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Physical Health Tanzania, United Republic of Project #8594

Make Motherhood Safe for Tanzanian Women

by Kupona Foundation

Make Motherhood Safe for Tanzanian Women

Project Report | Sep 16, 2023
Thank You & Updates from CCBRT / Kupona Foundation

By Laura Wicks | Director of Business Development

Greeting from Kupona Foundation!

First and foremost, thank you for your generous support to Kupona Foundation and CCBRT! We have had a busy summer as we continue our work to support vulnerable Tanzanians.

Here’s what we accomplished at CCBRT over the past three to six months:

CCBRT’s Maternal and Newborn Wing has performed 912 deliveries since it opened in January 2022, 271 occurred from June through August.
The Maternal and Newborn Wing also performed 3324 outpatient consultations and supported 28 teenage girls and 10 pregnant women with disabilities with antenatal, obstetric, and postnatal care from June through August.
The Family Planning, reproductive clinic provided 134 women with contraceptives ranging from contraceptive injections, pills, implants and IUDs from June through August.
From January to August, CCBRT conducted 342 fistula/perineal trauma surgeries and the first cohort of 12 rehabilitated post-fistula women graduated from the Mabinti livelihoods program in June and the second cohort of 11 women will graduate in November.

We have also begun implementing some new initiatives as well as improving others. These include:

Strengthening our family planning services to increase postpartum family planning. To do this, we ran a rapid cycle improvement and identified key gaps needing to be addressed. As such, we are now tracking the number of women who selected a contraceptive method before going into labor as well as the number provided with postpartum family planning services each day.
We have increased our efforts to reduce anemia and blood transfusions in the third trimester. We saw an increase in women coming to CCBRT in labor with low hemoglobin levels. To mitigate this problem, we have strengthened antenatal treatment to identify symptoms more quickly as well as iron therapy for those determined to have an iron deficiency.
Many of the women visiting CCBRT are unprepared for what to expect on the day of giving birth, so we have started conducting birth preparedness sessions for women and birth companies. These sessions provide them with the opportunity to ask questions, discuss concerns, and obtain informed pre-consent for vaginal examinations and other procedures common during labor.
To further encourage breastfeeding, CCBRT has begun conducting in-house training with videos conveying the importance of mom and baby to stay together during the golden hour post-birth. The mom is trained to keep her baby on her chest until breastfeeding is established without disturbing the baby before it successfully latches and finishes nursing.
To ensure all patients are provided with the unique care for each of their individual needs, the CCBRT team of specialists reviews the status and treatment plan of all of the high-risk antenatal clinic clients each week at their Thursday morning meeting.

As we look toward these final months of 2023 and into 2024, we will continue to increase our impact to reach even more women with CCBRT’s services. Additionally, we plan to strengthen our antenatal clinic, family planning and SRH education, as well as daily data tracking. Additionally, we will conduct in-house training on critical and emergency skills for new staff to ensure all of our patients receive the highest quality of care.

Thank you again for your continued support of Kupona Foundation and the important work happening every day at CCBRT.

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May 25, 2023
Greetings from CCBRT and Kupona Foundation!

By Robert Schwed | President, Board of Directors

Maternal and Newborn Wing

Greetings from Kupona Foundation!

We were so pleased to have CCBRT’s Dr. Brenda D’mello join us in April for a Fireside Chat. This intimate conversation provided an in-depth look at what has been happening at CCBRT.

Here’s what we heard from Dr. Brenda:

What’s happening at CCBRT

The CCBRT Maternal and Newborn Wing is open! The first baby was delivered on January 3, 2022 during the soft opening. The official opening was in July. To date, CCBRT has had over 500 deliveries, providing a safe, respectful delivery experience for mothers and babies – a major departure from where we started in 2010. The wing includes 6 clinical blocks with 160 bed capacity, 4 operating rooms, 2 procedure rooms, 8 delivery suites and 15 outpatient consultation rooms.

