and early warning that reach the local level. “These are the three key areas – health, investment and timing – if we can make progress on these areas at COP29, I would see this as a success,” Chapagain concluded.More information:IFRC’s approach to health and careIFRC’s approach to the climate crisisWorld Meteorological Organization Early Warnings for All InitiativeIFRC Early Warnings for All page

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Article

World Toilet Day 2024: Everyone, everywhere deserves access to a toilet they can use safely and with dignity

In 2024, 3.5 billion people still live without access to safely managed sanitation. That's nearly half of humanity lacking one of the most basic human needs – a safe and private toilet. Even more concerning, an estimated 419 million people still practise open defecation, which not only increases the risk of infectious diseases, but also puts people—particularly women and girls—in unsafe and vulnerable situations.For the International Red Cross and Red Crescent Movement, ensuring access to safe and dignified sanitation is not just about building toilets – it's about understanding and addressing the diverse water, sanitation and hygiene (WASH) needs of all community members."Equitable access to WASH services and facilities is a human right," says Alexandra Machado, IFRC Senior Officer for WASH in Public Health. "Water, sanitation and hygiene are fundamental for life, and for the dignity, health and wellbeing of everyone -- regardless of their age, disability, social status, gender identity, ethnicity or sexual orientation."Red Cross and Red Crescent Societies worldwide are working to ensure that sanitation facilities are accessible, safe, and appropriate for everyone. On World Toilet Day, let’s look at a couple of examples.Making a Difference: Community-led sanitation in remote, underserved areas in ColombiaThe Colombian Red Cross has been active in promoting community-led sanitation improvements, particularly in remote and underserved areas including Tumaco, Buenaventura, Condoto, and Timbiqui. These projects included installing and upgrading sanitation units in schools, homes, and community centres, directly benefiting children and families in both urban and rural areas.Through workshops and hygiene campaigns, they’ve engaged community members to build and maintain latrines, which has significantly reduced the risk of water and sanitation related diseases. This effort is a collaborative approach that involves both local authorities and community representatives, enhancing ownership and sustainability.For example, in Santa Rita primary school, upgrades to the sanitation facilities now serve 140 students, fostering better hygiene at school which can be a catalyst for change in the wider community.Kenya: ‘Together we can end open defecation’Across Kenya, the Kenya Red Cross is supporting communities to adopt healthy WASH behaviours—including the building and using of latrines—to improve their hygiene and reduce their risks of infectious diseases.Through the Community Epidemic and Pandemic Preparedness Programme (CP3), Red Cross teams are partnering with the Kenyan government and WASH charities, such as Dig Deep, in a bid to end open defecation. Trained Red Cross volunteers regularly go out into their communities and educate people on why they should use latrines, how they can build their own simple pit latrines in their homes, and the importance of handwashing and other related hygiene practices to stay healthy.Volunteers’ consistent engagement is already starting to pay off, with widespread uptake of latrines and positive WASH behaviour change observed within many communities covered by CP3.“We used to have diarrheal diseases every now and then. And even we had cholera, which is fecal related. But when CP3 was introduced by the Red Cross, it has really assisted us in health education and even in tackling those diseases,” explains Lucina Bett, Sub-County Public Health Officer in Bomet County, Kenya.Find out more in this new video:The IFRC’s approach to WASHSuccessful WASH programmes are participatory and community-led. Our approach focuses on four key principles: dignity, access, participation, and safety. This means ensuring that:Everyone has access to sanitation facilities they can use with dignityFacilities are designed and built so that all people can use themCommunities are actively involved in decisions about their sanitation facilitiesPeople feel safe and comfortable using toilets, day and night"Vulnerability to violence is increased by a lack of safe and secure sanitation infrastructure," explains Peter Mamburi, IFRC Regional WASH Coordinator for Africa. “That's why our National Societies work closely with communities to ensure facilities are well-lit, private, and located in safe areas.”On World Toilet Day, we renew our commitment to leaving no one behind in sanitation. Because everyone, everywhere deserves access to a toilet they can use safely and with dignity.--Want to learn more about the IFRC’s work in water, sanitation and hygiene? Visit https://wash.ifrc.org or contact [email protected]

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Article

Burkina Faso: When insecurity, conflict and other challenges get between people and the healthcare, the REACH Initiative connects people with the care they need

In Burkina Faso, healthcare challenges have worsened since 2019 due to the escalating security crisis driven by fighting between armed groups and the state military. Many communities face significant barriers to accessing medical care, with long distances to health centers, a shortage of trained healthcare workers, and limited resources. For families in rural areas, even basic services can seem out of reach.Pregnant women often struggle to get to a clinic, especially at night, and diseases like malaria, dengue fever, and malnutrition take a heavy toll. This fragile healthcare system is further strained during emergencies, making every day struggles even more daunting. For years, this harsh reality has taken a toll on families, with women and children bearing the brunt of these healthcare gaps."Healthcare here has long been a privilege of the few, rather than a right for all," says Dr. Diao Watton Rodrigue, an epidemiologist with the Ministry of Health. "When children die from preventable diseases like malaria, it’s not because the medication don’t exist, it’s because they often don’t reach the people who need them most."The Africa-wide REACH Initiative seeks to change that by transforming the way healthcare is delivered. Short for “Resilient and Empowered African Health Community,” REACH is led by the IFRC, along with the Africa CDC, and Red Cross and Red Crescent National Societies in their respective countries (in this case, the Burkina Faso Red Cross).In partnership with the Ministry of Health, the REACH Initiative in Burkina Faso is supporting the development of a national health safety plan to guide healthcare reforms over the next four years. It has also supported the development of the country’s first action plan for non-communicable diseases, vaccination campaigns, and improved health surveillance.The Burkina Faso Red Cross, meanwhile, plays a critical role in transforming healthcare access, serving as a bridge between underserved communities and essential health services. By leading efforts to bring care directly to those who lack access— often in remote or marginalized areas—they ensure that life-saving support reaches those who need it most, fostering trust and resilience within communities. Through this partnership, Burkina Faso is becoming better equipped to tackle future health challenges while building healthier, stronger communities.‘They turn to us’One recent example of REACH's impact was during a dengue fever outbreak at the beginning of 2024. With health workers stretched thin, the Burkina Faso Red Cross stepped in, mobilizing volunteers to target mosquito breeding sites and disinfect high-risk areas.Led by 90 trained volunteers, an awareness campaign reached over 123,000 people, spreading life-saving information on dengue prevention. These swift actions not only controlled the outbreak but also strengthened the community’s preparedness for future crises.As an example, consider the story of Nakanabo Ismael, a Red Cross volunteer trained through the REACH Initiative."At night, when someone is sick, they turn to us,” Nakanabo says. “The community trusts us—they bring their babies for us to treat.We might not have all the answers, but we’ve been trained to help."Nakanabo’s dedication, along with the support of REACH, has brought hope to communities where healthcare once seemed out of reach.Across Africa, REACH continues to strengthen health systems, scale up the community health workforce, and empower local volunteers. By addressing critical health challenges, training volunteers on the ground to shaping national health policies, REACH is helping to create a future where healthcare is accessible, equitable, and sustainable for all Africans.

