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Bringing new life into the world should be a time of love and hope for mother and baby, wherever they happen to
live. But every minute a mother loses a newborn baby from infection caused by lack of clean water and an unclean
environment. In Tanzania alone over 3,000 children under the age of five die every year due to preventable
diseases caused by poor water and sanitation. This senseless loss of life needs to stop.
Through WaterAid’s Tanzania: Deliver Life Program, you have the opportunity to change the birth stories of
thousands of mothers and babies in the Geita and Nyang’hwale districts (Geita region) of Tanzania and to give
new-born babies a better start in life. By investing to this project, you will help us dramatically improve the water
and sanitation conditions at twelve rural health clinics that together serve a population of over 666,000 mothers,
babies, children and men.
With your support, women in these two deeply impoverished regions will be able to give birth in clinics equipped
with clean water and basic sanitation facilities. Mothers will be able to bring their young children to be treated
safe in the knowledge that medical staff will have washed their hands properly and sanitized medical instruments
and clinic surfaces.
The provision of basic water and sanitation infrastructure, and hygiene promotion at these twelve health clinics
will significantly reduce the spread of life-threatening infections.
What is more, the impact of your investment will be multiplied as this program is jointly funded by the Canadian
Government through Global Affairs Canada.
A bright future begins with a healthy start. We hope that you can be a part of this exciting program to transform
the lives of some of the poorest and most marginalized families in Tanzania.
We are so pleased to have Merit Travel Group as a primary supporter of this program. Please read through the
following proposal and let me know if you have any further questions.
Best wishes,
Nefertiti Saleh
Let’s make history
WaterAid/James Kiyimba
below according to the donor’s priorities and interests
The crisis We would never dream of bringing our own children to
be treated at a health clinic without clean running
water and safe disposal of human waste. Yet, millions
of mothers and fathers around the world have no other
choice.
In absence of clean water and basic sanitation
services, clinics cannot be kept clean — medical
equipment and bedding go unwashed and medical
waste isn’t safely disposed of.
When attending to deliveries, midwives are unable to
properly wash the rags they use to stem bleeding and
the sheets that babies are born onto. Without clean
water, midwives aren’t even able to wash their hands
between deliveries. These practices increase the risk of
bacterial infection (such as sepsis), and can be fatal for
mothers and their new-born children.
In a nutshell, when water and sanitation conditions are
not properly managed in a clinical setting, the risk of
cross-infection and disease outbreaks grow
exponentially.
As a result, health facilities, which are supposed to
promote good health and recovery, end up
compromising the health of both patients and staff.
The statistics paint a tragic picture. According to the
World Health Organization, 398 in 100,000 woman in
Tanzania will die during or shortly after their pregnancy
in contrast to 7 per 100,000 in Canada. The infant
mortality rate in Tanzania is 51 per 1,000 live births, in
comparison to an estimated 4.6 per 1,000 in Canada.
WaterAid has made significant progress in Tanzania in
the last 34 years, reaching over two million people with
access to basic water and sanitation services. But work
remains to be done, especially in the northern rural
Geita region.
The situation in this region is severe, with fewer than
half of health clinics having access to clean water.
Despite this, Geita, being a newly established region
has not received much investment from the
international development and aid community to
support the efforts of government to reduce maternal
and child deaths.
As such, through this program you have an
extraordinary opportunity to create an immediate and
lasting change in the lives of mothers and their babies.
Mothers with babies waiting for treatment at
Kashishi Health Centre in Geita District, Tanzania. WaterAid/James Kiyimba
One mother who knows the devastation of losing a newborn to infection caused by dirty water is Aisha
Mkude. Aisha is 38 years old and a mother of three children, all girls. She did have a boy, her youngest,
but he died in January 2014. Aisha delivered her youngest child at Mlali Health Centre in Tanzania’s
Morogoro region. The clinic, which serves eight surrounding villages, was part of WaterAid Canada’s
Clean Water for Health Pilot Project (2011-2014), which brought clean water, basic toilets and hygiene
training to the clinic and its staff. Sadly, Aisha gave birth six months before the rainwater harvesting tank
was finished.
A mother’s story: a tragic reality
“There wasn’t enough water at the health clinic
when I gave birth. After delivery, I washed myself
and my child with water that my brother’s wife
fetched for me from the river. At that time, it was
dry season, so they had to dig part of the river to
get some water. The delivery of my child went
smoothly.
The problems came afterwards.
After two days my child started to experience high
fever. I saw the doctor and she examined my child
only to find that he was discharging foul smelling
liquid from his umbilical stump. She prescribed
some medicines, which we started using. But after
two days, the condition got worse and that is how
we lost our baby.
He lived for only seven days . If there would have
been enough clean water at the clinic, this could
have been prevented.”
