Vaccinations

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.

 

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.

Three Months of Caring in Numbers

In January, Kamanga Health Centre celebrated its second birthday and we are proud to say that we continue to provide quality medical service to the people of Nyamatongo Ward. To give you an idea of the scope of work of Kamanga Health Centre here are some numbers and insights:

  • On average, Kamanga Health Centre sees more than 1,200 patients each month. The most common diseases are pneumonia, upper respiratory diseases, urinary tract infection and diarrhea. The majority of patients is treated in the Outpatient Department while around 200 are admitted monthly. 

  • Almost every day a baby is born at Kamanga Health Centre! On top of that, between 50-100 pregnant women attend the antenatal clinic for check-ups each month. Additionally, Kamanga Health Centre offers family planning services. 

  • When Kamanga Health Centre is really crowded, we know it’s vaccination day! One of the most popular services Kamanga Health Centre offers is the vaccination clinic for children. More than 200 children get vaccinated each month against tuberculosis, polio, PCV13 (pneumococcal conjugate vaccine), rotavirus, measles-rubella, and pentavalent vaccine, a combination vaccine which includes: diphtheria, tetanus, pertussis (whooping cough), hepatitis B and Haemophilus influenzae type b

  • In Q1 2020, more than 400 people made use of the free HIV testing service offered at Kamanga Health Centre. Moreover, between 200 and 250 patients per quarter come to us for regular HIV counselling and treatment. This is a vital service as it provides care to HIV-positive community members and the life-prolonging antiretroviral drugs are administered. 

  • To ensure quality health care services and to promote learning on the job, medical staff who have special knowledge and skills in certain areas teach their colleagues in weekly sessions. These are some examples of the topics that have already been covered: critical First Aid care, identification of hydrocephalus in a new-born and, of course, symptoms of and protection against COVID-19.

  • Since the beginning, Kamanga Health Centre works with a group of dedicated Community Health Workers who provide information and knowledge via a community outreach programme. They raise awareness about HIV/AIDS, provide information on the prevention of different diseases and regularly check-up on expecting mothers. In Q1 of 2020, almost 600 households were visited!

  • We have an ongoing stream of dedicated western trained medical staff who volunteer at Kamanga Health Centre and support our local team. In Q1 2020, we had our first nurse volunteer.  

We are proud to be able to provide such extensive services to a community in which these services were non-existent a little over two years ago. With your support, we hope to be able to expand our set of services continuously which would allow to serve even more people.

If you want to know more about Kamanga Health Centre or have specific questions, please contact us here You can also find out more about our volunteer options here

By Vivian Nordquist
Director of Projects
Cedar Tanzania


Update from Kamanga Health Centre

Over the last few months we’ve seen many changes and developments at Kamanga Health Centre - here are a few of the most important updates:

INCREASING PATIENT NUMBERS

There has been a significant increase in the number of patients attending Kamanga Health Centre over the past few months! In February we had a total of 932 outpatient department attendances and 107 admissions, a huge increase on the numbers from last year. The most common conditions treated at Kamanga Health Centre were pneumonia, gastroenteritis and typhoid.

The Reproductive and Child Health department has also seen an increase in patient numbers, particularly at the bustling under 5’s clinic. Here the children are weighed, vaccinated, and given essential medicines like mebedazole, which kills intestinal worms, and vitamin A to prevent eye diseases.  Whilst the mothers are waiting we provide them with education on topics such as nutrition, breastfeeding, and vaccinations.  In February alone we saw 519 children at the under 5’s clinic. It’s wonderful to see so many children receiving crucial vaccinations to keep them safe, even if they do make quite a racket!

THE NEW WARD

We realised back in November that we needed extra space to accommodate the increasing numbers of admitted patients. We only had 4 beds (2 postnatal beds and 2 medical beds) and we were often over-capacity, leading to inappropriate rooms being occupied such as the clinic rooms.  After an emergency meeting of the Cedar Tanzania team we made a plan and the maintenance team got to work on converting one of the waiting rooms into a new ward.  This provided an extra 4 beds - doubling our capacity! The imaginatively named ‘New Ward’ was finished back in January and has been more or less full ever since! (I’m trying not to imagine the chaos that will ensue if we build another ward - ‘New new ward’?!)

NEW STAFF

To cope with the increasing patient demand, we have employed 12 new volunteer staff members. They have settled into the team wonderfully and, alongside the other staff, are working hard to cope with increasing patient numbers. Since we have started admitting patients all of the staff have had to adapt to working in the inpatient setting- this has involved many new procedures and protocols which ensure patients are closely monitored and receive the necessary medication during their stay. This has required a huge amount of work over the last few months, but we have managed to create a system which is working smoothly!

ONE YEAR ANNIVERSARY!

Kamanga Health Centre celebrated its 1 year anniversary on the 18th of January! To celebrate the big day, all the staff gathered for a post-work feast. Awards for the best staff of 2018 were given to Neema , our clinical officer, and Mussa, head of maintenance – both very well deserved! A fun evening was had – eating, drinking, and celebrating our achievements over the last year. Excited to see what year 2 has in store.

By Dr. Sian Ashby
Medical Volunteer
Kamanga Health Centre in Tanzania