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Article

One Health Day 2024: Protecting humans, animals and the environment for a healthier world for all

Up to 75 per cent of emerging infectious diseases that affect human beings start in animals. These are called ‘zoonotic’ diseases, and they can spread to humans through direct contact with infected animals or through food, water or the environment. Recent high-profile diseases that have spread from animals to humans include COVID-19, Ebola and mpox.And when our environment is polluted or not looked after properly, it can cause health problems in both animals and humans. For example, there is evidence that global warming is leading to more favourable conditions for a specific type of mosquito which carries the dengue virus to reproduce and thrive, and is even pushing them to new areas and countries that have never experienced dengue before.Taking a ‘One Health’ approachOne Health is an approach to health care that recognizes these close links between human, animal and environmental health, and considers how they affect one another.It involves governments and organizations working in these different areas coming together to better prepare for and respond to health challenges, such as epidemics and pandemics.Through the Community Epidemic and Pandemic Preparedness Programme (CP3), many Red Cross and Red Crescent Societies are taking a One Health approach to help communities prepare for, prevent and respond to disease outbreaks. And they’re supporting government health, agriculture and environmental departments—as well as key partners—to collaborate using a One Health approach, too.Let’s take a look at some examples.Training DRC’s next generation of nurses to be on the lookout for zoonotic diseasesIn the Democratic Republic of the Congo (DRC), the DRC Red Cross runs nursing schools across the country whose students go on to work in both the country’s public and private health system. Through the CP3 programme, the DRC Red Cross developed a special One Health learning module, which they piloted in two schools in Kinshasa and Maluku.Final year nursing students who took part in the pilot learned all about the intersection of human-animal-environmental health. They learned case definitions for different types of zoonotic diseases—from rabies to chikungunya—and how to effectively engage their communities on the risks and prevention measures for each disease. And they learned the principles of community-based surveillance (CBS), enabling them to quickly sound the alarm when unusual health events occur.The DRC government was so impressed with the pilot, they intend to roll the training out nationally to every nursing school in the country, believing that the sooner nurses learn about One Health and how to work effectively with animal and environmental counterparts, the better for the country’s health security.Knowledge is power: raising community awareness of environmental and animal health risksThere are lots of simple steps communities can take to reduce disease risks linked to animals and the environment. Through the CP3 programme, National Societies are engaging and motivating communities to take action.For example, in Kenya, Red Cross volunteers are teaching people how to recognize the signs of anthrax—a serious and potentially deadly infectious disease that can spread from animals, usually livestock, to humans. They’re encouraging communities to avoid handling any animals that die in unusual circumstances, report any cases immediately to volunteers or animal health authorities, and thoroughly disinfect contaminated areas. They’re also supporting vaccination efforts to make sure people know when, where and why to vaccinate their animals—making breakthroughs even within remote and vaccine-hesitant communities.And in Indonesia, the Indonesian Red Cross (PMI) runs regular clean-up events to help communities reduce the risks of dengue in their local environment. People come together to inspect and drain stagnant water reservoirs, properly cover and seal drinking water supplies, and sweep up litter and debris. These steps all minimize potential mosquito breeding sites. Teamed with personal protective measures, such as wearing mosquito repellent and using bed nets, these simple steps can greatly decrease the risk of catching dengue fever, and help families stay healthy.Bringing the government together for One Health action in GuineaThrough the CP3 programme, the Guinea Red Cross has been supporting the government at the national, regional and community level to adopt a One Health approach in order to strengthen the country’s health system.They’ve been facilitating regular meetings with government agencies and stakeholders working in human, animal and environmental health to discuss existing and emerging disease threats, plan vaccination campaigns for both human and animal populations, and collaborate on environmental management. For priority zoonotic diseases, such as rabies in particular, the Guinea Red Cross has been instrumental in informing and protecting communities, and rapidly alerting human and animal health authorities when a bite incident occurs.These are just a few of the many examples of how taking a One Health approach can lead to a healthier world. By working together to keep animals and our shared environment healthy, we can help humans to be healthier and safer, too.---The activities featured in this article are part of the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3).  Funded by the U.S. Agency for International Development (USAID), CP3 has supported communities, Red Cross and Red Crescent Societies and other partners in seven countries since 2018 to prepare for, prevent, detect and respond to disease threats. In October 2024, the programme is expanding to six new countries—Burundi, Ivory Coast, Malawi, Tajikistan, Thailand and Zambia—where it will continue to implement a One Health approach among National Societies, partners and governments.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter 

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Article

Burundi Red Cross Volunteers: ‘Every day and everywhere’ for the community, responding to Mpox and beyond

In Bujumbura, the former capital of Burundi, the local branch has more than 26,000 volunteers. When the mpox outbreak was reported in the province, Burundi Red Cross volunteers stepped up to ensure that the spread of the disease would be contained and that anyone with symptoms would seek the necessary medical treatment.Volunteers have a lot of experience in sharing health information in the communities, as they were active during the COVID-19 pandemic and previous disease outbreaks. Volunteers work shifts to inform as many people as possible about mpox, its symptoms, and the prevention measures they can take to keep themselves safe.They do it by going door-to-door, sharing messages in markets and other public gatherings, on the radio and via posters. They also provide handwashing stations and clean water.'Happy to support'“I started volunteering when I saw how the Red Cross volunteers were helping their community during severe flooding,” says Christopher Hatungimana, a 38-year-old who has been volunteering with the Burundi Red Cross for 14 years. “I was impressed with these humanitarian activities and decided to join this important work.” Christopher learned first aid and has helped people suffering from all kinds of injuries, from burns or broken bones. Since then, he’s also played a role in helping thwart the spread of infectious diseases.With mpox, it was not easy at first to convince people that mpox should be taken seriously. But volunteers like Christopher persevered with their messages and now people are slowly starting to understand much more about the outbreak.Christopher admits that he and his fellow volunteers are afraid that they may catch mpox when they visit people with their prevention messages. But he says, they are are careful to take all the necessary precautions. He feels secure to continue his work as he is “happy to bring support to the people in the community”.‘Volunteering is in my blood’In one of Bujumbura’s districts, pairs of volunteers go door-to-door sharing information about mpox symptoms and how to prevent the disease. The volunteers also take the time to address any misinformation as there is unfortunately some stigma surrounding the disease.That kind of stigma and misinformation may prevent people from seeking timely medical treatment when the first symptoms occur. And that makes prevention even harder. When seeking treatment, people are tested for mpox and that helps authorities track how the outbreak is developing.“We are helping them to deal with the epidemic,” says Joselyn Ndayishimiye, who started volunteering in 2006 when she was 17 years old. “After our visits, family members shared the important information with others who were not present. The result is fewer mpox cases.”Spreading awareness about mpox in the community here is important, she says, because the epidemic needs to be contained. She also sees how their efforts are appreciated by the community.Melance Kamenyeros runs a café-bar that is a local gathering place in his village in the province of Mwaro. Thanks to Burundi Red Cross volunteers and staff, the 47-year-old father of five is well aware of the ongoing mpox epidemic.“Anyone has good reason to be afraid of an epidemic that has suddenly come to the community,” he says. “Mpox is a disease that can kill a person. But if we observe the proper measures it can be prevented.”One of the measures is Melance has adopted is insisting that clients entering his establishment first wash their hands properly. Melance thanks Burundi Red Cross volunteers for raising awareness about mpox and for setting up a water source to ensure there is enough for everyone in the village.These kind of results are encouraging. Why does Joselyn, now 35 years old, continue her work after 18 years of volunteering in support of her community? She just shrugs and says:“I started volunteering when I was young. It is in my blood.”At the end of the day, the volunteers gather to meet Red Cross staff from the branch and national headquarters. Their discussion starts, as always, with one person greeting everyone with “Tugire Ubuntu” or, in English, “Let us have humanity”. The whole group replies in unison: “Imisi yose na hose” – “Every day and everywhere”.Learn more about IFRC's response to mpox:Africa-wide mpox emergnecy appeal to combat the spread of mpox.Mpox explained

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Article

‘We are ready’: For hospital workers in Southern Lebanon, years of training face another test as conflict arrives at their doorstep

