Shule Direct

INSPIRE CATALYZE TRANSFORM

EDUCATION

WASH HEALTH £

GRANTS PORTFOLIO

Funded by ABOUT HDIF

HDIF aims to identify and support innovations that have the potential to create social impact in education, health and, water, sanitation and hygiene (WASH) across Tanzania. With a focus on market driven solutions, HDIF catalyses the development, testing and scaling of innovative models of service delivery, information and communication technologies for development (ICT4D), and product solutions in health, education and WASH.

THREE MAIN COMPONENTS

INSPIRING CATALYZING TRANSFORMING

Inspiring quad-aligned Catalyzing the diﬀusion Transforming the focus and networking and strategic of innovations in human quantity of evidence available awards that cultivate the development. to key stakeholders on the innovation ecosystem in practice of innovation in human development. human development.

3 PORTFOLIO

To date HDIF has hosted 2 rounds of funding, since its launch in May 2013. A total of 1,620 applications have been received and 36 projects have been approved for funding. HDIF’s portfolio is spread across 20 regions in Tanzania.

Portfolio profile by sector Distributed funding by sector Portfolio profile by Organization Type Portfolio profile by Project Stage

100%

90% 25% Scale up 80% 31% HEALTH HEALTH 70% 50% 11% 63% 60%

WASH 50% WASH 17% 22% 40% Pilot 30% 69% EDUCATION EDUCATION Non-Governmental 28% 20% Organization 64% 20% Research/Academic Institute 10% Business 0%

4 5 Education

Photo Credit: Fredrik Rosman, Studi Academy 7 Anza Entrepreneurs Camfed Tanzania Limited

Partner(s) Silverleaf Academy Limited Partner(s) World Reader | Kiva Project Title Moshi Afordable Schools Project Title Technology-supported Learning Region Kilimanjaro and Arusha Region Iringa Period 36 months Period 32 months

Innovation This project, over the next three years, Innovation The cross-sector collaboration between intends to establish Silverleaf Academy as a new Camfed Tanzania and Worldreader pioneers the use of afordable, high quality pre-primary and primary technology to address the challenges of the primary private school chain in Tanzania. The project intends to secondary school transition in Iringa District. In to open and operate two new schools, serving over mainland primary schools, children learn all their 1,000 children from low income families in and around subjects in Swahili. When they move on to secondary the Arusha and Kilimanjaro regions. The schools will schools the language of instruction shifts abruptly deploy a tablet-based English Medium curriculum to English. Children and youth struggle to complete and a blended learning instructional model, whilst the critical Form 2 exams, which are set in English and piloting diferent infrastructure solutions to bring determine whether they will progress through school. down costs and enable a rapid scale-up. The ultimate With Worldreader, Camfed Tanzania is addressing goal is to provide bottom-of-the-pyramid families this issue by introducing e-reader technology at 25 a choice of afordable efective schooling, whilst partner secondary schools in Iringa, bringing support creating a financially sustainable and operationally in basic literacy, tailored learning resources, and scalable social enterprise. supplementary reading materials to 4,500 Form 1 students. Children are supported in using e-readers by trained Learner Guides drawn from Camfed’s alumnae volunteer network, who are recent graduates of the same education system. During their time as Learner Guides, the young women and girls also access business training and the opportunity to take an interest-free small business loan from microfinance partner Kiva.

8 Photo Credit: Ihunyo Nzogere, HDIF Christian Social Service Dageno Girls Center

Commission Partner(s) None Project Title Akiba Community Collaboratory Partner Studi Academy Region Arusha Project Title eLearning for Secondary Schools Period 36 months Region Mbeya, Morogoro, Tabora, Mwanza and Arusha Innovation Dageno Girls Center is a residential Period 24 months educational center in Karatu, Tanzania for adolescent girls in the surrounding villages who are at high risk Innovation CSSC is enhancing the performance of early marriage, teenage motherhood, HIV infection, of Secondary education in Tanzania through the and exploitative pathways in life. Dageno Girls Center’s introduction of Studi Academy’s e-learning platform. curriculum is grounded in girls-centered design The mobile platform is designed to be self-sustaining in thinking. The learning approach is collaborative 50 private schools associated with CSSC and a number and problem and project-based, where girls learn of public schools supported by CSSC partnerships to formulate questions and seek their own answers (such as British Council and Life Institute). The project using principles of design. prepares for a scale up and impacting large numbers of youth by closely collaborating with the Ministry With HDIF, Dageno is introducing a hands-on STEAM of Education and Vocational Training on content (science, technology, engineering, art, and math) compliance and contextualization. The primary makerspace for out-of-school girl youth to gain partner in this collaboration is Studi Academy—a start- practical experience with new technologies up private sector company providing the technology and innovative processes. Girls learn in a flexible, and business model. Teachers will be trained on the collaborative environment, making their learning platform and, where needed, both students and physical by applying science, technology, math, teachers will be provided with tablets. The teachers and creativity to design, experiment, invent, solve are expected to use the syllabus compliant e-learning problems, and build things. The Collaboratory aims to platform and will in turn guide students to use transform the idea of education from a rote means of the platform for individualized training and online getting a certificate, to a process of thinking and doing assessments through structured quizzes with three to earn income and solve community problems from levels of difficulty. The platform includes syllabus within, getting girls of the streets and into creating aligned videos in both English and Swahili, quizzes, jobs for themselves. and a number of class-management tools for the teacher to monitor class and individual performances. The platform tracks all activity of each student and the class to support timely, relevant instruction and encouragement. Photo Credit: Fredrik Rosman, Studi Academy 11 Digital Opportunity Trust Fundación Paraguaya

