Tanzania: Devastating Floods, Landslides

Tanzania: Devastating Floods, Landslides

THE persistent heavy rain in the country has led to widespread havocs, with more than 30 houses and a school demolished, cornfields destroyed, and livestock missing in Mbeya.

According to eyewitnesses the incidents in Itezi Ward, Uyole valley unfolded yesterday morning amidst the continuous downpour, where a massive landslide from Kawetele mountain resulted in extensive damage, including completely destroying Generation Primary School building, except for one classroom and an office being spared.

“Thanks to the swift intervention of local residents, and the prompt response of regional and district committees following the disaster, I have also reached out to Speaker Dr Tulia Ackson, who is our Member of Parliament, who was on her way here to assess the situation firsthand,” Councillor of Itezi Ward on Gombe Kaskazini Sambwee Shitambala said on Sunday.

“The aftermath of the landslide has left many individuals displaced, losing their homes and livelihoods, while the fate of those affected remains uncertain, we pray to God that it doesn’t reoccur,” he pointed out.

Meanwhile, the government has emphasised that the Julius Nyerere Hydropower Project (JNHPP) was not responsible for the recent floods in Rufiji and Kibiti, while highlighting that without the dam’s intervention, the floods could have been more severe.

The Chief Government Spokesperson, Mr Mobhare Matinyi, shared these insights during a press briefing in Dar es Salaam, addressing journalists from various media outlets to provide updates on the rain and flood situation in the country, which has tragically resulted in 58 reported deaths nationwide due to ongoing heavy rainfall.

“The JNHPP was constructed not only to generate electricity but also to manage flooding risks. So, without the dam’s intervention possibly the flood could have occurred as early as October last year,” Mr Matinyi, who is also the Director of Information Services, MAELEZO, said.

He added that, “The dam’s current water capacity stands at 32.782 billion cubic metres, allowing for better control and management of water levels, thereby aiding in flood prevention and protection of lives and property. Furthermore, Matinyi highlighted the technical stability of the JNHPP, noting that the recent water intake from the Rufiji River had decreased to 6,100 cubic metres per second; significantly lower than the peak recorded in February this year, which stood at 8,445 cubic metres per second. “The condition of the JNHPP is technically good because, until Saturday, the amount of water that was entering the dam from the Rufiji River had decreased and reached 6,100 cubic meters per second, compared to the highest amount of 8,445 cubic metres per second,” he expressed.

The dam’s dimensions, spanning 100 kilometres in length and 25 kilometres at its widest point, underscore its significance in water storage and flood management.

According to him, the Rufiji River basin area has a long history of flooding; in May 1974, the record for the amount of water that flowed through the river to the ocean was 13,212 cubic metres per second.

According to Mr Matinyi, in order to fight the flood in the area, the government intends to construct two more dams.

“Let me inform you that the government will construct the Ngorongo dam, which will cater for the villages of Ngorongo, Mkongo, Ruwe, Nyamwage, and Ikwiriri South. It will have the capacity to take 164 million cubic metres, and the expectation is to help with irrigation,” he said.

“The other one is the Mbakia Mtuli dam, which will involve the villages of Umwe, Chumbi A, B, and C, Mbakia Mtuli, and Muhoro and will have the capacity to take 1.1 million cubic metres,” he added.

Regarding the floodaffected regions, Mr Matinyi detailed the extensive impact on various areas, particularly in the Coast and Morogoro regions, with a total of 58 reported fatalities national wide.

He said that it was reported that the updates showed that ten people died in Arusha, two in Dar es Salaam, four in Geita, five in Iringa, one in Kilimanjaro, four in Lindi, six in Mbeya, five in Morogoro, ten in Rukwa and 11 in Coast Region.

“The biggest effects of the floods are in the Coast Region (Rufiji and Kibiti districts), involving a total of 17 wards, where 12 are from Rufiji and five are from Kibiti and in Morogoro Region, the affected areas are Malinyi District Council with a total of 50 wards: Ulanga eight wards; Mlimba three wards; Ifakara nine wards; and Morogoro Municipality 22 wards,” he said.

Explaining the immediate government responses include search-and-rescue operations, with over 2,278 individuals rescued thus far.

Temporary camps have been set up to accommodate disaster victims, totalling 1,529 individuals across eight locations. He said, humanitarian aid efforts are also underway, with provisions such as 40 tonnes of corn, 500 mosquito nets, 400 blankets, and 5 tents allocated to support affected communities.

Additionally, deliveries of essential supplies including 43 tonnes of flour and 25 tonnes of beans are on route to Rufiji to further assist those impacted by the floods.

The government remains committed to addressing the aftermath of the floods, extending assistance and support to affected citizens while prioritising their safety and wellbeing during this challenging period.

Source: allafrica.com

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Inside Tanzania’s Life-Saving Birthcare Model
Tanzania Foreign Investment News
Chief Editor

Inside Tanzania’s Life-Saving Birthcare Model

Inside Tanzania’s Life-Saving Birthcare Model

Tanzania is winning the battle against maternal and newborn deaths, as the latest numbers reveal a significant decline.

“Tanzania is committed to reducing maternal and newborn mortality and ensuring safe deliveries as part of the national development plan. The Safer Births Bundle of Care is one of the key strategies supporting this effort,” said Dr. Benjamin Kamala, the Senior Research Scientist at Haydom Lutheran Hospital and Principal Investigator for the program, leading its implementation across five regions in Tanzania.

