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	<title>Inter Press ServiceErick Kabendera - Author - Inter Press Service</title>
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		<title>When Being ‘Offensive’ or ‘Morally Improper’ Online Carries an Indeterminate Jail Sentence in East Africa</title>
		<link>https://www.ipsnews.net/2018/08/offensive-morally-improper-online-carries-indeterminate-jail-sentence-east-africa/</link>
		<comments>https://www.ipsnews.net/2018/08/offensive-morally-improper-online-carries-indeterminate-jail-sentence-east-africa/#respond</comments>
		<pubDate>Fri, 24 Aug 2018 09:38:43 +0000</pubDate>
		<dc:creator>Erick Kabendera</dc:creator>
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		<guid isPermaLink="false">http://www.ipsnews.net/?p=157334</guid>
		<description><![CDATA[JamiiForums was Tanzania’s largest whistleblowing online platform, with one million visitors each day. But now some 90 percent of staff has been retrenched and the owners are considering shutting down their offices since the June implementation of the country’s online content communication law. Across this East African nation, social commentators and celebrities have shut down [&#8230;]]]></description>
		
			<content:encoded><![CDATA[<p><font color="#999999"><img width="300" height="200" src="https://www.ipsnews.net/Library/2018/08/Womenmedia-300x200.jpg" class="attachment-medium size-medium wp-post-image" alt="" decoding="async" fetchpriority="high" srcset="https://www.ipsnews.net/Library/2018/08/Womenmedia-300x200.jpg 300w, https://www.ipsnews.net/Library/2018/08/Womenmedia-768x512.jpg 768w, https://www.ipsnews.net/Library/2018/08/Womenmedia-1024x683.jpg 1024w, https://www.ipsnews.net/Library/2018/08/Womenmedia-629x419.jpg 629w" sizes="(max-width: 300px) 100vw, 300px" /><p class="wp-caption-text">The enforcement of the online content regulations has scared people from stating their opinions online in Tanzania. Credit: Erick Kabendera/IPS</p></font></p><p>By Erick Kabendera<br />DAR ES SALAAM, Aug 24 2018 (IPS) </p><p>JamiiForums was Tanzania’s largest whistleblowing online platform, with one million visitors each day. But now some 90 percent of staff has been retrenched and the owners are considering shutting down their offices since the June implementation of the country’s online content communication law.<span id="more-157334"></span></p>
<p>Across this East African nation, social commentators and celebrities have shut down their blogs as many cannot afford the hundreds of dollars required in licence fees to register them. And internet cafes may start closing down too as the new law requires them to install expensive security cameras.</p>
<p>A once-famous blogger in Dar es Salaam tells IPS he was forced to close down his blog because he couldn’t afford paying USD 900 in licence fees to register it in compliance with the new regulation.</p>
<p><strong>A minimum jail sentence of 12 months</strong></p>
<p>In June many bloggers and content providers were contacted by the Tanzania Communications Regulatory Authority (TCRA) and asked to immediately shut down their services and apply for a license within four days.</p>
<p>It was the beginning of the enforcement of the country&#8217;s Electronic and Postal Communications (Online Content) Regulations 2017. Civil society and digital rights activists have condemned the regulations as draconian.</p>
<p>This is what the law states:</p>
<ul>
<li>All blogs, online forums, content hosts and content producers must register online and pay licence fees of up to USD 900;</li>
<li>Internet cafes must install surveillance cameras to monitor people online;</li>
<li>Material deemed “offensive, morally improper” or that “causes annoyance,” is prohibited and a minimum fine of USD2,230 or 12 months in jail as a minimum sentence is recommended for anyone found guilty;</li>
<li>Social media comments are even subject to the new regulations.</li>
</ul>
<p>The regulation, however, doesn’t provide a maximum jail term, meaning a magistrate could send an offender to prison for an indeterminate period of time.</p>
<p><strong>Terrified of saying something wrong online</strong></p>
<p>The source, who wished to remain anonymous, tells IPS that other bloggers he met in recent weeks who have paid the licence fees and registered with the TCRA have complained that they are registering a low number of visitors to their blogs. In addition, visitors have stopped leaving comments as they are afraid of being arrested and taken to court.</p>