(DOT) Tanzania Partner(s) University of Minnesota | Mastercard Foundation Partner(s) Vocational Educational and Training Project Title Entrepreneurship and Innovation Authority (VETA) Business Clubs Project Title ICT, Entrepreneurship and Leadership Region Iringa Education to Youth Period 26 months Region Dar es Salaam and Morogoro Period 24 months Innovation Fundación Paraguaya is setting up 45 Business Clubs (BCs) in 30 government secondary Innovation DOT is integrating its two acclaimed schools in Iringa Region, a largely rural region programs that use a unique peer-to-peer, social with great unmet social needs for youth and jobs. learning model to embed change in schools and The project will ultimately serve 1,350 secondary communities. TeachUp! brings innovative use of school students from diferent religious and tribal technology, new learning methods and digital backgrounds (approximately about 50% girls) and skills content to the classroom and ReachUp! brings train 135 secondary school teachers as BCs mentors. digital skills, workforce skills and entrepreneurial This initiative will improve educational outcomes by: empowerment to out-of-school, out-of-work (1) enabling low-income youth to acquire knowledge, community youth. VETA and DOT are extending the competencies and attitudes necessary for employment role of three VETA centers and transform them into and/or entrepreneurship in the modern, competitive community learning hubs serving both students in economy, missing from secondary school curricula; the formal vocational education system, and out-of- (2) giving teachers “hands on” experience, using up- school youth in the surrounding communities. The to-date socio-constructivist teaching techniques that community-based component of the project serves they will then share with fellow teachers and apply in as a motivating gateway for disadvantaged youth to their classrooms; and (3) generating BCs income to appreciate the opportunities that vocational training reinvest in resource-strapped schools. ofers. Importantly, the technology platform connects youth from diferent segments of society, encourages The University of Minnesota will assist the team ensure collaboration and sharing of experiences, and builds efective design, learning, and iteration by carrying peer-to-peer self confidence—the “network efect.” out a robust M&E program. This programme builds The intent is to serve 600 VETA students, 120 VETA of initial successes supported through Mastercard trainers, and 1,600 out-of-school youth through this Foundation as part of its corporate social responsibility pilot. and passion for youth entrepreneurship.

12 Photo Credit: Veronica Kamwela, Digital Opportunity Trust (DOT) Tanzania Sense International East Shule Direct

Africa Partner(s) Eneza Education | Millicom International Cellular Partner(s) Sense International Tanzania Project Title Makini SMS Project Title Piloting an Innovative Approach to Region Countrywide Inclusive Education for Children with Period 24 months Deaf blindness in Tanzania Region Dar es Salaam and Kilimanjaro Innovation Shule Direct, a Tanzanian start-up Period 36 months social enterprise, provides an educational content repository that provides educational learning Innovation Sense International is helping children content for youth and teachers in secondary schools with deafblindness to acquire educational through web and mobile solutions. After a successful knowledge to ultimately get included in mainstream pilot of its web platform, www.shuledirect.co.tz, schools in Tanzania using the following innovative Shule Direct sought to leverage the growth of 2-step inclusive education model: 1) Children with mobile telecommunications. In partnership with deafblindness are prepared for school, through Eneza Education and Tigo Tanzania, Shule Direct is home-based education provided by parents and channeling its secondary education content through supported by mainstream teachers; 2) Children with a mobile learning and revision platform called “Makini deafblindness are included in mainstream classrooms, SMS.” The content from Shule Direct’s repository is with teaching assistants providing communications integrated with Eneza Education’s technical platforms support. In both steps Special Education Needs (SEN) and delivered via Tigo Tanzania. As a mobile-based teachers provide technical support and training to innovation, this project ofers secondary school teachers, teaching assistants and parents. students across Tanzania, access to quality education content based on the national syllabus, at anytime and anywhere. Tigo Tanzania is an early believer in Shule Direct, having provided early stage support through its CSR competition, Digital Change Makers, which is implemented in collaboration with Reach for Change.

