What We Do

Take a look at this at-a-glance view of our programmes.



Transforming lives


Counselling and treatment


Assessing and addressing


Celebrating life

Obstetric fistula surgery

EngenderHealth estimates that there are up to 3,000 new cases of obstetric fistula in Tanzania each year. Maternity Africa is dedicated to helping eradicate the occurrence of obstetric fistula in Tanzania. The condition is caused when a baby becomes stuck in the birth canal (obstructed labour). When the mother remains in labour for several days, pressure on the tissue between the rectum and the birth canal, or bladder and birth canal, can die, creating a small hole – usually resulting in the death of the baby.

When the mother recovers from the birth, she leaks urine or faeces (or both) continuously. Without surgery, this is a devastating and permanent medical condition. The mother is often abandoned by her husband and the community.

There IS hope. In most cases, obstetric fistula can be repaired by a skilled surgeon. Maternity Africa’s founder and visiting surgeon, Dr Andrew Browning, conducts many of the more complex operations and trains Tanzanian doctors so they can operate and continue care. In many cases, the mother is cured completely or significantly and can return once again to a more normal way of life – and be accepted by her family, friends and neighbours.

Family planning

Maternity Africa’s family planning programme provides a pillar of safe motherhood.  Evidence suggests that if all women were offered access to effective family planning services then maternal mortality could be reduced by up to 30%.  This could lead to a corresponding reduction in maternal injury – a most common and devastating being obstetric fistula.

Maternity Africa offers family planning consultations and a choice of treatment for all of its maternity and fistula patients, and to up to 1,200 external clients each year. 

Antenatal care

The World Health Organization recently recommended that each pregnant woman should have four scheduled antenatal visits prior to labour and delivery. This helps ensure that the well–being of the mother and her baby are monitored and that any problems can be identified and managed appropriately.

Maternity Africa provides antenatal care for all its maternity patients. Patients who are identified as being at higher risk have access to health promotion services. This includes family planning education presented through film, and one-to-one consultations with Maternity Africa’s skilled and experienced health professionals.

Labour and delivery

At Kivulini Maternity Centre, Maternity Africa offers routine midwifery care and 24-hour Comprehensive Emergency Obstetric and Newborn (CEmONC) services to vulnerable and marginalised women and girls of childbearing age. Maternity Africa is progressing steadily towards its annual target of 2,500 deliveries each year. We work with local community leaders and health facilities to build relationships and become a centre for patient referral.

After the baby is born, Maternity Africa provides postpartum care, including vaccinations against tuberculosis and polio.

Maternity Africa’s midwives and outreach teams travel to the surrounding communities and market places to inform and invite people to access maternal healthcare services.

All women deserve to have adequately trained, knowledgeable and skilled birth attendants to support them during pregnancy and labour. This includes having surgeons to perform life-saving procedures and repair damage, and having access to information to keep themselves and their children healthy. It should not matter who you are or where you come from.

The current reality, however, is that it DOES matter where someone comes from. Many vulnerable and marginalized women and girls are not able to access the maternal healthcare services they need. Maternity Africa is working to end this unequal reality by providing all of its services free of charge to vulnerable and marginalized women and girls. We offer both professional excellence and strive to exemplify love, kindness and compassion regardless of anyone’s race, religion or ethnicity.

We are only able to provide our services with the help of our generous donors and supporters. Join us.


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Kivulini Maternity Centre

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Work at Kivulini Maternity Centre (note that Maternity Africa has zero tolerance of bribery and corruption. Please report any concerns immediately to the Country Director at michaelhynds@maternityafrica.org)

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Get in touch

PO Box 16464

Arusha, Tanzania


YouTube: Kivulini Maternity Centre

Maternity department:

+255 685 308 321


YouTube: Kivulini Maternity Centre

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