Health & Sanitation

  • Diseases from unsafe water and lack of basic sanitation kill more people every year than all forms of violence, including war. That’s wrong. We all have the right to clean water. Oxfam is providing life-saving clean water, and sanitation and hygiene education in some of the world’s poorest countries, as well as in areas struck by humanitarian crises.

Ebola outbreak in Democratic Republic of Congo is declared an international health emergency

News broke yesterday of the first confirmed case of the deadly Ebola virus disease (EVD) in the heavily populated city of Goma in the Democratic Republic of Congo (DRC), located on the Rwandan border.

Serious concerns are being expressed by the World Health Organisation (WHO) for the safety of the one million residents in this large urban area and about the spread of the virus beyond, as Goma serves as a major gateway for transport to and from the DRC.

The WHO has now declared the Ebola outbreak in the DRC a Public Health Emergency of International Concern. This declaration will mean a greater response from the rest of the world on the plight of the Congolese people.

Oxfam has been providing assistance in the Goma region with public awareness and education on how to keep safe and stop the spread of the disease and is ready to respond further if this first confirmed case leads to more.

It is important that travel in this area is unrestricted until we have further information about Ebola in Goma because millions of people depend on cross border trade to make a living in this already extremely poor part of the world.

In the rest of the DRC, we have helped hundreds of thousands of people by providing clean, safe water and working with local community leaders and volunteers to increase understanding of how to prevent Ebola.

Louise is a community leader in a district within Mangina, the most affected area by the Ebola virus. Copyright: John Wessels/Oxfam

Three hundred kilometres north of Goma in Mangina, a community leader, Louise, told us about her experience in this heavily impacted part of the DRC:

“At first we thought Ebola was witchcraft. We thought it was a spell cast on women because they are the one who are most affected. But since we received an explanation, we have understood that it is a very serious disease that strikes us.

“From the beginning of the outbreak, we called a community meeting and we decided to isolate any dead bodies. It was not easy because we do not have a mortuary in Mangina and people usually stay with the body for several days.

“Since the Ebola outbreak many people have died, others are in the hospital.  Many children are without their mothers. These children live with difficulty and the community has few means to help them.

“Here in Mangina, even finding food for your household is difficult. Sometimes you can spend the day without eating. We have seen families flee from here, one after the other. They may come back at the end of the epidemic.”

We urgently need your help to continue to play a vital role in preventing the disease from spreading. Oxfam is providing clean, safe water and hygiene kits and working closely wih community leaders and volunteers to raise awareness and increase understanding of how to take preventative measures against the disease.

Please, donate now to help meet the most critical needs. 100% of your donation will go to our Ebola response in DRC.

Oxfam - Response to Ebola outbreak

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“It is not easy to live in isolation” – the women caught up in DRC’s Ebola crisis

Ebola has claimed more than 1,400 lives across the Democratic Republic of Congo (DRC) since August of last year. The most recent figures from the World Health Organisation show the total number of cases at almost 2,100, while the outbreak – the second largest in history – has also spread to neighbouring Uganda.

Oxfam was one of the first agencies to respond to the crisis in conflict-ridden DRC by providing clean, safe water and working with community leaders and volunteers to increase understanding of how to prevent the virus, and to dispel people’s myths and fears. So far, we’ve reached 138,000 people across the country.

Yvette* carries one of the children on her back. Photo: John Wessels/Oxfam. *Name changed

In Mangina, mother-of-seven Yvette* now cares for 10 children. Ebola claimed the life of her neighbour, so Yvette looks after the three orphaned children as well as her own family.

“She was only 35 and died at the beginning of the outbreak,” says Yvette. “Her children are like mine. The little girl fell sick after the death of her mother, her eyes are inflamed.”

For Yvette, the good news is that the children are on a vaccination list – they are currently waiting for a medical team to visit. In the meantime, she says that she feels isolated, adding: “The community is afraid of us.”

Elsewhere, mother-of-two Judith, who works as a primary school teacher, also found herself isolated as a result of Ebola.

 

Judith in her classroom. Photo: Alain Nking/Oxfam

Judith was quarantined for 21 days after the director of her school died of the virus. She says: “During my isolation, I felt like I was going to die at any moment. It is not easy to live in isolation and to always think that you may be carrying the dangerous and deadly disease that killed my director.”

