IFRC's Muriel Atsama and Bienvenue Doumta, head of communications at the Central African Red Cross, visited several of these facilities and filed this report. It's 7.30 am when we arrive at the Sakai health centre. On the benches outside, several patients are waiting to be examined by Don de Dieu, who is the head nurse that day. Among the many patients sitting on the benches is Rebecca, who is holding her sick daughter in her hand. "My family and I used to come here for consultations when we were ill," she says. "The nurses treat us well and we get free medication”. Located about thirty kilometres from the capital, Bangui, the Sakai centre receives patients from 36 villages. Renovated in 2020 by the Central African Red Cross (CARC), it previously consisted of a single building made of earth and was in a state of advanced deterioration. Now the centre now has two buildings, including a maternity hospital, a room for maternal, child-health and family-planning, a child consultation room, and a child hospitalisation room. There is also a dispensary with a five-bed hospital ward, a treatment room, a laboratory, and a pharmacy. In previous years, the centre had only the bare minimum to accommodate and treat patients. The renovation and equipping of the centre by the Red Cross has been a breath of fresh air for the whole village. The aim of these renovations was to make the Minimum Package of Activities, a basic standard for heath services, available to the people here. "The health centre has changed a lot and has really improved," adds Rebecca. "We can see it in the equipment the nurses use to look after us. Today, more than ever, we come here for consultations, and we're satisfied." For Don de Dieu, these improvements also make it possible to offer hospital services to a greater number of people, consistently and over a longer period. "Thanks to the project, we have benefited from solar panels that provide continuous electricity," he explains. "We can now carry out patient examinations at any time and store our products in better conditions". The centre has also received an incinerator for waste management, as well as beds, office space, a waste-sorting shed and a borehole for pumping water from the ground. "Thanks to this new facility, the number of patients attending the Sakai health centre has increased exponentially", adds Don de Dieu. "From around a hundred patients a month in the past, we now welcome more than 500 patients from the surrounding villages.” Pride of the village A little further on, we meet Charles, the chief of the village of Sakaï. He explains that this new building is the pride of his village and the surrounding villages. What's more, his entire community gets safe drinking water from the borehole. "The borehole at the Sakaï health centre is a source of water that serves the whole community," says Charles. The Sakai health centre is not the only one to have benefited from these rehabilitations. A total of 14 other health centres across the country and one hospital have received a wide range of equipment, including an ambulance, an X-ray machine and other equipment required to meet the necessary standards. Our visit continued at Bangui University's Faculty of Health Sciences, where we were welcomed by the Dean, Professor Boniface Koffi. "Thanks to the Red Cross and its donors, all the offices have been renovated,” he said. “The roofs of some buildings have been replaced, as has the electricity. We have also received office furniture, around 1,200 chairs and tables for the comfort of our students, as well as around twenty microscopes.” The University of Bangui was founded in 1969, and the two buildings that make up the Faculty of Science and Health were constructed in 1970 and 1980. Since then, they had not been renovated, and crises weakened them. A perfect illustration In addition to this equipment, the Red Cross has equipped the faculty's digital library with 35 desktop computers, eight laptops and video projectors. "We are very grateful for this major donation from the Central African Red Cross, which has breathed new life into our faculty,” he concludes. “But as you know, the hand that receives asks for more. We would like to have many more classrooms to accommodate and train even more students. Our country badly needs them for the well-being of the population". Our journey ends at the Central African Red Cross University Institute for Paramedical Training, where we are welcomed by Honorine Konzelo, Director of the Institute studies. Created in 2010, the initial building was constructed at the CARC headquarters. Following the crisis that hit the country, the institute was relocated to an abandoned primary school that was in urgent need of renovation. Today, it has three laboratory rooms, a library and lecture theatres. The Red Cross is also paying the salary of the staff accountant, who has also worked as a teacher since the project began. "Our institute is a perfect illustration of the Red Cross's commitment to the well-being of young people, who need high-quality training, and to the population, which needs qualified health workers," says Ms Honorine. The CAR health system reconstruction project has been implemented by the Central African Red Cross since 2018 thanks to technical support from IFRC. Funded by the Kreditanstalt für Wiederaufbau (KFW), the project is in its second phase of implementation, which will run until 2026.

