Day of the African Child is celebrated on the 16th of June every year, as an advocacy tool to encourage people around the world to celebrate the progress the African continent has made toward children’s rights, while also recognizing the improvements still needed to ensure that children across the continent lead happy and healthy lives.

For over 20 years, FAME has invested in reproductive, maternal, and child healthcare, and has established its reputation as an institution committed to the well-being of newborns, children, and families. FAME’s culture has helped create a child-friendly environment, and today we celebrate the children born here and the young people who come through our doors every day!

FAME firmly believes that children have a right to basic health care irrespective of their place of birth, and we are committed to providing quality patient-centered care for the children in our catchment area. 

Working with underserved populations in the most rural parts of Tanzania, FAME faces unique challenges serving children in these often vulnerable and fragile contexts. This year we have faced environmental challenges, such as drought, which can cause deteriorating physical health of growing children. We highlight some of these cases in our Journal story “The Many Faces and Cases of Child Malnutrition at FAME”.

FAME has supported children, in partnership with the Tanzanian Government, through our under-5 vaccination program. In 2021, we delivered 693 babies at FAME. We can’t wait to see these kids grow up and are committed to giving them a healthy start and remaining by their side as they grow. Additionally, in the first quarter of this year, FAME vaccinated 166 children through our under-5 vaccine program. Vaccines are provided to FAME by the Tanzanian Government and include BCG to protect against tuberculosis, polio vaccines, PCV to protect against pneumonia, rotavirus vaccine, and pentavalent vaccine to protect against life-threatening diseases such as diphtheria, pertussis, tetanus, hepatitis B and Hib.

Additionally, FAME is on the frontlines performing lifesaving vaccinations and interventions as highlighted in our April newsletter story “A Rabies Diagnosis and a Race Against the Clock to Save Lives” as well as our recent partnership with the Government of Tanzania on its Wild Polio door-to-door nationwide vaccination drive for children under 5. 

Due to this growth in numbers and in programs, FAME seeks to further establish its competence in pediatric medicine in order to address the challenges that children, mothers, and families face. 

This year, FAME is planning to build on its child-friendly environment and establish dedicated rooms in our outpatient ward which are both equipped and decorated for children. Additionally, we are thrilled to announce that we will have a pediatrician with a specialty in infectious diseases joining FAME from the US to spend 12 months training FAME doctors, and help them further establish our pediatric program.

By 2027, FAME plans to have a dedicated pediatric team running pediatric programs around wellness and growth tracking, early intervention and prevention. FAME will conduct parent education in the Reproductive and Child Health clinic (RCH) as well as in the community through outreach programs at schools.

Today is a day to celebrate the wonderful children in our lives and our communities, and also reflect on what is needed to ensure that children around the world are able to lead happy and healthy lives.  If you are feeling inspired to support FAME and its work to strengthen pediatric care, visit this link to donate and get involved!

*While the patient’s name has been changed to protect privacy, permission was secured to share their photos and story with FAME supporters and to raise awareness of available medical care at FAME Medical

June 1 is the Global Day of Parents. It is a day to appreciate parents for their selfless commitment to children and their lifelong sacrifice towards nurturing this relationship.

FAME pays tribute to all parents around the world, especially in Northern Tanzania where we work. Rural populations, the primary populations in FAME’s catchment area, are underserved and vulnerable groups. Parenting in rural areas is especially challenging due to limited access to resources and disproportionately high rates of child needs: shelter, food, clothing, and medical care. 

Despite these challenges, the parents in FAME’s catchment area have shown great resilience, selfless commitment, and countless sacrifices to raise, love, protect and nurture their children. Every day at FAME, we meet concerned parents, some of whom have traveled a long way to ensure that their children get quality healthcare. 

We spoke to different parents who brought their kids to FAME to learn what parenthood means to them, and the role that FAME plays in supporting their children and them as parents.

Parenthood means commitment. It means humility in understanding your child’s needs and to us, bears a strong responsibility. Our daughter has epilepsy, and we’re so thankful that because of FAME, we don't have to travel far to access good healthcare for her. We believe that we are good parents because we bring her here! 

-Mr and Mrs Alwan*, with their 4-year-old daughter    

Parenthood is a desired challenge. I always wanted to have children. Parenthood is happiness! I am the happiest when my children are happy, that's why I’m sad today that my son is sick. I brought him to FAME as I trust them to heal him. I was here before when I brought my disabled father. He doesn't like hospitals much, as he has not received the best care before. FAME’s attitude towards him was positive, and they had the knowledge and skills to handle his condition. That’s why I’m here today. I am sure that my son will get the best care here, because I have seen them do it for my dad! 

