Health Promotion in Cabo Delgado

The main beneficiaries are the women and men of selected districts, with focus on people with disabilities and/or chronic diseases and children or women heading a household.

The target groups are the provincial and district authorities of Cabo Delgado and the 1’141’150 women and men (588’499 woman and 552’651 men) living in the 7 target districts of Ancuabe, Balma, Chiure, Mecufe, Metuge, Montepuez and Namuno.

Outcome 1: Government institutions provide adequate water, sanitation and hygiene services in communities and health care facilities at the level of the target districts as per the demand of the population.

Outcome 2: Women and men in the target districts participate in improved Water, Sanitation and Hygiene implementation and maintain the infrastructure.

Outcome 3: Through evidence from local realities, the project engages in provincial and national level dialogue and influences the institutionalization of programme approaches through policy change, adoption and practice.

Expected results:  

Supply side:
i) Duty bearers have the capacity to sustainably provide and maintain demand-oriented water, sanitation and basic health infrastructure to selected communities and HCF
ii) Selected health center facilities are capacitated to ensure minimal hygiene standards
iii) Local artisans are capacitated to maintain and repair HCF and community water pumps

Demand Side:
i) Right holders have the capacity to demand for needs-based and accountable water and sanitation services
ii) Women and girls know about menstrual hygiene
iii) women and men have access to improved latrines

Policy dialogue and learning: Successful project lessons learnt, and good practices are documented, disseminated and discussed with relevant stakeholders, and influence policy decisions at provincial and national level.

Results from previous phases:   The positive impact of the previous phases of the project has been recognized by a project mid-term review in 2021. 15 water supply system and 25 waste disposal systems in Health Care Facilities (HCF) were installed. The coverage of water within the HCF in the 3 project districts increased from 30% to 87% and 78% of HCF have waste management systems. As a result of the improved water, sanitation and hygiene conditions in the HCF and sensitization campaigns for traditional midwives, the proportion of births attended by skilled health personnel increased to 93% in Ancuabe against a baseline of 65% in 2016, 73% in Chiure (baseline = 41% in 2016 and 69% in Montepuez (baseline = 38% in 2016). No cholera cases were reported in the three project districts from 2017 to 2019. 30 local councils were revitalized and planning fairs were held in all localities and administrative posts resulting in a needs prioritization (and included in annual plans) by communities and HCFs. 270 communities (out of 460 from the 3 districts) covering a total of around 136,000 people (52% women) were sensitized to adopt good WASH practices, 99 of them were declared open defecation free, i.e. all households had constructed their own latrines.

Projects: Health Common Fund, WASH common Fund, Humanitarian Projects, Safeguard Young People (SYP), SDC`s Social Cohesion project, Decentralization for inclusive development and Anti-Corruption Project

Partners: Spanish Cooperation, Flanders, Italy, Ireland, UNICEF, WHO and Northern Integrated Development Agency (ADIN)