Amizmiz, 50km south-west of Marrakesh, is one of the towns most heavily affected by the September 8 earthquake in Morocco. Upon entering the town on 18 September, we saw search and rescue teams packing up their equipment after a grueling ten days of pulling survivors and casualties from the wreckage. What’s striking as we entered the small town is the buzzing main street, with only a few visibly destroyed houses. An eerie semblance of normality. But as we passed through the small side streets in the heart of the city, it’s chaos. Hundreds of houses have collapsed on top of each other. All that remains is rubble and dust. Public buildings were not spared. The local hospital, while still standing, now has severe cracks and had been declared unsafe to operate. With nowhere else to go, several makeshift medical tents have been set up in the middle of the street to take care of injured people who continue to arrive. It was just as we entered one of these tents, located on the edge of the main roundabout with its continuous flow of cars and trucks bringing relief supplies, that baby Anas was born. With the sun beating down, the temperature in the tent exceeds 35 degrees Celsius. There’s only one delivery table and a desk inside. Anas is nestled safely in the arms of his mother, Nezha, blissfully unaware of the chaos surrounding him. He’s Nezha’s third child—her second boy—named after one of the nurses who helped her when she reached the clinic. Nezha’s smile, and the smiles on the faces of the local nurses who cared for her, are a ray of sunshine in the difficult times Nezha and her family are going through. By the end of the day, the local branch of the Moroccan Red Crescent had managed to find a temporary structure, with electricity and air conditioning, where they relocated the improvised maternity ward. As our response to the earthquake continues, it’s precious moments like this—a mother cradling her healthy newborn son—that keep our volunteers and staff going amid the heartbreak and devastation. -- Click here to learn more about our response to the Morocco earthquake. To donate and support people like Nezha to recover from this crisis, please donate here.

Kapoeta, South Sudan has seen a drastic change in recent times. As residents walk by in the hustle and bustle of this small, rural town, you can see it in their faces: fatigue, most likely from hunger. This is the second failed rainy season for a community that depends on cultivating crops. As I drive by local farmers’ fields, nearly all the crops I see are dry and struggling. Andrea Loteng, 64, shows me around his farm. He’s the chairman of the local farmers’ association in Kapoeta South county and shares how erratic this year’s weather patterns have been. “The rains this year came a little early in March. I planted maize and sorghum but the rains disappeared in May. I lost over 5 acres of crops. Now that it’s raining in July, I planted again, this time holding on to hope the rains will not fail,” he explains. Anyuon Malwan, Area chief of Atarabara, Kapoeta South also describes the situation as dire: “This is the second round of maize I am planting this year that is now failing. At least last year I harvested once.” Some farmers have reached breaking point and abandoned farming altogether, turning to mining for gold instead. Travelling long distances, they camp at mines for weeks on end to try their luck at collecting a few grams of gold in the local streams. If they do get lucky, a gram can fetch around 50 US dollars. But this livelihood, too, is risky and highly dependent on the rainy season. Soaring food prices Failed harvests in much of the Horn of Africa, coupled with the international armed conflict in Ukraine and regional conflict, have led the price of grain and cereal in Kapoeta to increase drastically. “In 2021, we used to buy a kilo of maize flour at 300 South Sudanese Pounds (34 US cents), today the same packet goes for 1,300 (1.5 US dollars),” says Anyuon. Unable to cope with the inflation, many residents in the area have resorted to more affordable cereals, such as sorghum. Those who cannot afford grain at all are forced to scavenge for wild leaves in nearby forests. Children’s lives at risk This poor diet is having devastating consequences for children in the Kapoeta region. Yaya Christine Lawrence is a nurse at a stabilization centre for malnutrition in Kapoeta Civil Hospital. She attends to 3-year-old Lolimo, who was admitted on 22 July with severe oedema (swelling in the ankles, feet and legs) from poor nutrition. “When Lolimo came he was in a really bad state. We have been giving him treatment to clear the fluids before we can now start building up his weight. His case is one of the many hundreds we see in a month.” Lolimo’s mother, Joska, is a single parent and doing her best to raise him, but times are hard. “All I can afford to give him occasionally is sorghum and wild leaves. I have no source of livelihood to offer him a better diet,” she says. Supporting the most vulnerable Women-headed households are bearing the brunt of food insecurity in this part of South Sudan. The Kapoeta region is hardest hit with, with more than 274,000 people classed as severely food insecure. The South Sudan Red Cross (SSRC) recently conducted a needs assessment in the area, giving priority to women-headed households and people with disabilities, with a view to distributing cash to help them boost their livelihoods and put food on the table. Supported by the IFRC and the Japanese government, the SSRC is also actively training community members in Kapoeta in disaster preparedness, including early warning for drought and floods, in groups called Community Disaster Response Team (CDRT). To mitigate the negative effects of climate change, SSRC volunteers are also planting fruit trees, and distributing seedlings, in Juba and other branches