Mother and Child Health

Primary Health and HIV/Aids Programme Tanzania

Organisation: Mission 21
Partner country: Tansania
Partner country: Moravian Church in Tanzania, Southwest and Southern Province


The health care system in Tanzania is inadequate. There is a lack of qualified health personnel and medical facilities. Nationwide, there is only one doctor for every 50,000 inhabitants. Many hospitals are poorly equipped, and the state provides hardly any funds for renovations, medical equipment and staff training. In the rural, poorly developed region in the southwest, the situation is particularly precarious. The local population often receives inadequate medical care. In addition, there is a high rate of HIV infection. Nationwide, at least 1.5 million people are HIV-positive, in the project region every sixth person. Every year, around 24,000 people die as a result of the virus. Among the bereaved are many children, some of them HIV-positive themselves, who experience exclusion and stigmatization. People with physical and mental impairments, who are not visible in society because they are often hidden by relatives, experience comparable exclusion. There is a lack of support and inclusion in society.



Access to health care, awareness and prevention measures is ensured and HIV-positive people and their family members experience less discrimination.

  • Number of health professionals receiving further training has increased.

  • Number of participants in preventive health seminars..

  • Number of births attended by trained personnel.

  • Number of people with disabilities who have access to rehabilitation measures.

  •  Renovation and modernization of the hospital infrastructure in Isoko 
  •  Further training of medical staff and nurses
  •  Training and further education of project staff 
  •  Training in the areas of sex education, nutrition, drug abuse and non-communicable diseases
  •  Training on gender-based violence and violence against children
  •  Support and care for persons with disabilities
  •  Income generating activities for persons affected by disabilities and HIV
  •  Long-term assignment of a German specialist in gynaecology in Isoko

The focus of the activities is on the education and training of local staff. Peer educators, nursing staff and medical personnel are trained and educated at various levels. The transfer of knowledge helps to strengthen local institutions.

Special features:

The inclusion of people with disabilities is a transversal in the project. This population group is affected by strong stigma and exclusion in southwestern Tanzania. There is a lack of opportunities for rehabilitation, let alone social inclusion. The project works both medically/therapeutically with people with disabilities, but also does key advocacy work in society.

 you can find further information here.