<p>“The ordinary people are scared to make comments on blog posts. They are scared because a single post could either land a blogger or their followers in the hands of authorities,” Maxence Melo, one of the founders of JamiiForums, tells IPS. He adds that authorities are focused on implementing the law but have not educated bloggers about what is deemed “offensive, morally improper” or “causes annoyance”.</p>
<p>In addition, people can be charged for not having passwords on their computers, laptops and smartphones.</p>
<p>A senior government attorney tells IPS on the condition of anonymity, because he wasn’t authorised to speak on the matter, that this act will be used against people who post defamatory content or hate porn online but claim that a third party had access to their mobile phone or devices and posted the content without their consent.</p>
<p>Since the June implementation of the act, the impact has been far-reaching across the country.</p>
<p>The owner of a famous internet café in Tanzania’s commercial capital says he has at least 50 customers a day but he wasn’t aware of the new requirement for internet café operators to install CCTV cameras on their premises.</p>
<p>He tells IPS that one hour of computer use costs 35US cents, which is not enough to sustain his business. So he supplements this with a stationary business in the cafe.</p>
<p>“Installing CCTV cameras would cost about USD500, which is a lot for a small business like mine. So if the authorities come and ask me to do it, I will have to shut down the business,” he tells IPS, requesting to remain anonymous.</p>
<p><strong>A challenge to Tanzania&#8217;s freedom of expression</strong></p>
<p>These regulations together with other laws aimed at curtailing freedom of expression and press freedom are one of the reasons for Tanzania&#8217;s poor performance in the latest Freedom Index rankings. The country ranks 93 out of 180 countries across the globe.</p>
<p class="p1"><span class="s1">There is also the Cyber Crime Act, which can be used to arrest dissenting journalists and citizens and the Statistics Act, which limits the publication of data to the government&#8217;s Bureau of Statistics. Both acts were passed before the 2015 elections and activists are worried that worse is yet to come as the country prepares for the 2019 local governments elections and the 2020 general elections.</span></p>
<p>Rugemeleza Nshala, a prominent Tanzanian lawyer, tells IPS that freedom of expression is facing the biggest challenge in recent times here.</p>
<p>&#8220;We have reached a point where former Ugandan president Idi Amin&#8217;s famous quote when he said ‘there is freedom of speech, but I cannot guarantee freedom after speech&#8217; is becoming relevant in Tanzania.</p>
<p>“Newspapers are shutdown unconstitutionally, and citizens criticising the president are arrested and magistrates, who want to please the president, jail suspects without hesitation,&#8221; Nshala tells IPS.</p>
<p>Last year alone, three newspapers were suspended:</p>
<ul>
<li>In June 2017, the Tanzania Information Services banned a weekly Swahili newspaper Raia Mwema for 90 days after it had published a story claiming that president John Magufuli would fail in his job as president;</li>
<li>In September 2017, another weekly newspaper, MwanaHalisi, was suspended for 24 months;</li>
<li>In June 2017, the Mawio newspaper was also banned for 24 months.</li>
</ul>
<p>Nshala says that enforcement of the online content regulations has scared people from giving their opinion openly according to Article 18 of the Constitution of Tanzania, which grants citizens freedom of expression and opinion without interference.</p>
<p>And it seems that for now the online content laws have succeed in squashing the voice of JamiiForums.</p>
<p>Melo says that the impact of the country’s new online content law, together with three cases JamiiForums is facing in court—which has resulted in them appearing 122 time in court over the last two years—has made them retrench 64 employees. They have only eight now, and are considering closing down their physical offices.</p>
<p>In the past JamiiForums has been threatened and forced to share user data with the regulator or the police. In one incident, the TCRA forced them to reveal the identity of users who had leaked details of mass corruption in the country’s biggest port and the case has been pending since 2016.</p>