- Aisha Mukde, Tanzania
Aisha Mkude outside her house in Lugono
Village, Mvomero District, Tanzania WaterAid/Eliza Deacon
You can be part of the solution The Tanzania: Deliver Life program is part of the Canada-Africa Initiative to Address Maternal, Newborn
and Child Mortality in sub-Saharan Africa in which WaterAid is proud to be participating. With your
support, this four-year program (2016 to 2020) jointly funded by the Government of Canada, aims to
directly reach 211,299 women, 220,861 children under five years old and 234,043 men in the Geita
and Nyang’hwale districts of Tanzania.
WaterAid will work with community members, local partner organizations and government officials to:
Improve the quality of health services for mothers, newborns and children by constructing
water and sanitation infrastructure in twelve health clinics and providing training to ensure it
is used and managed in a sustainable manner.
Raise awareness amongst community members, especially mothers and pregnant women
about the availability of local health services and the importance of good hygiene practices.
Encourage local and national governments to be responsive to maternal, new-born and
child health needs, and to integrate water, sanitation and hygiene into planning at all levels
of service delivery.
Your support will help to:
Construct handwashing facilities and laundry basins for use by patients and clinic staff.
Install taps, wash basins and showers in maternity wards and hand washing stations inside operating wards.
Provide access to clean water supply by
drilling borehole wells and providing training
for ongoing operation and maintenance.
Investigate the feasibility of extending water
services beyond the healthcare facilities by
constructing community water points that
are fed by the same water source.
Deliver training to midwives, nurses and doctors on sanitation and hygiene best practices, including medical handwashing.
Train community-based health workers, including village health committee members and local government representatives, on hygiene promotion and behavior change.
Improve sanitation services through the
construction of ventilated improved pit
latrines.
Construct or rehabilitate incinerators for
safe disposal of medical waste to reduce
the spread of infectious diseases.
Together we make a lasting difference Making sure services and behavior change are sustainable and long lasting is a always a challenge. It requires more
than selecting appropriate technologies, holding training exercises, or encouraging community ownership.
Hygiene and sanitation behavior changes will only become permanent with continual promotion of good practices in
combination with an understanding of why people change their habits. Permanent services will only be established if
the systems and institutions required to manage, finance and support them are created, strengthened and
maintained.
We aim to address all of the issues that have an impact on the sustainability of our programs, be they social,
financial, environmental, institutional, legal, capacity-related or technical. We are committed to ensuring permanent
services and behavior change through a mixture of approaches, including:
Promoting the participation of community members
in every aspect of the program from planning to
implementation and beyond.
Helping community members to understand their
right to water, sanitation and hygiene, and to build
their capacity to hold governments to account for
provision of such basic services.
Using locally-appropriate technology based on
careful environmental assessments and
consideration of local supply chains.
Focusing on districts/ regions where the need is
greatest and where governments will be responsive
to capacity-building and advocacy efforts geared to
magnify the scope of our work through further
investment
Partnering with health and education institutions to
ensure that sanitation and hygiene behaviour change
messaging is continuously reinforced.
Aiding district governments in creating locally-owned
district-development plans that include details on
how sustained universal access to water, sanitation
and hygiene will be reached.
Supporting execution of these plans through a
combination of service delivery, technical assistance,
budget support, monitoring and accountability
activities, and advocacy efforts.
Monitoring the water supply, sanitation and hygiene
services we have funded for at least ten years after
implementation, and integrating learning to strength
our programs.
Nine-year-old Ellen on the left runs with her brother
Eddson and sister Ester at their family plot in Mlali
Village, Mvomeru Disctrict, Tanzania WaterAid/Eliza Deacon
“I felt great because there was plenty of water”
Mary is a 28 year old mother of four and lives in
Morogoro, Tanzania. She gave birth to a baby
boy at the Mlali Health Centre in August 2014,
after the completion of a WaterAid-funded
program. Before we started working at the
centre staff bought over-priced water of
questionable quality from local vendors or
asked expectant mothers to carry their own
water to the clinic. Working alongside our local
partners, we constructed a rainwater tank and
pipes to ensure a plentiful supply of clean water.
As a result of WaterAid’s efforts and those of the
local community, Mary, and many other mothers
like her, have had safe and hygienic births at the
Mlali Health Centre.
“When I went to the health centre for my
delivery, I noticed that there were three other
women who had given birth before me, and
even so, the environment was so clean and all
the cloths were too.”
- Mary Musa, Tanzania
Mary Musa and her husband
Donard with their two week
old son, Eli. WaterAid/Eliza Deacon
We are committed to reporting to our supporters on the status of this project on a biannual basis. A
mid-term report will be sent at approximately the mid-point of the project (autumn/winter) and an
annual report at the conclusion of each year of the project (spring/summer).
We like to stay in close contact with those who choose to invest in our programs. We welcome your
emails and phone calls at any time!
A mother’s story: the way it should be
Report on progress
Budget A gift to WaterAid’s Tanzania: Deliver Life Program will help reach over 211,000 mothers,
their families and surrounding communities with vital clean water and better hygiene.
