Categoria: News

MARCH 24TH WORLD TUBERCOLOSIS DAY:|CUAMM RENEWS ITS COMMITMENT TO DEFEAT ENDEMIC DISEASES

Posted on by Redazione Cuamm

Every year, March 24th marks the World Tuberculosis Day. This event aims to raise people awareness about the burden of tuberculosis. A total of 1,5 million people died from TB in 2020 and an estimated 10 million fell ill with tuberculosis worldwide. 25% of those people lives in Africa. The theme of World TB Day- “Invest to end TB. Save lives” – conveys the urgent need to keep investing resources to ramp up the fight against TB.

Doctors with Africa Cuamm has been working in Africa for over 70 years. Throughout this time, it has been witnessing the burden and consequences of tuberculosis, a predictable and curable disease that “takes the breath away”. Despite the difficulties, Doctors with Africa has never abandoned patients seeking for health care not even in the hardest time, when Covid-19 spread across African countries limiting people access to health services.

«Every day people with TB enter the hospitals we work in: from Rumbek in South Sudan to Wolisso, Ethiopia, not to mention Tosamaganga, Tanzania. Mortality rate is particularly high in some countries such as Angola where it is estimated to 62/100.000 inhabitants –claims Fabio Manetti, Head of Project Management Department at Cuamm. We detect and treat TB in hospital, some of the facilities we work in are equipped with advanced devices such as Genexpert that permits to detect TB, including MDR-TB or tuberculosis-multidrugs resistance. Four of the hospitals we work in are provided with such device that last year allowed us to identify 22 patients who are drug-resistant. Early diagnosis is crucial to detect and treat drug-resistant TB which is more likely to cause death and which effects might jeopardize the 2 years treatment.

Beside clinical interventions, community engagement is also effective in addressing TB prevention and treatment care as demonstrated by the results achieved in Angola and Uganda».

Team work and community engagement are particularly important in Uganda, especially in Karamoja, a poor region inhabited by a nomadic tribe where 6.000 cases of TB are reported every year. With the support given by the Italian Agency for Development Cooperation (AICS) and The National Trust for Italy (FAI), Cuamm is implementing cross-sectoral interventions including on-field activities, such as supervisions in remote villages; mobile clinics and patient transfer to pick up drugs as well as hospital health care. 5 districts, 26 counties and a population of around 600.000 people are benefiting from the intervention implemented with the support of 2.200 community activists. In 2021, 83.566 people were screened for TB, 15.991 suspected were referred to hospital to confirm the diagnosis and 1.272 people were diagnosed and treated.

«Many people here believe that a positive diagnosis to TB implies Aids. This is only a myth. I am glad for the training received because now I can work within the community and play my part to help them». Paul Lotyang-57 years-old, lives in Kotido with his three sons. His wife passed away. He was selected by Cuamm for the training program designed for community activists. His duty consist of going from one village to another trying to detect TB suspected cases. He is illiterate but he knows how to recognize signs and symptoms of the disease so once he has detected a case, he is in charge of guiding patients to health center to receive the diagnosis. His role is pivotal in the contact tracing system and his close relation with patients reduce the risk of treatment abandonment since he follows them to pick up drugs. «He enjoys the loyalty of the community therefore when someone is sick they ask Lotyang to take them to health center. He is so deeply trusted, they call him “Doctor”» says Kenneth Kuanda, Cuamm staff in Uganda.

We cannot fail to mention the “CombaTB” project implemented in Angola to end TB and its co-morbidity with HIV during Covid-19. The project aims at performing early diagnosis and consequently refer patients to Luanda province for treatment. Training program to health personnel, equipment supplies, support to data management and patients follow-up are among the activities of the project realized by community health workers.

PARMA THE CHILDREN’S HOSPITAL HAS A NEW ADMISSION PATHWAY

Posted on by Redazione Cuamm

New sections within Paediatric General and Emergency Department are being inaugurated today. The Paediatric Emergency Department has been redesigned in order to improve admission patterns and care services at Children’s Hospital “Pietro Barilla” in Parma where a new waiting room and dedicated areas have been introduced. The new sections, inaugurated today, have been implemented by Doctors with Africa Cuamm in the framework of IRC19 project “Italia Response to Covid-19: Improving governance and community preparedness for a resilient society (IRC19)”, supported by USAID, United States Agency for International Development.