<p>That case, together with two other lawsuits that are pending against JamiiForums, made Melo cautious when the TCRA wrote requiring blogs to shut down before applying for a licence. Melo and his team decided to voluntarily shut down their website for 21 days and registered within four days. They have since had an opportunity to sit down with the regulator to express their concerns about the new law.</p>
<p>“We were concerned with sections of the law, which gives content providers only 12 hours to remove content deemed inappropriate from online. In one case, the regulator had submitted a letter to us at 5 pm asking us to take down content failing to do so could result in us ending up in court. The law doesn’t give us a room to consult with the source of information and your lawyers before removing the content,” Melo tells IPS.</p>
<p>Maria Sarungi, director of the social media citizen movement Tsehai, the Change Tanzania, tells IPS that prior to the enforcement of the regulations, the ability to freely post content online had liberated the media industry.</p>
<p>“Some online TV [platforms] such as Millard Ayo started off as bloggers and have grown into full-fledged media houses because of the [former] liberal policies for online content,” Sarungi says.</p>
<p><strong>Uganda just as repressive</strong></p>
<p>However, Tanzania isn&#8217;t alone in establishing such repressive legislation against freedom of expression. Its neighbour Uganda introduced a daily fee of USD0.5 to anyone accessing social media after its president Yoweri Museveni had suggested the introduction of the law to curb online gossiping.</p>
<p>However, activists and lawyers have challenged the law in court. Uganda&#8217;s Prime Minister Ruhakana Rugunda said in parliament on Jul. 11 that the government was in the process of reviewing the tax, which is commonly referred to as the &#8220;gossip tax&#8221;.</p>
<p>Rosebell Kagumire, a Ugandan blogger, says despite many young urban Ugandans using virtual private networks to avoid their location being detected and to bypass the tax, recent statistics show that Facebook usage went down by 75 percent in the first weeks.</p>
<p>She further says that apart from limiting access to information and freedom of expression, the tax has prevented young unemployed Ugandans from getting online in search of employment. In addition, small enterprises that have their base on social media have declined.</p>
<p>&#8220;Besides limiting access to information and expression, this tax is economically punishing the poor. Recent pressure against the legislation has seen the government come up with amendments but the fees (including the mobile money transfer tax) are anti-freedom of expression and hinder digital inclusion,” Kagumire tells IPS.</p>
<p>In Tanzania, for Nshala, it is not all doom and gloom.</p>
<p>He says the constitution gives final say to citizens about how they want the government to be governed and therefore citizens have to stand firm to protect the country&#8217;s democracy. He finally says political leaders must understand that they are servants of people and have to accept criticisms.</p>
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<li><a href="http://www.ipsnews.net/2018/07/social-media-new-testing-ground-sri-lankas-freedom/" >Social Media – the New Testing Ground for Sri Lanka’s Freedom</a></li>

<li><a href="http://www.ipsnews.net/2017/02/confusion-over-u-s-travel-ban-grounds-foreign-correspondents/" >Confusion over U.S. Travel Ban Grounds Foreign Correspondents</a></li>
</ul></div>		]]></content:encoded>
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		<title>Zanzibar’s Encroaching Ocean Means Less Water</title>
		<link>https://www.ipsnews.net/2013/06/zanzibars-encroaching-ocean-means-less-water/</link>
		<comments>https://www.ipsnews.net/2013/06/zanzibars-encroaching-ocean-means-less-water/#comments</comments>
		<pubDate>Wed, 12 Jun 2013 05:23:45 +0000</pubDate>
		<dc:creator>Erick Kabendera</dc:creator>
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		<guid isPermaLink="false">http://www.ipsnews.net/?p=119751</guid>
		<description><![CDATA[Khadija Komboani’s nearest well is filled with salt water thanks to the rising sea around Tanzania’s Indian Ocean island of Zanzibar. And until recently, the 36-year-old mother of 12 from Nungwi village in Unguja on the northernmost part of Zanzibar, spent most of her day walking to her nearest fresh water supply to collect safe [&#8230;]]]></description>
		
