1. Health Issues in Tanzania

2. Health is a huge problem for both adults and children in rural Africa....................1 in 10 children do not reach their 5 th Birthday

3. Children- Biggest Killers Malnutrition due to poverty Dehydration due to vomiting and diarrhoea Measles Pneumonia- Includes Acute Respiratory Infection and TB Transmission of HIV from mother to child

4. Adults- Biggest Killers Malaria HIV and AIDS- 2.2 million people in Tanzania are living with HIV and AIDS: - Population of Musoma= 120,000 18,000 HIV+ TB and Pneumonia (many sufferers will be HIV+) Problems in childbirth- 29% rural girls aged 15-19yrs have given birth/pregnant

5. Some Stories- Burns Happiness and Joseph - Many burns occur in villages due to open charcoal fires and hot water -If left unattended these become infected and scar badly causing disabilities

6. ....success stories

7. Success stories....

8. Dirty Water- Luca- 15yr Old boy Lack of clean water made Luca very ill He had: 1.Typhoid, 2.Intestinal worm, 3.Bilharzia, 4.Epilepsy and 5.Malaria

10. Success story- Luca- could play in the football tournament! Before he met the team Luca slept with the chickens.........The team provided him with a mattress, a bed and medical care

11. Malaria and Dirty water- Wilson 15 yrs old Wilson had high temperature and swollen stomach Cared for by his elderly BLIND grandmother Had an enlarged spleen due to sickle cell anaemia. He had recurrent malaria, Bilharzia, Typhoid and Intestinal worms The team provided him with a bednet, mesh on the windows to prevent malaria, medical care including blood transfusions, food and clean water

12. Wilson’s hospital

13. Wilson and the Team

14. Care for the Terminally Ill- Mkami – 38yrs old -Very swollen abdomen due to cancer -The team provided support with medicines, frequent hospital visits, a mattress and bed- to make her more comfortable, food, bed net, new clothing and a bible!

15. Providing clean water and adequate sanitation

16. Water Dirty water causes- - Diarrhoeal disease, (inadequate washing of cooking utensils and poor hygiene) -Cholera -Typhoid -Intestinal worms - Bilharzia -Hepatitis A

17. Water- Personal Hygiene Trachoma (bacterial eye infection caused by flies which can lead to blindness) Fungal infections

18. The F Diagram illustrating faecal to oral contamination fluids fields flies fingers water quality food new host sanitation faeces hand washing water quality

19. Schools

20. Impact of girls in education... Enables them to make informed choices about their health. They get immunisations and health treatment for themselves and their babies. Reduces child mortality as better informed about caring for themselves during pregnancy Can earn20% more wages improving family nutrition and health and therefore reducing poverty. They are more likely to avoid HIV. Studies show girls in secondary education are 3 times less likely to be HIV+ Higher chance of not being exploited and forces into early marriage Educated girls are inclined to give birth to less children. For every 4 years additional education they have 1 less pregnancy. DFID 2011

21. Sanitation School Toilet Block- Pit latrines Sanitation stops the cycle of contamination from fields so the water tables are not polluted, and children in bare feet are more likely to carry infections from faeces into their homes. Inadequate sanitation increases: 1.Diarrhoeal diseases 2.Spread of intestinal worms 3. Lack of dignity and safety- especially for girls

22. How schools are affected by lack of clean water and inadequate sanitation... Children are required to collect water during class time for use at school This means they miss hours of lesson time each day The water is needed to clean the toilets, and for drinking by both teachers and pupils The water collected is often contaminated causing water– bourne diseases which impact their performance at school Many pupils walk long distances and do not drink ALL day until they go home in the evening HALF of all girls drop out of school because of no water or sanitation at school. An ADDITIONAL 10% of girls of puberty age do not attend school during mensturation

23. Providing schools with clean water, sanitation and hygiene education..... It improves Children‘s learning and school experience : They concentrate better, miss less school, spend more time learning and it increases dignity and safety

24. New Projects Working with the Swiss Charity ‘CARITAS’ building water tanks and pit latrines for schools and learning widely accepted health education techniques…… Annatina and Hezbon

25. A 15,000 litre water tank for Mkono school

26. Training community health workers in remote villages

27. Lots of healthy children in our village