Photo Credit: Iku Lazaro, Shule Direct 15 Ubongo World Vision Tanzania

Partner(s) None (WVT) Project Title Interactive Edu-Cartoons for School Readiness Partner(s) Tanzania National Parks (TANAPA) | Region Countrywide Ministry of Education, Science and Period 24 months Technology | Cisco | Intel | Vocational Education Training Authority Innovation Ubongo Media is a start-up social (VETA) | Microsoft | Small Industries enterprise in Dar es Salaam that creates interactive Development Organisation (SIDO) | edu-cartoons watched by over 5 million kids in East Ministry of Labor and Employment Africa. Following the success of their primary school Project Title Cycle of Transformation cartoon Ubongo Kids, HDIF has supported Ubongo to Region Arusha, Manyara, Kilimanjaro, Tanga, create “Akili and Me,” and multi-platform edutainment Dodoma, Morogoro and Dar es series that helps young children develop school salaam readiness skills through fun learning on TV and radio. Period 36 months “Akili and Me” is now broadcasting daily on Tanzanian national TV with up to 1.3 million households Innovation WVT has pioneered an innovative ICT- watching each day. Ubongo has developed and is based solution for youth education, leadership, rolling out complementary mLearning services for and digital employment initiative called “Cycle of both basic mobile phones and smart phones. These Transformation.” The Cycle of Transformation is made will allow caregivers to access anytime, anywhere possible through a unique cross-sector collaboration fun learning content for their children. With HDIF’s between WTA, TANAPA, MoEVT, TechnoBrain, support, Ubongo is also conducting rigorous research Team4Tech, and the WTA. A cycle is established by to assess the impact of watching “Akili and Me” on investing resources to train in-school and out-of- cognitive development and school readiness of 4-6 school youth in entrepreneurship and technology year olds in Tanzania. skills, who are then expected to establish school- based, student-run companies to produce marketable products needed by their community in the Arusha Region. These products are sold to customers to generate resources to train more students. The experienced youth become qualified as teachers in the next cycle. The cycle then repeats and grows. In the process, youth gain work-based learning skills in technology, marketing, accounting, and leadership.

16 Photo Credit: Ubongo Kids HEALTH

19 Photo Credit: Eyo Akpon, Voluntary Service Overseas Amref Health Africa Apopo Vzw

Partner(s) GlaxoSmithKline (GSK) | Vodafone Partner(s) Operation ASHA (OpASHA) | | Mezzanine | Ministry of Health, Mapambano ya Kifua Kikuu na Community Development, Gender, Ukimwi Temeke (MKUTA) | National Elderly and Children Tuberculosis and Leprosy Program Project Title mVacciNation - Boresha Chanjo (NTLP) | National Institute for Medical Region Geita and Shinyanga Research (NIMR) Period 24 months Project Title Towards a tuberculosis free Dar es Salaam with T3: Test, Treat, and Track Innovation Amref Health Africa and its partners will Region Dar es Salaam implement mVacciNation – Boresha Chanjo, a mobile Period 36 months health technology solution that will complement Tanzania’s MOHCDGEC Vaccine Inventory Innovation Annually 6,000 Tanzanians die due Management System (VIMS). Boresha Chanjo will to tuberculosis, more than 65,000 sufer from the provide immunization and stock related data from disease, only 50% of the most infectious patients are primary health care facilities that will complement detected, and many of those detected fail to complete immunization information services focused at regional treatment. To bridge these gaps, APOPO deploys giant and central level. The project aims to reduce morbidity African pouched rats to detect tuberculosis in human and mortality caused by vaccine preventable diseases sputum samples. Detection rats are 40 times faster in children by (a) improving surveillance (b) providing and up to 25% more sensitive than microscopy done visibility on stock levels (c) providing visibility on cold in public clinics. The dual implementation of better chain conditions. The project will be tested in the and faster diagnosis and digitized patient tracking Geita and Sinyanga Regions of Northern Tanzania. through OpASHA’s eCompliance technology could ultimately make a significant and trackable impact in overall tuberculosis burden in Dar es Salaam. Apopo is setting up a TB testing laboratory in Dar- es-salaam where samples will be tested and results communicated.