			<content:encoded><![CDATA[<p><font color="#999999"><img width="300" height="225" src="https://www.ipsnews.net/Library/2013/06/zanzibar-300x225.jpg" class="attachment-medium size-medium wp-post-image" alt="" decoding="async" loading="lazy" srcset="https://www.ipsnews.net/Library/2013/06/zanzibar-300x225.jpg 300w, https://www.ipsnews.net/Library/2013/06/zanzibar-629x472.jpg 629w, https://www.ipsnews.net/Library/2013/06/zanzibar-200x149.jpg 200w, https://www.ipsnews.net/Library/2013/06/zanzibar.jpg 640w" sizes="auto, (max-width: 300px) 100vw, 300px" /><p class="wp-caption-text">Over the years Zanzibar’s sea levels have risen to erode beaches and contaminate some of the island’s fresh water supply. Credit: Giandomenico Pozzi/CC by 2.0</p></font></p><p>By Erick Kabendera<br />ZANZIBAR, Tanzania, Jun 12 2013 (IPS) </p><p>Khadija Komboani’s nearest well is filled with salt water thanks to the rising sea around Tanzania’s Indian Ocean island of Zanzibar.<span id="more-119751"></span></p>
<p>And until recently, the 36-year-old mother of 12 from Nungwi village in Unguja on the northernmost part of Zanzibar, spent most of her day walking to her nearest fresh water supply to collect safe drinking water.</p>
<p>“The water is very salty so it can’t be used for anything. You will use a lot of soap and water if you use it for washing clothes or dishes. Another difficulty is that you can’t use it for cooking or drinking. That is why we had to walk for long distances to collect water from fresh water wells,” Komboani tells IPS.</p>
<p>According to Zanzibar’s Department of Environment, rising sea levels have resulted in seawater mixing with fresh water supplies and contaminating the wells here. Zanzibar does not have rivers and the main source of water remains groundwater, which depends on the currently erratic rainfall. "The villages used to be far from the shore, but now everyone lives close to the ocean." -- Masoud Haji<br /><font size="1"></font></p>
<p>But thankfully, for Komboani, the experience of spending hours collecting water is now just a memory, since the implementation of a project to supply clean and safe water to households in her village.</p>
<p>In October 2012, the <a href="http://www.undp-aap.org/">Africa Adaptation Programme </a>(AAP) of the <a href="http://www.undp.org/content/undp/en/home.html">United Nations Development Programme</a> (UNDP) constructed an eight-km pipeline from Kilimani village, in the interior, to Nungwi village, which lies along the coast. A huge water tank near Kilimani village sustains the water supply.</p>
<p>The AAP, a climate change programme implemented in 21 African countries, aims to assist <a href="https://www.ipsnews.net/2012/12/curbing-tanzanias-land-grabbing-race/">Tanzania</a> with the development of climate-smart policies and climate change adaptation projects.</p>
<p>Meanwhile, the 15,000 people from Nungwi village now have access to water 24 hours a day, which can be sourced from taps and reservoir tanks.</p>
<p>Komboani says that since the water project was introduced, she now has more time to concentrate on her business of selling snacks. She says she earns approximately five dollars a day from this.</p>
<p>“I don&#8217;t have to worry about waking up early to collect water anymore. I use the time to engage in other productive activities, such as selling snacks and working in my vegetable garden.</p>
<p>“My husband used to accuse me of being unfaithful when I would return home late from the well. I am now glad that we have peace in our home,” she says.</p>
<p>Not only has it brought peace to Komboani’s home, but the easy access to drinking water has saved many women and girls from unwanted marriages.</p>
<p>Zanzibar’s North A district commissioner, the equivalent of a governor, Tatu Mganga, says her office had to intervene several times when they heard about women being married off so they could be used to fetch water for their new husbands.</p>
<p>“Such incidents were common and we had to intervene and rescue girls when we heard these stories,” Mganga tells IPS.</p>
<p>She says that while everyone in Nungwi village was affected by the shortage, women and children suffered the most because they were responsible for fetching water for their families.</p>
<p>Mganga says that the lives of the people from Nungwi village and its surrounding areas have now changed for the better.</p>