The ongoing crisis in the Middle East, sparked by the Israel-Gaza conflict, has sent shockwaves throughout the region, affecting neighboring countries and communities far beyond the initial conflict zone.In the city of Sidon in Lebanon’s South Governorate, staff and volunteers at the Palestine Red Crescent Society’s Al-Hamshari hospital have been preparing for worst-case scenarios, as bombings occur regularly right on their doorstep and Lebanon’s southern region becomes increasingly affected by the escalation of hostilities.Al-Hamshari is one of two Palestine Red Crescent hospitals in south Lebanon, serving Palestinian refugees and people of all nationalities. It’s also the largest of all five PRCS hospitals in Lebanon, meaning it is a crucial healthcare facility, especially in times of conflict, when its services are needed the most.This volatile environment has compelled the Palestine Red Crescent Society in Lebanon to brace for a surge in need, mobilizing resources and being on full alert to respond to the unfolding crisis.“We have more than 300 volunteers and staff members who have been receiving trainings as part of our emergency plan,”says Dr. Ziad El Ainen, Director of Emergency and Ambulance service in the Palestine Red Crescent’s Lebanon branch.A significant part of that training has been done with the Lebanese Red Cross, which also has significant experience responding to mass casualty events. “[Hospital personnel] have been well trained by the Lebanese Red Cross to respond effectively in times of conflict,” El Ainen says.To bolster its capacity to respond effectively to the escalating conflict, PRCS’s Al-Hamshari hospital initiated a comprehensive training program, which encompassed a range of essential skills, including basic life support, advanced cardiac life support, emergency echocardiography, mass casualty triage, and advanced first aid techniques. These trainings equipped the hospital's personnel with the knowledge and skills necessary to mitigate the impact of conflict-related injuries and ensure timely and appropriate medical intervention.One person who has benefited from these trainings and is geared up to serve his people, especially during this conflict, is 58-year-old Hossam Sabha, a first responder who has been with the Palestine Red Crescent Society in Lebanon for almost 40 years.“As the Emergency Medical Services unit in the Palestine Red Crescent Society in Lebanon, we have taken all necessary precautions and steps to respond to any emergency,” Hossam says.“We’ve completed our trainings, and we are ready to mobilize at any time. We have an emergency plan in place for the South and Beirut, and all our teams are on stand-by. We are not afraid."It’s not just Hossam who’s driven by a sense of humanity. His own daughter, Saja, has inherited her father’s fearlessness. The conflict will not stop her from delivering life-saving services, she says.“I’m not afraid at all. I come to the hospital every day because I want to help other people, including my colleagues,” says 22-year-old Saja, who volunteers at Al-Hamshari hospital and is studying to become a nurse. Volunteering, she reckons, is unlike anything she’s experienced.“When you volunteer, you’re exposed to so many people, you get to see what’s happening in the real world. There’s nothing quite like the look of gratitude and relief on a person’s face after you have provided them with the help that they need.”There is no shame in feeling afraid, however, and hospital volunteers and staff are also trained to support each other in coping with their emotional reactions to the events unfolding around them. Saja works closely with 20-year-old Nagham Chanaa – the youngest intern in Al-Hamshari hospital – who's pursuing her dream of becoming a doctor.Despite the stressful nature of her job and the country’s turbulent situation, Nagham somehow manages to smile through it all.“I’m someone who’s very anxious, actually,”she says. “I felt very afraid when I heard an explosion a few days ago — which turned out to be fake air raids — but everyone at the hospital came to me and tried to comfort me. I get a lot of mental support from my colleagues here. We support each other, and we convey that support to our patients as well.”While medical professionals like Nagham and Saja are essential in providing emergency care, anyone can contribute to their community during times of need. All it takes is a caring heart and a willingness to volunteer.19-year-old Ahmad Marwan El Issa, who’s pursuing a Mechanical Engineering degree, is a prime example of that. He volunteers for the Palestine Red Crescent Society in Lebanon as an Emergency Medical Technician, and he does so knowing the risks involved.“The situation is scary because of its unpredictability,” he says. “We don’t know when an airstrike will hit and where it will hit, but we are ready to serve those in need, no matter what.”

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Emergency

Argentina: Economic Crisis

Argentina has been facing one of its most complex socioeconomic crises in recent years, marked by an increase in the number of people living in poverty and extreme poverty, coping with limited access to health services and food, and facing significant difficulties in sustaining livelihoods. Through this Emergency Appeal, the Argentine Red Cross seeks to provide humanitarian assistance, protection and recovery support to families and homeless individuals most affected by the crisis. The operation is designed to benefit 20,000 people over a 12-month period, initially concentrating on integrated assistance and health.

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Press release

IFRC announces CHF 40 million appeal as Africa faces surge in mpox cases

Kinshasa/Nairobi/Geneva – 23 August 2024 – The International Federation of the Red Cross and Red Crescent Societies (IFRC) has launched an CHF40 million regional emergency appeal to bolster mpox preparedness and response across Africa, with CHF 5 million provided through the IFRC Disaster Response Emergency Fund (IFRC-DREF) as a loan to this regional emergency appeal.This funding will help us reach 30 million people in countries with an active outbreak, including DRC and neighbouring countries at high risk of the virus spreading further.Mohammed Omer Mukhier, IFRC Regional Director says:“It’s a serious situation that could potentially spread like wildfire across the continent and beyond, if we don’t act fast. We have already ramped up our mpox response in DRC which is bearing the brunt of this mpox outbreak putting its neighbours at high risk.”The Democratic Republic of the Congo (DRC) has become the epicentre of a rapidly escalating mpox epidemic. The virus is now in all 26 provinces of the DRC, with different variants (‘clades’) being spread simultaneously. Alarmingly, cross-border transmission from the DRC’s eastern regions, particularly North and South Kivu, is rising, affecting non-endemic countries like Burundi, Rwanda, Uganda, and Kenya. Meanwhile, outbreaks in endemic countries such as Nigeria, Central African Republic, South Africa and Cote d’Ivoire are re-emerging or escalating. This marks the first time that sustained transmission of multiple variants is being reported concurrently both endemic and non-endemic regions across Africa.Dr Irene Kiiza, IFRC, Manager - Africa, Health and Care in Disaster and Climate Crises says:“We are quickly deploying available resources to focus on hotspots like DRC and Burundi, but we need more to ensure the virus is contained. Our priority is to curb the spread of the virus through community-based surveillance, contact tracing, mental health support and targeted interventions partnering with local health authorities and communities.”In response to this crisis, the DRC Red Cross has intensified its efforts. Leveraging skills and strategies honed through the Community Epidemic and Pandemic Preparedness Programme (CP3) with USAID and the Programmatic Partnership with the European Union, DRC Red Cross volunteers are actively engaged in health information dissemination, community-based surveillance, and the provision of psychosocial support. USAID also provided additional funding since April 2024 to support the DRC Red Cross response to mpox in Equateur, one of the hardest hit provinces.Mercy Laker, IFRC Head of Country Cluster Delegation, Kinshasa:“We have been working in the mpox response as well as other disease outbreaks such as Ebola and COVID-19. Our team, including staff and volunteers, are on the ground, helping keep communities safe during this tough time. The funding from the appeal will help boost our operations in DRC and Burundi.”In Burundi, the government has a comprehensive response plan to tackle the ongoing health crisis. With more than 100 active cases, the Burundi MOH is focused on boosting the capacity of health facilities and laboratories nationwide, while the Burundi Red Cross is providing direct support to affected communities to ensure they are aware of the risks and can access the care available.Through this appeal, the IFRC will strengthen African National Societies’ capabilities to fulfil their auxiliary role and support national governments in enhancing disease surveillance, providing community health education, providing care and support for mpox patients - and delivering psychosocial support. The response will be tiered, with specific interventions tailored to the level of outbreak in each country including heightened risk case importation, imported cases and established mpox transmission.More information There is more on the Emergency Appeal on this page.  To request an interview, contact: [email protected]  In Geneva: Tommaso Della Longa: +41 79 708 43 67 Andrew Thomas: +41 76 367 65 87 In Nairobi: Susan Nzisa Mbalu: +254 733 827 654In Goma:Gracia Dunia: +243 813 274 794

