Requesting Partnership for Provision of Obstetric Kits to the Europabook International Children Health and HIV/AIDS Research Hospital Project.

SUB- PROJECT: Accelerating Reduction in Maternal, Newborn and Child Mortality and Morbidity through Improved Access to Skilled Attendant at Birth.

Project Location: Iringa Region

Number of people who will benefit: 50 Midwives and as many as 200-300 women delivering for each midwife will benefit.

Campaign amount: $305,397.

Timeframe for implementation: 5 Years

About the beneficiaries: The beneficiaries are the patients of the midwives trained in Tanzania, and the midwives themselves. 

Contribution of organization: Financial contribution:  hand carrying the kits
Non-financial contribution: Distribution and the rest of the training associated with midwifery.

Modalities of Implementation: For those interested in this partnership just contact us by this email: childrencareorg1@gmail.com or with our CCDO Patron Sir Roberto Carpano – Director and Founder of Europabook Organization by his email roberto.carpano@europabook.eu (www.europabook.eu) for full Project Proposal partnership.

PROJECT CONCEPT

The project seeks to mobilize midwives, including those newly qualified from Tanzanian Schools of Midwifery; unemployed midwives and retired but able midwives for deployment to health facilities in rural communities to undertake one year community service. The one year service would be mandatory for the newly graduated basic midwives, preparatory to being fully licensed to practice midwifery in Tanzania. The purpose of the project is to increase skilled attendance at birth so as to facilitate reduction in maternal, newborn and child mortality and morbidity.

Goal

The main goal of this strategic plan is to reduce maternal, neonatal, and child morbidity and mortality and to attain Millennium Development Goals number 4 (to reduce child mortality by two thirds from the rate in 1990) and number 5 (to reduce maternal mortality by three-quarters from the rate in 1990). The target date for achievement of these goals is 2015.

Broad objectives

1. To provide skilled attendance to women and children during pregnancy, childbirth, postnatal and neonatal periods, and childhood by all levels of the health care delivery system
2. To strengthen the capacity of individuals, families, communities, and organisations to improve maternal, newborn, and child health.

Strategies

To achieve the targets set for 2015, the following strategies have been launched:

1)      Advocacy and resource mobilization

2)      Health system strengthening and capacity development

3)      Community mobilization

4)      Promotion of reproductive and child health behavioural change

5)      Fostering of partnership and coordination

Project Problem

In traditional Tanzania culture, families and children are the core of society. Becoming a mother is central to the life of every woman. Raising healthy children to continue your family is of unquestionable importance and joy. However, in Tanzania today, the lives of women and children are jeopardized by extremely poor health conditions. While, maternal and neonatal mortality as we all know is now a global issue, this is considering the fact that concerned stakeholders on health are now involved in the fight to ensure universal access to improved maternal and child health. Even though the developed world has a remarkably low level of maternal mortality rate (790 deaths/100,000 live births (2008), developing nations like Tanzania has one of the worst maternal mortality data in the world.

It is worthy of note that the causes of this maternal death are largely preventable if appropriate interventions are taken towards reducing the three forms of delays in accessing health care and ensuring skilled attendance at birth. As the deadline for achieving the Millennium Development Goals (MDGs) draw nearer. Tanzania seems to be moving further away from achieving MDGs 4 and 5 which is aimed at improving maternal, neonatal and child health by ensuring universal access to quality maternal health services.

Proposed Solution

CCDO is seeking the set of tools in the Tanzania women obstetric kits. The solar light, mobile phone charger and other remainders for postpartum hermonhage prevention will be given to the midwives as a graduation gift. CCDO seeks first to ensure the safety of these newly trained midwives (light and phone charger) and second to ensure that they are equipped to save mothers lives. The CCDO obstetric kit parks a number of key tools together in a park which integrates a reminder flow chart on a life saving protocol.

