HEALTH AND MEDICAL SERVICES
The core of the government’s Healthcare policy is to eventually provide healthcare that is affordable and access to all. Basic areas of concern raised in the Health Systems survey showed that infant mortality rates were still alarmingly in some regions, as are variations in level of immunisation.
The available information states that the major challenges facing Tanzania are infectious diseases related to poverty, emerging chronic diseases and injuries. Diseases such as HIV/AIDS, TB and Malaria continue to be cause for concern, as conditions such as Hypertension.
AIDS is classified as a communicable disease in Tanzania. Consensus is that a coercive approach to controlling HIV drives it underground and encourages its spread. AYORPO has thus adopted a human rights approach to the disease, seeking to empower individuals and communities with the knowledge and means to avoid infection, encouraging the population to acknowledge their vulnerability to HIV, encouraging a positive and informed willingness to undergo Voluntary HIV Testing and a response to infected persons which includes providing adequate care, support and treatment. As consequences, infected persons are likely to be treated with greater inclusion and dignity, the government provides key services through clinics and hospitals.
Factors influencing the spread of the disease include poverty, migration, the position of women in society, socio-economic conditions, unemployment, the challenges of presented by development, illiteracy and poor education. The epidemic exacerbates these factors, causing a cycle of infection, vulnerability and poverty. AYORPO empowers individuals and communities with the knowledge and means to avoid infection through Training, Information and Counselling centres.
To reach out to local communities and support the capacity building/empowering of people to take action to prevent and mitigate the effects of HIV/AIDS in their own communities, by means of training them on the prevention of transmission of HIV/AIDS, care and support, nutrition and treatment.
Independent evaluation of our programmes have shown statistically significant increase in young people’s knowledge, confidence and attitude markers across arrange of areas. These include improvements in Sexual and Reproductive Health, reductions in teen pregnancies and behaviour associated with HIV infection, and improved engagement in income generating activities
EDUCATION PROGRAMME DEVELOPMENT
The basic educational problem in Tanzania is that of resources which have been declining progressively since 1980s. The country is caught in downward economic spiral following natural disasters and servicing external Debts. As the government concentrates on overcoming national economic problems, it improves short term palliatives to educational crises.
Provision of quality education theoretically continues to be the policy of the government. In practice however, meaningful learning cannot be achieved where there virtually no desks, inadequate classrooms and sometimes not even blackboard, chalk for the class. The rich people respond to such situation by setting up private schools where only children from the rich families afford to attend classes. The basis is thereby laid for the growth of class society, with all that this implies for mutual of respect, equality and even equality of opportunity among all citizens in future.
The request is an attempt at augmenting government efforts, in provision of education by mobilizing other sources of finance to enable children from low income family access quality education
Despite good plans by the government to bring about equality in education, there is no information on funding for various those with disabilities, orphans and vulnerable children (child labourers, street children). They are unable to effectively access and complete high quality, child friendly and gender sensitive education. This approach takes the programme beyond just children directly affected by HIV/AIDS, to work with children made vulnerable as a result of poverty, disability, abuse and exploitation. These live below at or the national poverty level and have no access to education. The number of children to be reached by the programme is about 1463 identified
The programme focus aim is to provide effective services of education and sustainable support that have a real and lasting impact on children’s lives. Quality of education provision and sustainability, focusing on effective support that truly makes a difference. A standardized process of identifying children has been laid by Government Department of Social Welfare and carried out by District Council in conjunction with Local Community.
The magnitude of problems; The high number of orphans and vulnerable children , adolescents in the marginalized areas, to with level of poverty, geographical scale have posed challenges for the programme
Whether we are tackling the persistent achievement gap in Tanzanian education, the unequal access that persists between youths, children, orphans and vulnerable children or inconsistent quality of education available at Tanzania’s many types of schools, we focus on concrete results every day.
While also striving to drive measurable and sustainable system wide rang. The focus on education is based on:
- To improve performance
- Ensure consistent quality of education and
- Increase access to school.
AYORPO is committed to improving student performance and increase access to education so that children, orphans and vulnerable children, disadvantaged people and youth/adolescents every where in marginalized areas in Tanzania have the opportunity for life-long success.
From early childhood through adolescence, orphans and vulnerable children face multiple educational hurdles including poor attendance, high drop out rates and uneven school quality. To help these children to achieve the education and skills that will enable them to break out of poverty, AYORPO funds large-scale interventions that:
- Help students achieve grade-specific term levels through in-school academic support.
- Promote access to school.
- Improve quality performance and capabilities and more sustainable skills development.
Our goal is to ensure that young people from disadvantaged backgrounds are at least admitted to school, college, and university and obtain long-term employment Self or Governmental employment. Initial investments are in the AYORPO scholarship programme in collaboration with Donors, Development Agencies and Other International Non governmental Organizations through Grants, which provides holistic support to vulnerable students to help them through graduation and beyond.