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Press release

IFRC scales up mpox response in Africa as global health emergency declared

The International Federation of the Red Cross and Red Crescent Societies (IFRC) is ramping up response efforts over the surge of mpox cases across Africa. It has triggered WHO and Africa CDC to declare the epidemic a public health emergency of international and continental concern over the past three days. With more than 17,000 suspected or confirmed cases and a devastating death toll of 500 deaths in at least 12 countries, the epidemic has surpassed the scale of previous years. The case fatality rate is at 3.2%. The situation is alarming with the rapid spread among newly at-risk populations, and international spread to areas that have never experienced mpox.Mohammed Omer Mukhier, IFRC Regional Director says:“The sharp increase in mpox cases in Africa is deeply concerning and a serious public health concern. This isn’t just a local issue; it’s a continental threat that demands immediate and coordinated action. In DRC, since last year, together with DRC Red Cross teams, we have been supporting affected communities but more needs to be done, in close liaison with mobilised Ministries of Health, as the situation evolves and expands rapidly across Africa.”The Democratic Republic of the Congo (DRC) has experienced 92% of cases in this growing epidemic, but rapid spread in other countries is putting new communities at risk. A new Clade 1b variant, about which we are still learning, has emerged in the DRC and is now spreading to neighbouring countries including Burundi, Kenya, Rwanda and Uganda. Other African nations are reporting suspected cases along with resurgence of previous mpox outbreaks. Unlike the previous outbreaks, epidemics associated both with new and pre-existing types of the mpox virus are growing, affecting new communities. The new variant, while linked with sexual contact, is affecting people of all ages and backgrounds.Bronwyn Nichol, IFRC, Senior Officer, Public Health in Emergencies says:“The mpox epidemic is a stark reminder that viruses know no borders. Shortages in testing, treatment, and vaccines demand a coordinated global response, including increased access to vaccine stocks in Africa. A unified effort is essential to protect vulnerable populations and prevent needless suffering and death.”In the DRC, the DRC Red Cross has been supporting the government response by sharing trusted and accurate health information with communities, conducting community-based surveillance to detect and report suspected cases, providing psychosocial support to affected people, and supporting with community-based hygiene promotion measures. A community-based approach will support victims against stigma. Those showing signs and symptoms are supported early before further transmission.Grégoire Mateso, President DRC Red Cross, says:“The past year has been difficult. The emergence of a new and potentially more transmissible variant of mpox like Clade 1b gravely affects containment. We have seen firsthand how a shortage of testing, vaccines and treatment kits can hamper efforts to contain the disease. There is also need for more public awareness to manage stigma, early detection and isolation of cases.”The DRC Red Cross is expanding its response to the mpox outbreak, leveraging many years of community-based epidemic preparedness work. Through the Community Epidemic and Pandemic Preparedness Programme (CP3) and the Programmatic Partnership the DRC Red Cross, with technical support from IFRC and French Red Cross, has been building health resilience in communities across the country, equipping them with the knowledge and tools to quickly detect, prevent and respond to disease outbreaks.Red Cross societies in neighbouring countries that are responding to their first cases of mpox are rapidly scaling support to communities, to help detect and respond to new cases to reduce illness and deaths and limit the spread of the virus. Burundi Red Cross is supporting their Ministry of Health to respond to the rapid increase in mpox cases with support from the Disaster Response Emergency Fund (DREF).The IFRC is at the forefront of the response to the mpox outbreak in Africa, with extensive experience managing previous disease outbreaks, such as Ebola and COVID-19. With a vast network of more than 4 million volunteers and 14,000 staff across the continent, the IFRC network is providing critical support to governments, including community-based surveillance, risk communication and community engagement, and mental health services.As the mpox epidemic continues to spread, the IFRC calls for increased global support to contain the crisis through increased access to testing, treatment, and vaccines for at-risk populations across the continent, along with sustained community-based action, which improves the effectiveness of epidemic response actions.More information To request an interview, contact: [email protected]  In Geneva: Tommaso Della Longa: +41 79 708 43 67 Andrew Thomas: +41 76 367 65 87 In Nairobi: Susan Nzisa Mbalu: +254 733 827 654

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Article

Sierra Leone: Red Cross community health volunteers support diagnosis of mystery illness

“It takes a village to raise a child,” as the proverb goes.Though it’s an old saying, the idea of an entire community looking out for the health, safety, and well-being of their children is still relevant today. And nowhere is it perhaps more evident than in the small village of Laya Dee, Sierra Leone.Unknown illness sparks concernAbu Dumbuya is a shy, yet smiley, teenager who lives with his parents and siblings in Laya Dee. Like most kids his age, he loves playing with his friends, going to school, and spending time with his family.Life was normal for Abu until one day, at age 14, he started developing worrying health symptoms.“He started to complain of joint pain in his knees and hips, pain all over. His eyes went yellow, and he was finding it difficult to use his hands,” explains Abu’s father, Saido.Abu was sent home from school due to the pain. Unsure of what the problem was, his parents first tried to treat him with traditional medicine, using local tree leaves boiled in water. When this didn’t help, they went to the local pharmacy where Abu was prescribed vitamin supplements. But the pain persisted.“I was so scared because I was in a lot of pain. I missed school because of the pain and was missing playing with my friends and having family time,” says Abu.Seeking answers, Abu’s parents sought health advice from a private health centre. But rather than receiving support, the health centre offered no explanation of what was wrong and demanded lots of money.At their wits’ end, Abu’s parents worried that Abu’s condition would deteriorate. But help came in the form of their local Sierra Leone Red Cross Society volunteer, Rebecca.Red Cross and community leaders rally togetherRebecca spoke to the family and knew something was seriously wrong with Abu. Straight away, she alerted her supervisor, Sorbeh, who in turn called the Sierra Leone Red Cross branch manager for Kambia district, Dominic, for back-up.“Dominic came and could see that Abu was in a very poor condition,” explains Rebecca.Having had a bad experience with the private health centre, Abu’s family felt nervous about visiting a health centre again. So while Sorbeh fetched a local nurse on his motorbike to come and tend to Abu at home, Dominic called upon the local community chiefs for help encouraging the family to seek proper treatment.After patient and sensitive discussion, Abu’s parents agreed Sorbeh could take him to the Community Health Centre. There, Abu finally received a proper diagnosis of sickle cell disease (SCD) —a genetic disorder that affects a person’s red blood cells — and several days of treatment.Continued support for a healthy lifeNow 16-years-old, Abu has had a much happier life since his diagnosis. Local Red Cross volunteers continue to accompany Abu for his regular check-ups at the health centre. His health has improved and he hasn’t experienced any sickle cell ‘crises’—periodic episodes of severe pain—in the past two years.“I am happy because I am back playing with my friends like normal,” says Abu.Abu’s older brother, Lamin, who is protective over his little brother, feels he is doing a lot better:“We feel good and very grateful to the supervisor for intervening. We want to share advice with all people in our village to go to the Red Cross for help – the Community Health Volunteer is here for us. If anything bad happens again, we know what to do.”For Rebecca, a native of Laya Dee, the support she provided to Abu’s family is all in a day’s volunteering.Trained through the USAID-funded Community Epidemic and Pandemic Preparedness Programme (CP3), she’s always there for her community—doing the rounds to check in on people and look out for signs of unusual health events.“I like it when I can give support to my community. People come to me. I’m the first person they reach out to and I love giving back to my community,” says Rebecca.To raise a child who is healthy and safe, it really does take a village. And all the better when that village has a Red Cross volunteer like Rebecca.--The support provided to Abu was made possible through the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3).  Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies, and other partners to prevent, detect and respond to disease threats. If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter or follow the Sierra Leone Red Cross Society on X.

