Center for Health Market Innovations (CHMI)

Programs

Boma la Mama

last updated May 18, 2012

Overview

Implementing organization: 
Boma Africa Foundation
Implementation Partner(s): 
Boma la Mama Midwifery Education Program for Tanzanians
Legal Status: 
Year Launched: 
2011
Stage: 
Pilot/startup stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government, In-kind contributions

Scale

Personnel Employed: 
<10
Number of Clients Served: 
Approximately 100 births per month
Summary: 

Boma la Mama complements Tanzania's maternity health service by running and funding a parallel clinic--thus helping to alleviating the overcrowding at public hospitals--and offering an education program that provides Tanzanian midwives with equipment and up-to-date training on maternity care.

Program goals/rationale: 

Tanzania's infant and maternal death rates rank among the highest in the world (approximately 95 per 1,000 and 578 per 100,000 respectively). According to the National Bureau of Statistics of Tanzania, only 43% of women attend 4 or more prenatal visits, with merely 15% attending a clinic in the first trimester, and only 31% of women and babies had one or more postnatal check-up. Approximately 50% of births are reported to have been attended by a skilled attendant. Lack of technology, resources, transport, family planning, and modern medical education are all aspects that contribute to this problem. Current initiatives to improve these figures focus on encouraging women to obtain four ante-natal care visit, with at least 1 visit in the first trimester, and deliver in a formal health centre. Though this campaign has been successful, health centres are habitually above capacity, under stocked, and understaffed. Boma la Mama aims to decrease maternal and neonatal mortality in the Arusha region of Tanzania by establishing, funding and operating a birth centre and a midwifery education program for Tanzanians.

Key program components: 

Boma la Mama Clinic

Boma la Mama aims to provide a full continuum of maternity care for pregnant women, including ante-natal care, delivery, and post-natal care, as well as education. The initiative runs a well-supplied clinic staffed with trained midwives. Women attend the clinic for prenatal care at no cost at least 6 times during their pregnancy. Prenatal visits consist of group sessions for prenatal education, in addition to private consultations. Educating women on topics such as family planning, infant nutrition, and warning signs in pregnancy is a major pillar of Boma la Mama’s clinic.

During delivery, the clinic provides women a private labour and delivery suite, support during labour, respectful care, nutritious meals, and a limit of one patient per bed. Low-risk women that have had their prenatal care at Boma la Mama’s clinic deliver at the centre, at no cost. A consulting and referral system is in place for high-risk pregnancies. The clinic also aims to improve infant health by educating women and providing postpartum care for 6 weeks, including well-baby checks, immunizations, and breastfeeding counselling. Only women that are registered at the prenatal clinic are able to deliver at Boma la Mama.

Guidelines for care at the clinic are developed using local and international standards, such as those developed by the Ministry of Health of Tanzania and the World Health Organization.

Midwife Education

Boma la Mama also runs a midwifery school that offers a two-year midwifery education program. The program follows international educational standards and provides academic and clinical training, with a focus on the psycho-social needs of Tanzanian families. Students will spend a pre-determined amount of hours in a classroom setting per week, in addition to prescribed hours in the clinic for hands-on clinical training. Each semester will outline clinical skills the students will perform, their level of competence increasing steadily by actually performing procedures with supervision of registered midwives. Successful applicants to the midwifery educational program are expected to have a basic English language skill level, a secondary school diploma, and express a desire to study midwifery in a letter of application.

Program history: 

Boma Africa is a non-profit Expedition Company offering outreach adventures throughout Tanzania. As a tour company, Boma Africa is unique in that it is firstly a self-sustaining non-profit organization that uses the tourism industry as a direct and sustainable means of generating funds for community projects. Boma Africa's founder, Lawrence Mafuru, had the dream of being able to help his community, but like many Tanzanians, faced the daily struggles of life in poverty. Wanting to find a way to help without relying on donations from abroad, he realized he could put his many years of experience in tourism to good use, making the perfect combination; a tour company and NPO in one. Boma Africa plans, executes, and funds a wide variety of community projects, including educational sponsorships, health care promotion, small business grants, and volunteer placement, among others.

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