Are you off to a great year like us?

2023 has begun and we have hit the ground running! 

First, I owe you a MASSIVE thank you!

We raised a whooping AUD $8,300 during our Christmas Campaign - well above our $5,000 goal - for our Outreach project.

This means we can buy TWO NEW MOTORBIKES as well as cover all expenses to MEDICINE AND TREATMENTS, and MAINTENANCE AND REPAIRS. All of this is covered for a FULL YEAR. Thank s to you and your amazing support. 

We are beyond grateful for the generosity and trust you have shown us.

Our team has ordered the motorbikes and as soon as they arrive I will send you an update from the field. We can’t wait - and neither can the 35,000 residents of Nyamatongo.

What are we planning for 2023?

Healthcare

With our Outreach Team well supported, we are going to continue to deliver healthcare to residents who are unable to come to the health centre. Many times this is because of disabilities, or simply due to not knowing a condition should or could be treated. A lot of our work consist in sharing knowledge around prevention and treatment of injuries and diseases.

Kamanga Health Centre, our small-scale hospital, is also thriving. It is a busy place tending to more than 1,000 patients every month. Although we do not have a surgical unit only a small number of our patients (less than 3%) needs referral to the larger District Hospital. We are happy we can provide those who need it safe and stable transport in our on-site ambulance.

Ante- and postnatal care as well a safe environment to give birth is also a very important function of Kamanga Health Centre. We generally tend to 100+ pregnant women every month and deliver just short of two babies a day on average. Giving birth in Tanzania can be a deadly event and every day 30 mothers die during childbirth. In most cases, from preventable causes.

Every week we invite families to bring their babies under 5 years old to our ‘baby clinic’. Here we vaccinate children, weigh them and check their general health. We talk to families about nutrition and answer any health concerns they might have. This means we have a very high vaccination rate in our communities and generally we see about 30 children and their families every week.

We couldn’t do this work without our close relationship to the local Community Health Workers. These are locally elected health workers from each village or area and is often the first person to know if anyone in the area is in need of medical care. We provide medical training to our Community Health Workers and in turn they help spread knowledge on family planning, danger signs during pregnancy, and many other health related topics. They visit close to 250 households on a monthly basis.

Entrepreneurship

Last year, we finalised our pilot projet focusing on mushroom farming, entrepreneurship and Climate Change. Mushrooms are a great crop as it climate change resilient and you do not need to own land to be able to grow them.

Our Pilot was a great success. We learned a lot along the way and we are now ready to launch a full 12 month program after which it will be financially sustainable in itself. We are aiming to educate 200 residents every year and assist them to set up their own collaborative small-holder farms. The reason we are encouraging collaborative farms is to benefit from shared overhead costs and shared knowledge and responsibility. 

This project has so many benefits - I have listed a few of the major benefits below:

·       Increase in income for the whole household

·       Increase in income leads to better healthcare and education

·       Increase in self-esteem for women and people with disabilities

·       With self-esteem and independence comes healthier individuals and a higher uptake of birth control

·       A new and affordable nutritious crop available to the whole community

·       Mushrooms can help combat some of the nutritional deficiencies we see daily

·       More children in schools/less drop out caused by economic strain or health issues

·       Innovative low-tech and low-cost driers not needing electricity

·       Any excess production to be dried and access to international export channels

·       Project able to finance itself within 12 months

·       Excess funding and earnings to be used for scaling and other projects within our organisation

Of course, all of this is pending funding. We are actively seeking funding from all corners of the world. The full cost for a 12 month project is AUD $150,000 (approximately USD $100,000). If you want to know more about the Theory of Change, budget and project details please feel free to contact me directly by clicking the button below:

Climate Change and Green Kamanga

As everyone else, we are trying to do our part to combat climate change. In 2021 we planted 600+ trees germinated from seeds. We focused on quick growing timber and fruit trees such as mango, papaya and avocado. We continued this in 2022 and planted an additional 600 trees in Kamanga and surrounds.

But this is just the beginning. 

We are currently developing a 3-year project that will see to plant no less than 100,000 trees! Yes, you heard me right, 100,000 trees in 3 years! 