20 Photo Credit: Lily Shallom, Apopo Vzw Association of Private Comprehensive Health Facilities in Community Based Tanzania (APHFTA) Rehabilitation in Tanzania

Partner(s) None (CCBRT) Project Title Afya Microfinance Region Mbeya and Iringa Partner(s) Kabanga Mission Hospital Period 48 months Project Title Improving Health Management through an Integrated Management Innovation APHFTA is an umbrella organization System of private sector health care providers in Tanzania. Region Dar es Salaam Recently, APHFTA established a loan programme Period 24 months providing afordable-loans for the health sector in Tanzania. With HDIF support, APHFTA is formalizing Innovation CCBRT is a local organisation working and scaling the loan facility by establishing a in partnership with the Government of Tanzania to specialized microfinance institution called AFYA Micro usher the nation toward a future free of maternal Finance Company Limited (AMiF). AmiF is providing and newborn deaths and preventable disabilities. afordable-loans for the health sector in Mbeya, Rukwa, CCBRT is Tanzania’s largest provider of disability and and Iringa—with the purpose of improving quality rehabilitative care. In 2012 the hospital began using healthcare and health management systems. AMiF lean management strategies in order to provide a targets the lower end market, particularly, Accredited superior quality of service to patients at the lowest Drug Dispensing Outlets (ADDOs), pharmacies, possible cost. With HDIF’s support, CCBRT is refining dispensaries, small clinics, healthcare training centers its approach and moving to become a centre of etc. The loans range from TShs. 500,000 to TShs. 20 excellence in Lean Management and a coach for million and are designed for working capital (e.g., other health care providers in Tanzania. A model cell procurement of basic laboratory and maternal, approach has been adopted to demonstrate change newborn and child health (MNCH) equipment, and encourage learning within the hospital through increasing the stock level of basic commodities and focusing on the Eye Out Patient Department (OPD). As drugs, procurement of computers and other ICTs, and the unit with the highest volume of patients, it has the use of the procured equipment), investment (e.g., potential to benefit the most from improvements in financing renovation, new services, and expansion) efficiencies. The model is also being rolled out through and growth (e.g., financing expansion and upgrade). CCBRT’s partnership with Kabanga Mission Hospital in Kigoma Region and with training and support it is now undergoing its own lean transformation.

Photo Credit: Sala Lewis, Verve Photography Limited 23 Dimagi, INC Elizabeth Glaser Pediatric

Partner(s) FHI 360 | Association of Private Health Aids Foundation (EGPAF) Facilities in Tanzania (APHFTA) | Invention and Technological Ideas Partner(s) D-tree International | Nzega District Development Organization (ITIDO) | Council Smart Decision Project Title Improving mother-baby pair tracking Project Title mLabour: Mobile Technology for across the continuum of care through Improving Intrapartum Care the use of a mHealth application Region Countrywide Region Tabora Period 24 months Period 18 months

Innovation Dimagi aims to improve the quality Innovation An Android phone-based application of care delivered to women during labour and called the Moby (MOther baBY) App, developed delivery throughout Tanzania by providing a by EGPAF and D-Tree as a mother-baby pair health comprehensive, easy-to use, real-time, decision service provision and tracking tool, combines support digital tool, mLabour, that can reduce decision-support for health providers with the ability maternal, perinatal, and newborn mortality. Dimagi to create electronic patient records in the MNCH will work with a range of partners in Tanzania to scale setting in Tanzania hence addressing the challenge the tested tool to at least 5 organizations and the of lack of timely, accurate, and complete patient health facilities with which these organizations work. information that allows health providers to follow mothers and their infants along a continuum of care (CoC). The data aggregated by the App will produce a real-time, patient-level database with site-level reporting features that are linked to the national reporting system (DHIS2). The project will facilitate a transformative shift in the delivery of comprehensive maternal, newborn, and child health (MNCH) in Tanzania. Moby App will be rolled out to 53 facilities to achieve full coverage in Nzega district and expand the utility of the Moby App as a decision support tool between the health facilities and the district authorities.

24 Photo Credit: Sproxil Health Insurance Ifakara Health Institute Management Services (IHI) Organization (HIMSO) Partner(s) In2Care Partners(s) Centre International de Project Title Eave tubes/bricks Développement et de Recherche Region Morogoro and Dar es Salaam (CIDR) Period 24 months Project Title Innovative PPP to improve health emergency transport and referral Innovation IHI, a Tanzanian research institution, from the villages to and between the and In2Care BV, a Dutch social enterprise developing health facilities and scaling technologies for development, are Region Mbeya collaborating to commercialize research. The partners Period 30 months are scaling up a mosquito control technology (“Eave Tubes”) that was developed and field tested with Innovation Through its Innovative Public Private European Union funding in Kilombero, Tanzania. Eave Partnership (PPP) with HIMSO , CIDR will improve health Tubes are plastic pipes (‘tubes’) which are fitted in emergency transport and referral from the villages to walls underneath the roof of houses ‘eaves’. Mosquito and between the health facilities in 4 districts of Mbeya entry is prevented by insecticide-treated electrostatic region (Mbozi, Kyela, Busokelo and Rungwe) through netting fitted inside the tube. For modern buildings four innovation components: (i) Technological and in peri-urban areas the program has developed information management innovation through an the ‘eave brick’ that can be inserted in the space of emergency call and information platform; (ii) Product individual bricks. This mosquito control technology innovation; (iii) Institutional innovation through has the following advantages: (1) reduces indoor a co-managed Emergency Transport System; and mosquito densities by 85-90%; (2) the unique piece (iv) Financial innovation through resources from a of electrostatic netting kills 100% of the mosquitoes microinsurance emergency transport product, private contacting it even 7 months after treatment with companies and public funding. WHO-recommended insecticides; 3) kills even insecticide-resistant mosquitoes; 4) protects the entire household; and (5) uses very small amount of netting and insecticide per house, 95% less than a bed net making this a green and afordable approach. The vision is to accomplish a broad uptake of Eave Tubes/ Bricks in Tanzania and beyond to maximize impact on malaria transmission.

