Improving Health Services for People of Kilimanjar

by Pamoja Tunaweza Women's Center

We have had a returning volunteer with us at the centre since October of last year, she has prepared the information below in support of the tasks she is doing at our centre:

Elderly people (50+) in Moshi are living longer and are now increasingly susceptible to chronic diseases like diabetes (Edwards et al. 2000:145; Kavishe et al. 2015:135; Muhamedhussein 2016:1; Mwangome 2016:2; Vedanthan et al. 2017:100). In partnership with the elderly our work at PTWC connects elderly people over a meal to collaborate on how to support each other both in in terms of their health and finances in a sustainable, community driven way. This has resulted in the group prioritizing certain community challenges and combining resources to mitigate them. For example, our group recently created a pig co-operative to generate income that could support financial access to healthcare. Additionally, we are providing health screening and health education for the group in order to increase health understanding and access to care at the clinic. Despite the challenges that elderly people are faced with (i.e. lack of support, physical immobility, limited finances etc.) the assets revealed in the community continue to be leveraged to support this cohort in positive ways.


Thanks to ongoing support from our generous donors, we are able to engage more in these types of projects to educate and empower our community!

During the third quarter, our dispensary served 326 patients form our surrounding community. We have seen an improvement in the quality of the service we provided after implementing our Electronic Medical Record system  including the reduction of wait times, and have increased reports of patient satisfaction.

In the last month, we have sent some of our clinical staff out to engage with our surrounding communities and have also hosted a community event at our centre. During this event we were able to introduce ourselves to new members of the community and explain what services we currently provided. We also learned a lot as an organization of what services we can improve on and increase, including social services, according to community opinion. One of our greatest strengths as an organization is our bond with our community, which was evident during the discussions as they rated one of the top reasons for coming to Pamoja Tunaweza Women's Centre for health care as "the great nurse/doctor-client relationship" we develop with all of our patients. Using this information, we hope to gather as a team to brainstorm on what social services we can start to provide and to start gathering the necessary information to increase health services also.

We have already taken some of the final steps towards completing our laboratory and having it fully registered! Once this is complete, we will be able to offer much needed services with out referring patients to other facilities.

With the success of our partnership with Micro Health Initiative, which offers health education in the Kilimanjaro region, we  are now looking to expand on the number of insurance schemes we can accept at our health centre.

From all of us at Pamoja Tunaweza Women's Centre, we want to extend a BIG thank you to all of our donors and supporters! With out your ongoing support, we would not be able to do what we do! We hope to continue to expand our clinic and community centre! Every dollar donated goes a great way in helping us achieve our goals. 

Dear Donors,

We have some exciting plans in store for Pamoja Tunaweza Women's Centre! In the last few months, we have been doing some market research and meeting with different potential partners, both in our community and abroad, to see how we can strengthen our outreach activities and improve and increase the services that we provide to our clients. Recently, with the help of Micro Health Initiative, we have implemented an Electronic Medical Record (EMR) System for our community health clinic. With the EMR, we are able to keep more accurate and adequate health care records for our clients, making referrals and follow up visits easier as the patients history is easy to track. This EMR system also comes with a pharmacy database. Tracking our inventory more closely will allow us to complete more accurate budget forecasts and reduce the amount of money wasted on unncessary drug ordering. We will also be able to create reports for our medical caravans to se how many drugs we are using, how much money it cost per person, etc. MHI is also helping us facililate insurance payments so now we are able to sign up our very vulnerable patients and provide information to our regular patients. With this insurance, they are able to visit a number of different health care facilities in the region from dispensary to hospital levels. 

The Pamoja team is also looking at plans to expand our clinic in order to hire more staff and get more medical equipment like an ECG and an ultrasound. We have gotten a few quotes and will be making a fundraising plan very shortly. We also have two charity climbs up Mt. Kilimanjaro, coming up in Jan and Feb of next year (2018). All the information can be found on our facebook post.

Thank you for all of your help, we truly couldn't do it with you all!

Love from the Pamoja Team

There are some exciting things happening at Pamoja Tunaweza Women's Centre! Thanks to ongoing support from our donors, we are hoping to implement a health initiative scheme at our dispensary. This scheme will further help the low income earners that attend our dispensary for health services. With the partnership with the insurance company, we will also be introducing an electronic medical record. This EMR will allow us to improve our care while at the same allowing us to closely monitor our inventory and usage in our pharmacy. With the money saved on drug purchases, we will be able to run more health education sessions and outreach activities.

 At the end of January/start of February, we hosted two nurses from Canada who joined us on our medical caravan and outreach activities. During their two week stay, we did health education and checks up for over 400 students at two schools in more rural areas. We also did medical caravans where we provided primary care services to over 600 patients in the lower Moshi area.

December 2016 Report: Pamoja Tunaweza Women’s Center
We have had a very successful fall, at Pamoja Tunaweza Women’s Center.

We have continued to build partnerships with other organisations in the area and to collaborate with them. 

In October, we had seven students from Canada assist in a two- week outreach mission during which we offered health education, hypertension screening and primary healthcare both at a Factory an in rural villages. We continue to follow-up with many of the patients that were identified during that time. 

We have been significantly building our approach to Health Education and Health Promotion, as we see this as an essential element in promoting health in the region. We have started a free, weekly education series at the Center and have had some encouraging results. 

Our most recent new project is to establish a laboratory on-site of the clinic. We feel that this will allow for more complete care and will enhance the healthcare of our patients, especially those who have significant financial hardship and could not afford to pay high prices at off-site labs. 

In addition, we would like to raise money to buy an ultrasound machine as well as a new ECG machine. At present, when we order these tests for our patients, they are required to go off-site to acquire the tests, at significant extra charge to the patients. By having them onsite, we know that we will be able to provide more affordable care to those who cannot afford the high prices for these tests, when done at other facilities. 

We are looking forward to 2017 and a period of significant growth at Pamoja, and greatly appreciate the financial help that you provide. It will go a long way to improving the heath of low-income families in the Kilimanjaro Region. 


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Organization Information

Pamoja Tunaweza Women's Center

Location: Moshi - Tanzania, United Republic of
Website: http:/​/​
Project Leader:
Pamoja Tunaweza
Moshi, Tanzania, United Republic of
$719 raised of $10,000 goal
15 donations
$9,281 to go
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