As part of a Canada-Africa Initiative* to Address Maternal, Newborn and Child Mortality in sub-Saharan
Africa, this program is jointly funded by WaterAid Canada and the Canadian Government through Global
Affairs Canada. WaterAid is responsible for fundraising 15% of the total program budget.
To date, WaterAid’s generous supporters have contributed XXXX in gifts and pledges toward making this
program possible. We invite you to join this special group helping to create transformative change through
access to clean, safe water and sanitation at health clinics.
Charitable Registration 119288934 RR0001. Images: WaterAid/Eliza Deacon and James Kiyimba
* The Canada-Africa Initiative to Address Maternal, Newborn and Child Mortality is a partnership among four Canadian organizations – Amref
Health Africa, Christian Children’s Fund of Canada, Centre for Global Child Health at the Hospital for Sick Children (SickKids) and WaterAid Cana-
da. With support of $24.9 million from the Government of Canada (85% of the total project budget), this four-year project (2016 to 2020) aims to
directly reach 1.7 million women, children and men across 20 districts in Ethiopia, Kenya, Malawi and Tanzania.
Tanzania: Deliver Life (2016-2020)
Total Budget
Global Affairs Funding (85%)
WaterAid Fundraising
(15%)
Construction of infrastructure at 12 health facilities: materials and labour
$1,285,524 $1,092,695 $192,829
Capacity building: clinic staff hygiene and sanitation training
$486,528 $413,549 $72,979
Capacity building: local government $415,255 $352,967 $62,288
Capacity building: community-based health workers $187,758 $159,594 $28,164
Hygiene and sanitation supplies for community based health workers
$91,948 $78,156 $13,792
Monitoring and evaluation activities $378,547 $321,765 $56,782
Project administration $174,121 $148,003 $26,118
Project transport and vehicle costs $98,000 $83,300 $14,700
WaterAid Tanzania costs $521,465 $443,245 $78,220
WaterAid Canada Program Personnel $447,931 $380,741 $67,190
Total Direct Program Expenses $4,087,077 $3,474,016 $613,062
WaterAid Canada operating costs (max. 12% of direct expenses)
$359,586 $305,648 $53,938
TOTAL $4,446,664 $3,779,664 $667,000
Midwife Esther Mongi examines 19 year-old Rose
Vincent, 9-months pregnant with her first child at
the Mlali Health Centre in Tanzania. WaterAid/Eliza Deacon
Together we make a bigger difference
We are so grateful that you’ve taken the time to review this proposal and consider how you may be able to help
achieve our ambitious goal of bringing clean water and sanitation to twelve health clinics in the impoverished
Geita region of Tanzania — together serving a population of over 666,000 children, women and men.
Equipping health clinics with access to clean water and basic toilets is just the beginning of how your gift will help.
In our experience, access to these basic services can catalyze a powerful ripple-effect of positive change that is
both immediate and lasting.
In the short term, your investment will allow the dedicated medical staff, who are already working under tough
conditions, to deliver treatment in an environment that is conducive to good health. It will mean that heavily
pregnant women don’t need to carry water to the health clinic to aid in their delivery. It means that newborn
babies are given a chance to survive and thrive beyond their first few days of life. In the long term, this same
investment can bring hope, productivity and prosperity to individuals and entire communities.
This program will mark a significant milestone for water supply and public health in the Geita region, toward
achieving WaterAid’s vision of universal clean water and sanitation access by 2030. We would love for you to be
a part of it!
Should you wish to learn more about how you can support this program or other WaterAid priority programs,
please do not hesitate to contact me.
Nefertiti Saleh Email: [email protected] Address: 321 Chapel Street
Corporate Partnerships Phone: 613. 230-5182 Ottawa, ON K1N 7Z2
Your support is crucial to ensuring that babies are given the healthy start they deserve.
Thank you for your consideration.
Photo gallery
Mothers with their babies at Nyang’hwale Health Centre waiting for treatment. The
latrines at the centre are very old; there is no running water, incinerator or electricity. February 2017. WaterAid/James Kiyimba
The only latrine at Kakora Dispensary was constructed using an old rainwater harvesting
tank. “ We urgently need water and adequate sanitary facilities in our dispensary
because if there is water our services will improve and we shall be able to wash our
hands before and after treating patients. I will feel like a real doctor.” February 2017. WaterAid/James Kiyimba
“In a week we get between 12 to 15 women who come here to deliver babies but the
absence of clean water makes our job very difficult.” Dr. Musa Hachili is the Assistant
Medical Officer in charge of Nyang’hwale Health Centre. February 2017. WaterAid/James
Kiyimba
Nyamalimbe Dispensary is located in Geita District and serves a target population of
26,802. The dispensary has no water, medical waste incinerator, or electricity.
Furthermore, it has no placenta pit and only one latrine for both staff and patients.
February 2017. WaterAid/James Kiyimba