Cholera Response Project, Single phase


Cholera is an endemic public health challenge in many northern Mozambican communities, with high rates of illness and death. With this project, Switzerland aims to reduce cholera incidence, morbidity, and mortality in targeted intervention areas by strengthening prevention and improving case management. This will be achieved by enhancing community awareness and hygiene practices, building the capacity of relevant local authorities, and strengthening disease surveillance and rapid response systems, thus allowing more effective reaction to sudden outbreaks.

Country/region Topic Period Budget
Mozambique
Health
Health education
01.08.2025 - 31.07.2028
CHF  1’250’000
Background Northern Mozambique faces recurrent cholera outbreaks that cause significant illness and death, especially in vulnerable communities. Climate events such as floods and cyclones worsen the situation by damaging water and sanitation infrastructure, increasing the risk of cholera transmission. Poor access to safe drinking water, inadequate sanitation, and limited hygiene awareness further contribute to the rapid spread of the disease. Health facilities in the region often struggle with insufficient resources and capacity to effectively manage cholera outbreaks. The annual incidence varies from 0 to 211 cases per 100,000 inhabitants, with a case fatality rate (CFR) between 0.2% and 4.3%. False beliefs and misinformation about the causes of the disease fueled violence against health workers and community leaders and led to the destruction of 4 health facilities, undermining public trust and complicating emergency response efforts, Developing strategies to address these issues, involving local governments, health authorities and actors, and building community resilience will minimise the devastating impact of the disease and pave the road to cholera elimination.
Objectives To reduce the incidence, morbidity, and mortality associated with cholera in the project intervention areas.
Target groups
  • Approximately 1.4 million cholera-affected at high-risk populations, particularly in vulnerable rural communities, in Cabo Delgado and Nampula;
  • Around 170 health facility staff across five key facilities, Community Health Workers, local leaders, and municipalities
Medium-term outcomes

Outcome 1: Communities covered by this project are better prepared through the adoption of mitigating measures against cholera transmission and are able to implement an early response when an outbreak occurs.

Outcome 2: Districts, municipalities, and health authorities in Cabo Delgado and Nampula project target districts are empowered and capacitated with the coordination mechanisms and technical expertise needed to effectively prevent and manage cholera outbreaks.

Outcome 3: Health authorities incorporate evidence-based and innovative approaches into cholera prevention and response policies and guidelines, informed by research on eco-epidemiological and climate-driven factors.

Results

Expected results:  

  • Organize 58 community theatre plays and 18 radio spots/debates to raise cholera awareness;
  • Ensure 20 communities have permanent access to chlorine for water disinfection;
  • Strengthen community-based cholera case reporting to health care facilities;
  • Integrate the Community Outbreak Response Team (CORT) strategy into the provincial cholera response plans;
  • Complete a research study on environmental and climate drivers influencing cholera outbreaks.
  • Develop and analyze a research protocol on the acceptance and effectiveness of CORT to inform policy dialogue.


Results from previous phases:  

Previous short-term humanitarian interventions achieved the following results:

  • Reached over 47,300 people (including 53% children) with life-saving WASH support and cholera response interventions.
  • Distributed more than 42,000 sachets of water disinfectants, 27,592 soap bars, and 2,000 water buckets, and rehabilitated 35 handpumps plus 3 water systems to improve safe water access to over 5’300 people.
  • Deployed Rapid Response Teams that provided targeted cholera interventions, reaching over 3,400 households in cholera hotspots.
  • Conducted extensive risk communication and hygiene promotion, reaching 373,000 people, built local capacity for 40 teams and strengthened partnerships for improved emergency preparedness and response.


Directorate/federal office responsible SDC
Project partners Contract partner
Private sector
Swiss Non-profit Organisation
  • Foreign private sector South/East
  • Solidarmed


Coordination with other projects and actors

WASH and Health Clusters

Mozambique Country Support Platform (CSP) of the Global Task Force on Cholera Control (GTFCC), hosted by IFRC

Budget Current phase Swiss budget CHF    1’250’000 Swiss disbursement to date CHF    400’000 Total project since first phase Swiss budget CHF   0 Budget inclusive project partner CHF   1’250’000
Project phases Phase 1 01.08.2025 - 31.07.2028   (Current phase)