Due to Covid-19 pandemic, our national health care system has been under strain over the last two years. We have to be ready to face unpredicted outbreaks setting an efficient triage system. For this reason we are inaugurating today the reorganization of the emergency department at Children’s Hospital in Parma, meant to implement a safety protocol to segment Covid from non-Covid patients. The emergency department provides care and attention to around 20.000 children coming from all over the province and is now organized with clear pathways and specific areas dedicated to the little patients. In these days, our thoughts are with Eastern Europe, with Ukrainian people facing the inhumanity of the war but Covid-19 is not over yet. Altough vaccines are proved to be highly effective against severe illness, numerous patients still seek health care and assistance and many of them are children. This intervention will strenghten our preparedness and response to Covid-19 in the upcoming months.

Structural interventions including different waiting rooms and a dedicated area for paediatrics patients were designed in order to create parallel binary triage system to separate patients with fever from those who do not have. Moreover, another space with direct access from emergency room was designed for patients with suspected or confirmed Covid.

According to Dr. Massimo Fabi – General Director at Azienda Ospedaliero-Universitaria di Parma, “Covid-19 pandemic forced us to introduce structural and organizational changes while rethinking model of health care by introducing integrated services. The support provided by Doctors with Africa CUAMM and USAID (United States Agency for International Development) to the paediatric emergency department enabled us to strenghten our multi-specialist healthcare organization through logistics and effective pathways in a facility that receives around 20 thousands minors every year as the emergency department within Children’s Hospital “Pietro Barilla”».

«Covid-19 proved that global health emergencies such as a pandemic require a global response – states Robert Needham, American Consul, US Consulate General Milan- Our work is still ongoing, however, we cannot forget that global response needs local partners. No amount of money can prevent Covid-19 from spreading without the efforts of driven, committed and generous partners such as Doctors with Africa CUAMM and Children’s Hospital “Pietro Barilla”. We are proud of the donation that USAID, on behalf of the American Government, gave to Doctors with Africa CUAMM to implement IRC19 project. Over the last two year, CUAMM have proved its competencies and resilience in responding to the pandemic. Hence, we would like to express our gratitude for this partnership».

«I wish to thank you all for this important donation – states Prof. Gian Luigi de’ Angelis Director of Maternal and Child Health Department at Azienda Ospedaliero Universitaria in Parma- that contributed to rethink the triage system in our paediatric ward by segmenting Covid from non-Covid patients in the hardest time of this health emergency. Today, while atrocities are being committed in the world also against children whose safety should always be a priority for all, we deeply feel the value of solidarity.»

«The intervention at the Children’s Hospital in Parma was realized by Doctors with Africa Cuamm to support health facilities during the pandemic – explains Andrea Atzori, Chief of Party IRC19 project and Head of International Relations at Doctors with Africa Cuamm-. Such intervention is part of a wider commitment that has been driving Doctors with Africa Cuamm over the last two years. With the backing of USAID we have supported 19 facilities in six Italian regions; have provided health care to vulnerable groups in Piedmont, Liguria, Campania and Apulia; we have set and managed a vaccination point in the province of Padua while also providing health workers with supplies of personal protective equipment and training program. In the meanwhile, we have never forget nor have we left behind our work for the promotion and protection of health in 8 countries in sub-Saharan Africa, ranging from implementing Covid-19 vaccination campaign to promoting maternal and child healthcare».

USAID (United States Agency for International Development) financing IRC19 project, is the world’s premier international development agency working in over 100 countries.

The writing of this press release was possible thanks to the generous support of American citizens on behalf of the United States Agency for International Development (USAID). The contents are the exclusive responsibility of Doctors with Africa Cuamm, recipient of the Fixed Amount Award (FAA) No. 7200AA20FA00013 and do not represent the opinions of USAID or US Government.

Fighting HIV is possible

Posted on by Redazione Cuamm

The “Test&Treat” project is coming to an end, with a closing event in Dar Es Salaam, Tanzania, attended by Professor Anton Pozniak, one of the world’s leading experts on HIV, Marco Lombardi, Italian Ambassador to Tanzania, and representatives of international and local agencies. Important results have been achieved: 6 HUBs have been supported, 338,204 people have been tested for HIV, 7,741 patients are currently on antiretroviral treatment, of whom 3,929 have been treated since the start of the project, thanks also to the 76 CLUBs created, community groups of HIV-positive patients that facilitate adherence to treatment and peer support. To date, 1,469 patients are members of the CLUBs. The project was funded by the Gilead Fundation, started in 2016, over 5 years, involved the northern regions of Shinyanga and Simiyu. The main aim of “Test&Treat” is to reduce transmission and improve the quality of life of HIV-positive people while promoting better access to treatment.