-Mr. Abdul* with son aged 12 

Parenthood is a journey, and a peaceful one for me since I’m raising my child alone with no interference! Wait, that’s not entirely correct. I bring my child to the baby clinic and I rely on them for advice and information on how to take care of him. So you can say I’m not alone as I have this FAME team helping me along the way. And not just me but many other mothers too! Look how many mothers are here today! I don’t know what I would do without their support. So let me say parenthood is a journey with FAME!  

-Mama Baraka* with her 1-year-old son.

Parenthood means having a forever friend! This is my son. He’s been here everyday helping me even though he doesn't have to! I tell him the doctors and nurses here are taking very good care of me, and he can go back to his job, but he wants to stay. I have been here a long time [13 nights] and I have not one complaint! These are good people. 

-Mzee Mollel* with his 31-year- old son

Parenthood to us means responsibility that you cannot shift to somebody else. 

Since we became parents to our daughters, we have acted together as a team, as parenting means supporting each other. However, it’s not a team of two, but a team of three because FAME has been with us since the beginning. When my wife was pregnant she came here for prenatal care. Then she delivered here. And now we’re bringing the girls to the baby clinic. We like to joke that FAME is the third parent!  

-Mr and Mrs Maayan* with their daughters, Ages 1 and 3. 

*While the patients’ names have been changed to protect privacy, permission was secured to share their photos and stories with FAME supporters, and to raise awareness of available medical care at FAME.

“I am so happy. My suffering is over now. Already, I feel like a weight has been lifted off my shoulders. Thank you FAME. Your love, care and compassion has seen me through the darkest moment of my life. I came here alone, but once I arrived I was not alone. I had friends, brothers and sisters looking out for me. Thank You!”

— Emma

Emma* is a 23-year-old woman from Zanzibar, an island off the coast of Tanzania. For three years, Emma had been suffering from stomach problems including, intermittent pain which had recently become worse, heavy menstrual bleeding, abdominal and lower back pain and frequent urination.

Emma visited a lot of hospitals in Zanzibar, and with her condition not improving, opted to come to Arusha where her mother lives to seek treatment. In Arusha, the cost of treatment was too expensive and she was starting to lose hope for a pain free life. 

“One of the hospitals I visited in Arusha asked me to pay $13 for laboratory tests. I had just arrived from Zanzibar and I could not afford this, having spent a lot of money on my journey. I explained this to the doctor, who advised me to go to Karatu and look for a hospital called FAME. He said that they were very good, and that it was more affordable than most of the hospitals he knew in Arusha”

— Emma

Emma began researching any information she could find about FAME, and came across FAME’s Facebook page. She saw that one of her friends had “liked” the page! She couldn't believe it. This friend lived in Zanzibar as well! 

“It was 10:00pm but I didn't care! I called her immediately and asked her if she knew anything about this FAME or she was just liking random Facebook pages. She laughed and told me that she knew FAME very well, that she had given birth here and that it was a good hospital. She advised me to come here straight away.”

Confident in her friend’s recommendation, Emma boarded the next bus to Karatu from Arusha, a journey of 90 miles. Once at Karatu town, she boarded a bajaji (auto rickshaw) to FAME. 

“I arrived and was directed to the reception. I introduced myself and told them that I had come from Zanzibar to seek medical attention, and that I was alone. They were so good to me! I think about it now and I smile. God’s hand guided me here.” 

FAME conducted lab tests and admitted Emma to the inpatient ward  with uterine fibroids, which needed to be removed urgently. Emma needed surgery. 

“I quickly thought that this meant they would remove my uterus and I would never be able to have children. However, the doctors explained to me in great detail what they were going to do. After this talk I felt peace and a calmness come over me. I knew I was in good hands.”

The surgery was a success, and after five days Emma is well enough to go home. She will stay with her mother in Arusha until she is ready to travel back to Zanzibar. 

FAME is happy to not only serve the 2.9 million Tanzanians living in our catchment area but also people from far and wide, who travel miles and miles to get to us. Thank you for trusting us and for sharing your stories of FAME so that we can continue to provide much-needed healthcare to people in need.

*While the patient’s name has been changed to protect privacy, permission was secured to share her photos and story with FAME supporters, and to raise awareness of available medical care at FAME Medical

Nalari poses at the FAME ward, just before she’s discharged.

Nalari with her daughter-in-law

When Nalari* woke up on a Sunday morning, she was suffering from shortness of breath and her chest hurt. She stumbled to her son’s hut, with whom she shares a compound. Her son, hearing the commotion outside, ran out to find his mother struggling to walk. He called out for his wife and went to buy some medicine for his mother from a local pharmacy, but after an hour, that did not seem to help. With her condition quickly deteriorating, his wife advised that they bring her to FAME. “They will know what to do,” she said.

