1.
Fracarita International
2.
Brothers of Charity
3.
Structure of Fracarita Tanzania
4.
Mental Health Situation in Tanzania
5.
Fracarita Tanzania: Our projects in Kigoma
6.
Fracarita Tanzania: Problems
7.
Fracarita Tanzania: Solution - Outreach
8.
Fracarita Tanzania: Conclusion

Not for profit organization of the Congregation of the Brothers of
Charity
Support its services in Latin America, Africa and Asia
Focus on mental health care, care for people with a disability and education
Attention to capacity building, coaching, exchange of knowledge and expertise, international fundraising and influencing policymakers
Works through regional offices, e.g. Fracarita Tanzania
Has a consultative status to the UN
Open to collaboration with other groups to achieve their objectives

Founded 200 years ago in Ghent, Belgium
Started in 1911 with their first mission work in Congo
Now active in 32 countries worldwide
Focus on mental health care, care for people with a disability and education
Pioneers in mental health care in the developing countries.
Evolved from a missionary organization to a worldwide multinational and multicultural organization based on subsidiarity

Brothers of Charity – Tanzania
Trustees Board
Fracarita Tanzania Foundation –
Country Coordinator (Kigoma)
Fracarita Tanzania Foundation – Assistant
Country Coordinator (Dar Es Salaam)
Mental Health Education
Youth Centers &
Orphanage and
Street Centers
1 . Marumba Rehabilitation
Center
2. Kasaka Psychiatric Centr e
1. Kihinga High School
2. Newman Institute of
Social Worker
3. Ahadi Institute Kigoma
Care for people with disabilities
1. Maendeleo Youth
Center
2. MWOCACHI Orphanage
Center
3. Sanganigwa B Street
Children Center
1. Bangwe Sheltered
Home Centre – Kigoma
2. Rumonge Deaf
Cooperative – Kigoma

2,5 million people in Tanzania are suffering from mental illness
20% of them have access to mental health services
900 psychiatric beds in the country
1 governmental mental health hospital in Dodoma with 600 beds
1 mission mental health clinic of the Evangelical Lutheran church of Tanzania with 100 beds (in Korogwe District)
In Dar Es Salaam: Muhimbili University Hospital with mental health care
Arusha Mental Health Trust (AMHT)
0,04 psychiatrist/100.000 inhabitants vs. USA: 10,9 psychiatrist/100.000 inhabitants
0,007 psychologist/100.000 inhabitants vs. USA: 33,9 psychologist/100.000 inhabitants

There is a growing recognition that mental health is a crucial public health and development issue in Africa.
There is an emerging evidence from low and middle-income countries that mental ill-health is strongly associated with poverty and social deprivation
People with mental disability may be impoverished by increased health expenditure, loss of employment, reduced productivity and exclusionary impact of stigma
People who live in poverty are often isolated, disempowered, helpless, hopeless which can lead to chronic insecurity and social mistrust, affecting people’s mental well being.
=> Vicious circle of mental ill health and poverty
Eradicate extreme hunger and poverty is M.D.G 1 and now S.D.G. 1: End
Poverty in all its form everywhere

Maendeleo Youth Centre
Smalls scale, but accessible initiative for vulnerable children and adolescents
(street children, traumatized children…)
Live together in a community
The patients are treated as a individual and encourage to develop a sense of responsibility
Contributing to social aspect of life: education, development, culture and sports

Bangwe
Sheltered home for elementary care for mentally disabled children
Through activities focus on their social rehabilitation
Integration into society by the presence of other children or even elderly people
Have a special class room of them nearby primary school

Kasaka Mental Health care
Offers ambulatory mental health care
Target group is chronic and acute mental ill people
Capacity of 20 beds
Only initiative for acute intake in Kigoma Region

STATISTICS OF CONSULTATION FOR KASAKA
Indices 2012 2013 2014
Number of consultation 901 5092 4796
Number of hospitalization 32 168 155
STAFF FOR KASAKA MENTAL HEALTH HOSPITAL
FUNCTION
DIRECTOR
DOCTORS
Nurse officer
Nurses A3
Laboratorian
Driver
Cook
Cleaner
Watch man
Social work
1
2
2
3
2
1
2
2
NUMBER
1
1 psychologist 1

St. Dymphna psychiatric center Marumba
Offers adapted therapy and medication
Target group: acute and chronic psychiatric patients
Possibility to participate in therapeutic agricultural activities
Sometimes treatments for people with epilepsy
Guidance for cannabis addicts and reintegration into society