JUSTIFICATION OF QUALITY EDUCATION:
Education means training, knowledge, skills or wisdom by educating a person, it means teaching or guiding him/her in obtaining knowledge of skills, hence education is something whish has got a particular purpose and this purpose is; to transmit from one generation to the next, the accumulated wisdom and knowledge of the society, and to prepare young people for their better future membership of the active participation in its maintenance and development.
Availability of adequate, teaching and learning materials greatly influence the provision of quality education. Likewise the learning environment need to conducive.
PROVISION OF EDUCATION SCHOLARSHIP AND SUPPORT
The background information briefly shows the critical areas that need to be funded in the different capacities. There basically areas for primary and secondary schools, colleges and universities that need attention.
This programme is incorporates the objective of providing education support for identified and registered by AYORPO ; orphans and vulnerable children, disadvantaged people and adolescents to assist them in special needs.
We seek to improve by special assistance at-risk children’s ability to engage and perform effectively at school. Promote behavioural and academic improvements among Tanzanian students who face significant economic and personal challenges by soliciting grants from donors, development partners and agencies, and International non governmental organisations.
THE GRANTS PORTFOLIO FOCUSES ON
v The increase percentage of boys and girls with disabilities, orphans and vulnerable children who qualify for secondary education enrolled and complete schools.
v Grant requested will fund to assist low income students who performed well on examinations but could not afford to meet costs of higher education.
v To ensure access to quality nursery, primary and secondary education that would disproportionately exclude the poor, children with disabilities, orphans vulnerable children.
v To reduce number of child labourers and street children by improving capacity and equal participation at all levels of education by increasing enrolment percentage of children with disabilities, orphans and vulnerable children who lack government support.
v The funding requested will help orphans, street children and Most Vulnerable Children, adolescents to achieve educations and skills that will enable them to break out of poverty, promote self help income generation projects and empower them economically and enable support their families.
v Reduce number of children withdrawn from schools due to economic pressure and the responsibilities of caring for parents and siblings which lead to withdraw from schools, even which their parents are still living.
AYORPO;s giving/receiving reflects its commitment to transforming the lives of children, orphans and vulnerable children, adolescents and disadvantaged people living in urban and rural poverty through better health, education and family economic stability.
Street children are some of most vulnerable children in Tanzania. The issue has become chronic and there currently no specific actions to remove from towns and cities and support those children from the risk environment, further, these children are perceived negatively and often associated of crime. Many of the challenges faced by street children (beggars) and their guardians are associated with poor urbanization, family disintegration and violence, rapid population growth, and an extreme condition of poverty. As a result, children are unaware and deprived of their basic rights to health, education, and protection.
For example, a recent report on Street Children Beggars in Dar es Salaam, provide results that challenge everyone with the responsibility of ensuring every child live in a safe and supportive environment. The report shows that a majority of these children come from families of beggars and that their parents are still begging. This calls for collective interventions by different Stakeholders and community to sustain children safety net through family support system. Report findings also indicate that 75 percentages of these children are between ages of 6 and 14 years. Of the children surveyed 64 percent of them would like to re-join the school system.
Very little efforts have been made to remove and support Street Children Beggars and their guardians from these devastating situations. Therefore, effective strategies were made to address the root causes of the problems are a critical concern for every stakeholder in this time.
Members Contributions and Future Trends
The Organisation Members have helped the organisation in a number of ways. For example they have brought relief to the Needy by sharing the weight of social change in communities to work towards poverty eradication, good governance, increased transparency – in short community empowerment. They have injected various technical skills into the organisation and enable AYORPO to implement a variety of programmes successfully. They have made it possible to expand services so as to reach as many Tanzanians as possible. They have also improved enormously the management of the organisation
The organisation members’ contributions identify key steps in the community mobilisation process; it stresses the role and responsibility of the community member participation in social community development must be stimulated, encouraged and facilitated around a cause. In future it may therefore become necessary to design ways for people to participate in community mobilization in which can change attitudes, norms, practices and individual behaviours.
AYORPO believes that Social Community Development process usually does not occur spontaneously it must be guided by effective organizers (organisations) and leaders. The process depends on co-operative among a variety of agencies, groups, and individuals, cutting through denial and apathy, as well as managing inter-organizational suspicion and conflict, so that the process leads to changes in awareness, understanding, and improved response to the problem.
