OUR SUSTAINABLE PROGRAM (2020 - 2035)

The present entire program is valid for the period from 2020 to 2035 and includes all relevant contents of our focuses Environmental Conservation, Entrepreneurship, Poverty Alleviation, Education Improvement and Health Care of the Over World Messiah Organization, abbreviated OVERWOME. Some programs are also divided into projects we strive to implement. 

Reasons behind 
In general, projects emerge from problems and shortages, and the realization of projects becomes more important in the rapidly changing world. The strategic entire program confirms our commitment to provide access to a better quality of life for the most vulnerable people of our community through awareness and knowledge. 


Our dynamic step-by-step plan serves to achieve our vision through sustainable societal objectives of basic human needs, economic advancement opportunities and education improvement. We have already worked on strategies and solutions to fulfill our societal objectives addressing global issues. Learning becomes possible on different levels through intensive and independent confrontation with a sustainably social, ecological and economic topic. 


Project work offers young people the opportunity to use increasingly personal initiative, engagement and teamwork for the sustainable way of thinking and acting, but especially adults lose awareness of such aspects and shall deal with them. 


Program procedure
For the time being, these program-oriented projects will be implemented in Tema Village and in the entire time period from 2020 to 2035. The local scope will be expanded in the regions of Kilimanjaro, Arusha and Tanga. All members and management positions are involved in the entire processes. OVERWOME seeks to work with local communities, future partners and donors to leverage our strengths to make a significant contribution and continues using subsidies effectively. We recognize that raising new funds represents a potential for us to increase our impact on people’s basic needs, economic development and education. Each one is strategically listed for the next three years, but will be implemented by 2035. Basically, our 15-year program deals with our five main focuses:


PROGRAM MILESTONE LINE
Our strategic specific programs and projects are shown in the next milestone line. Each of the five program-specific projects will be implemented simultaneously by 2035, but listed by 2023 for getting a picture. They are our five milestones for achieving the sustainable strengthening of disadvantaged groups of people.

Each upcoming sub-program and project reflects one of our priorities and will be implemented from 2020 to 2035. They represent our milestones for sustainable strengthening of disadvantaged person groups. Each one is introduced in a short and concise way. Thereafter, you will find further details on the course of this page.

1. WATER CATCHMENT MANAGEMENT PROJECT
The purpose is to promote sustainable environmental awareness and biodiversity enhancement in Tema Village and its surroundings near Kilimanjaro. The teaching topic is climate change and its consequences. The priority is youth education and community education is a side aspect.
So, there are two project groups for a primary or secondary school and a project group for the community. Each project group works with its respective target group at its own project location.

2. POVERTY ALLEVIATION AND ENTREPRENEURSHIP PROGRAM
The purpose of the Entrepreneurship and Poverty Alleviation Program is to educate the community groups on topics such as general business policies and guidelines, self-employment, financing and marketing. Each project group is taught initially. Seed capital and short-term loans are paid after successful completion of the learning sessions. Furthermore, they are regularly visited and evaluated with regard to their small businesses.

3. HARD WASTE MANAGEMENT PROJECT
The purpose of the Hard Waste Management Project is the awareness of existing pollution and measures to reduce waste in waters, landfills, and roadsides. The community of the Kilimanjaro region will initially be taught about recycling and reusing topics, and then invited to the workshop according to their involvement and commitment. Here, the knowledge is put into action. In addition, school groups of secondary schools are also to be instructed several times on waste management and are required to develop their own innovations, and then they compete in an annual competition against other school groups. The best annual school group receives scholarships.

4. EDUCATION IMPROVEMENT PROGRAM
The purpose of the Education Improvement Program is to improve the facilities of underdeveloped schools through renovation and repair work, and to provide financial support to poor and disadvantaged students and their families through individually-funded scholarships. These scholarships cover the costs of school fees as well as food, drink and school uniforms. The renovation and repair work is completed during the holidays to create a pleasant learning atmosphere.

5. HEALTH CARE PROGRAM 
The purpose of the Health Care Program is not only to educate people living with HIV and leprosy, but also their families, friends and home environment. Everyone has to learn how to deal with such diseases and what kinds of treatments exist. The affected persons receive appropriate assistance such as immune-strengthening food as well as medication or prostheses. There will also be teachings on basic health care at their home. These individuals receive appropriate household items and also immune-fortifying food.

FIRST MILESTONE: WATER CATCHMENT MANAGEMENT PROJECT
The Water Catchment Management Project refers to the program focus Environmental Conservation.


Project justification and background data
This project is about dealing with the worldwide known problem of climate changing and its consequences. The project region is Tema Village as a pilot start, but the location will be expanded. Tema Village is situated 5,000 meters high southeast of the Mount Kilimanjaro. The village is at Mbokomu Ward, Moshi Municipality. The area is expected to have more than 4,000 people, two secondary schools and four primary schools.


In the last 600 years, the Tema area was characterized by abundant nature, rainy periods and temperature of 12 to 22°C. Furthermore, this area was covered with a huge biodiversity and wetland for about 70% of village geographical sizes six km². The marked rise in temperature has impacted this area over the last decade. Nowadays, the temperature is between 30 and 39°C. No rain for about eight to nine months per year, the biodiversity has declined sharply. Global warming and pollution also harmed the Kilimanjaro because of melting ice. Glaciers dropped by 80% in the 20th century.

Project purpose and idea
People need to become aware of sustainable issues like environmental conservation to maintain the nature and to improve the living area due to the devastating conditions. This knowledge must encourage environmentally sound action.