Photo Credit: Eyo Akpon, Voluntary Service Overseas 27 Ifakara Health Institute JHPIEGO (IHI) Partner(s) Massachusetts General Hospital Partner(s) Romotive, Inc. | University of Glasgow Project Title Every Second Matters for Mothers and Project Title Emergency aerial delivery of blood Babies – Uterine Balloon Tamponade and lifesaving medicines in rural Scale Up in Tanzania Tanzania: the Stork autonomous Region Kagera and Mara unmanned aerial delivery system Period 48 months Region Dodoma Period 36 months Innovation Massachusetts General Hospital has developed an efective Postpartum Hemorrhage Innovation The project intends to provide rapid aerial (PPH) tool, the Uterine Balloon Tamponade (UBT), delivery of life-saving emergency medical supplies. which has been efectively tested, researched, and The team will employ Stork, a proven autonomous rolled out in Kenya with positive results for mothers. Unmanned Aerial System, to make rapid, on-demand The partners are introducing the UBT package in aerial deliveries of Emergency Medical Products 150 health facilities in Mara and Kagera regions, including blood and urgent medicines to rural health with the goal of reducing the number of deaths due facilities, many of which are impossible or too costly to to uncontrolled PPH, a common cause of maternal reach using traditional means. Ground transportation mortality in Tanzania. The innovation also introduces in rural Tanzania is severely restricted with poor a PPH training curriculum that incorporates the World road infrastructure and washed out or impassable Health Organization and the International Federation roads due to flooding and environmental conditions. of Gynecology and Obstetrics standards for PPH Moreover, vehicles and manpower for delivering management, including the UBT. The ultra low-cost health supplies are extremely limited and cannot meet (less than $5) uterine balloon kit consists of a condom current demand or respond to emergency situations. tied to a Foley catheter and inflated with clean water Stork bypasses the need for ground transportation through a syringe and one-way valve. The project infrastructure altogether. The Stork system is the first involves key policymakers, e.g., Ministry of Health and system of its kind in Tanzania, and Romotive is the only Social Welfare, on the lessons learned related to the company in the world focused specifically on long- safety and efectiveness of the UBT rollout and scaling range emergency medical delivery in developing throughout Tanzania. countries.

28 Photo Credit: Aloys Ndamugoba, Voluntary Service Overseas Muhimbili University of PharmAccess International

Health and Allied Sciences Partner(s) Christian Social Service Commission (MUHAS) (CSSC) | Association of Private Health Facilities in Tanzania (APHFTA) | Private Partner(s) Ifakara Health Institute (IHI) | Nurses and Midwives Association Comprehensive Community Based (PRINMAT) Rehabilitation in Tanzania (CCBRT) | Project Title The Business of Quality in Health: A Deloitte Tanzania | Management and Sustainable Change to the Health Development for Health (MDH) Market in Tanzania through SafeCare Project Title Newborn Screening for Child Survival Quality Standards – Sickle Cell Disease Region Countrywide Region Dar es Salaam Period 36 months Period 36 months Innovation Recognizing that strong quality Innovation Building on existing MUHAS programmes improvement systems are essential for achieving related to sickle cell supported, in part, by the priority health outcomes, PAI developed the SafeCare Wellcome Trust, MUHAS is establishing a population standards and Stepwise quality improvement based new-born screening (NBS) program to identify methodology in a formal partnership between children at birth with Sickle Cell Disease (SCD) and PAI, the Council of Health Service Accreditation of other non-communicable diseases (NCDs). The main Southern Africa (COHSASA), and the Joint Commission elements to the program are: (1) awareness raising International (JCI). HDIF is supporting PAI and its and health education on SCD and NBS with focus private sector collaborators CSSC, PRINMAT and on pregnant women; (2) NBS for SCD to 100,000 APHFTA to scale up SafeCare, the only methodology babies; (3) comprehensive care for children under 5 in Tanzania with standards for basic healthcare with strengthening of education and training on SCD facilities at the bottom of the pyramid ranging from and NBS for health workers; and (4) strengthening village health posts, to dispensaries, health centers health systems and policy development for NBS. The and district hospitals. The standards of SafeCare program is being implemented in Dar es Salaam in enable the healthcare providers facilities to measure collaboration with Amana Hospital, Temeke Hospital, and improve the quality, safety and efficiency of their Mwananyamala Hospital, and Muhimbili National services that will lead to accreditation. PharmAccess Hospital. have also included an additional Maternal, Newborn and Child Health (MNCH) service delivery component, building on the HDIF supported clinic network that will be quality improved and evaluated through SafeCare and receive business training and loans through the Medical Credit Fund. Photo Credit: Karijn Kakebeeke, PharmAccess International 31 Pyramid Pharma Shirati KMT Hospital

