MKAJI Programme

Water supplies in the Dodoma region of Tanzania are either malfunctioning or non-existent. This poses a great health problem, especially at primary health care level, where the majority (almost 70%) of the population seeks healthcare services.

Out of the 342 primary health facilities in Dodoma, half have no water at all, only a third have access to tap water, and everyone else has access to water via boreholes with varying quality levels. Sanitation and hygiene levels remain low due to limited access to clean water and lack of adequate sanitation facilities. Operation and maintenance of water supply structures is neglected. Water sources are only fully functional for a short period of time after construction or rehabilitation. This situation has a drastically effect on the quality of life of Dodoma’s 2.16 million inhabitants .

continue to objectives

Overall objective

Improve access to water and hygiene promotion in 100 selected public primary health care facilities in the Dodoma region’s 7 districts.

Specific objectives

  1. Improve access to water in 100 selected public primary health facilities in 7 districts of the Dodoma region;
  2. Strengthen the governance and community participation in water management at public primary health facilities;
  3. Promote hygiene measures and practices at public primary health facilities;
  4. Integrate gender and social accountability aspects in the implementation process.
continue to approach

After receiving a request from regional authorities in Tanzania, the Swiss Agency for Development and Cooperation (SDC), Simavi, Witteveen+Bos and three Tanzanian partners (CBHCC, PATUTA and UFUNDIKO), implemented the MKAJI programme to upgrade water supply and sanitation systems in 100 primary health facilities in the Dodoma region. Maj kwa Afya ya Jamii (MKAJI) is Swahili for  ‘Water for Community Health’.

This intervention will considerably reduce the potential risk of outbreak of communicable diseases and infections during routine patient care and treatment, and improve maternal health care and service delivery.

MKAJI Consortium

The consortium made a costing of standard solutions (such as connections to existing networks; boreholes, water tanks, surface water) for all health facilities without water, including upgrading sanitation systems. It has been agreed that SDC will complement local investment and cover between 18-22 primary health facilities per year for the 7 districts. By the end of this phase, 100 health facilities will have been improved. Water management and hygiene promotion in and with communities will complement hardware investments. The FIETS principles will be implemented to ensure sustainable change.

Simavi’s activities

Simavi will work on establishing management structures and the promotion of hygienic practices by medical staff and patients. Activities will include (but are not limited to):

  • Organising construction and rehabilitation of WASH facility hardware at selected primary health facilities in batches;
  • Community meetings to map current water governance structures;
  • Training staff members at the targeted health facilities on operation & maintenance, management of water facilities and business models;
  • Selecting and training community health volunteers for community health trainings;
  • Organising social accountability events and advocacy activities with policymakers at different levels.
continue to result

During 2016 the MKAJI programme improved WASH facilities at health facilities, improved knowledge of hygiene issues among their staff and the surrounding communities and strengthened the governance of and community participation in water management at these public primary health facilities.

# staff members from health facilities that have been trained on hygiene measures and protocols for equipment, personal hygiene and hygiene in the building and premises (target 2016: 84, realisation: 51)
# staff members from health facilities that have been trained on water governance (target 2016: 280, realisation 2016: 137)
# health facilities provided with an adequate, sustainable and safe water supply facility (target: 28, realisation: 23)

Read more here.

Situation Approach Result

Programme information

  • Simavi Budget

    € 7,916,168

  • Overal Budget

    € 7,916,168

  • 6 years

  • Location

    Tanzania: Dodoma region

  • Target groups

    The target audience is a mix of: inpatients and outpatients at the health facilities; staff at the health facilities, plus a selected 500 community health workers and traditional birth attendants; community members, with a special focus on women; community health workers (volunteers); village health workers (paid); local government authorities.

  • Alliance partners


  • Implementing partners


  • Donors

    Swiss Agency for Development and Cooperation (SDC).

  • Role of Simavi

    The project will be managed and implemented by Simavi. Local Simavi office in Tanzania will manage 90%.

Further reading

Do you want to know more about the MKAJI programme?

Please contact our colleague Thea Bongertman.
+255 (0)26 235 13 24

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