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Uru rupapuro ruragaragazwa mu rurimi rw'umwimerere Icyongereza. Edit translations

HISTORY OF THE CHILDREN CARE DEVELOPMENT ORGANISATION

Children Care Development Organization (CCDO) formerly Christ Care Development Foundation was established in 2009 and granted full legal registration No. ooNGO/00003818 on 13th April 2010 and mandated to operate in Tanzania Mainland in accordance with its governing constitution by the Ministry of Development ,Gender and Children of The United Republic of Tanzania.

The goal of CCDO is : to provide direct financial assistance to children with cancer and their families, to reduce HIV/AIDS infection rates, to promote positive living for HIV/AIDS infected/affected people, targeting orphans and abandoned women and their children, by fulfilling their nutritional and clinical needs and providing them with shelter, clothing, school fees, and education. The issue is to assist those orphans and other vulnerable children realize their full potential through strengthening the capacity of the local institutions and structures to be able to respond effectively to the socio-economic impact of HIV/AIDS.

The idea of forming Children Care Development Organisation was originally introduced by Majaliwa Mbogella & Miss. Consitasia Jaccob and adopted by the following members; Mrs. Honourable Rita Mlaki (MP), Rita Christina Sanga, Beatrice Mosha, Tuliza Mbilinyi, Mrs. Joseph Mchome, Christina Kilipwa Mwambwa, Mary Prosper, Rev. Upendo Filingali, Mrs. Situs Kanyama and Sylivia Mbogella.

The major objectives of CCDO was to establish a school that will offer education for misery children from Pre-primary, Primary to secondary level and Vocational training and to establish a development health centre to one district in which there is high death rate of misery children and pregnancies women who lack hospital care. Other objectives were as follows; to ensure that misery rural women adopt the culture of saving and are able to invest in and manage viable income generating activities, knowledge, attitudes and practices of rural women are improved with regards to gender issues, to empower and build capacity of economically active poor women and youth by providing them with training is business and management skills and providing them with the Revolving Fund, and to reduce the mentality of the peoples dependence on government and donors on the issues they could handle themselves through educating them on how to be self-reliant and dependence by being productive through utilizing the available resources in their environment or somewhere else.

CCDO’s research on child vulnerability in Iringa Region has shown how income poverty increases familial pressures, which can in turn result in frustration, domestic violence and alcoholism. This, in turn, exacerbates income and non-income poverty within the family. In this research it was identified that most of the occurred problems are due to the following causes; the impact of rural poverty on the family unit, marked increasingly by fathers leaving the family home to look for work and subsequent deepening of familial poverty, the breakdown of familial relationships, marked increasingly by single parenthood, children birthed out of marriage, and death of parents and caregivers, the breakdown of extended family relationships in urban settings, marked increasingly by single parents engaging in “risky behaviours” (e.g. alcoholism, prostitution) and/or working unsuccessfully to try to make ends meet, but leaving children unsupervised during the day, and the influx of urban migration, marked increasingly by a growth in “squatter” or “slum” settlements that are characterized by severe overcrowding, ill-health, poverty and violence.

Based on our objectives and goal above, currently, the CCDO has managed to construct our own International Children Health and AIDS Research Center (hospital) but with no hospital facilities and laboratory equipments.

 The major reason of the establishment of this International Children Health and AIDS Research Center is to provide: health care to rural communities through PHCs, outpatient services; preventive services including vaccination, maternity and postpartum and well-baby care; common laboratory tests; health education; health training programmes, health care clinic services, HIV and AIDS prevention, counseling services, family planning education, to support childhood and breast cancer patients, health education and disease prevention, emergency care and stabilization of patients for transport to Iringa referral hospital hospital; some inpatient services.

 This project will serve the 17,000 inhabitants of Iringa district and the surrounding villages of Mkimbizi, Kihesa Kilolo, Mtwivila, Nduli, Mgongo, Kigonzile, Igingilanyi, Igeleke etc. Within the selected area there are no health services facilities in the village. People have to walk an average of 16 kms to the nearest health service facility in Iringa Municipality.

