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CULTIVATING VALUE: THE FIRST MILESTONES

It has been a year since we launched the project ‘Cultivating Value: good practices and innovative methods for inclusive and sustainable agro-livestock production’ with funding from the Italian Agency for Cooperation and Development (AICS) e la partecipazione di vari partners. During these months, we have pursued the results we set ourselves by trying to improve the managerial and technical capacities, production, processing and transformation of the products of the Bagré farm and livestock enterprise managed by the Burkinabé NGO SAPHE.

We are in Burkina Faso, a country where the majority of the population lives in a state of deep poverty and which suffers from severe instability due to the many changes of government and increasingly rampant terrorism. This is why it is essential to intervene for the conscious development of all productive activities that can bring real benefit to the population, supporting them in the fight against malnutrition and destitution.

In this first year of the project, we had to cope with the state of insecurity in the country, which made the implementation of some activities difficult: terrorist groups in the country had established themselves in the areas surrounding Bagré, preventing direct intervention and monitoring of activities by experienced expatriate staff for the first six months. In the face of this, we had to operate remotely to achieve our first goalsA computerised accounting system was set up to allow all project stakeholders to be aware of the farm’s expenses and revenues; training was started for four professional figures considered essential to improve the management of the agro-livestock farm; and communication of the initiative to sector bodies and institutions was promoted to include the farm in a community network. This commitment prompted the Burkinabe Minister of Agriculture to want to get to know the reality of production by personally visiting agricultural fields.

The photovoltaic systems were connected to power the barn and dairy machinery with free green energy, and the paperwork to start construction of a barn, feed store, wells, living quarters and horizontal silos was completed.

In addition, fields have been divided up for specific crops, all bordered by hedges of indigenous African wild herbs, which will have the fundamental aim of preserving biodiversity, an objective that is also fundamental for the Burkinabé government, which has recently decided to implement strict agricultural policies. During this last year, what had been planned in the very early stages of the project was cultivated: rice, white maize, yellow maize, sesame and bananas, but the harvest was reduced due to the difficult availability of fertilisers.

 

Unfortunately, over the past year, due to the world geo-political situation, fertiliser production and trade have been drastically reduced. This means – for all those countries suffering from mineral-poor soils – that it is becoming more and more difficult to make the land yield properly. To cope with this situation, in-house production of organic fertilisers such as Bokeshi and Biochor was started using agricultural or animal waste.

In addition to the agricultural land, the Bagré farm also has 70 cows, which, with respect to their breed and peculiarities, are able to offer sufficient production.milk for the packaging of dairy products such as yoghurt and cheese, which are also essential to provide the local population with a varied choice of food.

 

Of all the production (agricultural and dairy) this past year, 80% was sold, while the remaining 20% was distributed free of charge to the socio-health centres of the Camillian Burkinabé delegation and at the schools in Bagré and Tenkodogo.

In order to make the project long-lasting and rooted in the territory, field activities were also accompanied by the training of personnel working in the companycourses for 25 young local farmers, 10 permanent on the farm and 15 seasonal, focused on theoretical and practical lessons on cultivation techniques, plant cycle, biodiversity and many other topics related to their occupation. The two women who look after the dairy products and the three farmers who supervise the stable were also able to attend training days.

One of the project outcomes is the increase in women’s empowerment in the Bagré Community. To this end, the CSO partner AES-CCC initiated a series of actions that saw the women of the Bagré community at the centre of several initiatives: a database of all the women’s cooperatives operating in the area was created, and from these, women were chosen to participate in training days to strengthen their skills, while others were identified to elaborate the nutrition security plan for the Bagré municipality, which has already been drafted and approved. 18 municipal councillors and 15 women’s associations (about 450 women) were involved in nutrition security policies and the role of women in the sector, of which 30 women were trained on the OHADA law, association life and PO management and the national nutrition plan. A further three groups of women were selected and formed into rice processing cooperatives, and 27 women received training on improving steaming techniques and the use of equipment, with the involvement of a specialised consultant from the National Union of Rice Cooperative Societies of Burkina Faso (UNERIZ).