What does this mean? CCBRT is now able to provide high quality, respectful care for mothers and babies onsite, with a focus on those who are at greatest risk, further contributing to a decrease public facility congestion and preventable maternal death, premature birth, and stillbirth.
How can you help? Kupona and CCBRT are committed to supporting healthy pre- and post-natal care for mothers in need in Tanzania. We have a goal of supporting 500 vulnerable women with free services, annually. Your donations directly enable our ability to scale up services to those most in need.

Tim’s Corner Family Planning services are now embedded within the maternity wing. Over 1,500 family planning visits have occurred since the opening of the new wing. Family planning services at CCBRT have been made possible thanks to the generosity of the Tim’s Corner community. Thank you for your generosity over the years - you continue to make an impact, especially on populations who typically fall through the cracks.

CCBRT’s holistic fistula surgery and treatment program continues to change the lives of over 600 women per year. The full complement of supports for women recovering from fistula includes physical healing, as well as social and emotional healing at the House of Hope. Additional opportunities through the Mabinti Centre provide life, sewing and economic / business skills training to provide women the opportunity to create income generating opportunities for themselves and their families.

What’s next for CCBRT

CCBRT is focused on strategic growth to continue to change lives and transform communities in Tanzania. Current goals include:

Full operationalization of the Maternal and Newborn Wing
Reaching more patients with high quality and respectful clinical care, especially the poorest and most vulnerable, such as children under 5 (in the Disability Hospital), women and girls living with obstetric fistula, pregnant women living with a disability, pregnant women with a history of fistula, and pregnant adolescent girls

Engaging in more clinical and community research
Increasing sustainability by expanding and diversifying the donor portfolio and social impact investors
Continuing to evolve the CCBRT Academy, including telehealth services and enhancing the surgical skills training lab

Thank you for your continued support of Kupona Foundation and the important work happening every day at CCBRT.

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Jan 19, 2023
Updates from Kupona Foundation and CCBRT

By Robert Schwed | President, Kupona Foundation Board of Directors

Children supported with wheelchairs in Moshi.

Dear Friends,

Greetings! We are happy to share with you some updates from our sister organization, CCBRT, from 2022.

After an extended construction and development period, 2022 saw the opening of the long-awaited Maternal Wing within CCBRT! The opening of the Maternal Wing has allowed CCBRT to continue to ensure availability of skilled attendance during delivery and access to 24-hour comprehensive emergency obstetric care for complicated deliveries. CCBRT continues to target patients who are former obstetric fistula patients, women with disabilities, and some referred high-risk clientele from regional referral hospitals. These targeted patients require free or subsidized services to provide the holistic care required. Now more than ever, with this expanded capacity to offer life-saving and life-changing maternal services, CCBRT relies on your support to continue to provide the high level of care for which they are renowned.

In 2022, CCBRT provided support to over 550 children with disabilities and their families at the House of Hope in Moshi. Specifically, 338 children were reached through support from Wheelchairs for Kids, with critical support offered by the Dorothea H. Ross Foundation. CCBRT’s major objective for wheelchair service provision is to support children with disabilities to:

Improve overall health and well-being;
Promote their ability to go attend schooling; and
Empower persons with disabilities and their families to engage in socioeconomic activities.

CCBRT was also able to welcome back Dr. Picard Undendele from Aravind Eye Care System in India, where he was pursuing fellowship studies in Pediatric Ophthalmology. His return in June 2022 has increased capacity for treatment of pediatric patients in need of eye treatment. Clinics are conducted on Monday and Wednesday, and surgeries are scheduled for Tuesday and Thursdays. The Ophthalmology department has recruited and is still recruiting more MDs to meet regional pediatric ophthalmology needs.

Your support through GlobalGiving provides critical support to CCBRT to support the continued provision of improved access to healthcare and assistive devices. On behalf of the team at Kupona Foundation, I thank you for your ongoing support.

With Gratitude,
Robert Schwed
President, Kupona Foundation Board of Directors

Dr. Picard Undendele conducting eye screenings.

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