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Recognizing Carlos Macave

Better sanitation is critical to the health of women and children. The Global Citizen – Poor Sanitation threatens Maternal Health – speaks directly to the impact on women and child health,“Water and sanitation are so important when it comes to providing basic health needs for people. It makes poor mothers and children even more susceptible to disease. Health is obviously a primary concern for pregnant women and newborn children”.

Since the early 1980’s Carlos Macave has been a key driver for better sanitation practices throughout Mozambique.

I first met Carlos when I was attached to the Executive Council of the City of Mozambique in the early eighties working on key problems of urbanization. One fundamental problem was putting together an appropriate sanitation system in the “bairros” of Maputo which had grown exponentially with people fleeing for shelter from the internal war fueled by the Apartheid Regime of South Africa.

There was no way that a toilet flush system could work given the cost and the lack of sewage disposal capacity. An alternative was developed called the “latrina melhorada” with the support of IDRC Canada. It was a simple flying saucer (lage) design made of cement with a lid (tampa) that closed securely to keep flies and other insects out. It was easy to clean and would serve a family of four for many years. There was some resistance to this technology, but eventually the governing structures supported it, taking into account the large number of people who would benefit from the low cost and effectiveness of the “latrina melhorada”.

Carlos worked specifically on making sure the technology of building “latrinas melhoradas” was transmitted to community work teams. This was done through a training centre (estaleiro).  My role was to work on how communities would be organized to distribute the project and engage workers in doing this. We settled very early on for a unified work team using production co-operatives as the vehicle for the building, education and distribution of “latrinas mehoradas” throughout the bairros surrounding the cement city of Maputo, and the “estaleiro” produced the trained people for the production co-ops. We asked that 50 per cent of the workers in the co-op would be women. The production co-op provided new skills and a source of income to the people involved. We encouraged theatre in the bairros to explain the importance of good sanitation and how to use a “latrina melhorada”.

Carlos has been committed to carrying through on all the ups and downs of making a “latrinas melhoradas” program work throughout Maputo, and eventually throughout Mozambique. This has been 37 years of dedication to community health through better sanitation practices.

One can now drive up major roads throughout Mozambique and see the now familiar saucer-like “lage” of the “latrina melhorada” being available for installation.

Viva Carlos Macave!

Welcome!

Thank you for your interest in the Mozambique-Canada Maternal Health Project. This project came to an end on June 30, 2024. You may continue to the site to see our final update and find out what we did, but please keep in mind that it is an archived site and will no longer be updated.

We now have a new project**: Sexual and Reproductive Health for Young Women in Inhambane**. We will be activating its website soon.

The new project builds on the old one, but with some changes to adapt to new realities. We will continue to seek improved, sexual, reproductive and maternal health and rights for women, now focusing more on adolescent girls and younger women, within the context of model communities of care, taking into consideration their families and their communities. We will continue to partner with community health communities (now 30 compared to 20) within selected districts in Inhambane (now 6 rather than 5). We will also continue to partner with the provincial health directorate (DPSI) to improve infrastructural and human resources in the health system. And we will continue to carry out helpful research and disseminate information.

Let us know if you would like to be notified when our new site is up!