This 3-year project will build on establishing 100 community self-help groups, as well as provide education on environment and climate change through primary school clubs. Focus will also be on fuel-efficient stoves and the importance of using improved latrines and clean water. 

It is a project with BIG goals and a huge IMPACT or all our 35,000 residents. Of course this also comes with a need for funding with a budget of AUD $65,000 (~USD $45,000) per year for 3 years.

Again, if you want to know more about this project you can contact me below.

We are looking forward to share all our wins and stories with you in 2023.

Do you give meaningful gifts?

Are you, like me, searching for meaningful gifts that won’t have to be returned or sold cheaply on Marketplace first week of January?

Do you end up with gifts that never gets used and gets hidden in the back of a drawer, or in a cupboard for years?

Gifts, that makes no difference and has no significance?

Then I have the perfect solution for you!

a Meaningful Present

From my own experience, sometimes gift giving is hard. It either feels like order-lists are given out (as opposed to wish lists), or gifts are just not quite hitting the mark.

And sometimes you just don’t really need any more stuff to clutter your home.

By giving a gift of a donation you are making a difference in more than one person’s life.

You can donate as little $10 and have a significant impact. Make it a monthly donation and let the receiver receive a thank you note every month. I am sure that will bring a smile to their face remembering what an awesome present you chose.

Each of our Outreach motorbikes enables a medical officer to deliver quality healthcare to patients in our community of 35,000 people every day. For less than $50 you have given the gift of fuel, medicine and maintenance of our motorbikes for a week! $48 to be precise.

An impactful present

Every year we make over 1,000 home visits to people who would otherwise have gone without medical care and support.

We provide training an education to the locally elected Community Health Workers who are visiting another 2,500 households every year. They provide advice on family planning, educate on danger signs on severe medical issues, and encourage families to vaccinate their children.

Our Health Centre sees approximately 1,000 patients every month, and we average 2 births a day.

In total, we provide medical care and advice to more than 15,500 people every year. That is worth having a part in, don’t you think?

We all wish you a Merry Christmas, Happy Holidays, and a joyful time with your families.

Can a GP be a volunteer?

Hi everyone.

My name is Sian Ashby, and I am a GP (family doctor) from the UK. I was brought up in the beautiful Scottish borders, studied Medicine at Glasgow University and then completed my GP training in London. I had always wanted to work abroad as a doctor, so after finishing my GP training I chose to study the Diploma of Tropical Medicine in Liverpool, and it was here that I first heard about Cedar Tanzania.

What inspired you to volunteer with Cedar Tanzania? 

I was struck by Cedar Tanzania’s holistic approach to care. On looking at their website, I could see that they understood the importance of health and well-being in a broad sense, rather than being entirely disease-focussed. Cedar Tanzania approaches community well-being from many angles - health, education, female empowerment and entrepreneurship - and understands that tackling all of these factors is crucial if the community is to flourish.

From my research it seemed that Kamanga Health Centre, the health centre jointly run by Cedar Tanzania and the government, was a good fit for a GP, as there were many parallels in the types of patients seen. Of course, I knew that there would also be tropical illnesses which I had never encountered, and I hoped that I might increase my knowledge of tropical medicine by working in Tanzania.

On contacting Cedar Tanzania, I found the staff to be welcoming and accommodating. They were keen and enthusiastic about my voluntary placement and this naturally increased my own excitement!

Sian offering volunteer HIV testing alongside our permanent staff

How long is your volunteer placement?  

6 months provisionally.

What is your role at Cedar Tanzania?

My official title is ‘Volunteer Health Centre Advisor’. It’s a fairly flexible role, but for the most part I am working alongside the Quality Assurance Officer at Kamanga Health Centre, putting policies in place to improve the quality of care. I also work alongside the Tanzanian clinical staff, exchanging knowledge and skills, and I give regular teaching sessions. I hope that as my Swahili improves I will be able to practice medicine independently at the health centre.

Can you mention highlights of some of the activities that you have been involved in whilst you have worked for Cedar?

We have recently set up a teaching program here at Kamanga Health Centre and one of my personal highlights was the neonatal resuscitation training which I ran. We used dolls to role-play and simulate neonatal resuscitation, which was both fun and educational. At the health centre we deliver on average one baby a day (and the numbers are increasing) so it is vitally important that the staff are well trained on how to react if a newborn baby does not breath spontaneously.

