Why Do We Work in Tanzania?

While Tanzania has made significant progress in its healthcare development and improvement of maternal health indicators, there is still a long way to go. 90% of births are done in hospitals in Dar Es Salaam, the country’s capital, but most women still give birth at home in rural areas without the presence of a skilled attendant. This, coupled with lack of access to emergency obstetric care, significantly increases a woman’s risk of developing obstetric fistula should complications arise.

What You Help Us Do In Tanzania

We’re helping fund:

  • Fistula surgeries
  • Surgeon training
  • Equipment
  • Community outreach


Comprehensive Community Based Rehabilitation in Tanzania (CCBRT), Dar Es Salaam
Arusha Lutheran Medical Center, Arusha
Association of Obstetric Fistula Surgeons in Tanzania, Dar Es Salaam
Women’s Dignity, Dar Es Salaam
Lake Tanganyika Floating Clinic, Lake Tanganyika
Kilimanjaro Christian Medical Centre (KCMC), Moshi
Maternity Africa, Arusha

How much funding have we granted?


$85,000 in FY2014
$106,800 in FY2013
$43,840 in FY2012

Arusha Lutheran Medical Center

$10,000 in FY2014
$20,000 in FY2013
$5,000 in FY2012
$17,425 in FY2011

Association of Obstetric Fistula Surgeons in Tanzania

$50,000 in FY2014
$50,000 in FY2013
$50,000 in FY2012

Women’s Dignity

$10,000 in FY2012
$125,000 in FY2011

Lake Tanganyika Floating Clinic

$50,000 in FY2011


$9,250 in FY2014

Maternity Africa

$20,000 in FY2014

Who are our partners?

We provide grant support to CCBRT through Kupona Foundation, CCBRT’s representative organization in the U.S.

We provide grant support to KCMC through Duke Global Health Institute.

We provide grant support directly to the other organizations.

How will this help women in Tanzania?

Comprehensive Community Based Rehabilitation in Tanzania (CCBRT) is the largest indigenous provider of disability and rehabilitation services in Tanzania and accounts for approximately one-third of all fistula surgeries performed annually in the country. It is one of few facilities in Tanzania able to provide comprehensive, high-quality fistula services on a routine basis. Their primary focus is providing free surgeries to women in need, which they have steadily increased from 162 surgeries in 2009 to over 700 in 2013. In addition to surgery, CCBRT has trained hundreds of community health workers, conducts regular outreach missions to raise awareness about fistula in rural areas, and airs public service announcements about fistula on local radio and TV stations.

Arusha Lutheran Medical Center performs fistula surgeries and conducts outreach in northern Tanzania. We fund outreach activities and transport for Dr. Andrew Browning to conduct mobile fistula clinics in the region as well as neighboring countries.

The Association of Obstetric Fistula Surgeons of Tanzania conducts mobile fistula clinics throughout the country to provide free fistula repair surgeries to women in remote areas. In 2013, they performed 114 surgeries at five different clinics and continued to raise awareness about fistula in small communities.

Women’s Dignity spearheaded the establishment of the Tanzania National Fistula Program (NFP), an umbrella group of organizations and national ministries in Tanzania working to address fistula. Thanks to their strong partnerships, Women’s Dignity was able to conduct a fistula prevalence survey throughout the country as well as outreach and sensitization campaigns in rural communities.

Lake Tanganyika is an important ecological zone – it is the longest and second deepest lake in the world, holding a staggering 18 percent of the globe’s freshwater supply. Surrounded by mountain ranges and conflict zones, the Lake Tanganyika Basin is home to more than 10 million people yet is one of the most inaccessible places on earth due to difficult geographical, political and socio-economic circumstances. The Lake Tanganyika Floating Clinic provides much-needed medical care and maternal health services to people in the region. In 2011, we funded a project to upgrade Kirando Health Center in Nkasi District, perform 44 surgeries, and conduct outreach about fistula and the importance of pre- and post-natal care.

Because fistula is such a stigmatized and isolating condition, many sufferers are sheltered from the community and can be difficult to find and refer for treatment. That’s why we are funding outreach and sensitization campaigns in northern Tanzania through Duke Global Health Institute and Maternity Africa.

Duke Global Health Institute is spearheading an extensive outreach campaign in northern Tanzania in conjunction with Kilimanjaro Christian Medical Centre (KCMC) and two of our established Tanzanian partners, Arusha Lutheran Medical Centre and CCBRT. This multi-pronged effort includes a 3-month local radio campaign, distribution of brochures at KCMC’s Obstetrics & Gynecology Ward, and community outreach conducted by teams trained to educate local populations as well as identify and refer fistula patients for treatment. Based in Arusha, Maternity Africa is conducting outreach in rural areas to dispel myths about obstetric fistula and raise awareness. In addition to community meetings and radio ads, funding will support the referral of patients to Arusha or nearby Dodoma for treatment.


Where is Tanzania?


Facts About Tanzania

  • Population:49,639,138
  • Average births per woman:4.95
  • Physicians per 10,000 people:0.1
  • Births attended by skilled personnel:48.9%
  • Lifetime risk of maternal death:1 in 23(chances a woman will die during childbirth)
  • Female life expectancy:62.62 years
  • Female literacy:60.8%
  • Population living in rural areas:72.8%
  • Population living in poverty:67.9%(less than $1.25/day)
  • Surgeries completed through Fistula Foundation funding to date:255

Sources: CIA World Fact Book; WHO, World Bank.

We’re Making a Difference in Tanzania

Salha CCBRT 1

Meet Salha from Tanzania

Salha had a complicated and prolonged labor before she was finally brought to a hospital in the Mtwara region of Tanzania. There she received an emergency C-section section, but it was too late. Tragically, Salha’s baby had already died. A few days later, Salha realized she was leaking urine.
Your Donations at Work - KCMC Tanzania

Your Donations at Work: Tanzania

In 2014, we funded a fistula outreach project in northern Tanzania in conjunction with Kilimanjaro Christian Medical Centre (KCMC) and Duke Global Health Institute (DGHI). This project featured a 2-month radio campaign to raise awareness, development of materials such as brochures and posters, and three 10-day rural outreach sessions. These outreach sessions were highly successful…

Fistula outreach picture

Blog: Duke University student on fistula outreach in Tanzania

This summer, Duke University student Korrine Terroso had the opportunity to take part in a community outreach initiative in rural Tanzania funded by Fistula Foundation. In the following blog post, Korrine recounts her experience. This summer, I had the privilege of accompanying a community outreach team on a 10-day trip to identify women with obstetric…

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