Co-operation and Partnership:
AYORPO has co-operation with many stakeholders at different times for various reasons. This co-operation has extremely useful for AYORPO although there have been also arisen a few problems along the way. Some of the stakeholders that have co-operation with AYORPO include:
- The government of Tanzania (ministries, Departments and government independent Units)
- AMREF Tanzania
- Forum Syd Tanzania
- World Vision Tanzania
- Care Tanzania
- Pathfinder Tanzania
- Foundation for Civil Society
- Business Community
- Non- Governmental Organisation
- Religious leaders and their Organisations
- Local Government Authorities
Forum Syd has been funding for the year 2006/2007, continued to be close and covered nearly areas of activities of Organisation, chief among them being consultancy in needs assessment and strategic planning, funding training on HIV/AIDS prevention, support and care and treatment, Entrepreneurships training skills, soliciting of funds from other donors. Through such co-operation the relationship between AYORPO and Forum Syd has continued to be open, frank, intimate, symbiotic and family-member like.
Meetings and conferences have facilitated exposure and growth of the organisation through the exchange of ideas and experiences.
Besides the Forum Syd (Swedish International Organisation), AYORPO has maintained co-operation with many other International (based in Tanzania) Organisations at different times in implementation of some projects and programmes such as education, capacity building, training, consultancy et cetera.
Experience has shown that most donors have little interest for projects such as human resources, construction of buildings and other income generating programmes, while prefer funding for short periods only.
AYORPO has worked with the Central Government in a number of ways with other governmental Ministries. For example, AYORPO has worked with Prime minister’s Office -- Tanzania Commission for AIDS (TACAIDS) Capacity building for Community members on HIV/AIDS prevention, support, care and treatment. We also resolve to promote gender equality and the empowerment of women as effective ways to combat poverty, hunger and disease and to stimulate development that is truly sustainable.
Working closely with government is one of the objectives enshrined in AYORPO’s constitution which clearly stipulates that the organisation will co-operate to the fullest degree possible with the government, non- governmental and International Agencies in the execution of projects/programmes based on education, health and Socio-economic activities mandate.
A Bright Future Ahead:
AYORPO is fortunate in that, unlike other growing/developing organisations we have a good management team working to advance society through income generating activities, empowerment and the creation of wealth. We need to raise the awareness of business’ positive role in this regard.
We will also continue to build our relationship with government, local and International agencies, donors, reiterating the importance of income generating activities as a partner. In addition the organisation will be part of the transformational process in our country.
African Youth and Orphan and Relief and Progressive Organisation ( AYORPO ) in collaboration with other stakeholders have a key role to play in ensuring that Government is doing what it has committed to do. AYORPO focuses on health governance, HIV/AIDS and gender equality.
Poverty and Health are closely linked. Sick people cannot work and a lack of health care and trained Medics means that sick people cannot get better. AYORPO recognizes that it needs efforts to improve the health System in order to boost growth and bring people out of poverty. HIV/AIDS is the greatest threat against all development efforts in Tanzania at national, community and individual levels. The official figure of people living with HIV/AIDS is 5.7% of the population. Already, this pandemic has impacted life expectancy. Regions with high HIV prevalence include Njombe, with 14.8% out of 100 infected with HIV, Iringa ( 9.1% ) followed by Mbeya ( 9.0% ) and Dar es Salaam ( 6.9% ) by the year 2007/2008 ---(Tanzania Indicator Survey ). For the last two decades, the HIV/AIDS epidemic has spread relentlessly affecting people of all walks of life, especially between the ages of 20 – 49 years. This is the productive population.The increasing number of AIDS related absenteeism from workplace and deaths reflect the early manifestation of epidemic with ramifications in suffering, grief, lower life expectancy, increasing dependency, reduced growth in incomes and productivity all of which results in increased poverty. Increasing incidents of infant and child mortality and growing number of Orphans in both urban and rural areas is alarming.
AYORPO’s initiatives on health, supports social development through:
- Promoting health—access to quality health care services, nutrition and life style behaviours to the children, orphans and vulnerable children ( OVC ), women, youth and disadvantaged people.
- To support the empowering of local communities, in urban and rural/semi—rural areas, enabling them to cope and act under the influence of HIV/AIDS.
- To support increased awareness among new target groups (the disabled, the deaf, the blind etc.) often forgotten or difficult to reach by other actors in the field of HIV/AIDS activities.
- To ensure that the funds reach the poorest of poor (these are mostly women and children and mostly vulnerable within the society).
- Supporting the national response to HIV/AIDS with greater efforts on prevention (especially among women and young people)
- To integrate HIV/AIDS and important Sexual and Reproductive Health components (life, STIs, Safe Motherhood etc.) Sexual and Reproductive Health (SRH) and HIV/AIDS.
- Strengthening education on health system by improving awareness on primary health services.
- Also by addressing health facts that malaria and HIV/AIDS are the biggest causes of deaths for people over five years of age in the country and by concentrating more on nutrition.
- To encourage medical check-ups and testing voluntarily.
- Reduce maternal and child mortality through accessible family planning means and services.
- Educate the community /public on marriage age and the child bearing.