across the country as part of its ‘green fund’ initiative. Mango and guava trees are more resistant to drought and only take a few years to start bearing fruit, so will provide a more reliable source of nutrients to local communities. “The needs related to food insecurity in Kapoeta region and South Sudan are great. If we can strengthen localized response capacity and the community structures, we can address the enormous and unprecedented level of humanitarian needs because of the frequency and intensity of climate-related hazards,” says John Lobor, Secretary General of South Sudan Red Cross. “Beyond responding to immediate food needs, we hope to build resilience, so families don’t have to grapple with climatic shocks year in, year out,” he adds. -- Click here to learn more about the IFRC’s response to the current hunger crisis in Sub-Saharan Africa. And to support people like Andrea, Anyuon and Joska, please donate to our Emergency Appeal today.

Bending over her traditional clay cookstove, 38-year-old Lucky Mazangesure stirs the simmering ingredients in a small saucepan: fried-green bananas in stew of tomatoes and onions. As the fire crackles, the scent of woodsmoke mixes with the savory-sweet aroma of the saucy, steaming treat. “Trust me,” she says, “after eating this banana dish you won’t be able to stop.” She can’t resist a quick taste – just to make sure it’s coming out the way it should. “I really love cooking,” she says. “I like tasting the food while cooking. It makes me happy and it keeps my stomach full.” Then she checks on some simmering beans and starts preparing another local delicacy: pumpkin porridge with roasted peanuts, which will be complimented by cooked spinach and broccoli. This diverse meal does a lot more than keep her full, she adds. It gives her body the vitamins, minerals, proteins and carbohyrdates she needs to keep herself and her infant, nursing child healthy. Like many new mothers here in Chibuwe, in southeastern Zimbabwe, Lucky is able to prepare these well-balanced meals thanks to a garden at the Chibuwe Health Clinic, which is tended largely by pregnant woman and new mothers who visit the clinic for pre-natal and post-partum care. The garden got started several years ago as part of a larger initiative by the British Red Cross and the Zimbabwe Red Cross to set up gardens for expecting and new mothers at hospitals and local health clinics, where health workers were witnessing worsening nutrition levels among women and young children. In a region hard hit by drought, windstorms, cyclones and flash floods, many legumes, fruits and root crops that are rich in vitamins, proteins and minerals are hard to get. Infant malnutrition here has been on the rise in recent years, with some estimates suggesting that roughly one-third of children under 5 are malnourished. Covid-19 has only aggravated the situation by disrupting regional and local food distribution systems. “It’s hard for expecting mothers in this community to get a decent meal,” says Robert Magweva, a nurse at the Chibuwe Health Clinic, adding that too often, people must rely only on sadza [sorghum], a carbohydrate, and a limited range of leafy vegetables. “It’s a major challenge to have a well-balanced diet here. So the vegetables that are grown in the clinic garden help them to get a well-balanced meal.” As a mark of the programme’s success, most of these gardens are now sustained entirely by the clinics, hospitals and the communities around them, with support of local agriculture experts and local Zimbabwe Red Cross volunteers. Better farming for a changing climate Still, growing one’s own food in this environment is not easy. The climate has generally gotten hotter and drier, with dry spells punctuated by intense storms and winds, and unpredictable rains. Scorching heat evaporates water quickly and can easily whither young seedlings. “At this clinic garden, we were taught smart agriculture techniques as a way of combating the effects that climate change was having on our harvest,” says Beauty Manyazda, another new mother who works regularly at the Chibuwe Clinic garden. “We learnt techniques such as conservation farming and mulching.” Conservation farming is an approach that aims to improve soil moisture and health by minimising the intensive tilling and plowing associated with large-scale crop production. Mulching is one very common conservation technique in which straw, leaves or other organic matter is laid down on the soil between the crops. This keeps moisture from evaporating, while discouraging weeds and providing nutrients to the soil as the mulch decays. Such techniques are increasingly critical as climate change makes farming more difficult. “Our rainfall patterns have changed over the years,” explains Lucky. “We used to get rain in October, when we would sow the seeds for our crops. Now, we get rains in January. So the seeds we put in the ground get damaged waiting for the rainfall.” Meanwhile, storms, droughts and heatwaves have become more and more intense, says Lucky. “Temperatures have continued to rise and this has resulted in regular, violent winds,” she notes. “These winds have destroyed our homes. We also get floods which also contribute to the destruction.” Amid these challenges, the garden provides also provides other nourishing ingredients: the joy and satisfaction of being able to work and provide sustenance while also being among plants, close the soil with other women at her side. “I love gardening,” says Lucky, her baby tied to her back, fast asleep as she picks a handful of chard. “The green nature of the garden warms my heart. With the garden, I know my family will always have a home-grown, nutritious meal.” -- This story was produced and originally published by the Red Cross Red Crescent Magazine. To learn about the Magazine, and to read more stories like this, click here.

