Wednesday, September 18, 2019
GENDER AND DIGNIFIED RESPECTFUL CARE
Currently the CHMTs and Mama na mtoto are conducting follow-up visits to nine (9) health facilities in Misungwi DC for gender and dignified respectful care as part of improving Maternal, newborn and child health. Mwawile is among the Facility which decided to involve community members to implement the activity through designing garden at their facility so as to make the environment clean and attractive. The team had a great moment with community members and enjoyed being part of this Innovation.
Thursday, July 18, 2019
Health System Strengthening through Communication in Kwimba District
Mobility service for health facilities launched in Kwimba
District
Last week, our Health Systems Strengthening (HSS) team
launched an inter-facility Closed User Group (CUG) service in Kwimba District.
Attended by facility supervisors, the Kwimba Council Health Management Team and
district leaders, the launch event saw cell phones linked via the CUG distributed
to 52 public health facilities. The devices are aimed to improve the referral
system in the district by providing health facilities with a cost-efficient
communication platform and the ability to provide more timely care to patients,
especially during emergencies.
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Health Systems Strengthening Coordinator Magdalena Mwaikambo and the Kwimba District leadership team present new phones for the district’s health facilities. |
A Closed User Group is a mobility service that provides
toll-free calling and messaging between phones of the same group. Each health
facility received a connected phone also set up with data. An additional six
were provided to district management so that government officers can more
readily support facilities. In the past, health facilities depended on personal
resources to communicate with other health facilities and district management.
“Communication between health facilities was difficult
because [health facility staff] were using personal cell phones and had to load
airtime periodically,” says Elisante Shao, data/IT officer at Mama na Mtoto,
“But through the Closed User Group, each facility will only pay 2500 Tsh
(equivalent to about $1.42CAD) a year for unlimited talk time and messaging
with other facilities.
An effective and sustainable referral system is also
particularly important in rural Tanzania where facilities are far apart and
connected by rough dirt roads. For example, during the rainy season, frequent
floods can hinder transportation between facilities. The ability for immediate
communication between dispensaries (most basic health facilities), health
centers, and/or hospitals can address transport problems and mitigate delays to
patient treatment.
Monday, April 22, 2019
Success Story from Catherine Paul
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Catherine standing in front of Mbarika operating theater |
I was able to deliver my beloved son Loveness Lewis at Mbarika health center, thanks
to God and the good services offered by the facility staff. I really appreciate the
construction of the Mbarika theater and the technical skills provided by the Mama na Mtoto project. These facility improvements solved the travel distance previously required to get quality medical health services at Misasi health center or Misungwi
hospital.
I encourage my
fellow women in Mbarika to attend our health center since the services
provided at our facility are safe and friendly to all clients.
Translated from Sukuma Language below.
“Nalumba kutuzengela Sipitali ya kubyalila ha Mbarika
abha mradi gwa Mama na Mtoto, tukuyiza ulutulibhudito, nakubhawila na bhakima
bhangi bize, tulibhona mihayo ya bhelile shi kuleka i kale, yaliyagikogiko du,
na bhasomi bhalinduhu, nulu bugota wahee na bhamkijiji bhalinduhu, mkabheja
Mama na Mtoto aho g’wa balanja akikalile na katumamile pyeee.
Pya abanhu bha tengwa kuhudumilwa sawagete bhose ni
kaya bha mayu kusabha shikolo nulu kuguja watumamila milemo ya wiza ha kaya. Yohana
Busumabu aliyumba kila kona kulanja afya ya kubyala mpaga twabyala Loveness
Lewis lelo myeji mpungati kushikashi” Said Catherine Paul
Catherine
Paul (26), Ngaya hamlet, Ngaya Village, Mbarika Ward, Misungwi DC, April 2nd,
2019 (literally
translated from Kisukuma Language to English by Leonard Masele-CEPO, MnM)
Success story from Mariam Elias
My name is Mariam
Elias (24), I have 6 children. I reside in Isesa ward and was admitted to Mbarika Health Center after being referred by Isesa facility due to noticed signs of danger. I delivered a premature baby (7 months, 2.3 kg) and was advised to use kangaroo method for the survival of the baby. I have received the required medical services to save me and the child, which would not have been possible if I delivered with traditional birth attendants (TBA).