Partner(s) None Partner(s) Bruyère Research Institute; AMREF Project Title DawaPlus Health Africa (AMREF) | Canadian Region Njombe, Mbeya, Shinyanga, Kagera Physicians for Aid and Relief (CPAR) and Morogoro | Medic Mobile and Relief (CPAR); Period 24 months Medic Mobile Project Title DawaPlus Innovation Pyramid Pharma is a commercial Region Njombe, Mbeya, Shinyanga, Kagera enterprise with over 14 years of experience importing and Morogoro and distributing high quality pharmaceuticals, medical Period 30 months equipment, and laboratory equipment. With HDIF, Pyramid Pharma is introducing DawaPlus, a national Innovation Shirati Hospital and its partners Bruyère franchise chain of Accredited Drug Dispensing Outlets Research Institute, AMREF, and CPAR are increasing (ADDOs), that is transforming access to essential maternal and child survival in Tanzania by packaging medicines in Tanzania and how entrepreneurs across key ANC tools into an integrated programme model. Tanzania participate in the healthcare sector. DawaPlus Components of the innovative integrated package is Tanzania’s first vertically integrated pharmaceutical include training traditional birth attendants and supply chain that integrates import, wholesale, and dispensary nurses with knowledge and skills to retail functions. The economies of scale and scope provide safe pregnancy education to pregnant achieved through the DawaPlus network overcomes women, and distributing Clean Delivery Kits that current inefficiencies in the pharmaceutical value include with misoprostol. The innovative combined chain, thus providing superior access to afordable, programme further improves the role of these health high-quality medicines in Tanzania. workers by introducing Medic Mobile’s mobile health (mHealth) platform that creates a scalable system that: (1) improves registrations and collects data about the delivery experiences of expectant mothers; (2) monitors and coordinates the treatments provided to women and the outcomes of these treatments while ensuring that all health workers have sufficient supplies; and (3) provides a management and analysis system generating evidence-based data for information and results tracking.

32 Photo Credit: Eyo Akpon, Voluntary Service Overseas Sproxil Voluntary Service Overseas (VSO) Partner(s) None Project Title Mobile Product Authentication (MPA) Partner(s) GE Healthcare | Ifakara Health Institute Region Countrywide (IHI) | Push Mobile Period 36 months Project Title ACT! Accelerated Care and Treatment for Mothers and Neonates in Tanzania Innovation Sproxil, a US headquartered social Region Lindi and Mtwara enterprise, uses mobile technology to combat Period 36 months counterfeiting and increase brand equity with innovative, consumer-focused product protection Innovation VSO is scaling up an innovative program and targeted marketing solutions. Already rolled out that accelerates the reduction of maternal and in other countries such as Nigeria and Kenya, Sproxil neonatal deaths in Tanzania. Leveraging on VSO’s has developed a Mobile Product Authentication experience piloting and its extensive technical (MPA) service that safeguards consumers by giving volunteer network, the main elements to the them the tools to diferentiate between fake and program are: (1) scale up screening and referral of genuine products through the use of any mobile at risk neonates through the use of Newborn Triage phone. Before purchasing a product, the consumers Checklist (NTC) to assess neonates during their first scratch a label to reveal a unique, one-time use code. 48 hours and make speedy referrals if needed;(2) They then SMS text the code to a secure number establishing low cost Neonatal Intensive Care Units provided on the product package. Within seconds, (NICUs) at regional and district hospitals for care and Sproxil notifies the end user, via SMS, of the result. management of at risk neonates; (3) in collaboration This innovation is especially relevant in sub-Saharan with GE health care and IHI, integrating early screening markets like Tanzania, where it is estimated that one- of at risk pregnancies through the use of the portable third of malaria medicines are fake. V-scans (ultra-portable ultrasound device) to support management of emergency obstetrics care through a private sector collaboration with GE Healthcare; and (4) leveraging an SMS platform (mHealth) to remind pregnant women of their Antenatal Care (ANC) visits or appointments and to screen neonates during the first 28 days with a simple checklist for mothers.

