PROJECT PROPOSAL FO R CONSTRUCTING A HEALT H CENTRE

lack of health center in Buswelu are a as the main problem. These
64 people are 59.3% of total number of community people who were approached to identify their problem. This implies that lack of health services is main problem in this community.

The solution was also obtained i.e. building of health centre in Buswelu Community . Thus according to the results, lack of health centre is the main problem in this community also the results showed that
47 96.3% community people are ready to contribute in kind, labour and finance which is a good sign.

Within the Buswelu Ward there is a large population of 25,608 people that at present time do not have access to health services in their locality.

Only one government clinic located near this area but it does not address all the needs for health services which are the rights of Buswelu community .

 In order to access these services the community people have to travel more than 1 0 km. The roads in this area are not well passable thus during the night it is difficult to find transport to access mother and child
health services. As a result many expecting women deliver at home without been attended by health personnel. This causes a high incidence of maternal/child mortality, malaria, diarrhea, cholera and HIV/AIDS which are the common diseases hampering development in this community.

Total population of 25,608 from Buswelu , of which 10,88 2 are males and 10,726 are females, and 53,794 people from the neighbourhood Buswelu, of which 27,493 are males and 26,301, are females, (this was once one ward only) will be the beneficiaries of the health center project.

 The populations in these wards are of low income or no income at all, whereby majority of people fall under urban poverty group.

Project Management
This project will be managed by different stakeholder s i.e . project committee from MDECO, (Municipal Medical Officer of health, council Health Management which are responsible for coordinating and supervising all health service s in the Ilemela municipality) and Ministry of Health which will provide manpower to run this health center as follows:
CLINICAL CADRE NURSING CADRE PHARMACY PARAMEDICAL
Assistant Medical officer- 1
Clinical officers - 4
Registered Nurse Midwife- 2
Public Health Nurse B- 2
M C H Aide s -2
Pharmaceutical
Assistant 1
Trained Laboratory- 1
Medical attendant -2

The project involves the construction of health center which will remove the barrier to access health services in Buswelu Community and hence the reduced high incidence of child/maternal mortality, malaria, cholera, diarrhea, HIV/AIDS, and malnutrition. Health center will provide health services which will improve the health and development of the community people, most importantly, women and children which are the most vulnerable group to access health services.

Provision of medical care during pregnancy, at delivery and under 5 five year children is essential for the survival of both the mother and their infants/children.
The health center will focus on the aspect of Primary Health Care will involve the following programs:
1:Health education about common health problems and what can be done to prevent and control them.
Education concerning prevailing health problems and methods of preventing and controlling them will be promoted.
Health education is an integral part of community involvement in Primary Health Care.
The health of an individual, family and the community at a large is dependent on such factors as environment, social cultural traditions and life style .

The individual and community are in a position to change the
environment and his/her behavior to the betterment of the health status of the community. Health education will be provided by the variety of methods including: mass media, and the continuous development an d dissemination of health education materials and through dialogues with community.
2: Maternal and child health care, including family planning and normal
deliveries Women of child bearing age are the prime targets for the health care delivery.
Maternal health will be given a top priority in this project. Through mothers children are reached and consequently their health situation will also be improved. Maternal health care is a key element in health delivery; it is an integrated curative , promotion and prevention services which reduces deaths, diseases an d disabilities among children and women of
child bearing age. This project will provide comprehensive health education for mothers.
It will provide opportunities for family planning to men and women, will provide care for women before, during and after delivery.
3:Promotion of proper nutrition Adequate intake of nutritious food is essential for the promotion and maintenance of physical and mental health. A good nutritional state will enable individuals and families
to lead social and economical productive health. This program will launch activities which promote an d support household food security.

The availability of adequate food in quality and quantity among vulnerable groups; children, pregnant women and breast feeding mothers will be promoted. Proper feeding practice (breast feeding and weaning
 habits) in infants and young children will be encouraged. Nutritional diseases should be prevented o r detected an d treated early.
4: Provision of Immunization against major infectious diseases
Through immunization services, majority of children will be protected against measles ,whooping cough, polio, TB, diphtheria and tetanus. This program will sensitize mothers, community the importance o f childhood immunizations and solicit their active support .
5: Prevention and control of locality endemic diseases; and appropriate
treatment for common diseases and injuries Communicable diseases are the most common disease in Buswelu community ,thus major efforts mus t be directed towards prevention and adequate treatment of these
diseases. Special program will be formulated to control against such diseases as malaria, diarrhea, TB, ST I and HIV/AIDS. This will reduce mortality and disability caused by these diseases.

a. Health center constructed and in operation in Buswelu Community .
b. Barriers to access health services are reduced
c. Different health services provided to Buswelu Community
d. Provided voluntary counseling and test services in the Community
e. Improved the quality of life in Buswelu Community

The overall objective is to provide and access health services within their locality

• T o construct one health center for the population of Buswelu
Community in Buswelu by 2025
 
• T o reduce the barrier of accessing health services by 85% by 2025
• T o provide improved health services to Buswelu Community by 2025
• T o provide voluntary counseling and test services in the Buswelu
Community by 2025
• T o improve the quality of life in Buswelu Community

a. Health center constructed and in operation in Buswelu Community .
b. Barriers to access health services are reduced
c. Different health services provided to Buswelu Community
d. Provided voluntary counseling and test services in the Community
e.
Improved the quality of life in Buswelu Community

Education concerning prevailing health problems and methods o f preventing and controlling them will be promoted. Health education is an integral part of community involvement in Primary Health Care. The health of an individual, family an d the community at a large is dependent on such factors a s environment, social cultural traditions and life style . The individual and community are in a position to change the environment and his/her behavior to the betterment of the health status of the community. Health education will be provided by the variety of methods including mass media, and the continuous development an d dissemination of health education materials
and through dialogues with community.