Another highlight was the World Aids Day Fair organised by Cedar Tanzania. At the fair there were stalls offering HIV counselling and testing, free condoms, and information about the health centre and Cedar Tanzania projects. There was dancing, drama, and even a ‘catch-the-chicken’ game. But most importantly over 500 people were tested for HIV in a safe and non-judgemental environment.

What things have challenged you so far?

One of the main challenges has been the language barrier. I am currently learning Swahili but it is a slow process... I find it incredibly frustrating not being able to understand the patients, particularly if they are distressed and in need of assistance. I am constantly running around trying to find someone to translate which gets quite exhausting!

The health centre staff do speak English but many are not fluent, so we too have trouble communicating. Getting to the root of an issue is much more difficult when you do not speak the same language! If you are considering coming out to Tanzania, I would advise you to start learning Swahili as early as possible!

The other main challenge which I have noticed is the difference in healthcare economics. Coming from the UK, I am used to the National Health Service (NHS) which provides free healthcare for all UK citizens. Treatment is entirely based on need and not on personal finances. However, here in Tanzania there is a division – those who are exempt and those that have to pay for healthcare. The exempt group includes pregnant women, children under five years old, people over the age of 60 who cannot support themselves and people with chronic diseases like HIV and TB.

Although treatment at Kamanga Health Centre is relatively cheap (government prices), for those not in the exempt group, we still have to make management decisions based partly on the patient’s finances, which is something I find difficult. Sometimes patients cannot follow your advice because they simply cannot afford to. For example, we recently saw a patient with a large abdominal mass who required onward referral to a specialist hospital. However she could not afford to attend the hospital and pay the fee for the necessary imaging and surgery. Instead she returned a week later, the mass having increased in size and the pain having subsequently worsened. This is truly heartbreaking to see, and makes me really value the NHS.

What things have you found enjoyable or surprising about Tanzanian culture either socially or at work?

The Tanzanian people are incredibly welcoming. The health centre staff have been wonderfully accommodating and friendly towards me since my arrival and I have really enjoyed working here thus far.

Socially I love the culture of dancing.  In general Tanzanians seem to have a fantastic sense of rhythm and tend to be incredible dancers! The staff at the health centre have been trying to teach me (without much luck).

Through my work I have noticed that Tanzanian families are much more close-knit than at home. Grandparents usually live together in the house with the parents and children, and they help to care for each other. I think that this is something which has sadly been lost in the UK. I certainly noticed as a GP in London that I visited many elderly people whose children lived thousands of miles away and who were thus unable to care for them. I noticed a huge burden of loneliness, particularly amongst the elderly, but also amongst young people living and working in London - a city with so many people! Perhaps we need to regain the closeness of families and communities in order to reduce the escalating rates of loneliness, anxiety and depression in the UK.

To counter this, I have noticed that here in Tanzania there is very little, if anything, in the way of social support for those without the means to look after themselves. So if, as an elderly or disabled person, you do not have a supportive family then there is no support network to help you survive. We have encountered some difficult cases of disabled patients who have been mistreated or neglected, and this is very challenging work. This is why the work of the Outreach Team (the community-based rehabilitation project  run by Cedar Tanzania) is so important in providing support for those with disabilities.

What would you say to anyone who said that they could not volunteer because they didn't have a skill to offer?

Most people have something to offer. Speak to the Cedar Tanzania team and find out what skills they are looking for! It’s a really rewarding and fun place to work!

If Sian’s experience has whet your appetite to volunteer for Cedar Tanzania then begin the journey with this first step

Can a nurse be a volunteer?

Hello Everyone!

My name is Lucia Melloni, I’m 26 years old and I’m originally from Italy. I studied nursing in Italy and after graduation, I moved to England to work. I have been living and working in the UK for four years now.  

How long was your volunteer placement?

I worked at Kamanga health Centre for nearly 3 months. From mid-January 2020 till the end of March 2020.

What was your volunteer role at Cedar Tanzania?