Distribution

In this case the midwives will receive the packs as part of their midwifery training which an investment in the future is livelihoods of these midwives.  The ability to pay for health sector employees in Tanzania is extremely low.

Project Campaigns

The agenda is to ensure that the midwives work in remote under resources areas since the project agenda seeks to provide an emergency stop gap to the shortage of midwives tool kits and human resource shortage of skilled attendance at our primary health care system. The trained personnel in this program shall be graduates of Schools of Midwifery. The midwives will be trained at the Europabook International Children Health and AIDS Research Centre (formerly Iringa International Children Health and AIDS Research Center) to offer emergency obstetric and neonatal care service as a referral backup for the midwives at the various primary health care facilities where they will be posted.

In Setting up Our Partnership

In setting up our partnership in this project it was agreed that CCDO management including hospital staffs will be trained on how to consolidate our reciprocal exchange of skills, capacity building training, knowledge and experience in this partnership application, on how to maintain the given medical equipment, training on how to operate the supported equipments, and the donor partner will execute this training and not only to the CCDO and hospital management but also to the traditional birth attendants, midwives learners, nurses, to engage in HIV/.AIDS research activities and other activities triggered to surgical operation, laboratory test, X-ray experiment and etc. The project partner and the CCDO will arrange together to provide this training with budget support from CCDO sources of fund and its partnership.

Procurement and Supplies

Standard basic health packages would be procured to ensure availability of commodities and appropriate equipment for the provision of quality service. Within each political ward (or based on resource availability, 3 to 4 selected wards/ CCDO strategically placed based on geographic spread); a primary health care centre would be identified to serve as the Basic Essential Obstetric Care Centre (BEOC). Necessary support would be provided to the CCDO- Europabook International Children Health and AIDS Research Hospital. These would include; Renovation or Upgrade, supply of medical equipment, supply of drugs and other medical supplies (with priority for obstetric requirements), procurement of midwifery kits for all the midwives and PHC centres, and procurement of Laboratory kits [or sourced from partners]. Therefore, the Centre would serve as first level referral from all other health facilities within the political ward or geographical catchments where focus antenatal care and delivery might have been provided by other cadres of staff other than midwives or medical doctors. In addition, the midwives would be kitted for outreach services.

Requested Laboratory Equipment Assistance

However, in this partnership we do not like to be supported money but our concern is to be supported laboratory equipments and medicines only and among the requested laboratory include includes: 1 biochemistry machine, 1 CBC machine, 1 haemoglobin machine, 1microscope, 1 centrifuge machine, 1 hot air oven (sterilization), 1 CT scan MACHINE, water bath, 1 ultrasound machine, HIV reagents, and 1 x-ray machine and chemical laboratory equipment.

Requested Volunteers

This project shall be deploy many volunteers in the areas of health, entrepreneurship, science and arts teaching subjects, education, ICT, economics, capacity building, training, counselling, kindergarten, marketing, kindergarten, OVC/ MVC, and foreign languages as such English, French, Italian, Arabian, and Germany

Proposed Solution

CCDO is seeking the set of tools in the Tanzania women obstetric kits. The solar light, mobile phone charger and other remainders for postpartum hermonhage prevention will be given to the midwives as a graduation gift. CCDO seeks first to ensure the safety of these newly trained midwives (light and phone charger) and second to ensure that they are equipped to save mothers lives. The CCDO obstetric kit parks a number of key tools together in a park which integrates a reminder flow chart on a life saving protocol.

CCDO Contribution

The CCDO will be committed to incur into consignment or shipment cost as a means to show the necessity of this application project that would be beneficial to the communities of Tanzania citizens. But this will depend on the Project donor conditions.

Conclusion

The CCDO will adopt the policy of sunshine governance throughout the implementation process of this project. This will ensure accountability and transparency in the management of resources since our CCDO staffs are enthusiastic and committed to the Donor(s) project activities. Therefore, we should be happy to receive any kind of humanely donation that should successfully this application.