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Article

Kenya: How a village Elder and his horn are keeping people safe from diseases

Some people use WhatsApp. Others prefer a phone call. But in Kipajit village, when you need to communicate with lots of people quickly in a crisis, there’s only one option: the Kigondit.A traditional instrument made from a cow’s horn, the Kigondit has been used for generations by Kipsigis communities in Bomet County to summon people for important meetings and to warn them of imminent danger. And in Kipajit, it’s village Elder, Augustine Langat, who has the power and privilege of blowing the Kigondit to serve his community.Through the Community Epidemic and Pandemic Preparedness Programme (CP3), Kenya Red Cross is collaborating with village Elders like Augustine, and other influential community figures, to keep people healthy and safe from diseases.When Augustine summons his village for a gathering, Community Health Promoters—trained by Kenya Red Cross through the CP3 programme—and animal health workers arrive to share important messages about different disease threats, any active outbreaks, and the ways people can reduce their risks.“When I blow the traditional horn, it reaches many people, especially those who might not have been reached through one-on-one interaction. I alert the people so that we can meet in a central place for us to be enlightened by the veterinary and human health practitioners,” explains Augustine.Village Elders are highly respected and trusted figures within their communities and are looked up to for advice and wisdom. So when villagers hear the call of the Kigondit, they come.“There are different ways of blowing the horn for different occasions – you can call them different ringtones. There’s a way to call for a general meeting, and a different noise when you want to alert the community to something dangerous,” explains Purity Kosgei, CP3 Project Officer for Bomet County.“Augustine is able to mobilize the community very quickly, for example when a cow dies from anthrax. It is prudent to call everyone in the village to help tell them what is happening, what the preventative measure are, and how to respond,” she adds.In the case of anthrax, a serious and potentially deadly infectious disease that can spread from animals to humans, Elders are also now leading the way in shifting cultural norms and behaviours that can put people’s lives at risk.For example, in Augustine’s community there’s an ancient belief that when an animal dies, burying the carcass whole will bring a curse on the people and stop them from rearing more animals. It’s therefore customary to cut open the animal and remove its innards prior to burying. Yet if the animal has died from anthrax, doing so can expose people to the disease—which can kill if left untreated.“We’ve seen real behaviour change. The Elders were the ones from the onset who were against disposal of animal carcasses as a whole. But now they understand the risks to people’s health and use their platform to encourage proper burial of animals, to encourage animal vaccination and to make sure people report suspicious animal deaths” explains Monica Okwanyi, former CP3 Project Officer for Bomet County.“Elders are the most trusted community figures and by engaging them we enhance ownership because community members want to know ‘what are our Elders saying? Is it approved by our Elders?’. It’s important to be culturally sensitive. We engage with them respectfully so they don’t feel like we are just imposing something on them. They are happy to learn powerful knowledge they can carry forward through generations,” adds Monica.With epidemics spreading further and faster than ever before around the world, equipping communities with the knowledge and skills to detect, alert, and respond to disease threats has never been more important.Through the CP3 programme, we’ve seen time and time again that well-informed communities can be the first line of defence against epidemics—reducing their spread and even stopping them in their tracks.Augustine puts it best:“I’m excited with the work that I do because when you educate the community, you are protecting their lives. When the area chief tells me to call the people, I do it wholeheartedly because I love it when people get the correct health messages.”“It’s good when the community is alerted. They respond so as to ultimately save lives.”--The activities featured in this article are part of the multi-country Community Epidemic and Pandemic Preparedness Programme (CP3). Funded by the U.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies and other partners to prepare for, prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more, sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter or visit the Kenya Red Cross website.

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Article

Ajak’s story: From village girl to community hero

My name is Ajak, and I was born and raised in Ngo-Dakala village, in Wau, South Sudan.Growing up, I always felt a deep connection to my community. My father, a respected elder, would tell me stories of our village - stories of resilience and strength, but also of the challenges we faced, especially in healthcare. I knew from a young age that I wanted to help.When I heard about the REACH programme through the South Sudan Red Cross, I felt a spark of hope.This was my chance to make a real difference. I joined the programme with a heart full of determination and a mind eager to learn.The training was challenging, but I embraced every moment. I learned how to administer vaccinations, provide maternal care, and educate my community about hygiene and disease prevention.But the most valuable lesson was empathy - understanding and connecting with people on a personal level. That's what truly makes a difference.Our village faced a severe malaria outbreak shortly after I completed my training. It was a terrifying time. Children were falling ill, and the nearest health centre was too far to reach quickly. I knew I had to act.With the medical supplies I received from the training, I turned my home into a makeshift clinic. Neighbours came seeking treatment, and soon my house became the community clinic.I also went door to door, educating families on how to prevent the disease from spreading. It was exhausting, but seeing the number of cases decline made it all worth it. The community began to trust me, and I felt a profound sense of purpose.My work extends beyond healthcare. I want to inspire young girls in my village to pursue education and believe in their dreams. I often tell them, 'Education is the first step to change. With knowledge, we can overcome any obstacle.'With the support of the South Sudan Red Cross and the REACH programme, I have been able to expand my efforts, reaching neighbouring villages and creating a network of trained community health workers. Together, we are building a healthier future for our communities.As I look out over the village of Ngo-Dakala, I see a bright future. A future where health is a right, not a privilege. Where every life is valued, and every community thrives. This is the legacy I hope to leave behind. This is my story.

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Article

REACH: Adut brings health and hope to her community

Over the past months, the South Sudan Red Cross has trained more than 70 dedicated individuals as community health workers in Wau State, nestled within the rugged landscapes of Western Bahr el Ghazal region.As part of the Resilient and Empowered African Community Health (REACH) initiative, these local heroes have become a lifeline for their communities, offering essential health services right at their doorsteps. Equipped not only with medical knowledge but also with empathy and dedication, they are bridging the gap in healthcare access that has long plagued the region.In villages where healthcare once seemed distant, these community health workers have become trusted figures. They administer vaccinations, provide maternal care, and educate families on hygiene practices that safeguard against disease. Beyond these vital services, they play a crucial role in identifying complex cases that require specialized attention, promptly referring them to nearby health centres for further treatment.One such hero is Adut, a young mother turned community health worker. For years, Adut witnessed firsthand the struggles of her community — lack of access to basic healthcare services, preventable illnesses claiming lives, and the daunting challenge of reaching distant health centres."I joined the programme because I saw too many children suffering from preventable diseases," she says with a warm smile. "Now, I can help them get the care they need."Adut's dedication goes beyond her daily responsibilities. She has become a source of knowledge in her village, empowering families with the information and tools they need to lead healthier lives. Her journey is not just about providing medical care but also about fostering resilience and strengthening community bonds, ensuring that healthcare becomes a sustainable part of everyday life in Wau State."As a mother myself, I understand the worries and challenges families face. Being able to ease those worries, even a little, is what keeps me going every day."The REACH initiative, supported by the South Sudan Red Cross, IFRC and Africa CDC aims to empower local communities by training and equipping community health workers like Adut.Through comprehensive training, ongoing support, and access to essential resources, the programme enables these individuals to deliver critical healthcare services directly to their neighbours, overcoming barriers of distance and infrastructure.

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Article

Guinea Red Cross supports communities in the fight against rabies

Little Ousmane was at home in Faranah, central Guinea, when he noticed a stray dog outside. Curious and wanting to play, he approached the creature. But before he had time to react, the dog leapt up aggressively and bit him on the chest and hand.His grandfather alerted the local Guinea Red Cross volunteers, who arrived quickly to tend to Ousmane, wash out his wounds, and track down the dog for investigation. Thankfully, they were able to arrange for Ousmane to get the necessary health treatment. Lab testing later confirmed the dog had rabies, meaning that without the quick action from volunteers, Ousmane likely wouldn’t have survived.An incident like this is a parent’s worst nightmare and a common worry among communities in Guinea. But through theCommunity Epidemic and Pandemic Preparedness Programme (CP3), funded by USAID, the Guinea Red Cross is running different activities to reduce rabies risks and make sure deadly dog bites are a thing of the past.Raising community awarenessPreventing the spread of diseases like rabies relies on communities having accurate and trusted information on how they can stay safe.Guinea Red Cross volunteers, known and trusted by their communities, regularly go door-to-door, organize community meetings, and take part in local radio shows—educating people on rabies risks, how it’s spread, and how they can protect themselves.Through this engagement, communities learn the importance of reporting stray animals displaying unusual or aggressive behaviours and of looking out for signs of rabies within their own pets.Supporting vaccination campaignsVaccinating dogs is the most effective preventive measure for reducing the risk of rabies.But for a rabies vaccination drive to be successful, people in the community need to see the value of vaccinating their pets and—crucially—turn up in their droves on the day.That’s where the Guinea Red Cross comes in. While the Ministry of Agriculture and Livestock provides the vaccines and veterinary staff to administer them, it’s Guinea Red Cross volunteers who drum up demand within communities and accompany people to their appointments.“Thanks to the vaccination campaign, which we heard about from Red Cross volunteers, our dogs are no longer a threat—they are healthy companions. It’s an act of responsibility for the security of everyone. Vaccinating dogs protects our community,”explains Mamadi Fofana, a traditional healer and hunter from Faranah who was convinced to vaccinate his dogs against rabies.Keeping tabs on the canine populationRabies vaccines don’t last forever, with animals requiring booster shots every 1-3 years to keep them rabies-free. So the Guinea Red Cross has set up a dog database to keep tabs on the canine population in Faranah.Volunteers track when and how many vaccine doses have been administered, and record owner details so they can reach out when it’s time for a booster.If a bite incident occurs, the database helps them to track down the owner to investigate and conduct further engagement around the importance of taking responsibility for their animals.The data is also used by the Ministry of Agriculture and Livestock so they know how many doses of vaccines are needed when planning dog vaccination drives.Bite response and community-based surveillanceWhen someone in Faranah is scratched or bitten by a potentially rabid animal, Guinea Red Cross volunteers are usually the first to hear about it and arrive on scene.Trained in epidemic control, they can provide crucial first aid. For suspected rabies, this involves vigorously washing out the wound with soap and water for 15 minutes and wrapping it in a clean bandage while awaiting emergency health care.Through a digital community-based surveillance system, calledNyss, volunteers quickly report bite incidents to their supervisors, who can then escalate the alert to local human, animal, and environmental health authorities for rapid investigation and treatment.Time is of the essence when someone is bitten. As the eyes and ears within local communities, Guinea Red Cross volunteers play a vital role in detecting and alerting suspected rabies cases early to maximize people’s chances of survival.The fight against rabies in Guinea is a marathon not a sprint. But with patient and continued engagement with local communities and strong collaboration with authorities in rapidly reporting and responding to bites, the Guinea Red Cross is supporting people in Faranah to stay safe and healthy from this deadly disease.---The activities featured in this article are part of the multi-countryCommunity Epidemic and Pandemic Preparedness Programme (CP3).Funded by theU.S. Agency for International Development (USAID), CP3 supports communities, Red Cross and Red Crescent Societies, and other partners to prepare for, prevent, detect and respond to disease threats.If you enjoyed this story and would like to learn more,sign up to the IFRC’s Epidemic and Pandemic Preparedness Newsletter.