Even when Judith eventually returned to work, she found a mostly empty classroom.

“Many parents became afraid after the death of the director,” she explains. “They think that their children could be infected by the virus in the school and especially in my contact. Many of them have not passed their final exams.”

Oxfam travelled to Judith’s school to give lessons on hygiene and install water points. Our staff also built an area where pupils and teachers who feel unwell could check their temperature and rest while waiting for transfer to a health centre.

“The Oxfam team came to my house to give me some food,” Judith adds. “The kit really helped my reintegration. When people saw Oxfam vehicles and agents coming to my house, the whole avenue came to see what was going on.

“When Oxfam left, the neighbours stayed at my house all night. It was the first time in a long time that I saw people in my home. It was a real joy for me.”

Ebola has already destroyed lives in DRC and Uganda – and millions more are at risk. Oxfam is working hard to prevent the spread of the virus by distributing clean, safe water and teaching communities about the importance of hygiene. 

*Name changed to protect identity

Breaking Gender Stereotypes in Zimbabwe

In rural Zimbabwe, where less than half the people have access to safe drinking water, traditionally it is the women who are responsible for collecting clean water for the home. This often involves long walks to a water source, with many of the women having to carry heavy buckets on their heads.  
 
These hours spent walking in search of water eat into the precious time that women can spend doing other things such as earning a wage, getting involved in activities in their communities or spending time with their friends and family.   
 
One woman breaking traditional gender barriers in the country is Takudzwa, an Oxfam water engineer. She has installed a solar-powered water system to deliver clean, safe water closer to the homes of the women in her community, changing their lives for the better. The new system in Masvingo District, which is funded by Oxfam, will supply water to many families in the area as well as a school and a clinic. 
 
Oxfam WASH (Water and Sanitation for Health) engineer Takudzwa at the Oxfam-funded solar piped water system in Somertone village, Masvingo District. Photo: Aurelie Marrier D'Unienville / Oxfam 
 
The 33-year-old mother is proud to work on Oxfam’s water and sanitation projects because she understands that access to clean water is vital to the survival of communities in her country. 
 
Yet despite doing a job that she finds rewarding, Takudzwa says that her decision to become an engineer wasn’t welcomed by everyone in her family.    
 
“My grandma almost came to tears to say, ‘Oh why are you choosing a male profession? What’s wrong with you, my granddaughter?’ But because it’s something that I really wanted, I had to take up the challenge, said Takudzwa, who was the only girl in her engineering class.” 
 
Takudzwa working water system in her community. Photo: Aurelie Marrier D'Unienville / Oxfam 
 
“I love water,” Takudzwa added. “There are so many things that have to be done. Having to come up with so many interventions so that we can always, at all times, have water, that is safe for drinking, that is in good quantities for the population that needs the water.” 
 
Takudzwa with her one-year-old son at her parents’ home in Masvingo before heading out into the field to see the solar-powered water system. Photo: Aurelie Marrier D'Unienville / Oxfam 
 
Delivering clean water to rural communities is only part of the work being carried out in Zimbabwe, where Oxfam has been working for almost 60 years. Through our WE-Care programme, we are also tackling the issue of women being left to do most of the household work, which is seen as being less important than paid labour. 
 
This water project also feeds into a larger programme, which is helping to bring about significant change across the country. The work is empowering women and supporting communities in Bubi, Zvishavane, Masvingo Rural and Gutu districts by installing 10 water points as well as 15 laundry facilities. 
 
This means that women will no longer have to travel such long distances to collect clean water or do their washing, ensure household work is shared equally between men and women and help women to have more free time so that they can take part in activities outside the home. 
 
The world will only improve if women expand their role as political, economic, family and social leaders. The cost of excluding women is well-recognised. Yet women bear the biggest burden of poverty, and most of those living in poverty are women. We work to advance women’s wellbeing and increase the benefits of the contributions that women and girls can make to societies and economies. The untapped contribution of women is a priority that we are working to correct by supporting organisations that focus on gender equality, legal reform and ending violence against women. 

