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.

In the remote rural areas of Tanzania where we work, pregnancy and childbirth remain perilous journeys. Despite national efforts to provide pre- and postnatal care through hospitals and clinics, many women continue to face insurmountable barriers that prevent them from accessing these essential services.

That’s why we are proud to introduce our newest initiative: SMILE – Sustainable Maternal and Infant Lifesaving Endevours. This project brings compassionate, high-quality pre- and postnatal care directly into the homes of pregnant women and new mothers across rural communities — bridging the gap between policy and reality.

Why Home-Based Maternal Care Matters

For many women in the region, travelling to a hospital or clinic is not simply a matter of choice — it’s a question of feasibility. Distance, lack of transport, cost, gender dynamics, cultural norms, and competing responsibilities at home all contribute to low attendance at antenatal check-ups and a continued reliance on unassisted home births.

Even when facilities are available, the perception and past experiences of health services can be significant deterrents. Some women report feeling judged or ignored at traditional clinics, or they worry about giving birth in an unfamiliar environment without the support of family or community. As a result, many still give birth at home — often in unsanitary conditions and without skilled assistance — putting both their lives and those of their babies at risk.

What SMILE Offers

The SMILE project provides:

Home visits by a trained maternal health worker before and after birth.
Monitoring maternal and newborn health, including those not delivered at our hospital.
Support with breastfeeding and nutrition, addressing challenges that arise when mothers must return to labour-intensive work shortly after birth.
Problem-solving for high-risk cases, including providing infant formula where breastfeeding is not possible and supporting the establishment of alternative caregiving strategies.
Culturally sensitive, non-judgemental care, with trust built through local community engagement.

We’ve already witnessed the profound impact of these home visits. In some households, our team has encountered dangerously malnourished infants, where the mother must work up to 12 hours a day to feed her other children. In such cases, SMILE steps in with medical support and practical, compassionate solutions: arranging for family members to bring the baby to the mother during work breaks or supplying formula where necessary to ensure the child’s survival.

Empowering Families, One Visit at a Time

SMILE is more than a health service — it’s a lifeline. By meeting women where they are, we offer care on their terms, without judgment or conditions. We believe no woman should have to choose between feeding her children and caring for her newborn.

We are grateful to our dedicated local team and our supporters for making SMILE possible. Together, we’re delivering more than maternal health care — we’re delivering dignity, hope, and opportunity for the future.

SMILE: A New Chapter in Community-Based Maternal Health