Tanzania’s women empowerment initiative wins big

Tanzania’s women empowerment initiative wins big

Dar es Salaam. The King Baudouin Foundation has awarded the 2023–2024 Africa Prize to Her Initiative in recognition of its work to unlock women’s economic potential, tackle the youth unemployment crisis, and accelerate economic and social development in sub-Saharan Africa. 

Tanzania has made significant progress on women’s empowerment and women’s rights. 

Yet, 60 percent of women still live in poverty and many don’t have access to the resources they need to shape their future and participate in economic development. 

As a youth-first and women-led organisation, Her Initiative offers a range of innovative and holistic programmes that equip young women with the education, skills and resources needed to enter the job market or run their own businesses. 

Notably, Her Initiative aims to remove persisting barriers by leveraging the power of technology to advance digital inclusion among young women and girls.

Its Panda Digital platform uses SMS technology to deliver learning courses in Swahili to young women with limited internet access, and its Digimali project helps young entrepreneurs scale up their businesses online. 

Since its foundation in 2019, Her Initiative has reached over 15,000 young women and girls through its programmes, including supporting over 200 women to launch a business through Panda on the Ground and enabling 2,805 more to digitalize an existing business. 

To support the next phase of its development in Tanzania and beyond, the KBF Africa Prize will provide Her Initiative with 200,000 euros (over Sh560 million), as well as the opportunity to connect with the King Baudouin Foundation’s international network of non-profit organisations and development professionals. 

With this support, Her Initiative aims to expand its programmes in Tanzania and across East Africa to reach 100,000 more women over the next five years.

It will also use the funds to bring together an ecosystem of youth organisations to facilitate knowledge sharing, share resources, and harness the power of African youth.

According to the founder and executive director of Her Initiative, Ms Lydia Charles Moyo (pictured), gender-based violence, underage marriage and HIV were just a few examples of the problems that were stopping women from going to school, getting a job and breaking the cycle of poverty.

“My friends and I experienced these barriers when we were in high school, and so we started to look for solutions to the challenges we were coming up against. And that’s how Her Initiative started….We already support young women to build their financial resilience in six Tanzanian regions, but with the KBF Africa Prize, we will be able to scale our work to help so many more women achieve their dreams in Tanzania and beyond,” she said. 

The 2023–2024 Africa Prize will be presented to Her Initiative at an awards ceremony on Friday, June 28 at the Royal Palace of Laeken in Brussels.

The organisation was selected from a pool of more than 400 applicants by an independent committee of 12 international experts, including past winners of the KBF Africa Prize. 

Bilikiss Adebiyi-Abiola, Chair of the KBF Africa Prize Selection Committee 2023-2024, says: “The selection committee was highly impressed with Her Initiative’s combined approach to advancing women’s rights and financial independence. Coupled with its innovative use of modern technologies and strategic local partnerships, Her Initiative is a highly deserving recipient of this year’s KBF Africa Prize. We look forward to seeing what the team achieves in the years to come.” 

The KBF Africa Prize recognises African organisations working to drive African-led solutions to the challenges facing the continent and to sustainably improve the lives of Africans.

The Prize plays a transformative role in helping organisations scale up and advocate for their work on a wider stage.

Several past laureates, including Dr Denis Mukwege, Elman Peace and Grameen Bank, have since been awarded and shortlisted for the Nobel Peace Prize.

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