 

In this first year, despite many difficulties, we have achieved much of what we set out to do. Our intention in the coming months is to continue working to make the Bagré farm fully productive, giving the local population access to a varied selection of foodstuffs, necessary for the wellbeing and health of every individual.

We will continue to keep you updated on all the steps forward!

 

This article was produced as part of the project Coltivare Valore: good practices and innovative methods for inclusive and sustainable agro-livestock production AID 012590/08/4 funded by the Italian Agency for Development Cooperation. The contents of this publication are the sole responsibility of the author and do not necessarily represent the views of the Italian Development Cooperation Agency. The Italian Development Cooperation Agency is not responsible for information that is considered erroneous, incomplete, inadequate, defamatory or in any way reprehensible.

HEALTH AND NUTRITION IN BOSSEMPTÉLÉ

“Health and Nutrition for the Vulnerable Population of the Sub-Prefecture of Bossemptélé’ has been a project that we have told you about many times, recounting all the milestones that we have gradually achieved. The project, part of the ‘Emergency Initiative to Support the Vulnerable Population in the Central African Republic’, was funded by the Italian Agency for Development Cooperation (AICS) and started in September 2021.

The interventions were concentrated in Bossemptélé, the town where the John Paul II Hospital – the health hub of the entire region – is located, and in the surrounding 75 km. We are in the Central African Republic, an endemically poor country, where many of the basic services are the preserve of a few, while the majority of the population suffers from precarious and insecure conditions, both health and food. For some years now, moreover, rebel groups have been making the country even more unstable, carrying out violent acts and frightening the already hard-pressed population.

Anche noi di Salute e Sviluppo – nel corso di questo progetto – abbiamo dovuto affrontare questa situazione, che ha rallentato i lavori, rendendoli più difficili e pericolosi. Despite this, we were able to achieve most of the goals we had set ourselves, including the construction of an emergency room for the John Paul II Hospital. Before our intervention, the hospital did not have the possibility to accommodate the most serious patients in a suitable room, now the emergency room has been completed, both in terms of structural construction and equipment. During this year in which construction work proceeded, the hospital was nevertheless able to see more than 9,000 patients, of whom about one third were admitted to receive the right treatment.

Another deficiency we had identified at an early stage concerned the hospital’s ability to guarantee the necessary meals for in-patients: most of those arriving at the facility have a severe state of malnutrition and need to re-establish a proper diet. In the course of this project, we built a kitchen adjacent to the hospital premises, which can offer three meals a day to all patients. Despite the fact that the structural work has only just been completed, a temporary kitchen has been set up since the start of the project, which has managed to provide three full meals a day for more than 1600 patients.

In order to increase the capacity of the John Paul II Hospital to adequately meet the local population’s demand for care, we decided to start a training programme for health personnel. Thanks to this initiative, 38 workers specialised in obstetrics, ophthalmology, laboratory techniques and maintenance of medical equipment were trained.

In order to provide widespread access to care also in the rural areas surrounding Bossemptélé, we rehabilitated, and in some cases built from scratch, the postes de santé located in some villages within the sub-prefecture. Before our arrival, these facilities were unsafe, with severe structural problems and without any furniture or machinery useful for first aid. During the year, we renovated, furnished and equipped the poste de santé of Gbawi (40 km from Bossemptélé), Bodangui, (10 km), and Bombalou (45 km) with sanitary materials, and we built a new poste de santé in the village of Yangoro, 15 km from Bossemptélé. In addition, we have trained more than 30 workers who will ensure an efficient health service by manning these postes de santé. In addition to each of these facilities, a well was also rehabilitated or constructed to provide drinking water, not only to the poste de santé, but also to the entire population of the corresponding village. Thanks to some budget balances, we were able to rehabilitate an additional well in the village of Boyaram. In total, more than 21,000 inhabitants have access to drinking water.

In addition to these villages, there are many others that, not having a poste de santé and being far from Bossemptélé, remain uncovered in terms of health. To solve this problem, we activated and strengthened the mobile clinic service, which – during the course of the project – was able to visit more than 27 villages, providing first aid to the local population. The mobile clinic also started awareness-raising meetings focusing on different health topics, and managed to involve more than a thousand people. In recent months, the climate of instability in the country has worsened: armed rebel groups have targeted large areas, including part of the area where the mobile clinic operates, some of which have been forced to flee. Due to this situation, it was not possible to visit many villages and proceed with all the previously planned activities.