Photo Credit: Vera Urassa, MUHAS 35 Totohealth Tanzania Vecna Cares Charitable Limited Trust

Partner(s) Totohealth Company Limited Partner(s) Mnazi Mmoja Hospital | Ministry of Project Title Improving maternal, newborn and Health Zanzibar child health through SMS-based Project Title Electronic medical Records System for health education, Clean Delivery Kits Mnazi Mmoja Hospital and Newborn Maternity Packs Region Zanzibar Region Kilimanjaro and Arusha Period 30 months Period 30 months Innovation In partnership with Mnazi Mmoja Hospital Innovation Totohealth aims to contribute towards and The Zanzibar Ministry of Health, Vecna Cares will reaching Tanzania’s vision of ending preventable customize and deploy the CliniPAK, a streamlined maternal and child deaths by 2035. They use a patient registration, intake, discharge and reporting comprehensive and interactive package of life saving Electronic Health Records system at Manzi Mmoja products to help reduce maternal and child morbidity Hospital. The main aim of this is to enable point of care and mortality, including early detection of disabilities data collection as well as streamlined reporting and and developmental abnormalities in children under 5 data sharing to improve access to care for patients years. Their multi-component intervention includes: and set a basis for data based decision-making. The Maternal Newborn Child Health (MNCH) information project also hopes to begin the process of creating and education (using SMS) and life saving products a longitudinal health record for each patient seen at (at delivery and forhome-use) for mother and baby. Mnazi Mmoja for better quality of care and to improve Totohealth has created a proven solution in Kenya health outcomes. Further, this project will also with just over a year of successful roll-out and is now leverage on CliniPAK’s unique interoperability features ready to push these successful solutions in Tanzania. to find innovative ways to allow patients to access to their own patient information via their mobile phone.

36 Photo Credit: Eyo Akpon, Voluntary Service Overseas WASH

Photo Credit: Geofrey Kayega, MSABI 39 Bremen Overseas Research Catholic Relief Services Development Association Partner(s) Grundfos | Diocese of Mbulu (BORDA) Development Department Project Title Remittance Recovery in Water Partner(s) Ifakara Health Institute (IHI) Region Manyara Project Title ‘DEWATS for Dar’: A pioneering Period 30 months community latrine emptying and Decentralized Wastewater Treatment Innovation CRS and its local partner, the Diocese Solution (DEWATS) for Dar es Salaam’s of Mbulu Development Department, have joined un-served urban communities with pioneering water technology firm, Grundfos, Region Dar es Salaam in a cross-sector partnership to introduce Grundfos’ Period 36 months LIFELINK solution for sustainable water supply in peri-urban communities in Karatu District. Grundfos Innovation The DEWATS for Dar product innovation LIFELINK is a water dispenser that is attached to a seeks to empower local entrepreneurs by providing water point that regulates when water is distributed. start-up loans, technology transfer and infrastructure The dispenser operates in conjunction with the to solve community sanitation challenges in a monitoring system to support technical and financial financially sustainable way in Dar es Salaam. The reporting of water service operations and overcomes model uses locally manufactured latrine emptying revenue mismanagement by transacting all payments tools, simple transportation, a decentralized sludge through mobile money and SmartCards, thereby treatment/transfer site and tools to provide accessible establishing a clear paper trail. CRS is strengthening pro-poor latrine emptying services building on a the Grundfos LIFELINK technology and leveraging already existing business model currently operating the data that the system generates by providing in Kigamboni. In successfully scaling-up the model, comprehensive capacity building support services for ‘DEWATS for Dar intends to create direct health, social, water system administration, financial management, environmental and economic benefits for 54,000 and water governance. CRS is also facilitating stronger to 90,0000 beneficiaries in challenging unserved relationships between neighboring Community communities and to improve overall sanitation Owned Water Supply Organizations (COWSOs), and mitigate risks of water born illness and death, Grundfos LIFELINK, and the district water and especially amongst women and children. sanitation team to contribute to sustainable services and scale-up.

40 Photo Credit: Geofrey Kayega, MSABI Investing in Children and Maji Safi kwa Afya Bora their Societies (ICS) Ifakara (MSABI) Partner(s) Susteq Partner(s) WellDone International | Visible Project Title Prepaid Solutions for Sustainable Solutions Water Services Project Title Water Point Program and Pump for Region Shinyanga Life Period 27 months Region Morogoro Period 24 months Innovation Susteq is a Dutch start-up social enterprise that has developed a system that enables Innovation MSABI, a Tanzanian NGO focusing on a water suppliers to sell water credits to licensed the convergence of entrepreneurship and water, water credit sales points, which can be any shop is validating and scaling regionally a subscription- keeper with a mobile phone. The shop keeper pays based system for water point maintenance, branded the water supplier (here, ICS) through mobile phone Pump for Life. The system consists of maintenance transfers, before water credits can be downloaded. and repair services in exchange for a monthly or Once downloaded, water credits can be sold to the annual subscription premium. An Information consumers. First, people buy a prepaid, reusable card. and Communication Technology (ICT) water point With a special device the shop keeper transfers credits surveillance-response system is used to monitor to the prepaid cards. With these cards people go to distribution and functionality of water points, the prepaid water points and fetch water. By means subscription premium payments, and track spare part of this automated payment system, members check usage and water point history. In addition, MSABI their account online and receive a monthly update is partnering with WellDone to test and validate through a text message on their mobile phone. All their innovative low-cost Mobile Monitor (MoMo) credit and water transactions are followed online that technology that provides near-real-time visibility of facilitates quick action in case of leakages or illegal water point functionality, utilizing a similar automated connections. SMS delivery mechanism. Through this cross-sector collaboration, the innovations are being linked into the ICT water point surveillance-response system being developed by Visible Solutions to provide a simple and largely self-reporting water point management tool for Tanzania.