“I lived with Hiv for 11 years and initially felt discriminated against by my community. In 2019, I went to Ngkolo Health Centre, where I was given information about CLUBs. Since then things have changed – says Edita, a member of one of the CLUBs. – Being a member of the CLUB has helped me to improve my condition while taking care of my family. Before, it cost me much more time to go to the hospital to receive treatment”.

A strategy implemented by hospitals and community health centres (HUBs) to facilitate continuity of care. The closing event was a great opportunity to share the progress we have made together in the field to tackle and stop the HIV epidemic: a great challenge but an achievable goal.

Ukraine. Political dialogue and diplomatic action must continue

Posted on by Redazione Cuamm

Against the decision to focus everything on military alliances and the threat of arms in an independent state, LINK 2007 network of NGOs reaffirms the need to make every effort to return to political and diplomatic dialogue, even if this seems impossible.

War affects above all the populations and the vulnerable people with destruction, deaths, wounds, oppression, displacements, encouraging hatreds and grudges that remain unforgettable for a long time.

In recent decades, we have seen and experienced these consequences directly in many areas of armed conflict and war where millions of people have been affected and where nothing has been resolved, abandoning entire populations to their sad fate. LINK 2007 NGOs and many other NGOs have been and continue to be at their side, continuously bringing that message of peace that has been denied them.

We can say with the certainty: war never solves anything. Despite being aware of this, the blindness of the political decision-makers has been impressive. In the past years they have used it as a fig leaf to conceal their inability to deal with problems through dialogue and constant and tenacious diplomatic action, in the mutual understanding of the reasons of others.

LINK’s NGOs have been operating in Ukraine for some time and will continue their solidarity and humanitarian presence in this difficult context, alongside civil society organisations and the most needy populations.

“LINK 2007 – COOPERAZIONE IN RETE” is composed of the following NGOs: AMREF HEALTH AFRICA, CESVI, CIAI, CISP, COOPI, COSV, ELIS, ICU, INTERSOS, LVIA, MEDICI CON L’AFRICA CUAMM, SOLETERRE, WEWORLD, WORLD FRIENDS

presidenza@link2007.org – www.link2007.org

AN UNEXPECTED TRUCE

Posted on by Redazione Cuamm

“It’s a hot morning in the Intensive Care Unit of the University Children’s Hospital Complex in Bangui: hot because it hasn’t rained for two days and today the air conditioning seems to be acting up, hot because it’s a Monday and, as often happens on Mondays, a third of the eleven beds in the care of my colleague Baptistine and myself are occupied by new patients who have arrived at the Emergency Department in code red. I am also hot because Baptistine, who was on night duty yesterday, is not here today, and so I have to assess the patients together with the nurses, struggling with the little bit of Sango (the most widely spoken language in the Central African Republic) that I know to interact with the parents.

My colleague Saturnin appears on the doorstep of the large hall, and greets me in Italian (he did part of his specialisation school in Italy, thanks to a project of the Holy See), kind and smiling as always: ‘I would have a child to transfer to you’. I’m sorry, Saturnin, my room is full, and then here, you see, the children are all unstable, your child has no cardiac, respiratory or neurological instability, I can’t accept it… I’ll come by later to see him anyway. In the afternoon, once my little patients are settled, I go to the room where the child my colleague is asking us to transfer is. The child, who is actually a beautiful 5-year-old girl named Jaelle, is accompanied by a witty and cheerful young woman. Jaelle has fissured skin all over her body due to what we would later diagnose as “SSSS” (Staphylococcical Scalded Skin Syndrome), a disease I thought was relegated to the microbiology textbook of my third year of medical school. She’s in unimaginable pain, but the second she sees me coming, she freaks out like she’s seen a ghost and starts screaming her eyes out, “Mondjouuu” (“white”).

My attempt to explain to her through Saturnin that I will not harm her and that I am there to look after her is useless. It often happens that the children are afraid of me, seeing my skin so different from theirs: so as not to upset her, I quickly close the visit, we agree to move, we ask our logistician to place a mosquito net on her new bed to prevent insects from reaching her very fragile skin. In the days that followed, every time I came into the ICU, Jaelle screamed, telling me not to go near her and not to visit her. She suggested “stay away and give me kisses”, which was hilarious to the parents of the other patients and the nurses. We teach the mother to attend to her with gloves on, to wash her twice a day with sterile solutions, to feed her the most protein-rich foods to aid healing. We advise her to eat eggs, sardines, meat, but as we know, these are not things that an average Central African salary can buy every day. We then suggest giving her beans, or flour made from “makongo”, that is, dried caterpillars, the availability of which in the summer months is a cause for celebration throughout the country, as caterpillars are one of the few sources of protein accessible to almost all pockets. The indefatigable mother seems to be the only one who can keep the little one’s tantrums at bay, and Jaelle is getting better and better with her patient care (and our antibiotics).

