Image of a mother and child waiting in the paediatric triage area at MSF’s Clinic in Nanga, Macomia, Cabo Delgado.
Mozambique

Cabo Delgado: "Volatile situation and humanitarian needs still persistent"

“The security situation is still volatile in some districts of Cabo Delgado, and since September, there have been multiple attacks, leaving thousands newly displaced in the districts of Macomia, Mocimboa da Praia, and Muidumbe. Access remains a challenge in some areas of these districts, which have been isolated and without any support over the past few years.

It is premature to talk about stabilisation and life returning to normal in Cabo Delgado – over 600,000 people remain displaced, while 540,000 people previously displaced have returned to their areas of origin. Most have witnessed and experienced extreme violence and were forced to flee multiple times over the last few years. This had a significant impact on the mental health of most families in Cabo Delgado, with many still living in fear.

Image of a paediatric triage area at MSF’s Clinic in Nanga, Macomia, Cabo Delgado.
Out of seven health posts in Macomia District functioning before the conflict, only one is working, as the other six were destroyed by armed groups. MSF runs three clinics in Macomia, Nanga being one of them.
MSF/Martim Gray Pereira

Although previously displaced families have been returning to areas of origin, it does not mean they are and feel safe. Even for those who returned to their areas of origin, many are being forced to flee again. Some 500 families (1,500 people) who had returned in June to their homes in the village of Novo Cabo in Macomia were forcibly displaced in November due to new attacks. They returned to the same displacement site where they had been living for over two years until they tried to return back home in June. MSF has supported them with Non-Food Items (NFIs), water and sanitation interventions, and health and mental health services.

Access to healthcare remains a challenge in areas of displacement and areas of return, as most infrastructure has been and remains destroyed. In Macomia and Mocimboa da Praia, out of 14 health centres, only five are working - one in Macomia and four in Mocimboa.

A monthly appointment at MSF’s clinic in Cabo Delgado, with Clinic Officer Mussa Rahamane Waide.
Fina, 19 years old, and her son Bernardo, three months old (both names changed), attend a monthly appointment at MSF’s clinic in Nanga, Macomia, with Clinic Officer Mussa Rahamane Waide. Fina returns to the clinic every month to collect Anti-retro-viral treatment and monitor her and Bernardo’s health.Fina is originally from Muidumbe district and has been displaced since 2020 due to violence and cannot return back home as it is still unsafe. 
MSF/Martim Gray Pereira

Displaced families and families returning to their villages often have the same needs, as they lost everything they had to this conflict. Most people are still struggling to access food, clean water, shelter, and basic services, including healthcare.

It is imperative to maintain and increase humanitarian assistance to address the immediate and basic needs of thousands of families that remain affected by the conflict in northern Mozambique. At the same time, it is critical to engage in development interventions in the longer term and rehabilitate the health infrastructure destroyed during the conflict.” - Francesa Zuccaro, Deputy Head of Mission in Cabo Delgado, Mozambique.

Image of Francesca Zuccaro, MSF Deputy Head of Mission in Cabo Delgado, Northern Mozambique.
Francesca Zuccaro, Deputy Head of Mission of MSF (OCB) in Mozambique at Nanga Clinic, Macomia, Cabo Delgado. Before being Deputy Head of Mission, Francesca was twice Project Coordinator in Macomia.
MSF/Martim Gray Pereira