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MAMA CHANJO: Key Immunization behavior changemakers mothers

Empower previous champion mothers successfully undertaken timely immunization to their kids to be behavior changemaker for pregnant mothers

Photo of Temba Vicent
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Describe what you intend to do and how you'll do it in one sentence (required 250 Characters)

Promoting previous champion mothers who their children completed full package of immunization on-time to deliver tailored training as a means to empowering pregnant mothers on immunization journey and bridge vaccinators Gap for confidence and trust

Explain the idea (less than 2,000 characters)

According to MoHCDEC in Tanzania it is estimated the shortage of Human Resources for Health (HRH) is about 56%. The shortage varies across regions, districts, and facilities. It is more severe in remote rural communities. Child Health Coordinators are overwhelmed with other activities and allocated only less than 10% of their time for immunization. This lack of healthcare workers is also a major contributor to low immunization and a lack of accurate information. The rural populations and nomadic pastoralists face a number of challenges anticipated to have negative impacts on child health. Pastoral communities in Tanzania are very hard to reach and Superstitions play a large part in parents hesitating to immunize their children. They place a high value on the wellbeing of their livestock, home birth, and traditional medicine. Thus the necessity to seek preventive and curative health care for their children and to vaccinate them is not always seen as a priority. The mothers from nomadic pastoralists also had lesser knowledge of the importance of vaccination. Mama Chanjo: We focus on strengthening healthcare systems through training and equipping local women to become Mama Chanjo. Mama Chanjo is a local champion previous mothers who their children completed all full packages of immunization on time trained as activist and mentor mothers to help vaccinators to ensure new and expectant mothers with their kids get free advice they need, are linked to the right services and supported on their routine immunization journey within their local community. Mama Chanjo will educate pregnant women on timeliness and advocate in-laws on immunization, types of vaccine and its benefit, reporting of adverse events, change of bad cultural beliefs, tracking and locate pregnant mothers & kids and put pressure for quality and timely on health facilities. Mama Chanjo will able to access women who otherwise would never have access to vaccinators knowledge about their kid's immunization

Which part(s) of the world does this idea target?

  • Eastern Africa

Geographic Focus (less than 250 Characters)

We save lives of new and expectant mothers and their babies work exclusively locally in extreme remote rural areas such as pastoralist rural villages, Informal areas, off roads-infrastructure locations, in low income-resources settings of Tanzania

Who are your end users and how well do you know them? (750 characters)

The project will be implemented by Remoteness Ltd with a long-term partner organization of Monduli Community development training institute. Remoteness has been working on child health, gender and community development in Tanzania for 5years.Key stakeholders include Monduli District hospital,Monduli Juu Orphanage Projects, Health facilities. Taking a Mama Chanjo approach addresses the needs of multiple stakeholders. Our project is designed to show that "best practise mothers in vaccination" can ensure expectant mothers and their children receive free immunization advice they need, are linked to the right vaccination services, and are supported on their routine immunization journey within the local community.

How is the idea unique? (750 Characters)

According to (TDHS 2016) The Basic vaccination coverage also increases with mother’s education. The poor disadvantaged communities are disproportionately affected by low immunization uptake largely because they lack access to relevant information about child health immunization. Mama Chanjo is an integrated model that providing services along the continuum of immunization across facilities and communities including timelines, tracking, improves access, uptake of vaccine, adherence, and retention in immunization. This makes her uniquely capable to address the local context of low immunization uptake in her community. In this way, she is more effective than any community development officer, medical doctor and Nurse

Idea Proposal Stage (Select 1)

  • Prototype: We have done some small tests or experiments with prospective users to continue developing the idea.

How many months are required for the project idea? (140 characters)

36 month

Organization Name (less than 140 characters)

Remoteness Ltd. A non-profit company, currently create "mama Chanjo "-a new model that aims to increase demand for vaccination to babies.

Type of Submitter

  • We are a registered NGO or Non-Profit Organization

Organizational Characteristics

  • Locally/community-led organization

Organization Location (less than 140 Characters)

Arusha, Tanzania East Africa

What is the current scale of your organization’s work?

  • Community (working within one or a few local communities within a region)

Website URL

www.remoteness.org

Tell us more about your organization/company (1-2 sentences)

Remoteness Ltd is a non-profit company that helps people who are marginalized and poor to build their own solutions and take ownership of their community’s opportunities. RMT improving lives in lasting ways by creating local positive solutions in primary health care, research and rural livelihood management. Our solutions allow those who are poor and marginalized to use the best innovation practices to earn a dignified living, be healthy, and take part in the benefits of their communities.

