SMILE: A New Chapter in Community-Based Maternal Health

Every 47 minutes, a mother dies giving birth in Tanzania.

We believe this is not just a statistic - it’s a call to action.

This month, we proudly launched SMILE: Sustainable Maternal and Infant Lifesaving Endeavours. This is a new, community-driven initiative designed to improve maternal and newborn health outcomes in Nyamatongo Ward, where the need is urgent and the opportunity for change is immense.

Why SMILE?

In our corner of rural north-western Tanzania, too many mothers and newborns remain outside the reach of formal health systems. Cultural norms, long distances, and limited transport often mean that by the time a woman arrives at a clinic, it’s already too late.

SMILE brings midwifery care directly to mothers’ doorsteps, ensuring no woman is left behind in her most vulnerable moments. The project is rooted in Kamanga Health Centre, our locally trusted hub for maternal health, and builds on years of experience, trust, and community collaboration.

Led by trained Tanzanian midwives and supported by Community Health Workers, SMILE provides:

  • Timely home visits in the critical postpartum period—within 3 days, again after 7 days, and ongoing up to six weeks

  • Family planning and reproductive health counselling

  • Education on breastfeeding, newborn care, nutrition, and hygiene

  • Emergency referrals and follow-ups

  • Ongoing phone-based support, even in remote areas

It’s holistic. It’s personalised. And it’s powered by women, for women.


What We Aim to Achieve

  • Lower maternal and neonatal mortality

  • Earlier detection of complications

  • Increased uptake of postnatal care and family planning

  • Stronger community health systems through training and collaboration

  • Empowered mothers and healthier babies

What makes SMILE truly special is that it’s community-led and locally anchored. The midwives and health workers delivering care are part of the same communities they serve - trusted faces providing comfort, connection, and competence. This is not an intervention flown in. This is a movement grown from within.

What Comes Next?

As SMILE rolls out across Nyamatongo, we’ll be tracking our progress closely. Collecting data, listening to mothers, and refining our delivery. Because every mother deserves a safe birth. Every baby deserves a healthy start. And every smile we protect is a reminder of what’s possible when development is done with dignity.

This is just the beginning. SMILE has the potential to scale, but we need your support to get there. Whether you're a donor, a medical volunteer, or a company seeking impactful CSR, you can help bring critical care to where it’s needed most.

📩 To learn more or support the project, reach out to us at nina@cedarfoundation.org
🌐 Visit: www.australiaforcedartanzania.org

Together, let’s make sure no mother is left behind—and every child begins life with a chance to thrive.




Thank you for your support,

Nina and the Cedar Team




Sources:

https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

Regional data from Lake Zone and Sengerema District often cite much higher ratios, supporting the figure of 1 maternal death every 47–50 minutes in rural and high-risk areas.