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Breaking Gender Stereotypes in Zimbabwe

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4 things you need to know about Cyclone Idai

A man looks at a washed away bridge along Umvumvu river following Cyclone Idai in Chimanimani, Zimbabwe March 18, 2019. REUTERS/Philimon Bulawayo

Cyclone Idai has caused widespread flooding, landslides and destruction and left communities in Mozambique, Zimbabwe and Malawi in urgent need of life-saving humanitarian assistance.

Here are four things you need to know about Cyclone Idai right now

1. The full impact has taken a while to hit the news

Communications and infrastructure were very badly affected, making it hard to see the sheer scale of the disaster and level of devastation caused at first. Cyclone Idai hit landfall on the night of 14-15 March causing extensive damage in Zimbabwe, Malawi and Mozambique with homes and agricultural land completely wiped out in some areas.

2. It could become one of the “worst weather-related disasters ever to hit the southern hemisphere”

The exact impact is not yet known and the numbers continue to rise but millions of people have been affected by what the UN’s weather agency is suggesting could be “one of the worst weather-related disasters ever to hit the southern hemisphere.”

More than a thousand people are feared to have died, thousands more are missing and millions of people have been left destitute without food or basic services.

A family dig for their son who got buried in the mud when Cyclone Idai struck. Photo taken in Chimanimani about 600 kilometres south east of Harare, Zimbabwe, Tuesday, March, 19, 2019. Tsvangirayi Mukwazhi/AP/REX
 

3. It’s a race against time

Oxfam teams and local partner organisations are already on the ground in all three countries and will be responding with clean water, toilet facilities, shelter, clothing, food and other essential items. In some of the most challenging conditions imaginable, Oxfam is working around the clock to make sure this vital work happens as quickly and effectively as possible. It is a race against time, you can donate to help us save lives right now

4. A longer-term response will take some time to evaluate

With an estimated 2.6 million people affected across the region, Oxfam aims to reach up to 500,000 initially – hopefully more – across the three countries, including in partnership with other international and local NGO partners. In Mozambique, where 2.1 million people are affected, Oxfam is planning to reach people through COSACA (a consortium of Oxfam, Care and Save the Children) as part of a programme to restore several basic social services including access to healthcare, education and water. In Malawi, Oxfam is looking to help 200, 000 people and in Zimbabwe 50,000 people.

You can help save lives by donating to Oxfam’s Cyclone Idai appeal now.

Oxfam responding to devastating Cyclone Idai

 
Following on from the devastating impact of Cyclone Idai in Southern Africa, Oxfam’s local humanitarian teams have been assessing the damage caused by this deadly weather event.
 
The most affected countries include Mozambique, Malawi and Zimbabwe, with estimations of 1,000 casualties at this early stage. This figure is likely to grow significantly as the real scale of the destruction is understood.
Mozambican flood victims have said that they had to pay to make the trip by canoe. Those that did not have the money remained behind.
 
People trudge through a muddied path to safer ground in Chimanimani, about 600 kilometers southeast of Harare, Zimbabwe. Credit: Tsvangirayi Mukwazhi/AP/REX
 
These rising numbers of people to internally displaced persons camps are already putting a strain on limited water supplies. 
 
There are additional concerns that sanitation will soon become a problem and food assistance will need to be brought in to provide extra immunity to the people affected.
 
Oxfam teams are assessing the needs of people in all three countries. They are reporting extensive damage to homes, crops, roads and bridges, and communications. 
 
Some areas have been rendered inaccessible because roads, bridges and phone lines have been washed away.
 
Oxfam teams will be prioritising shelter and sanitation as part of a large-scale evacuation of the worst affected areas. 
 
We urgently need your help to reach people in Malawi, Mozambique and Zimbabwe who have been affected by Cyclone Idai. Please give what you can today. 100% of your donation will go to our emergency response.
 
The coming hours and days will be absolutely critical to our life-saving efforts. 

You can help

A donation of €50/£40 can give a month's supply of clean and safe drinking and cooking water for families in need
A donation of €100/£90 can provide a hungry family with enough money to buy food for 3 months
A donation of €125/£100 can give sanitation to 120 people to stop the spread of life-threatening diseases.

 

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