So, the Tanzanian Daily News reports in an article on June 6.
In july 2009 I visited Itulahumba Hospital near Njombe in the Southern Highlands in Tanzania (photo). The hospital had the basic buildings in place, but little equipment apart from some outdated and samples of beds that had recently arrived in a container from Denmark. During my brief visit I was told that women would give birth on mats on the cement floor if the few beds were taken.
When I lived in West Nile in northen Uganda from 2005-2007 I knew exactly where the bigger hospitals were situated along my work route: Adjumani, Moyo, Koboko, Yumbe, Maracha, Arua, Kuluwa and eventually Mulago. I also knew where pregnant women would prefer to go if they could afford it.
Being pregnant in a first world country and with all the comfort and security it offers, makes it hard to imagine the conditions many African women must suffer when pregnant. Priviledged myself, having had a car and a health insurance when I worked in Africa, I could only observe the strenght of these women - and give lifts to the nearest hospital.
Reading the article I am therefore also wondering what exactly is a delivery kit? And how a kit can improve a pregnant woman's chances of surviving giving birth? Obviously a hospital bed, clean water and a qualified doctor would be preferable to a kit, isn't it?
However, the positive thing is in fact that President Kikwete is standing up tall, talking on women's behalf:
'President Kikwete pointed out some of the challenges in the government programmes to reduce these deaths as lack of support from the community members, especially husbands of the pregnant women and thus leading to many women delivering at home.'
It strikes me how concise Kikwete is with numbers all the way down to the 421 motorcycle ambulances ordered. (About two weeks ago the development of the fibre optic cable were given specific numbers.) It seems like a free gift to monitors and others with a passion for accountability? Maybe to check The Guardian's article 'Mobile healths offers hope to patients in Africa' for inspiration?

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