<p>“Almost all the people living in the area now have access to clean and safe water. Families can now wash their hands and clothes, and bathe properly. Subsequently, there has been improved sanitation,” says Mganga.</p>
<p>UNDP country director for Tanzania, Philippe Poinsot, tells IPS that the AAP is focused on improving the supply of clean and safe water to households through pilot projects.</p>
<p>“Women and children were walking for too long to fetch water from dirty surface water points (and consumption of this water) had accelerated ill health,” Philippe says. The rampant use of unclean water in Nungwi village led to an increase in pneumonia and skin diseases. Local health authorities say there has since been a decrease in these cases.</p>
<p>Ally Jabir Haiza, Zanzibar’s district health officer, tells IPS that the water from shallow wells along the island’s coast was tested and found to be excessively salty. This, he explains, impacted on healthcare in the area. In Unguja, a newly built maternity ward could not be used because of the shortage of clean water.</p>
<p>“Students too could not concentrate on their studies because they were frequently worried about fetching water when they returned home. And they were already tired when they commenced their lessons in the morning (from going to fetch water before school).</p>
<p>“Sometimes new mothers from Nungwi, who were experiencing postpartum stress, were forced to walk down the three-km road to fetch water from the nearest fresh water well,” says Hiza.</p>
<p>But now that fresh water is being piped in, the residents of Nungwi village have access to more water – some 20 litres per day compared to the five litres a day they collected from their nearest fresh water wells.</p>
<p>According to Sheha Mjanja, director of environment in Zanzibar’s Vice President’s Office, several surveys conducted over the past 10 years have confirmed that the island is vulnerable to the impact of climate change, particularly rising sea levels and beach erosion.</p>
<p>“The impact of climate change in Nungwi village is one of the biggest challenges at the moment. The water is quickly eating into the land and we fear the situation could worsen,” Mjanja tells IPS.</p>
<p>Mjanja adds that rising sea levels could cause a serious water shortage on the island as salt water is increasingly seeping into the ground water supply.</p>
<p>He says that the government is currently preparing a strategy paper to address the impact of climate change here and hopes to involve the private sector in implementing solutions.</p>
<p>Meanwhile, the elders here are witness to the impact climate change has had on this island. One community elder, 58-year-old Masoud Haji, tells IPS that over the years sea levels have risen about 80 metres.</p>
<p>“In December, we didn’t see any rains, compared to when I was young. The ocean was far from the shore, but it has now risen … the villages used to be far from the shore, but now everyone lives close to the ocean,” Haji says.</p>
<div id='related_articles'>
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<li><a href="http://www.ipsnews.net/2013/01/a-river-runs-dry-in-tanzania/" >A River Runs Dry in Tanzania</a></li>
<li><a href="http://www.ipsnews.net/2012/12/curbing-tanzanias-land-grabbing-race/" >Curbing Tanzania’s “Land Grabbing Race”</a></li>
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		<title>Operating in Rural Tanzania “To Save a Life”</title>
		<link>https://www.ipsnews.net/2012/08/operating-in-rural-tanzania-to-save-a-life/</link>
		<comments>https://www.ipsnews.net/2012/08/operating-in-rural-tanzania-to-save-a-life/#comments</comments>
		<pubDate>Fri, 03 Aug 2012 14:05:35 +0000</pubDate>
		<dc:creator>Erick Kabendera</dc:creator>
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		<guid isPermaLink="false">http://www.ipsnews.net/?p=111476</guid>
		<description><![CDATA[At the Kakonko Health Centre, about 250 kilometres from the nearest hospital in Kigoma Region, Western Tanzania, assistant medical officer Abdu Mapinduzi prepares to operate on Joanitha, a young pregnant mother. She has given birth via caesarean section three times before at a regional hospital. But now, for her fourth child, she is able to [&#8230;]]]></description>
		
			<content:encoded><![CDATA[<p>By Erick Kabendera<br />KIGOMA, Tanzania, Aug 3 2012 (IPS) </p><p>At the Kakonko Health Centre, about 250 kilometres from the nearest hospital in Kigoma Region, Western Tanzania, assistant medical officer Abdu Mapinduzi prepares to operate on Joanitha, a young pregnant mother.</p>