Who will work alongside your organization in the project idea? (750 characters)

The project will be implemented by Remoteness Ltd with a long-term partner organization of Monduli Community development training institute. Remoteness has been working on health, gender, and rural livelihood in Tanzania for three years. The Key stakeholders include Monduli District hospital, Monduli Juu Orphanage Projects, Health facilities. Mama Chanjo approach is designed to show that "best practice mothers in immunization" can ensure expectant mothers and their children receive free immunization advice they need, are linked to vaccination services, and are supported on routine immunization journey within the local community. Both stakeholders creating a unique mix of capabilities to address today's interrelated development challenges.

How many people are on your team?

3

Tell us more about you and your team

Vicent Temba: Project Manager He has BA in Sociology been involved in community health programs and participated in a number of health programming and other research projects in East Africa. Mashala Shadrack: Demand creation expert. He has BA in sociology with experience in remote rural communities and specialized in community development programs in Tanzania. He has been involved in a number of awareness projects, research activities including socioeconomic, cultural and health research projects. Edward Sandet, M& E expert: Mr. Sandet has over 7 years’ experience in carrying out, wide range of rural surveys; monitoring and evaluation activities with major national and international organizations such USAID, AWF, World Vision Tanzania, Gatsby, WFP etc. Immunization Training specialist: He/she will coordinate the development of a comprehensive curriculum that will be used, adapted and translated in multiple remote rural communities to train Mama Chanjo in next 3 years.

Overview of How Your Concept Has Evolved (5-6 sentences):

Our team realized that we can focus on mothers as the pathway to immunization services. We need to help mothers to gain awareness about the harmfully cultural practices that are preventing them from full immunization. Our idea has evolved to include community sensitization activities, with support from influential community leaders, will be used to foster support for the mama chanjo model. There is a need to address the issue of culture in mama chanjo training. Many harmful norms of immunization are rooted in the local culture. The culture of traditional medicine is unique in the pastoralist community. We need to go last mile to include community traditional healers in solutions to speaking to about the importance of timely immunization.

Viability (3-4 sentences and activity upload):

https://canvanizer.com/canvas/rnBfhtCOLPxdB Phase 1: Preparation and Planning (1.5 Months): Mama Chanjo selection and Team Recruitment. Consultation with selected beneficiaries. Collection of baseline data needs. Meeting and briefing with potential mama chanjo Phase 2: Organization of Mama Chanjo training (1.5month) months: Development of Training manual, Conducting Mama chanjo Immunization journey training session. Phase 3: Field project Implementation :( 2.5 years) Mama Chanjo will register pregnancy mother/infants to ensure all children are vaccinated. Phase 4: Evaluation and production of the report (2 months) • Creation of Peer Educators Network • Production of a video documentary • Final Evaluation report submission

Feasibility (3-4 sentences):

Mama Chanjo will register pregnancy mother/infants to ensure all children are vaccinated. If there is a child who hasn't yet received a vaccine or delayed with any vaccine. They will use their positive behavior to counsel caregiver on importance of timely vaccination and refer a child to a clinic. Two new tools have been made to our idea: 1) Participatory evaluation criteria tool has been developed for Mama Chanjo selection 2) We will use a designed training guideline/Manual to train mama chanjo, this helps them to the delivered right information and will evaluate the effect on immunization

Desirability (3-4 sentences and activity upload):

"If you sensitize mothers about the immunization journey, you empower all caregivers to actively seek vaccination services for their children in the community", said mother from pastoralist community”. Our idea has evolved to include the grandmothers who are traditionally involved in overseen pregnancy mothers, and new mothers to ensure infants are fully immunized. Many Infants in pastoralist villages are not fully immunized or are immunized too late, leading to an unacceptably high under-five mortality rate. This is due to high home birth rate and mothers do not understand how critical immunizations are. To include formally these grandmothers’ in vaccination sensitization will help to ensure all children complete full package on time.

Community Focus (2-3 sentences):

Pastoralists have been known for their expertise in traditional medicine and low rate for skilled birth attendants. The women present high preferences for home birth delivery due to the cultural belief that women elders offered service with passionate traditional care and medicine. They believe if you refuse herbal medicine you refuse life. These distinctive customs, beliefs and traditional practices present gender inequalities that do not present birth preparedness affect pregnant mothers health and exclude many children in timely vaccination and being victims for deadly infectious diseases

Community Impact (2-3 sentences):

Our aim is to reach 98-100% every child with vaccinations and to ensure the community is safe from vaccine-preventable diseases. Mama Chanjo will successfully to mobilize pregnant mothers and track the infant’s status for immunization and reduce defaulters for the next 3 years. They will success deeply in generating demand for vaccinations because they involve community; it has become part of the community. The task of promoting immunization will be sustained by mothers themselves who are part of the community with support from partners passionate to sensitize the mothers for immunization

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Photo of Serena Chow
Team

cool idea, good luck

Photo of Temba Vicent
Team

Serena Chow  Thank you

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