On the eighth day of hospitalisation she calls to me, “Mondjou!”. She looks at me without being seen by others and shakily holds out her scarred little hand, which is slowly healing, in a gesture one makes to ask and greet people one thinks one can trust. His way of telling me that we can finally call a truce.

Testimony of Giulia Debertolis, JPO paediatrician in Bangui, Central African Republic

Being a midwife in Angola

Posted on by Redazione Cuamm

Florentina Maria and Fernanda Felicia are two traditional parteiras, two midwives aged 66 and 62. They live in the rural area of Humbe, in the province of Cunene, and every month they walk among the various small communities to hold awareness-raising meetings on safe childbirth, but also on various public health issues such as hygiene and malaria prevention. We met them during a day of meeting and training for the parteiras: a tale of dedication and care, truly every day.

During awareness-raising activities Florentina generally meets 30-40 people, sometimes even 50-60 people. Among these, many are pregnant women and often men are also present. Talking to men is fundamental because in many communities they decide whether women can go to the hospital to give birth, or for medical examinations, or to the casa de espera, the maternity waiting homes of hospitals. In larger communities, midwives can make arrangements with the market leader and do training in the square, where more people meet, as well as in church on weekends.

According to Florentina, the greatest difficulties occur when pregnant women do not want to go to medical examinations so as not to stray far from home, many do not have the money to go to the examinations or vaccination meetings. Fernanda says: “When we go to these areas the women ask us for money, mosquito nets and medicines, but these are things that we do not have and that only the public health nurses have. It’s not easy because they expect something from us while we are there to raise awareness about safe childbirth. Sometimes they come to call us in the community because women have not gone to the hospital or health centres to give birth and complications occur. These cases are bad because we say that we cannot help and we know that only in hospitals can they receive the necessary care. We talk about the possibility of also going to the casas de espera, if they don’t have money for the ride, we advise them to approach little by little. We say that in the maternity waiting houses there is support, there is food. Now, with the problem of drought and the lack of food, it is very important to have such support. Another great difficulty is the distance, we also walk kilometres and kilometres. In the past, there was a calendar, we moved around with the town hall car, and there were many more women at our meetings”.

Both Florentina and Fernanda participate in the training sessions that CUAMM organises for these professionals, as Florentina tells us: “They are important moments because they are the only support we receive and allow us to continue with our work. It’s also good because in these meetings we learn new things, for example about malnutrition and hygiene, which are essential to prevent various diseases”.

Florentina and Fernanda approached the profession in different ways: Florentina became a traditional midwife during the war, more or less in 1981. She began by learning the basics as a nurse when she worked in health posts, in years when there were few nurses and doctors, so she learned how to assist in a birth or how to turn a breech baby in the belly.

Fernanda, on the other hand, says: “I learned to be a midwife during my military service when I worked in the health department. Then, during the peace-making phase, the government recognised this figure of the traditional midwife and gave us a role.

The testimonies of Florentina and Fernanda help us to understand the importance of midwives in Africa, where their presence in the hospital or on the ground can really save many lives.

 

MOZAMBIQUE: THE DESIRE TO BE VACCINATED IS STRONG

Posted on by Redazione Cuamm

In the middle of the last wave of Covid-19, Mozambique, neighboring South Africa where the Omicron variant was first detected, is ready to enhance and implement the vaccination campaign with the doses finally received. Doctors with Africa Cuamm, in partnership with the Mozambican Minsitry of Health, is supporting the campaign in the provinces of Sofala and Tete supported by many institutional and private donors.

Cuamm works in the field alongside the national system, distributing the vaccines, supporting the logistics, training local personnel and raising awareness among civil society. Besides, Cuamm’s committment also involves an analysis of the context of implementation. With this goal in mind, a research on population’s attitude towards vaccination was carried out and it is going to be presented today in an on-line meeting attended by respresentatives of the European Union, local authorities, Cuamm and other NGOs working in the country.