<p><span id="more-111476"></span></p>
<p>She has given birth via caesarean section three times before at a regional hospital. But now, for her fourth child, she is able to have the baby at her nearest medical health centre.</p>
<p>Despite the fact that the Kakonko Health Centre is 150 km away from Joanitha’s home village, it is still closer than her nearest regional hospital, which is the only other facility able to conduct caesareans. Health centres here cater for 50,000 people, approximately the population of one administrative division, but are not equipped to perform surgeries. They are the third level of health care in the country after village health and dispensary services.</p>
<p>But the Kigoma Region has become one of the first places in East Africa to train assistant medical officers to conduct life-saving c-sections at its rural health centres.</p>
<p>After her caesarean, Joanitha told IPS that she was grateful to be able to deliver her baby safely at a health centre.</p>
<div id="attachment_111477" style="width: 490px" class="wp-caption aligncenter"><a href="https://www.ipsnews.net/2012/08/operating-in-rural-tanzania-to-save-a-life/kigoma2/" rel="attachment wp-att-111477"><img loading="lazy" decoding="async" aria-describedby="caption-attachment-111477" class="size-full wp-image-111477" title="The Kakonko Health Centre in rural Tanzania is now equipped to perform surgeries, including caesarean sections. Credit: Erick Kabendera/IPS  " alt="" src="https://www.ipsnews.net/Library/2012/08/Kigoma2.jpg" width="480" height="640" srcset="https://www.ipsnews.net/Library/2012/08/Kigoma2.jpg 480w, https://www.ipsnews.net/Library/2012/08/Kigoma2-225x300.jpg 225w, https://www.ipsnews.net/Library/2012/08/Kigoma2-354x472.jpg 354w" sizes="auto, (max-width: 480px) 100vw, 480px" /></a><p id="caption-attachment-111477" class="wp-caption-text">The Kakonko Health Centre in rural Tanzania is now equipped to perform surgeries, including caesarean sections. Credit: Erick Kabendera/IPS</p></div>
<p>“A friend of mine died while giving birth at a traditional birth attendant’s home last year, and about four months ago another one gave birth to a dead child as she travelled to the hospital.”</p>
<p>The World Lung Foundation renovated nine rural health centres in Kigoma Region, including the Kakonko Health Centre, under a pilot project in 2009. As part of the initiative, assistant medical officers were trained in basic surgery.</p>
<p>“We have successfully handled all our complicated cases and mothers have delivered safely,” Mapinduzi, who is also the supervisor of the centre, told IPS.</p>
<p>“When we have a complicated birth, it is like everything has stopped so as to save a life,” he said.</p>
<p>Mapinduzi said that when the centre began operating on expectant mothers in 2010, the number of deliveries at the health centre went up to 120 per month from 20, and an average of six caesarean sections were conducted every week.</p>
<p>“We have established a network at the grassroots level where women with complications are advised to deliver at the health centre or district hospital.</p>
<p>“Previously, some mothers didn’t see the need to come to the health centre, especially those with complications, because they knew that we were unable to help them then. Some would stay at home and wait for the grace of God, while others went to other places,” he said.</p>
<p>Tanzania has a high maternal mortality rate: 578 deaths per 100,000 live births. According to the <a href="http://www.who.int/mediacentre/factsheets/fs348/en/index.html">World Health Organization</a> “the maternal mortality ratio in developing countries is 240 per 100,000 births versus 16 per 100,000 in developed countries.” Kate Gilmore, assistant secretary-general and deputy executive director (Programme) of the <a href="http://www.unfpa.org/">U.N. Population Fund</a> said that <a href="https://www.ipsnews.net/2012/07/south-sudan-women-await-independence-from-poverty/">South Sudan</a> had the highest rate in the world with over 2,000 deaths per 100,000. But at one point the Kigoma Region had the highest rate in the country, at 933 per 100,000 live births in the early 1980s.</p>
<p>But in the 1980s, a newly qualified gynaecologist, Dr. Godfrey Mbaruku, who is now the Deputy Director of the Ifakara Health Institute, Tanzania’s main health research institution, developed successful initiatives that led to a huge drop in the maternal mortality ratio here &#8211; to 186 per 100,000 live births in 1991.</p>