Many countries in Africa are facing the worst food crisis in decades. The consequences are greatest for women and children, with many mothers currently fighting to protect their kids from malnutrition. In Nigeria, one of the IFRC’s 12 priority countries in our hunger crisis response, the Nigerian Red Cross and IFRC are using creative ways to help parents keep their children healthy and fed. Let's take a look at three of them. Mothers’ Clubs Mothers’ clubs are safe spaces for women to come together and support one another through the successes and struggles of motherhood. The idea started in Ghana in the 1970s and has since spread all around the world. These days there’s a growing emphasis on involving men and supporting their equally vital role in raising children. Nigerian Red Cross volunteers have set up 140 of these Mothers' Clubs in 7 north-western states of Nigeria, allowing parents to meet and receive information on nutrition, breastfeeding, and proper infant care. They’re a way of providing health education to parents on how to best look after their newborns, how to breastfeed properly, and how to improve hygiene and care—all in a friendly and supportive environment. When her child became affected by oedema, a serious manifestation of the symptoms of malnutrition, Amina, a member of one of the Mothers’ Clubs, turned to the Nigerian Red Cross for help: "My child had been sick for some time, and I didn't know it was serious, or even that he was malnourished, until they [Red Cross volunteers] came to my house to screen him. Today, thanks to the awareness-raising activities and my membership of the clubs, I can take better care of my children and advise the women in my community on good practices”. Cash and voucher assistance Many households in Nasarawa State are facing severe food shortages due to the drought that is ravaging the region. Sadiya, a mother of one who is struggling to feed herself and her son, says, "I cannot eat or prepare food for my son on a regular basis because the land hardly produces anything." Similarly, another woman in Niger State highlights how the rising cost of living, especially rising food prices, prevents her from providing a good dinner for her family: "My child has not been breastfed properly because there are not enough nutritious meals available in the market for me. And even when they are available, they are unaffordable." To address this, the IFRC is currently providing vouchers to breastfeeding mothers through its Cash Transfer programme. "I was one of the mothers supported by the Red Cross Society. I received 10,000 naira, which enabled me to buy food for my family." she adds. The cash transfer programme is designed to support low-income families to cope with the pressures of inflation so that they can provide for the multiple needs of the household and therefore the children. Giving cash to the people we support is an effective, efficient and transparent way of providing humanitarian assistance to the most vulnerable. It ensures that people have the freedom, dignity and independence to decide on their own recovery. Home visits to fill gaps in health services Several health centres are understaffed, and some have been closed due to increasing insecurity, making it difficult for malnourished children to access even basic health care. The women and members of the mothers' clubs conduct home visits and screen malnourished children by measuring the circumference of their arms. Any child suffering from malnutrition is then registered on a referral card, designed by the Nigerian Red Cross, and referred to a health centre for further treatment. These home visits are minimizing the burden on stretched health services and making sure that children are being regularly screened and supported when they need it. ___________ In response to the food crisis in the north-east and north-west of Nigeria, the IFRC launched an emergency appeal for over CHF 4,000,000 to help people cope. Click here to donate today to support this life-saving work.