 During meetings with the village leaders it was explained that because of the long distances that people have to travel, most pregnant women prefer to deliver at home and attended by untrained traditional midwifes who cannot diagnose and handle obstetric complications. Thus pregnant mothers run into great risk getting and suffering of excessive bleeding that may result in death or other various disabilities including fistula. 

 Two women with fistula problems were identified in 2011 by the organisation and taken to hospital for repair. It was observed that there is a need for safe motherhood education to the community with the aim to promote good safe motherhood practices in the village.

 The primary problems in the area include the prevalence of HIV/AIDS, poverty, malnutrition, ignorance, stigmatization and child abuse, incapacitation due to illness, and a growing number of orphaned and vulnerable children (OVCs).

To combat these problems, CCDO currently supports approximately 27 OVCs and 13 People Living with HIV/AIDS (PLWHAs) by fulfilling their nutritional and clinical needs and providing them with shelter, clothing, and education.

Our strategy is to use technology (ICT) to provide effective early medical intervention, deliver expert health care, and minimize the inconvenience caused to patients and health-workers from poor logistics and long travel time. An equally important role of PHCs is to provide health education emphasizing family planning, HIV/AIDS prevention and malaria control, hygiene, sanitation, and prevention of communicable diseases.

A final step in this process will happen through video consulting and examination, a technology we anticipate becoming available in rural areas by year 2010 since we have managed to obtain 1 container of Computers aid from Computers 4 Africa (UK) and other Ubuntu computers AID from World Computer Exchange, Incl (U.S.A).

Previous studies, from behavioral intervention studies, we know that computer games and other interactive multi‐media tools may affect and change behavior in children with cancer and alleviate the stressful experience of cancer. Targeting the problem of treatment adherence a previous randomized study showed that playing a video game specifically designed for adolescent and young adults with cancer can increase knowledge of cancer and self‐efficacy, directly resulting in increased adherence to cancer treatments. This promises great potential for utilizing new social media and games in psychosocial cancer treatment.

The Village’s Priorities, CCDO carried rapid needs assessment in the village in November 2009 -2011 to assess the community’s priorities. It found that the community’s priorities since 2004 have been a Primary Health Care and Research Center , which ranked first followed by an independent Family Planning Centre including training and research, a well-equipped mobile Family Planning Operation Theatre, teachers’ Staff houses, ambulance transport, Min Bus for the Centre, and transport infrastructure.  

Key technologies and innovation in this Hospital project, using the e-International Children Health and AIDS Research hospital platform, which will grew out of several years of research at CCDO; this project will develop and test an immersive online real‐time multi‐user environment for adolescents in cancer treatment. Childhood Cancer patients will be an open‐end platform that would support a variety of use scenarios. This implementation of new technology will sets the project apart from previous studies of the use of games in relation to health behavior. We know adolescents and young adults to be very active and skilled media users, both as consumers and creators of content. The basic intention in this project is to let our medical specialist to interact with this group of cancer patients across the media platforms that they are already familiar with. Given the established potential of the childhood cancer hospital platform, we will be able to design a rich 3D application that can run from any newer internet browser, and that can be embedded in popular media platforms like Face book, Twitter and MySpace, creating ample opportunity for user access. While, the EDPS2000 software has been designed by the CCDO management to be extremely user friendly so as to assist rural internet users and primary health care in remote in accessing online health information that can help improve their lives.

 However, the Children Care Development Organisation is still facing financial constraints relating to skilled ICT medical doctors, surgical equipments, hospital furniture’s, laboratory equipments, clinical analyzer products, ultrasound scanner products, monitoring equipment products, EGG machine, autoclave sterilizer, medical consumable, laboratory chemicals, laboratory glassware’s, X-ray generator and other equipments. Therefore, are future plans is to have a strong health sector partner in this project for the International Children Health and AIDS Research Center well-being.

“Come and Share the Joy of Caring Us….”