A survey conducted in the communities of Tete and Sofala by Cuamm and supported by the European Union, showed the hesitancy rate among the population and the reasons behind it, helping build the most effective intervention through an awareness-raising campaign. The survey was conducted on a sample of 450 adults from the provinces of Tete and Sofala, 52% of which were women, 48% men.

The research showed that 73% of the sample is willing to receive the vaccine as soon as the doses become available while 25% is opposed and 2% hesitant. Men were shown to be more favorable to vaccination than women. The reasons behind the hesitancy are many: more than 50% is suspicious and does not consider herd immunity necessary, they believe economic and geopolitical factors as well as global conspiracy are the driven forces behind the vaccination campaign; 34% is afraid of the side effects of the vaccine; 14% claims autonomy and personal freedom in making choices about their health; 10% has not decided yet while 7% refuses the vaccine based on religious beliefs

 

«This survey is extremely important for us to understand how to communicate with people in order to inform them on the crucial role of vaccination in fighting this pandemic”- states Giorgia Gelfi, Cuamm Country Manger in Mozambique-. “27% of the population showed to refuse the vaccine because of caution, because of conformity to common opinions and because they want to decide autonomously.

 

The study demonstrated that to face the concerns of those who are hesitant, it would be efficient to intervene on these three arguments.  The fully-convinced no-vax profile is that of a young woman living in the city. A possible way to make a change is a “peer-to-peer” intervention that involves religious and family leaders who are called to set a good example. Media can also be helpful in the distribution of scientific information. As Cuamm we keep working with the activists whose role is crucial in building a bridge with local communities and spreading good habits in their daily life».

The vaccination campaign in Mozambique was officially launched on March 8th and did not run smoothly due to the lack of supply. Today, only 13,73% of the population out of 31 million people is fully vaccinated and the Ministry of Health has set the goal of vaccinating 50% of the population in the next vaccination campaign.

 

«The good news is that more than 70% of mozambican population is wiling to receive the vaccine. To achieve this, Cuamm is working in the vaccination campaign”- claims Don Dante Carraro, Chief of Doctors with Africa Cuamm.- Numerous doses arrived in the country in the beginning of December: 470.427 doses in Sofala and 412.619 in Tete, the two provinces where Cuamm works and we are waiting for many others to arrive. Together with local authorities, Doctors with Africa Cuamm is providing support to the organization, distribution and setting of the campaign furnishing material to 12 vaccination points in the provinces of Tete and Sofala. Among the activities planned, Doctors with Africa is setting up vaccination points, it is distributing medical supplies and priority medical devices, and is working on raising community awareness on Covid-19. At the same time, Cuamm is training health workers responsible for the vaccination and for the management of local activists: in the two provinces, 78 health workers and 90 activists are being trained. The support of the European Union made all this possible and we are grateful to them and to all the private donors who chose to support us».

 

This project is part of the EU’s humanitarian initiative of allocating €100 million in support of the rollout of COVID-19 vaccination in Africa, announced earlier in the year by the President of the European Commission, Ursula von der Leyen, in cooperation with the Africa Centres for Disease Control (AfCDC).

TELEMEDICINE CONSULTATION TO MONITOR PREGNANT WOMEN WHO TESTED POSITIVE TO COVID-19

Posted on by Redazione Cuamm

A new service to support pregnant women who tested positive to Covid was activated in April and officially launched today in Milan. It is a remote monitoring service to provide maternal and newborn care during the pandemic while reducing the risks for healthcare providers. The service, included in the “Italian Response to Covid19: Improving governance and community preparedness for a resilient society (IRC19)” project, implemented by Doctors with Africa CUAMM and supported by USAID, was offered to the patients of Mangiagalli Clinics at the Policlinico of Milan who could benefit from those cutting-edge instrumentations.

When the pandemic peaked in March 2020, Mangiagalli Clinic was identified by Regione Lombardia as Hub Center for Covid-19 among all the regional maternity hospitals. A new area was set at Mangiagalli Clinic to offer healthcare to pregnant women positive to Covid-19: it was provided with 18 beds, eventually expandable to 32, of which 12 set for the subintensive care unit.Smart cameras with face tracking to be activated by vocal command were installed in those 6 rooms of subintensive care with 2 beds each. In addition, directional microphone were also installed to guarantee, through a Wi-Fi connection, a 24/7 video monitoring service and the possibility to listen to and speak to midwives and doctors reducing the necessity to enter the red zone.The cameras installed are also useful to monitor women in the breastfeeding stage. When in their room, patients can connect to the rooming-in and to the intensive care with tablet and smartphone provided to monitor their babies affected by neonatal pathology or born premature.