I intend to incentivize pregnant women
to get rid of TBAs. I also wish to educate communities on the importance of social equity
opportunities at the family and facility level, how to develop personal delivery
plans, and raise awareness of the free and friendly health services that I experienced during my delivery.
Appreciation is due to the Mama na
Mtoto project for improving Mbarika's health center. They donated the high quality Operating theater and trained facility staff to offer conducive and desirable services.
“Nalitanwa Mere Ng’wana Elias (24),
nalinambyala 6, nabyalile ka ndebile ka myeji mpungati 2.3 kilo, nalajiwe
hanaha Mbarika, nakwikalaga ikala ikaya Isesa. Kandebile nalikalabada ku nzila
ya KANGAROO umo nalanjiwa na
batumami bha nesi, yaya ukuja kubha kunga bha jadi. Nalilumba gete i huduma jabo
nsogashi mayu, pye abha gosha na bhakima kulabada i sabho na kusibitali nduhu u
kwibagula, nulu aha kaya shene du, na bha nesi bhalanjiwa na Mama na Mtoto e kikalile” Mariam Elias
said
Mariam Elias
(24), Isesa village, Isesa Ward, Misungwi DC, April 2nd, 2019 (Literally
translated from Sukuma language to English by Leonard Masele – CEPO, MnM)
Friday, March 8, 2019
Gender and equality professional development workshop in Misungwi
Happy International Women’s Day from all of us here at Mama
na Mtoto Tanzania!
Recently, we completed a 3 day gender equality professional
development workshop in Misungwi which engaged local health leaders in
conversations about women’s rights issues and maternal health.
The workshop aimed to increase awareness about gender as a
determinant of health, promote women empowerment and discuss strategies to
improve dignified and respectful maternal health care delivery. The workshop
ended with concrete action planning to problem solve ways in which local health
facilities can become more gender-responsive and mother-friendly.
We thank all the strong and empowered leaders who helped
facilitate and participate in the recent workshop.
Thursday, February 28, 2019
CHW COORDINATORS ORIENTATION IN KWIMBA
Mama na Mtoto project in the effort to improve capacity to promote and protect the health of current and
future mothers and children, has been training Community Health Workers in the
district of Kwimba. A total of 887 CHW were trained. After the training CHWs
are grouped according to Health facility whereby in each group one CHW is
chosen as a coordinator. After getting these coordinators they are oriented to
empower them with skills and capacity to lead the group and cooperate with
their Supervisors in order to ensure sustainability of the program.
On 5th and 6th
February 2019 a total of 54 CHW coordinators were oriented ready to serve their
respective communities.
Thursday, February 21, 2019
Health Home Innovation
Health Home
Innovation(HHI) competition aimed at promoting community based hygiene intervention
that will, improve the living conditions at the household level and to reduce
common water and sanitation related diseases. HHI involved engagement of CHWs, CHW supervisors and local
government leaders to ensure critical and effective implementation
of integration of healthy homes to at least each hamlet. The
main objective of HHI is to promote community based hygiene to reduce Water and Sanitation Hygiene(WASH) diseases
through ensuring the environment are clean and free from waste spread diseases.
After the various training and community sensitization then came the evaluation phase. Judges were chosen to visit households of participants and determine who did the best in having a Healthy home. Evaluation of the winner were assessed based on the HHI criteria that focuses on household surroundings that have energy saving stove, Drying rack with proper drainage, clean latrines with a finished floor and has a
cover and is not leaking and no bushes, hand-washing facility/tippy tap, neat kitchen, vegetable garden etc.
The
exercises was done successfully whereby in each hamlet there was one winner and then the winner at hamlets competed
to get one winner at village level, likewise the winner at village level
dwelling in one ward competed to get one ward winner. On the other hand CHWs were
competing to get one model CHW at each village.
Winner at hamlet level were given a pair of Khanga while the winner at village level were given batik and the winner at ward level were given batik and plastic water container. At the same time CHW model were given batik and certificate of recognition for their hard work.
Clean tiled bathroom |
Hand washing facility/tippy tap |
Clean latrine with cover |
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Well built latrine and bathroom with a roof and tippy tap |
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Drying rack |
Winners at Shilalo with CHWs posing for a group photo with Mama na Mtoto Field Manager and staff |
Winner at hamlet level were given a pair of Khanga while the winner at village level were given batik and the winner at ward level were given batik and plastic water container. At the same time CHW model were given batik and certificate of recognition for their hard work.