STATISTICS OF CONSULTATION FOR MARUMBA HEALTH CENTER
2013 2014 Indices 2010 2011 2012
Number of consultation
Number of hospitalization
3055
156
3120
147
2955
121
2323
93
2491
112
STAFF FOR MARUMBA HEALTH CENTER
Function
Pharmacy
Clinical officer
Nurse attendant
Social worker
Cook
Technical
Farmer
Cleaner
Agriculture
Driver
Director
5
1
1
1
1
1
1
2
1
3
NUMBER
2

A FASCINATING STORY
A patient present in the compound of St
Dymphna in Marumba since 2006.
She was not talking for weeks and after treatment she could say her name and origin.
We concluded that she was coming from the
Burundian refugee camp.
For 9 years now we have never seen any family members, but thanks to our treatment she’s always keep laughing and smiling.
Mrs. Ilambona is a daughter of the center. Can we say that she has seen the sun shinning in her life!

Since 1998 the Brothers of Charity developed Mental health care in Kigoma Region and developed 5 strategies in organizing mental health care programs:
Changing the general mentality with regard to psychiatric illness and psychiatric patients (breaking the chains, removal of stigma,…)
Integrating the care of psychiatric patients in the general health care programs (e.g. advocacy at governmental level)
Developing adapted therapy, cure and care for different types of mental diseases and on several levels
Training of local workers in mental health care ( e.g. Founding schools for psychiatric nurses, training and exchange programs)
Strong international structure and organization, focused on quality, continuity and solidarity.
More and more people consult us even from Tabora, Arusha and Dar Es Salaam
a lot of people lack of proper treatment due to a lack of access to mental health services
A lot of people aren’t well informed about mental health diseases
There is need for proper data to get a global view about mental health in Tanzania

Creation of a Outreach project with our Kigoma institutions and our psychiatric care center from Bujumbura (experience with ‘equipes mobiles’)
3 clear objectives:
1. Better acces to Mental Health Treatment for the people in Kigoma Region
2. Awareness raising on Mental Health issues in Kigoma
3. Data collection to improve the knowledge about the Mental Health Status in
Kigoma

More acces to Mental Health Treatment for the people in Kigoma
Region
Adaptation of our existing infrastructure
Creation of ‘equipes mobiles’ to visit new patients and provide a full continuum of people with a mental disability
Train more mental health workers so more patients can be visited and treated
Conduct outreach activities to adress the needs of the population that experience mental health disparities.

Awareness raising on Mental Health issues in Kigoma
To foster more widespread the understanding about mental disorders, so that we help to reduce the misperception and negative attitude towards mental illness
(witchcraft, punishment of God…)
To create an awareness raising campaign: ‘disability is not an inability. So the vulnerable people will be more recognized and appreciated in the society.
Fracarita Tanzania wishes to dedicate itself to the challenge of improving the living conditions of the most vulnerable people. It is the mission of Fracarita to increase the quality of life of vulnerable people, and wish to focus on two core values:
* The personal rehabilitation as unique human being
* The social reintegration in society as active member of community

Collection of data in order to improve the knowledge about the
Mental Health Status in Kigoma
To collect data (patients, registrations, treatments,…) to learn more about the
Mental Health Status in Kigoma. This can pass through the National Health office in
Tanzania
To increase awareness about the opportunities to benefit from the participation in mental health research
To create an awareness raising campaign: ‘disability is not an inability. So the vulnerable people will be more recognized and appreciated in the society

The Lancet in 2007: ‘No Health without Mental Health’
- “About 14% of the global burden of disease has been attributed and other common mental disorders, alcohol-use and psychoses.
- Mental health affects progress towards the achievement of several
Millennium Development Goals, such as promotion of gender equality and empowerment of women, reduction of child mortality, improvement of maternal health, and reversal of the spread of HIV/AIDS.
- Mental health awareness needs to be integrated into all aspects of health and social policy, health-system planning, and delivery of primary and secondary general health care.”

- Since May 2015, this international organization wants to pay more attention to Mental Health.
- A blog was published and they conclude in the article
- “As we move forward with this task, we will be guided by the belief that the agonies of mental health problems that distort people’s lives, family bonds and communities, and that impose a heavy economic and social burden, can be dealt with effectively if there is political commitment, broad social engagement, and international support to make mental health an integral part of health and societal well-being across the globe”.

To improve the quality of care and services toward our patients to make mental health an integral part of health and societal well-being across the globe and more specific in Tanzania we need your support
You will receive our appreciation but also it will be of unremitting reward for most neglected of the Tanzanian population in general and most particularly in the Kigoma Region

Bro. Gilbert K. Kilassa, fc.
Country Coordinator
Fracarita Tanzania Foundation
P.O.Box 612
Kigoma
Tanzania
Mob +255 767 227 024
+255 655 227 024 sd.development.gilbert@boc-tz.org
www.fracarita-international.org