His wife, Nalari’s daughter-in-law, had been to FAME many times. She suffers from high blood pressure, and gets her medicine here. She was confident that FAME would be able to help her mother-in-law, and immediately she called for a boda boda (motorbike) to bring them the 15 miles to FAME. “It’s cheaper, and faster!” she explained. 

Once at FAME, Nalari was received by our medical team and sent to FAME’s onsite laboratory tests. She was admitted to FAME’s inpatient ward where she received a diagnosis of a chest infection. Once on medication, she started to feel better. 

However, she had a secret confession to make to the doctors: 

“I am a heavy smoker, I think that might have something to do with my bad chest,” she confessed.

Her daughter-in-law explained that despite Nalari being a heavy smoker, she had never been this sick before, and that her condition had alarmed them. 

The doctors talked to Nalari and explained that the heavy smoking is not helping her condition, and there is a possibility of recurring lung infections, progressive shortness of breath, and a decline in lung functioning should she continue with her current lifestyle. 

“I feel so much better since I came here. FAME’s medicine seems to be working! I’m happy. I got good service. The doctors have talked to me about my smoking, and I’ve promised to stop. I will not continue to smoke, as it seems to be hurting me. I will listen to the doctor”

— Nalari

“I was confident that FAME would help her as they have helped me so many times and continue to help with my high blood pressure. I am happy that the doctors have also talked to her about smoking. She smokes quite a lot, from morning to evening. She doesn’t think it's a serious issue, and takes it quite lightly when people mention it. I do not dare talk to her about it, because she is my husband’s mother, so I let him do it. But she brushes him off every time! However, I think this time the doctors may have gotten through to her.” - Nalari’s daughter in law

Nalari is excited to be going home today after three nights at FAME’s inpatient ward. She is looking forward to being reunited with her grandchildren. 

*While the patient’s name has been changed to protect privacy, permission was secured to share her photos and story with FAME supporters, and to raise awareness of available medical care at FAME Medical

Planning for FAME’s Future

FAME's strategic plan addresses the intersection of community need and the realistic application of resources available. It is FAME's vision for the future based on where we are best positioned to do more for the patients and communities we serve. Developed by FAME's leadership team in Tanzania, the plan builds on the foundation that was established 20 years ago, and identifies the actions and investment needed to achieve our goals over the next five years.

Strategic Priority 1:

Strengthening Surgery and Emergency Services

General surgery services continue to be resource-challenged in the Karatu region with limited access. Easily treatable conditions are fatal due to a lack of access to safe, affordable surgical and anesthesia care. Blood supply shortages, limited operating rooms, and a lack of doctors trained to perform general surgery also contribute to this. Working in hand with this is the urgent need for emergency services in order to allow FAME to treat more complex cases and reduce the number of referrals it makes. With the nearest dedicated emergency department three hours away, FAME’s emergency response work is filling a critical gap in our region.
 

Invest $1,500 today to help equip FAME’s post-op recovery room

Invest $6,000 today to pay for one year of Cardiac and Trauma Life Support trainings for FAME staff

Invest $150,000 today to an expanded 8-bed ER at FAME

Strategic Priority 2:

Growing Pediatric Care

FAME’s investment in reproductive, maternal and child health has established its reputation as an institution committed to the well-being of newborns, children and families. FAME is now looking to further expand its competence in pediatric medicine in order to address the challenges that children, mothers and families face as they begin to grow.

Invest $5,000 today to outfit one of FAME's outpatient rooms for pediatric care

Invest $5,000 today to build a play area for children visiting FAME for a check up

Invest $36,000 today to bring a global fellow to FAME to help build FAME’s pediatric program and team

Strategic Priority 3:

Expecting the Unexpected

COVID-19 has illuminated the impact of unexpected events, like a pandemic, to cause a costly shifting of priorities and resources. Mitigating the adverse effects of pandemics, climate change and other potential natural and/or political shifts requires a pre-planned response system.

Invest $1,000 today in FAME’s emergency fund to prepare for future crises

Invest $150,000 today to build an isolation ward at FAME

Strategic Priority 4:

Investing in Quality Data

Accurate data tracking and analysis are crucial to support continuous quality improvement (CQI) around patient care, patient satisfaction, management decisions, budgeting, government and donor reporting and fundraising. Additionally, FAME’s success over the last 20-years has had lifelong impacts on its patients and far-reaching impacts on the livelihood, health, and wellbeing of the communities it serves. FAME is committed to measuring this impact!
 

Invest $1,500 today to build the capacity of FAME’s team to report and use data in decision making

Invest $10,000 today to customize FAME’s EMR system to streamline data collection and produce reports on key performance indicators