Despite these difficulties, which caused several slowdowns, the project recorded positive results: 14% more of the local population had access to health services, 25% more had access to drinking waterwhile malnutrition dropped from 40 to 38 per cent. The facilities we have built and the activities we have initiated will continue to be a valuable aid for the locals, who will finally have access to adequate health services of a higher standard.

This article was produced within the framework of the project Health and Nutrition for the Vulnerable Population of the Subprefecture of Bossemptélé AID 05/RCA/12049/2021 funded by the Italian Development Cooperation Agency. The contents of this publication are the sole responsibility of the author and do not necessarily represent the views of the Italian Development Cooperation Agency. The Italian Development Cooperation Agency is not responsible for information that is considered erroneous, incomplete, inadequate, defamatory or in any way reprehensible.

IN BURKINA FASO WITH A GOAL: CULTIVATING VALUE

The New Year has just started and we at Salute e Sviluppo are already on the road! The mission that saw us in Burkina Faso to plan the activities of the new project ‘Cultivating Value: good practices and innovative methods for inclusive and sustainable agro-livestock production’, financed by the Italian Agency for Cooperation and Development (AICS), ended a few days ago.
This new initiative was inaugurated at the beginning of the year and for 36 months we will be committed to strengthening the structures and production activities that we had started in 2017 thanks to the support of the Italian Cooperation – MAECI, within the project ‘Innovative rice production and valorisation of local products for food sovereignty and sustainable rural development in the Bagré area, Burkina Faso’.

We are again in Bagré, a rural area in the central eastern part of Burkina Faso, which – due to its extreme poverty – has been the focus of several of our interventions for many years. In this region, the population, already exhausted by precarious living conditions, must also deal with the fear and violence brought to the country by Islamic terrorism, which aims to make the country’s already fragile balance even more unstable.

Terrorism, which has escalated in recent years, also makes it complex to carry out cooperation projects in large areas of the country, which are considered unsafe. We at Salute e Sviluppo also came up against this sad reality, having to coordinate the project from the capital Ouagadougou, instead of directly from the intervention site. Without allowing ourselves to be discouraged by this, we nevertheless decided to take on this new challenge, which has the sustainable development of the Burkinabe primary sector as its primary objective.
La parola chiave è diversificazione: durante questi 36 mesi, ci proponiamo di rendere la produzione agricola e zootecnica della zona il più varia possibile, garantendo così alla popolazione locale non solo cibo a sufficienza, ma anche una dieta varia e la salvezza dalla malnutrizione.

At the same time, the project will bring other benefits: thanks to the strengthening of existing farms and agrarian supply chains, more jobs will be secured for locals who, by becoming part of this production system, will be able to increase the economic capacity of the community’s families. A real improvement in conditions will hopefully help curb the desire to emigrate, considering the absorption of many locals into the new jobs that will be created.

Strengthening the primary sector is of paramount importance to achieve the project goals as agriculture and animal husbandry are still conducted using traditional methods. An important aspect of the initiative is the promotion of women’s empowerment through the transfer of knowledge to local women who will thus have the opportunity to improve family food production based on horticulture and forest products.

The project appears ambitious in terms of its objectives and at the same time difficult due to the unstable and dangerous condition of the area. Fortunately, there are many partners actively participating in the project, bringing added value: the NGO Santé et Promotion Humaine (SAPHE), which has been collaborating for many years with Health and Development for the agricultural and livestock development of the country, managing the production chains created with the previous project with local personnel; the Department of Agricultural, Food, Environmental and Forestry Sciences and Technologies (DAGRI) of the University of Florence, which specialises in food production and environmental protection and recovery in tropical and sub-tropical countries, thanks to many research and cooperation activities; the NGO AES-CCC, which has been rooted in the Burkinabé territory for many years with programmes to combat malnutrition and food security, with a specific focus on empowering women at both the local and institutional level.

In addition, several local stakeholders are joining the cause by helping us in this new challenge: Bagrépole, the Women’s Associations of the Region and the Government Departments at municipal level in the area, all of which are rooted in the territory with the ability to act in a timely manner in solving any problems.