Photo Credit: Geofrey Kayega, MSABI 43 Nelson Mandela African SimGas Tanzania Institute of Science and Partner None Technology Project Title Bio-Sanitation Systems for Schools Region Kilimanjaro, Arusha, Tanga and Dar es Partner(s) Gongali Model Company Limited | Salaam A-Z Textiles Mills Limited Period 36 months Project Title Adoption of low-cost sustainable water filters (Nanofilter) for purifying Innovation SimGas is a social enterprise ofering drinking water at Point of Use (PoU) afordable, high-quality biogas systems for household for under- served community in use. With HDIF, SimGas is adapting its existing modular Arusha region biogas technologies to realize a safe and afordable Region Arusha solution for human feces disposal and production of Period 36 months clean biogas at primary and secondary schools. Field trials are being conducted in 3 schools with proof of Innovation This Project aims to impact 100,000 concept to initially 27 more secondary schools. Bio- under-served people living in the Arusha region over a sanitation system organic waste is used to produce 3 years period through the adoption of an innovative valuable goods like biogas and fertilizer, which are low-cost sustainable water filter. The filter selectively resources that remain unused with current systems. removes any water contaminant (bacteria, chemical- With testing and fine-tuning the bio-sanitation system contaminants, turbidity, organic-matter) and (with SimGas biogas digester parts), a strategy is being produces 10 liters/hour of clean and safe water. The developed on how to upscale the innovation. The filter is locally manufactured and will be customized strategy focuses on innovative management systems to local needs. It reduces waterborne diseases and whereby the business model generates incentives for dental fluorosis by increasing access to safe and proper operation and maintenance of the installation. clean water. The targeted people will be reached Knock-on benefits of SimGas’ introduction to schools through establishment of 1,000 water stations to be include potential long-term cost savings, alternative operated by local entrepreneurs who will sell water to revenue sources for schools, and direct training of community members at an afordable price. youth in the science and business of biogas.

44 Photo Credit: Georgina Goodwin, Freelance Journalist SNV Tanzania Southern Highlands Participatory Organisation Partner(s) University of Dar es Salaam | University of Twente | Geeks Without Bounds (SHIPO) Project Title Revolutionizing the information Partner(s) Basic Water Needs (BWN) infrastructure of public services Project Title Carbon credits for low-cost water Region Iringa, Mara, Morogoro and Njombe filter businesses in Tanzania Period 24 months Region Njombe, Mbeya, Iringa, Morogoro Period 36 months Innovation SNV in collaboration with University of Dar-es-salaam (UDSM), the University of Twente (UT) Innovation SHIPO and its partner BWN, aim to and Geek Without Bounds (GWOB) is revolutionizing increase sustainable access to safe drinking water the information infrastructure of public water services in Tanzania. To do this they have developed a new in Tanzania, through two parallel tracks. First, it model to scale up the use of Household Water improves the ICT by which real time reports on the Treatment and Safe storage (HWTS) products. This functionality of public Rural Water Supply (RWS) can model combines efective, attractive and afordable be collected, disseminated, analysed, and visualised water filters with awareness and a sustainable supply at diferent stakeholder levels. Second, the innovation chain for filters and spares which will continue after facilitates behavior change among relevant the project period. This model is based on experiences stakeholders in RWS to ensure responsiveness to and from a pilot project in the Kagera Region in Tanzania, demands for functionality of water services. This is in which carbon credits are claimed for every filter undertaken through tailored capacity development sold by trained, local entrepreneurs. The scale up with a focus on the full cycle of information of this profit model and the sustainable access to exchange at all institutional levels of public water Household Water Treatment and Safe Storage (HWTS) supply—including data collection, communication, solutions will result in a combination of awareness on visualisation, and understanding—and form demands the benefits of water treatment, the scaling up of a for new data collection. The overall goal is to reduce proven efective, attractive low cost water filter, and the down time taken in response to operation and the creation of a commercial viable supply chain. It is maintenance of water systems and hence increase anticipated that HWTS, specifically ceramic filters, in access of safe water to communities. combination with awareness raising campaigns can lower waterborne diseases by as much as 50%.

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