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Article

World Red Cross and Red Crescent Day: How a vigilant volunteer helped thwart an emerging cholera outbreak

The city of Tog Wajaale, perched on the Somaliland-Ethiopia border, serves as a crucial crossing point for people and goods, particularly those coming and going from the port of Berbera, located about 300 kilometers away on the Gulf of Aden.It is also a place where an outbreak of any infectious disease could travel quickly — and far — because of the high levels of commerce and people passing through.That’s one reason the swift action of a Red Crescent community health volunteer Nimao Abdi Bade was so critical during the first days of a cholera outbreak in January 2024.Spotting a family with severe symptoms, Nimao recognized the signs and reported their case via a platform managed by the Somali Red Crescent Society (SRCS), which then triggered a swift official response from health authorities and the rapid activation of resources from IFRC's Disaster Resonse Emergency Fund.It turned to be the first reported case ofacute watery diarrhoea (AWD) and cholera in Somaliland and it led to a combined and coordinated response that greatly reduced the impact of the outbreak.A vigilant volunteerNimao's vigilance didn't stop at the first case. Tracing the family's contacts, she uncovered more potential cases involving people who had recently crossed the border. This led to confirmation of several cholera cases and a Ministry of Health intervention.Trained by SRCS to identify and reportcases ofacute watery diarrhoea (AWD) and cholera and inspired by her success, she urged others to report illnesses promptly."AWD/Cholera was new to us," Nimao says. "But SRCS training equipped us to respond. I am so proud of myself and being a volunteer of SRCS."The outbreak prompted SRCS to deploy more volunteers for house-to-house visits and hygiene promotion.Nimao's commitment went beyond initial reporting. During her house-to-house visits, she identified five additional cross-border cases, promptly reporting them. These reports, verified by SRCS Community Health Officer Roda Mohamoud Mohamed, led to further investigations. The following day, six more suspected cases were reported and escalated to the Ministry of Health.Empowered by her success, Nimao has become a champion for timely reporting and community-based surveillance. Her diligence exemplifies the vital role volunteers play in strengthening public health responses.SRCS also responded by mobilizing volunteers in Wajaale, another town on the Ethiopian-Somaliland border, and the surrounding areas, as well as the nearby Marodijeh region. The focus shifted to house-to-house visits, hygiene promotion, and raising community awareness about AWD/Cholera risks and prevention.

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Article

Tajikistan: From landslides to landmines, partnership helps keep people safe and healthy

Three kilometres from the Changal village school in Tajikistan lies a minefield.As the summer holidays approach, chemistry teacher Saida Meliboeva and other Tajikistan Red Crescent volunteers warn children to stay away from the danger zone in the border area between Tajikistan and Uzbekistan.However, cattle are moving into the minefield and children and herding animals are in danger.No one knows exactly where the mines are, as they are not marked on the map. Frequent mudslides and floods move the mines to unpredictable locations.Information shared by the Tajikistan Red Crescent has helped keep children safe and it has been 15 years without any mine accidents.This is just one of the many critical activities supported by a three-yearpartnership between IFRC and the EU issupporting local communities in Tajikistan to effectively anticipate, respond, and recover from the impact of multiple shocks and hazards.Schoolchildren also learn how to act during an earthquake and other disasters and everyday accidents. In a preparedness exercise organised by the Tajikistan Red Crescent, students learned how to leave classrooms quickly and give first aid to the injured."Our teacher told us what to do in case of a mudslide or an earthquake, or what to do if someone breaks a bone or you need to give first aid," says Manija, a student from Panjakent in Tajikistan."If there is an earthquake, we find a place where there are no houses and sit there. We have to staybrave and calm and go out without rushing."Tajikistan Red Crescent volunteer Azambek Dusyorov still remembers what the mudslide approaching his home in Panjakent, looked like. Spotting the mass of earth falling from the mountains, Azambek told his friends and family of the danger and ran for safety up the hill. Fortunately, the house remained standing.Since then, Azambek and other Red Crescent volunteers have planted trees in the yard, the roots of which help keep the earth masses in place. A wide track has been cut into the hillside, allowing the mudslides to descend into the valley without destroying homes and crops.When clashes intensified along the border between Tajikistan and Kyrgystan, Red Crescent volunteerAbdurahmon Sultanbegan visiting homes in the region to make sure people know how to take care of themselves and their neighbors in case of an injury.One of the homes he visited was that ofMashkhura Hamroboeva, in Khistevarz jamoat at Khujand.Since then, meetings have continued, and discussions have revolved around everyday topics."We meet 2–3 times a month. We talk about everything from how to prevent frostbite in winter to how to avoid infectious diseases," says 17-year-old Abdurahmon.It didn’t take long for Abdurahmon's advice to come in handy. When Mashkhura's three-year-old son accidentally spilled a hot cup of tea on himself, Mashkhura remembered what Abdurahmon had told her.Traditionally, a burn had been treated with a cut potato, but this time Mashkhura dipped the child'shand in cool water.There are just some of the Tajikistan Red Crescent actions (supported by the Programmatic Partnership) that help people and communities prevent future catastrophies and take care of themselves during crises they weren’t able to prevent.TheProgrammatic Partnership between the IFRC network and the European Union, provides strategic, flexible, long-term and predictable funding, so that National Societies can act before an emergency occurs. It is being implemented in 24 countries around the world.