Despite the endemic difficulties of the area, the Health and Development project is designed to be long-lasting, sustainable and rooted in the territory: the fundamental objective is to bring about a positive change in Burkinabé productive capacity, which will prove to be so at the end of the 36 months, enabling the local population to improve their living conditions in the long term.

We are only at the beginning of this new adventure, an ambitious challenge that we hope to win, thanks to the funding from AICS and the valuable cooperation of partners. We will always keep you updated on the small and big milestones we achieve!

MANY ACHIEVEMENTS IN BOSSEMPTÉLÉ

Not many months have passed since we told you about our project Health and Nutrition for the Vulnerable Population of the Sub-Prefecture of Bossemptélé, which is part of the ‘Emergency Initiative in Support of the Vulnerable Population in the Central African Republic’ funded by the Italian Agency for Development Cooperation (AICS), and whose aim is to improve the living conditions of the population of the Bossemptélé Sub-Prefecture, which is particularly tried by the instability in the country. Translated with www.DeepL.com/Translator (free version)

The Central African Republic has never enjoyed such tranquillity as to allow it to grow and prosper; on the contrary, it has had to contend with numerous coups d’état and as many dictators who, acting without scruples, have allowed the exploitation of the country’s resources, without a thought for the increasingly sacrificed population. The situation in recent years has been particularly difficult: rebel groups have clashed several times with state forces, causing violence and deaths, especially among the most vulnerable population.

In this complex context, the John Paul II Hospital played a key role, providing a point of reference for the population of the sub-prefecture. Despite the clashes and violence, the hospital has always continued to operate and provide support.

Our project starts with the John Paul II Hospital with the intention of increasing its capacity to respond adequately to the needs and requirements of the population. Before our intervention, the facility did not have a proper emergency room in which to receive urgent patients. Now the renovation and extension work on the premises is almost complete and by the end of the project – December 2022 – it is also planned to provide the emergency department with all the necessary furniture and machinery.

Another deficiency found within the hospital concerned the nutritional aspect: a triple problem considering that most of the patients are in a serious state of malnutrition upon admission, that food is necessary to ensure a proper course of treatment and rehabilitation, and that most of those who come from the neighbouring villages, once they arrive in the city, do not have the possibility of buying anything at the local market due to the excessively high prices.

For these reasons, it was decided to build a canteen to provide three full meals a day – based on cereals, meat or fish – for the in-patients, who can thus follow a correct diet and sufficient caloric intake to aid their recovery. The canteen service is also offered to relatives from afar who care for patients in severe need. Currently, more than 2250 meals per month are provided.

In order to improve the quality of the hospital’s services, it was necessary to train 38 in-service health workers in specialist disciplines such as obstetrics and ophthalmology. The training courses are already leading to a significant improvement in hospital performance.

One of the most ambitious components of our intervention is the strengthening of the medical centres located in the villages surrounding Bossemptélé, where services are almost non-existent. Thanks to the AICS-funded project, we have rehabilitated – or in some cases built from scratch – several postes de santé, each of which has a well with access to drinking water. The work is almost complete and the population of the villages of Gbawi, Bodangui, Bombalou and Yangoro already has access to basic health services, without having to make the journey to the city of Bossemptélé, unless strictly necessary for the treatment of more complex illnesses.

Not only qualitative reinforcement of the hospital and postes de santé, but also a mobile clinic service that, twice a week, visits the most difficult-to-reach villages, providing treatment and health education with awareness-raising meetings on prevention and first aid.

Thanks to the support of AICS, our work in the Central African Republic has reached new heights that we hope will mark the beginning of a better life for many people living in the sub-prefecture of Bossemptélé.

This article was produced within the framework of the project Health and Nutrition for the Vulnerable Population of the Subprefecture of Bossemptélé AID 05/RCA/12049/2021 funded by the Italian Development Cooperation Agency. The contents of this publication are the sole responsibility of the author and do not necessarily represent the views of the Italian Development Cooperation Agency. The Italian Development Cooperation Agency is not responsible for information that is considered erroneous, incomplete, inadequate, defamatory or in any way reprehensible.