Health Systems strengthening
Mama na Mtoto Project through Health Systems Strengthening Component made survey of Health Facilities in Kwimba District determining what improvements should be made in order to maintain the quality of medical data, so as to produce accurate reports that help in various Health related activities such as District planning and budgeting for health services improvement among others. Sumve hospital, Malya, Nyamilama and Nyambiti health Centres received electronic gadgets from MnM via DMO's office, additionally three brand new laptops were given to HMISCO DCHWCO and DRCHCO.
Such health services improvements are believed to contribute to the reduction of maternal, child and new born death as being the main focus of Mama na Mtoto project.
Such health services improvements are believed to contribute to the reduction of maternal, child and new born death as being the main focus of Mama na Mtoto project.
Monday, February 4, 2019
Supportive Supervision visit to Kwimba District (Malya Health Centre)
Health System
Strengthening (HSS) is one of the units of Mama na Mtoto Project with aim of
improving Maternal Newborn and Child health. In collaboration with Council Health Management Team CHMT, HSS
usually conducts supportive supervision visits to Health facilities within
project area. These visits aimed at improved health services for better health
outcome at all levels with more focus on Maternal, Newborn and Children.
The Mama na Mtoto project team in cooperation with Council Health Management Team (CHMT), visited a newly appointed District Commissioner for Kwimba (Bi SENYI SIMON NGAGA). Aiming at giving a short summary of the Project. Preventing a maternal and child death is saving a life.
Kwimba DC and Mama na Mtoto team in a meeting |
Kwimba DC and Mama na Mtoto team in a meeting |
The newly appointed DC in her remarks suggested that there should be ways of preventing early pregnancies especially to school children who have not fully developed reproductive age. Early childhood pregnancies have also been observed to contribute to maternal, newborn and early childhood deaths especially in her district KWIMBA.
Pre-supervision
meeting at Malya Health Centre. This meeting usually is used to make a follow up
on implementation plan of last supervision while continue to build capacity to
health facility staff through coaching and mentorship.
Supportive Supervision
team, appreciated Infection Prevention
Control (IPC) in Malya Health Center Labor room.
Arrival of Mama na
Mtoto Project team members, at Kwimba District Medical Officer’s office located
at Ngudu Hospital.
Tuesday, January 29, 2019
Monday, January 21, 2019
Operation room mentorship at New Mbarika Operating theater done 22nd November 2018
Operation room mentor-ship done before full function
procedure to prepare equipment and staff ready for a realy procedure, the
exercise was done at Mbarika to prepare for the opening and be ready for full
function, The team were CHMT member, TT from CUHAS, MnM staff and Staff from
Mbarika Health Facility. Staff from Mbarika were Ist involved in one week
training in Bugando Medical Center. It was useful to detect the weakness and
have way forward to full functioning operating room.
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Facilitators having a feedback meeting after the drill session |
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C-section in progress |
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Ready to perform operation |
Proper and standard way of organizing operating tools |
Proper wrapping of operating equipment |
Proper way of folding operating equipment to avoid infection from surroundings |
New operating room equipped and ready for full function |
Tuesday, January 15, 2019
Various Publications
CUHAS presentation Dr Manasseh
Dismas abstract CUHAS 2017
Dismas unintended Consequence November 2017
Facility-reported maternal care-seeking pre- and post- introduction of volunteer Community Health Workers in Misungwi District, Mwanza Region
Impact of the Hands-On Simulation Workshop for Key Labour & Delivery and Neonatal
Interrater Reliability for HBB HMS Abstract 2018
Pendo abstract CUHAS 2017submitted
Synergy_Mid-Term reflection with dm edits 07.11.2018_hfm
Use of DST to address MNCH Poster_Portrait_9-11-2018_NH
Friday, November 30, 2018
Success story from Mwankulwe Bugunga Nyashigi (Monica Jullius testimony)
MONICA JULLIUS (27) FROM MWANKULWE BUGUNGA NYASHIGI
“WE
ARE VERY HAPPY TO SEE HER VISITING OUR FAMILY”
In addition, she told me about the
importance of having personal delivery plan. After telling me, I started to
keep some amount of money, which I believed that it would help me to get some
of things that will help me during delivery period.
It worked out because that money I kept helped
me to get transport to Mwankulwe dispensary because my husband was not around
during my labor pain, even after being discharged from hospital she keeps on visiting me and my family we
are all happy to see her in our home”
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