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World Immunization Week: Delivering vaccines and trustworthy information to communities around the world

A mother of four and restaurant owner from Dabola, in central Guinea, Diaraye says she felt scared about vaccines. She didn’t think she had enough information and she’d heard rumours about harmful side effects.Several health workers came to visit her to try and convince her to vaccinate her newborn, Madiou, but she still felt uneasy.That was until she met Bérété, a Guinea Red Cross supervisor with theCommunity Epidemic and Pandemic Preparedness Programme (CP3).A mother herself, Bérété connected with Diaraye and patiently explained how vaccinating her own children has kept them safe from diseases. She responded sensitively to Diaraye’s concerns.Newly informed and confident, Diaraye agreed for Bérété to take baby Madiou for his first immunizations. Since then, Diaraye has become a champion for vaccination within her community.“My advice to mothers is to agree to their children getting vaccinated," says Diaraye. "Since the Red Cross came to help me vaccinate my baby, I’ve seen that it’s good for children. And I tell all mothers to go and get their children vaccinated at the health centre.”A global story, playing out locally, house-by-houseDiaraya’s story is far from unique. People around the world often don’t have access to life-saving vaccines, do not have all the facts about how they work, or don’t know who they can trust to give them accurate and unbiased information.This is why trusted community organizations, like Red Cross and Red Crescent Societies, are playing a critical role in reaching out at the local level, providing trustworthy information while enabling access to vaccines in places that are underserved by health services. In many cases, they are in the midst of ongoing emergencies.This year, World Immunization Week revolves around the theme of Humanly Possible, also the name of a global campaign to celebrate and build on the achievements made in protecting people from preventable diseases during the last 75 years.For its part, the IFRC is redoubling efforts to bring awareness and vaccines to people in vulnerable situations — conflict, outbreaks, forced migration, natural disaster — or who lack access to immunization services for whatever reason.The approach varies to meet the specific situation of each county. They also span the globe, from National Societies in Guinea, Afghanistan, Pakistan, andKyrgyzstan,and many others. Here are a few more examples of the ways Red Cross and Red Crescent Societies are taking on a wide range of very different immunization challenges.Philippine Red Cross takes on another measles outbreakThe Philippine Red Cross Society (PRCS) has been supporting the government of ThePhilippinesin responding to a measles outbreak by vaccinating more than 15,000 children ages 6 months to below 10 years old with measles vaccine.As of April 14, 2024, the Philippine Red Cross has vaccinated more than 15,500 children, mobilizing a total of 131 volunteers (35 vaccinators and 96 support volunteers) in 85 communities in four provinces.The PRCS’ measles outbreak response is being donein collaboration with the ICRC, which also has a long-time presence in theBangsamoro Autonomous Region in Muslim Mindanao, an area where people are impacted by internal conflict. Because of low immunization rates in the area, It's also one of the main places in the country where the measles outbreak is happening.The PRCShas been part of other polio and measles outbreak responses and plans to expand this current operation by deploying vaccination teams from other chapters, with the help ofresources from the IFRC and the United States Center for Disease Control.Using innovation to improve access to immunization in ThailandThe Thai Red Cross Society (TRCS), meanwhile, has been using technology in innovative ways tobring immunization services to people who would not otherwise have access to immunization services.In Thailand, many displaced people and undocumented residents are living without proper forms of identification required to access vaccination services. To address the health gap, TRCS partnered with the Department of Disease Control of the Ministry of Public Health and Thailand’s National Electronics and Computer Technology Center to develop the Thai Red Cross Biometric Authentication System.This system uses a biometric authentication system, using face and iris recognition technology — while still ensuring data privacy — to accurately identify and register vaccine recipients.This allows people without official documentation to still receive vaccines and it enables a way to keep a record of the vaccinations received.Using this technology, TRCS reached 20,000 adolescent girls (specifically ethnic minorities, migrants, and refugees) living in temporary shelters across the country with 40,000 doses of Human Papillomavirus (HPV) vaccine. This helped to significantly decrease their chances of getting HPV, a major, but vaccine-preventable cause of cervical cancer.If this can be expanded, more displaced persons and undocumented residents can be assured to have access to their next essential vaccine, such as a booster shot.Local presence, ready to prevent and respondOver the long term, immunization campaigns are only fully effective if they are of high quality and result in high rates of coverage. The challenge now is to improve and strengthen routine immunisation to better prevents future outbreaks, while also ensuring there is capacity in place to respond quickly and engage communities — if and when outbreaks occur.This is why the work of National Societies is so critical. As national organizations with widespread local presence, they are ideally suited to work with local and national health authorities and communities to build trust while delivering consistent access to immunization. The video below shows how the Pakistan Red Crescent brings immunization through local clinics.Back in Guinea, Red Cross volunteer Bérété continues to visit Diaraye to make sure her son Madiou is doing well, as part of her work engaging members of her community on how to protect themselves and their families.“We keep supporting her, because every time I send her child to hospital to be vaccinated, I never forget to follow up,”explains Bérété. “Every morning I come to see her to check on the child. Because you can’t just vaccinate a child and leave without following up. If she can see that you are there for her at all times, she will have the courage” to keep up with necessary immunizations in the future.

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Article

World Malaria Day: Volunteer goes the last mile to save baby boy’s life in Sierra Leone

Baindu Momoh is a mother from Gbaigibu in Kailahun district, eastern Sierra Leone. Her village is so small and remote it doesn’t show up on most maps—but that doesn’t stop the Sierra Leone Red Cross Society from looking out for the health of her community.In October 2023, Baindu came rushing to her local Red Cross volunteer, Joseph. Something was deeply wrong. Her baby boy, Senesie, had a fever, was sweating and vomiting, and had a puffy face and eyes. Baindu feared for his life.Thankfully, Joseph is part of the Community Epidemic and Pandemic Preparedness Programme (CP3) and is trained in how to detect, report, and respond to disease threats—meaning he knew exactly what to do.“I have established strong relationships with both the health facility and the community. When the child’s mother reached out to me in distress, I immediately recognized the urgency of the situation,” explains Joseph.In the absence of timely local ambulance services, Joseph rushed Baindu and her baby on his motorbike to the nearest Community Health Post in Woroma, where Senesie was diagnosed with severe malaria and anaemia. Baindu was told that, to survive, Senesie needed an urgent blood transfusion—only available at the Kailahun Government Hospital, some 30 miles away.Without hesitation, Joseph offered to help, explaining:“As a trained volunteer with a humanitarian organization, my community is my responsibility.”But in this part of the world, getting to the hospital is easier said than done.On his motorbike, with Baindu and Senesie on the back, Joseph embarked on the long, bumpy road to Kailahun—carefully navigating the treacherous terrain and crossing rivers along the way. Thankfully, they arrived safely and Senesie was quickly treated by hospital staff. “Since I could help, I couldn’t let him die. So I made the decision to pay for the treatment because the parents couldn’t afford the cost,” explains Joseph.Thanks to Joseph’s quick action and support, Senesie made a full recovery from malaria. After a week in hospital, Baindu and Senesie returned to their home in Gbaigibu. Joseph continues to check in on them to make sure they’re doing well.“Joseph risked his life to save my son’s. Upon reaching the Kailahun Government Hospital, he paid for a blood transfusion that the medical practitioners had recommended. To me, Joseph is a true lifesaver who helped us in our time of need,” says Baindu.Baindu isn’t the only person in Gbaigibu to be supported by Joseph. He regularly engages people in his community on how to prevent, detect, and respond to diseases—such as malaria, measles, and yellow fever—so they can stay healthy and safe.Fomba Lamin, head of the Woroma Community Health Post, feels Joseph plays an invaluable role in encouraging village members to seek health support.“We thank the CP3 programme, it is improving our referral rate. Community members we refer in the past did not go to Kailahun for obvious reasons: the means of transportation. But with people such as Joseph, who encourage our people to seek health care in Kailahun, we see the reduction of death in our community,” says Fomba.Although malaria is preventable and treatable, the death toll from the disease remains high for children under 5 and pregnant women, particularly in remote and hard-to-reach communities. Key challenges to controlling malaria include a lack of reliable access to health services and prevention supplies, a decrease in global funding for malaria, and a widespread and increasing rise in insecticide resistance in malaria-endemic countries. Recent innovations, such as the approval from WHO of new insecticide-treated nets (ITNs) to address insecticide resistance and two new malaria vaccines for children, are positive steps to tackling the disease. Through programmes like CP3, the IFRC is supporting Red Cross and Red Crescent Societies worldwide to plan and deliver high-quality malaria prevention activities, such as:Supporting ministries of health and their partners to plan and implement distribution of insecticide-treated bed nets through mass campaigns or continuous distribution channels. Administering preventive treatment to children as part of seasonal malaria chemoprevention campaigns.Promoting individual preventive practices through social and behaviour change activities to encourage people to sleep under a bed net every night of the year, seek prompt and early healthcare in case of fever or malaria-related symptoms, and attend antenatal care for malaria prevention.This story from Sierra Leone is a great example of how National Societies are supporting communities to prevent and seek treatment for malaria, encouraging them to implement practices that will protect them from the disease, and improving their access to health care—even in remote and isolated communities.The IFRC also houses and chairs the Alliance for Malaria Prevention, a global partnership that supports ministries of health and their financial and implementing partners with the planning and implementation of ITN distribution, primarily through mass campaigns. ITNs remain the most effective tool to protect at-risk communities from malaria. --Joseph, the volunteer mentioned in this article, is part of the Community Epidemic and Pandemic Preparedness Programme (CP3). Funded by the U.S. Agency for International Development (USAID), the programme supports communities, National Societies, and other partners in seven countries to prepare for, prevent, detect and respond to disease threats. If you enjoyed this story and would like to learn more:Visit the malaria page on IFRC.orgVisit the Alliance for Malaria Prevention websiteSign up to the IFRC’s Epidemic and Pandemic Preparedness NewsletterFollow the Sierra Leone Red Cross Society on X, Facebook and LinkedIn