Research design
In order to conduct needs assessment the Researcher conducted a survey in Buswelu community in order to identify key problems facing this people. In May 2022 data was collected through distribution of structured

questionnaires, observation and face to face interview to the leaders and sampled respondents in Buswelu. The information was to complement the information the Researcher had already collected
from available literature and other sources within BDECO and government offices in the project area .
Through reviewing BDECO documents , the profile of Buswelu was
established and small sample size of 120 respondents was randomly selected from the population of 10,673 to represent the entire community. Out of 120 respondents, 5 6 i.e. 51.9% were women and 52 i.e. 48.1% were men. Data analysis was through descriptive
statistics: Data was edited, coded, tabulated and analyzed using SPSS program, frequencies were done to determine variable s mostly identified as the main problem in the community. 
1: Research Approach and strategy.
From June 2022 a research/survey through structure d questionnaires , face

 to face interview and observations was conducted . Structured questionnaire  were dropped in Buswelu in order to obtain some important information that will lead the assessment o f the community need s and prioritization and hence coming up with
appropriate intervention s to address their problem . The research team consisted of  persons including 4 leaders and the author who was a principle researcher.
2: Sampling Techniques
Probability sampling also known as random sampling was used, whereby every item of the universe has a equal chance o f conclusion n i n the sample .

Thus 120 people were selected randomly in the community population of 10,67 3 adult women and men.

120 people as a sample size was chose n due  o resource constrain t i.e . finance constraint , otherwise the big sample size could have been chosen.
3: Data Collection Methods
This research was recognized as a social study, which employs social science approach/ strategy to get access to useful data an d information.

The approach which was used in data collection was that which i s usually used in social survey , histories or archives.
Qualitative and quantitative methods of data collection were employed to get useful data for this study from both Primary and Secondary data sources;
(i) Primary data were obtained from Buswelu Community through
survey by using a structured questionnaire, interviews and observations.
(ii) Secondary data. Under this source , information relevant to the research
was mainly gathered from BDECO records (offices ) an d outside the
research are a such as fro m Tanzania Be aural of statistics , Ilemela in
Municipal Medical Services and Tanzania Ministry of Health.
The four main method s were employed , namely ; documentary sources , interviews, questionnaires and observation.

Education Development Foundation staff is the who collect data

Participation approaches are now widely used and accepted in the community development process a s the appropriate way of empowering people.

 In Tanzania participatory approaches have been used for identifying needs, planning, implementing and evaluating different programs .

Community based health services and initiatives.
Rene Loewenson: (2000) Participation of communities, of both organized and
unorganized public groups, is widely argued to be an important factor in improving health outcomes and the performance of health systems.

 Despite this, and the common inclusion of 'participation' as both means and ends in health policy, participation is poorly operationalised, both in governance an d accountability in health and in technical
health interventions, so that there is little systematic analysis of its specific contribution to health and health systems outcomes.

 The term 'participation' has been loaded with many meanings and aspirations. To some it implies a mechanism for increasing the efficiency or reducing the costs of programme implementation, improving sustainability
of programmes and building local skills and experience useful for future interventions .
This form of participation is a means to other development 'ends' , a way in which goals and objectives may be better achieved. Participation is however also conceived of as an end in itself, building networks of solidarity and confidence in social groups, building institutional capacity, empowering people to understand an d influence the decisions which affect their lives, legitimizing policy and practice, ensuring that they relate more
closely to perceived public need and strengthening the incorporation of local knowledge.
The term 'community', as a social grouping with common characteristics, interests or identity equally needs to be unbounded to identify the interests or features that create that collective identity, and to recognize the conflicts or divisions that exist within groups.
The manner in which participation is expressed is an important dimension of how a society conceives and practices democracy. It reflects the extent to which democracy extends to and beyond representative democracy , or the delegation of power through the election of representatives, to the systems of 'participatory democracy' that society uses to direct or control the exercise of power, establish accountability, communicate views
and interests an d contribute towards development between elections.
 

Education Development Foundation discovering that there are alot of problems to contribution to the marginalization,these groups require special attention,helps vulnerable,marginalized,voiceless,underprivileged or disadvantaged groups shall include children deprived of education and health,street children,Rights of persons with disabilities,child rights,food rights(WTOTRIPS) Vulnerable groups,violence of girls and for providing education and health services.

Tanzania, like many countries of the developing world, is faced with the challenge of providing adequate health services to all her people. However, 

EDF is dedicated to helping vulnerable children, youth, women and people with disabilities by giving them the means to live a better life this will be achieved by establishing different programs and activities which inspire action over the 2030 gender for sustainable development.

The grants are not provided from any organization rather than contributions from members of organization which helped to build.Through sustained donations and grants,Special events,Membership fees

Education Development Foundation we plan to achieve financial sustainability through Government support,International organization and fees from member group.