📋 Tender Overview
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
The project in brief
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