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World Immunization Week: Afghan Red Crescent mobile health teams bring life-saving immunization and care to people in remote areas

Muhammad Taher, a 40-year-old farmer and his family of eight children, is among the many families who have received life-saving immunization and medical care from Afghan Red Crescent Society mobile health teams.Getting any sort of healthcare in Muhammad Taher’s district, Nahr Seraj of Helmand province, has been a tremendous challenge for decades. Nahr Seraj is four-hour drive from the nearest city, Lashkar Gah, southwestern Afghanistan.For more than two decades now, public health care services in Afghanistan have relied on international financing while the last mile is delivered by various local humanitarian actors.As the IFRC marks World Immunization Week 2024, which this year has a theme of Humanly Possible, the Afghan Red Crescent’s efforts to bring healthcare and immunization to remote rural areas is a impressive example of what can be achieved through consistent, dedicated local presence.Following the historic events that took place in August 2021, a major strain was put on the public health system as donors reorganized their financing models. The transition stretched the system significantly, but a total collapse was prevented through solutions which have enabled continuation of primary and secondary health services.The Afghan Red Crescent Society is one of the local actors engaged in the delivery of primary and secondary health services in the country.The National Society’s network of more than 200 health facilities includes 97 mobile health teams, 46 fixed basic health clinics, 28 sub health clinics, one comprehensive health clinic, and a district hospital. There are also more than 40 health camps supporting routine immunization efforts in various provinces.Life-saving pre-natal care, medication and vaccinationThe ongoing economic hardship means that Taher, and countless others, are unable to pay medical bills or even reach the health facilities located in Afghan cities."My pregnant wife and three of my little girls fell ill recently and needed urgent healthcare but I couldn't afford to take them to the city hospital,” said Taher.“I approached my relatives and neighbours to lend me some money for [the trip], but none were able to help because they too were undergoing tremendous economic hardship.“Finally, one of my relatives mentioned that an Afghan Red Crescent Society mobile health team was operating in our village and suggested that I take my sick family members there.“Without wasting any time, I rushed back home and took my wife and children to where the teams were located. Thankfully my wife was able to get her prenatal checkup done by a midwife, my sick daughters were examined by a doctor and received free medication, and my other children got vaccinated,” he explained in relief.Vital support from partnersAfghan Red Crescent Society health facilities are supported by several partners, including the IFRC. For instance, in 2022 the IFRC provided funding for 47 mobile health teams which delivered primary healthcare and immunization services at least 500,000 people, among them women and children, in rural and remote areas of Afghanistan such as Taher’s district.The 47 mobile health teams have so far operated in many remote provinces including Nangarhar, Kunar, Nooristan, Kandahar, Helmand, Urozgan, Parwan, Sar-e Pol, Bamyan, Paktika, Wardak, Nimrooz, Herat, Badghis, and Jawzjan in the past years.Taher is certain that his family is now much safer after their visit to the Afghan Red Crescent mobile health unit.“My wife and my children are precious to me, and I can't imagine my life without them,” he said. “When they get sick, I get so worried since I have previously lost a close family member because we were unable to reach a doctor in time.“I can't express how grateful I am to the Afghan Red Crescent Society for sending a mobile health team to our village. They are providing life-saving help to people like us in remote rural areas where access to healthcare facilities is so constrained or totally non-existent."In 2023, the IFRC supported the Afghan Red Cresent in administering more than 390,000 doses of vaccines to children under 59 months of age.This included vaccinating more than 5,000 children in their second year of life (12 to 23 months of age) with measles vaccines as part of catch-up efforts, and giving some 46,000 oral polio vaccine doses to children aged between 24 to 59 months as part of intensive efforts to halt wild poliovirus transmission.IFRC’s support to the Afghan Red Crescent is part of its commitment, expressed in the IFRC Health and Care Framework 2023, to support National Societies in reaching “more than six million zero dose children globally and to reinforce both polio eradication efforts and routine immunization strengthening in multiple countries”.National Societies and the IFRC work together to expand routine immunizations to children through integrated service delivery and community engagement approaches. Trusted local healthcare volunteers work within at-risk communities to ensure children receive life-saving vaccinations for preventable diseases such as polio, measles and cholera.Words by Mir Abdul Tawab Razavy | Editing by Rachel Punitha

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Article

Gaza: A family of volunteers, helping others while they themselves cope with the hard realities of conflict

“I wake up early at seven in the morning to attend to the family's needs, then head to the nearby market, which is one kilometer away. I search for something to feed my hungry children.”This is how a typical day starts for Youssef Khoder, a Palestine Red Crescent volunteer from northern Gaza. Youssef comes from a family of volunteers. His mother is an obstetrics nurse, his brother Mahmoud and Ibrahim are also both nurses.“We have been working at the PRCS medical point in Jabalia since its establishment,” he says. “We were displaced and had to move to a shelter center, but now the situation has changed, and we have returned to our homes.”After getting food at the market, Youssef and his wife start a fire to prepare food for their young children. The eldest daughter, Ayloul, is 6 years old. Mohammed is 4, and Ghaith is 2. Then Youssef is off to meet his brothers at the medical point in Jabalia.“We walk 2 kilometers back and forth every day to reach the medical point where we volunteer,” he says. “We carry out our work because it is our humanitarian duty, continuing to serve our people in northern Gaza.”A vital point for community health amid conflictThe medical point consists of a large tent, inside which there are about a dozen rolling hospital gurneys or beds. The medical post in Jabalia, in the Northern Gaza Strip, has remained operational and provided medical and health services to thousands of affected people even when key hospitals went out of service; it continues to provide services despite the shortage of medicine.While his brothers attend to patients, Youssef takes photos as part of his responsibilities documenting the work of his Palestine Red Crescent colleagues. This is important role in documenting the humanitarian needs as well as the reporting to the world what the Red Crescent is doing to try and address those needs.This is not as easy as it may seem. With power outages and damaged communications infrastructure, the simple act of sending the photographs to headquarters is not so simple."After the afternoon prayer, I walk one kilometer to a high-altitude location so I can catch a signal and gain internet access. I spend half an hour sending files to the administration before returning to the medical point. We spend an hour with colleagues before heading back, sometimes stopping by the market to get some food for suhoor and for the next day. However, food is scarce and the prices are very high."During Ramadan, all this was done while fasting from sun up to sun down. After work, they would return home before breaking their fast (iftar). "My family and I sit together. I break my fast with them, pray the Maghrib prayer, have tea, and then return to the medical point on foot. I work for a few hours before coming home late.Concerning food scarcity, it’s like we have been fasting for 6 months, so it’s not just during Ramadan.We continue to work with even greater determination than before, and we pray that we remain able to serve the people, and that Gaza’s dark days will soon pass.”

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Podcast

Dr. Fatma Meriç Yilmaz: ‘Regardless of culture, country, creed, language or religion,’ ensuring everyone has a seat at the table

As the first female president of the Turkish Red Crescent, Dr. Fatma Meriç Yilmaz talks about her National Society’s role in supporting one of the world’s largest refugee populations and in running the world’s most ambitious humanitarian cash assistance programmes. She also discusses the continuing impacts from the earthquake that struck Türkiye and Syria in Feb 2023. As a champion of women in humanitarian leadership in Türkiye and globally, shetalks about the significant gains made in recent years and what still needs to be done to ensure everyone’s voice is heard.