I was the first volunteer nurse at Kamanga Health Centre, before me only doctors had volunteered for Cedar Tanzania. During my time at Kamanga Health Centre, I mostly worked side by side with the nurses in the health centre helping improve their everyday practice. 

Please mention a couple of highlights of some of the activities that you were involved in whilst you worked for Cedar?

For three months, I have been working with the staff at Kamanga Health Centre and everyday was a highlight in my opinion.  What I most liked though, was that everyone in Kamanga was grateful for my efforts and time spent to help improving the running of the health centre. 

What things did you find challenging either in your work or living cross culturally?

Lucia Melloni, Volunteer Nurse

Our team 2020

Baby and toddler clinic

Families waiting to get their babies seen by our nurses.

Work and living within another culture can be challenging in many ways. What I found the most challenging was the language barrier. Working in healthcare and being able to communicate with your patient is essential. Not being able to communicate properly with my patients and particularly with the little ones was very frustrating.

What things have you found enjoyable or surprising about Tanzanian culture either socially or at work?

What I like the most of Tanzanian culture is the community living. Since the very first day I was in Tanzania, I felt welcomed. Same thing at the health centre, since the very beginning I have been welcomed as part of their family. I really felt home in Tanzania. 

What would you say to anyone considering a medical volunteer post with Cedar Tanzania?

I think it is a very good experience and a good starting point if you are interested in humanitarian medicine. It is also a chance for professional and personal growth.

How did the corona virus outbreak affect your time at Kamanga Health Centre?

The corona virus outbreak did not affect me that much to be honest because I was meant to come back home anyway. Two of my flights to come back to the UK were cancelled, but I managed to come back home in the end!

Find out more about volunteering with Australia for Cedar Tanzania here

Why should you care?

Why should you care about people in Africa? We have our own problems we need to care about. Isn’t that more important?

What if I tell you caring about people in Africa is caring for your own? 

What if I tell you helping people living in developing countries out of poverty is having a direct influence on your life?

How is that so?

You see, especially in these COVID times, it becomes crystal clear that we do not live in bubbles. That we are all connected. 

The surfacing of the new Omicron variant is putting a hold on travel plans again. Some countries are re-instating masks and people are getting sick even though they are double-vaccinated. Just as it seemed like we could see light at the end of the tunnel it has been taken away from us again.

Most of the sub-Saharan Africa has very low vaccination rates. South Africa is leading the board with 24% of the population being fully vaccinated. In comparison, only 1.4% of Tanzania’s population has received a double dose.

Now, how does that affect you? 

Back to the Omicron variation we are seeing now. Virus mutations happens when it replicates inside an unvaccinated host. When a person is vaccinated the virus doesn’t get a chance to replicate as much and therefore less mutations can happen. Most of these mutations means nothing but now and again it hits jackpot and becomes better at something. Whether it is better at transmitting, more deadly, or becomes or immune to current vaccines is a bit of a lucky dip.

With the extremely low vaccination rates in sub-Saharan Africa the virus has so much more opportunity to mutate, and chances are we are going to see many more variants that will spread and affect us all.

Just send some more vaccines?

If only this was the only hurdle we’d see. 

Just like we see people being hesitant to get vaccinated in the rest of the world we are seeing that in Tanzania too. In fact, we have vaccines available at Kamanga Health Centre for anyone who would like to get a shot.

Hesitancy doesn’t only stem from people being COVID-deniers or believing in conspiracy theories. 

It comes from lack of education. Not knowing how diseases spread. Not knowing how vaccines can protect you. 

It comes from living in severe poverty. Not having money for transport to a hospital. Not being able to afford spending the day walking to a clinic and back. Not having capacity to think any further than how you are going to feed your children and yourself today.

So, what can YOU do?

Support organisations working with healthcare projects poverty alleviation in developing countries just like Australia for Cedar Tanzania.

Enable people living in severe poverty to earn a living. This will allow their children to go to school with full tummies and have capacity to learn. Being able to afford and demand basic healthcare services is essential.

Support organisations in delivering vital healthcare information. Support educational and entrepreneurial project delivered in the poorest areas of the world.

Join us in help making the world a better place.

A place where we can all get vaccinated and have the freedom to travel again.

Donate as little as $10.

Do it once, or make it an automatic monthly donation.