A groundbreaking study published in the New England Journal of Medicine shows that the innovative health program in Tanzania – centered on regular, on-the-job training for healthcare workers – reduced maternal deaths by 75% and early newborn deaths by 40%. The three-year study, conducted across 30 high-burden healthcare facilities in Tanzania, tracked approximately 300,000 mother-baby pairs under the Safer Births Bundle of Care (SBBC) programme. The programme focuses on improving care for mothers and babies during the day of birth, the critical time when a woman goes into labor and delivers her baby.

Maternal health is a key focus of the United Nations Sustainable Development Goals (SDGs), specifically Target 3.1, which aims to reduce the global maternal mortality ratio to fewer than 70 deaths per 100,000 live births by 2030.

Tanzania’s program combines continuous, simulation-based training for frontline healthcare workers alongside innovative clinical tools to improve labour monitoring (fetal heart rate monitoring) and newborn resuscitation.It also uses data to drive ongoing improvements, ensuring that healthcare workers have the skills, confidence, and competence to manage birth-related complications for both mothers and newborns.

“We work closely with healthcare workers, equipping them with the necessary tools to improve the quality of care, ensuring they can effectively manage both mothers and babies during and after childbirth,” Dr. Kamala said, which helps them build on over a decade of innovative research and collaboration to improve care during childbirth.

“To give you a sense of the scale of the burden of maternal and newborn mortality in Tanzania when the Safer Births Bundles of Care program was in early development in 2015/16, there were around 556 maternal deaths per 100,000 live births and 25 neonatal deaths per 1,000 live births,” he said.

The published study demonstrates the “transformative impact” of the Safer Births Bundle of Care program conducted across 30 hospitals in five high-burden regions of Tanzania, where there were about 300,000 mother-baby pairs.

Maternal deaths at the start of the program were recorded at 240 per 100,000 live births, with postpartum hemorrhage and hypertensive disorders being the leading causes of death, he said. Over the 24-month study period, this number dropped to approximately 60 per 100,000 live births, representing a 75% reduction. The number of newborn deaths – which are primarily due to breathing difficulties and complications related to prematurity – declined by 40% – from 7 deaths per 1,000 live births to 4 deaths per 1,000 live births.

“These results are remarkable,” Dr. Kamala said.

According to Dr. Kamala, the 75% reduction in maternal deaths was not expected, and a key lesson was the important role of the in-situ team simulations – including for postpartum bleeding – with reflective debriefings that trained facilitators led.

“This seems to be a major part of the success of the program,” he said. “We are delighted by these results and hope that other countries adopt and scale the Safer Births Bundle of Care program… Beyond the numbers, the Safer Births Bundle of Care program has fostered a dramatic culture shift in our healthcare system,” he said. “Healthcare workers are now more confident and better equipped to handle birth-related complications for both mothers and babies.”

Maternal death drop

Dr. Kamala attributed the 60-70% reduction in newborn deaths in Geita and Manyara to several factors.

“Firstly, Manyara was the first site for implementation, giving the region more time to adapt and experience the impact of the program. Most importantly, both regions had a high burden of stillbirths and neonatal deaths, making them ideal targets for focused intervention. As a result, newborn deaths decreased by 60-70%, showcasing a clear positive impact on newborn survival,” he said.

Dr. Kamala said another possible explanation is the differences in the culture of practices, where some health facilities reported inaccurate data due to the fear of blame and shame. However, with the project’s implementation, reporting became more accurate after mplementation. Some regions, such as Tabora, reported an increase in the number of referrals to the study hospitals from other care centers after the program was implemented. These were more likely to be late admissions, which increase the likelihood of poor health outcomes, he said.

After the implementation of the program, there was a 40% decrease in newborn deaths within the first 24 hours after birth, according to the study.

Dr. Kamala said Tanzania’s remarkable progress in reducing maternal mortality by 80% is driven by strategic investments and innovative programs focused on improving maternal and child survival rates.

“Over 2,000 new healthcare facilities have been developed, free health services are being provided to expectant mothers and children under the age of five, and emergency obstetric care – including better transport to hospitals in rural areas are helping to ensure timely, life-saving interventions.

“Most importantly, the Ministry of Health works in collaboration with healthcare workers, hospitals, and development partners to strengthen the skills of frontline healthcare workers, which has been a key factor in driving this progress.

“Political leadership, alongside strategic partnerships and financing, has been crucial in driving progress in maternal and newborn health,” he said.

The program was made possible by the support of the Global Financing Facility for Women, Children, and Adolescents, Norad, UNICEF, and Laerdal Global Health, as well as the Ministry of Health and Haydom Lutheran Hospital. Their partnership and investment enabled the scaling of the Safer Births Bundle of Care to 30 hospitals and supported the research. “The government has now scaled the program to over 150 sites, and there are plans for further expansion to three regions this year and then nationally,” he said.

Dr. Kamala outlined key policy recommendations for other governments can adopt to prioritize maternal health.

“Firstly, it focuses on cost-effective and relatively simple interventions that are essential to preventing maternal and newborn deaths. For example, stronger primary healthcare that is delivered in the community and a well-trained healthcare workforce are also critical. Additionally, working in close collaboration with national, regional, and local health authorities is key.”

He said Tanzania’s approach, where the Safer Births Bundle of Care program was successfully scaled and sustained by aligning the initiative with national guidelines for obstetrical and newborn care. In addition, the creation of mentorship programs and regular supervision has helped to sustain the results.

Looking ahead

Tanzania now plans to expand to three new regions in 2025, followed by a nationwide rollout.

The success of the program has attracted interest from other countries, with Botswana, Ethiopia, Lesotho, and Namibia expressing interest in adapting the program to their healthcare system. In Nigeria, the program has already been launched in two states, Gombe and Borno, marking a significant step in its scaling.

Source: allafrica.com

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