Dr. Ezio Belleri, General Director at Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico di Milano, said: «This hospital was at the forfront in providing healtcare during the Covid-19 pandemic and we chose to dedicate particular attention to maternal care. The support received during the pandemic by national, international as well as city insitutions and organizations from the third sector was paramount. Hence, the contribution offered to the hospital by Doctors with Africa CUAMM and by the American government».

Robert Needham, American Consul, US Consulate General Milan, pointed out: «Today I am pleased of having joined the Mangiagalli and Policlinico Hospital teams and Doctors with Africa CUAMM in the presentation of a system to provide remote assistant to pregnant women with Covid-19. The system was made possible through the U.S. Government/USAID donation to Doctors with Africa CUAMM of 30,000 euro. This donation is part of the Italian Response to COVID-19 (IRC19) launched by CUAMM in June 2021 and funded through USAID’s $50 million commitment to Italy, pledged in Spring 2020, during the height of Italy’s first wave. USAID’s partnership with Italy saved lives while building Italy’s resilience and capacity to respond to future public health emergencies. Many of these efforts are still on-going. To date USAID has provided more than $9 billion to intensify the fight against COVID-19 around the globe, supporting more than 120 countries. We believe in this global fight, nobody is safe until everyone is safe».

A very important moment for Doctors with Africa Cuamm as well, as pointed out by Andrea Atzori, Chief of IRC19 project and Head of International Relations at Doctors with Africa CUAMM stated: «We are launching today at Mangiagalli Clinic at Policlinico of Milan the remote monitoring system for maternity care. It is a remarkable service that helps us guarantee protection to health workers and patients in a time of common concerns due to Covid-19 pandemic. This is a very important achievement for Doctors with Africa CUAMM. Since the beginning of this pandemic, it was our intention to effectively support the local community renovating in Italy the commitment that has been leading our work in Africa for over 70 years: to provide maternal and newborn care and to ensure safe matherhood up to the last mile».

Prof Enrico Ferrazzi, Doctor of Obstetrics and Gynecology at IRCCS Foundation Ca’ Granda, Ospedale Maggiore Policlinico Milano added: «I thank CUAMM and USAID for choosing Mangiagalli Clinic as Italian center of excellence in obstetrics and gynecology and as regional Hub Center for Covid-19. The remote monitoring service activated has helped us provide 400 patients tested positive to Covid-19 with a better and more secure healthcare service. Such system is not only useful during the pandemic but also in the future, to support mothers and children with medical complexity».

 

USAID (United States Agency for International Development), financing IRC19, is the main development agency of the American government and it works in more than one hundred countries

 This press released was written with the precious contribution of the United States Agency for International Development (USAID) in behalf of the American citizens. Doctors with Africa CUAMM, awarded with the Fixed Amount Award (FAA) No. 7200AA20FA00013 is responsible for the opinions expressed in this press released. Neither USAID nor the American government can be held responsible for what herein stated.

REMEMBERING PIERA FOGLIATI

Posted on by Redazione Cuamm

“All of us who knew her, someone in particular who worked with her, and many other friends and volunteers of CUAMM, have always seen in Piera an example: discreet, humble, hidden, but tenacious and dedicated. Her example of reliability, professionalism, dedication and generosity in the service to the poorest, especially in Africa, is the real ‘legacy’ that she leaves us”. With these words, director Don Dante Carraro remembers Piera Fogliati, who worked for many years with Doctors with Africa CUAMM in various countries, including Mozambique and Tanzania. One year after her death, a small book is being published today: “The ongoing search for the common good. Remembering Piera Fogliati”, which friends and colleagues wanted to dedicate to her. “We wanted to write about her, talk about her, remember her,” is stated in the introduction. “Talking (or writing) about a person who has left us and who has left something inside us, gives us the feeling that she is somewhere close to us. Impalpable, imperceptible, but present. Somehow. Something had to be left that would last a little longer. It was necessary to make her known, albeit in an incomplete and fragmented way, even to those who did not know her. Many contributions, from Italy to Africa, outline a memory that honours a debt of affection and esteem towards Piera, but at the same time recalls intuitions and choices that remain relevant for Doctors with Africa CUAMM.
 If you would like to request the publication, please write to cuamm@cuamm.org or call 049/8751279.

ANNUAL MEETING 2023 GALLERY

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