<p>While recent statistics are unavailable, maternal mortality in this region is considered to be lower than in the rest of the country.</p>
<p>It was Mbaruku’s work here that inspired development partners to set up the project. He told IPS that it made perfect sense to equip health centres to perform surgeries.</p>
<p>“The majority of Tanzanians live in rural areas, and you must be joking to suggest that they should access health services at the regional and district hospitals. Mothers are not dying due to chronic illnesses, but because of emergencies,” Mbaruku said.</p>
<p>Dr. Amri Mulamuzi, coordinator of the project in Kigoma Region, told IPS that a combination of factors helped reduce maternal deaths here recently.</p>
<p>“We have also provided ambulances to all the health centres so they can refer complicated cases to the district or regional hospitals…We also started campaigns on the ground, in collaboration with local government authorities, to ensure that each expectant mother realises that it is important for her to receive antenatal care,” said Mulamuzi.</p>
<p>While the Kigoma Region health centres have become a success story, health activists fear that programmes like this are unlikely to be sustainable because they are donor-driven, and will collapse when donors phase out their initial financial commitments.</p>
<p>For example, the government’s “Support to Maternal Mortality Reduction Project” that began in 2006, and is being implemented as a trial in three regions, only receives 10 percent government funding. The rest comes from donors.</p>
<p>Irenei Kiria, the executive director of Sikika, a non-governmental organisation that advocates for the provision of quality health services, told IPS that there would be no significant change in the country’s maternal mortality rate until the government invested more in it, and translated policies into action.</p>
<p>“Things on the ground must change for the government to be seen as serious in addressing maternal health,” said Kiria.</p>
<p>Mbaruku agreed.</p>
<p>“You can’t expect donors to help you with this – forget about reducing the deaths. The government must commit its own resources to reduce maternal deaths,” he said.</p>
<p>A 2009 report on the assessment of Tanzania’s progress in achieving the <a href="http://www.un.org/millenniumgoals/">United Nations Millennium Development Goals</a> (MDGs) entitled “Tanzania Midway Assessment at a Glance” showed that the country was unlikely to cut its maternal mortality rate or increase the number of births attended by skilled health personnel by 2015. The eight MDGs are promises that 189 U.N. member countries “made to free people from extreme poverty and multiple deprivations.”</p>
<p>For example, maternal mortality in Kilwa District, in south eastern Tanzania, is glaringly high. In 2008, Kilwa District statistics showed that the maternal mortality rate was 442 per 100,000 deaths.</p>
<p>This is despite the fact that the Kilwa municipal council allocates 40 percent of its budget to health, part of which is for addressing maternal mortality. According to Joanitha Mangosongo, the reproductive health coordinator at Kilwa Kivinje District Hospital, the money is largely spent on purchasing essential drugs for pregnant women and delivery kits.</p>
<p>But a lack of medication is not the reason for the high number of deaths in this region. In Kilwa District, unlike other parts of the country where most deaths occur in communities before mothers reach health facilities, over 90 percent of maternal deaths here occur at registered health facilities.</p>
<p>It is partially because health facilities have an acute shortage of skilled health workers, said Mangosongo. District statistics show that 80 percent of health staff is relatively unskilled.</p>
<p>“This affects almost all our efforts to fight maternal deaths. We are trying to provide on-the-job training and distance learning, but it is proving to be tough,” said Mangosongo.</p>
<p>Mbaruku believes that the solution to the high number of maternal deaths in Kilwa can only come after authorities acknowledge that there is a problem.</p>
<p>He told IPS that all districts have the same health budget and that Kilwa needs to formulate its own plan to combat the high maternal mortality before it asks for external support.</p>
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