They have to deal with correct water treatment to increase biodiversity. Therefore, Water Catchment Management instructions are provided by our organization team. The focus is on youth training, so there is one project group for primary schools, one for secondary schools and one for the community. Each project group has its own project site.

There will be community training only once per year as a whole group due to the low number of community people. The training of the youth will take place alternating between primary and secondary schools almost monthly. After the acquired awareness, the knowledge must be put into practice. The aimed practice is about planting 12,000 native trees of six different tree species by 2023. 

Generally, the workshops will occur twice a week for three hours taking into account school holidays, minimum leave entitlement and public holidays. Therefore, there may be workshops three times per week, but they will be shortened by an hour due to physical discomfort and weather conditions.  Regarding the native trees, a total of 9,000 will be developed through our nursery tree garden and the remaining 3,000 will be purchased.

Accordingly, the communication will occur internally during the implementation period through face-to-face conversations, internal meetings, emails and mobile phones. The external communication consists of Social Media, Interaction-oriented and Reacted-oriented Direct Communication as well as Passive Communication. The required materials are procured in retail stores and shops in Moshi Town. All costs for training and workshop materials, food and beverage and transport are financed by funds, grants, subsidies and donations.


      Overall project overview



SECOND MILESTONE: POVERTY ALLEVIATION AND ENTREPRENEURSHIP PROGRAM
The combined program of Poverty Alleviation and Entrepreneurship addresses the worldwide known problem of poverty. The negative spiral starts with low disposable income of families, especially in rural areas and developing countries like Tanzania. Those parents who have little income available cannot or insufficiently send their children to school because of the poor family status. Some families are not able to pay for any schools items such as exercise books, shoes, uniforms, meal and even a breakfast before going to school.

Education is essential for a better, more valuable, enriching and financially secured future. Those who have little money cannot educate themselves and their families. This case leads to poverty increase because they cannot continue their education and will not be able to learn how money is correctly calculated, used and saved. This is not how the sensitivity for money management can arise. Those who can save and calculate money cannot care only for themselves but also their own family. An appropriate income can improve the quality of life due to entrepreneurial knowledge.

That is what the following two focus projects are about. On the one hand, the newly acquired project members have to be instructed on crucial entrepreneurial topics, and on the other hand, they must put the newly gained knowledge into practice. Finally they will be financially supported by seed capital and short-term loans.

Program justification and background data
The next program combination of Poverty Alleviation and Entrepreneurship refers to the second community-oriented objective of the OVERWOME and deals with the worldwide known problem of poverty. Around 700 million people still live in poverty worldwide. Thus, every tenth of us is affected. One third of the Tanzanian population lives in poverty. About 45% of the population is under 15 years old, therefore children are also affected by this issue. 70 to 80% of the Tanzanian population live directly from agriculture; often purely for self-sufficiency.


This aspect is underlined especially by the tendency of women and old age poverty regarding to our newly target project members. The lack of knowledge makes it difficult to provide themselves and their families a better life because in Tanzania education is always associated with high costs. This is a vicious circle that needs to be broken. Developments are feasible, even financially, through our free and competent training.

Program idea and purpose
In the strategized program time frame from 2020 to 2023 in Moshi and its surroundings, newly admitted project members will be instructed and subsequently financially supported with the intention of setting up and maintaining their own businesses. The training contents are

  • Leadership management of business,
  • Marketing,
  • Loan and
  • Financial bookkeeping.
Each lesson unit will be presented separately due to working the project members way up. Therefore, every project group will be trained four times by 2020. Each group will be reminded through the project-specific calls or short messages two weeks before the next topic because they have to prepare and present their individual content. The contact data will be recorded due to OVERWOME affiliation.

The following two years the project groups will be visited surprisingly four times a year to assess the status and previous business performance and results, and to discuss further procedures for the continued payment of short-term loan. Then the process will continue with the practice like all other projects. The practice is about guaranteed funds in the form of seed capital and short-term loan to escape poverty through business and management-oriented approach. The required funds are requested by OVERWOME.

The respective short-term loan will be repaid in less than a year and will be paid once a year within the project time frame and beyond as long as they belong to OVERWOME. All costs of training material, food and beverage and transport are financed by donations.

      Overall program overview




THIRD MILESTONE: HARD WASTE MANAGEMENT PROJECT
The Hard Waste Management Project refers to the program focus Environmental Conservation.

Project justification and background data
This project will be effective in the strategized time frame from 2020 to 2023 and address the well-known problem of environmental pollution. The project region will be the Kilimanjaro region. Kilimanjaro is a region in northern Tanzania with about 1.4 million inhabitants (2002) and according to the census of 2012 with 1,640,087 inhabitants. The capital is Moshi and the region is located on Mount Kilimanjaro on the border to Kenya. It is divided into seven districts of Rombo, Hai, Moshi Rural, Moshi Urban, Mwanga, Same and Siha. 

 
76% of the population live in rural areas of agriculture and livestock, agriculture accounts for 60% of the region’s gross domestic product. 30-36% of Tanzania’s coffee production comes from Kilimanjaro, with other cash crops including cotton, sugarcane, sisal, sunflower, beans and wheat.  

The most important staple foods are bananas and maize. A dairy cattle farming is practiced partly in the highlands with modern methods while at lower altitudes traditional livestock farming is practiced. In addition to agriculture, there are various commercial and industrial activities. These activities of the region cause waste such as organic waste and animal faeces as a waste product that will not be disposed. 

In addition to biodegradable wastes, approximately 350,000 tonnes of plastic waste is generated annually in Mainland Tanzania and 70% of this amount consists of carry bags. Since 1st of June 2019, the production and sale of plastic bags is prohibited. Accordingly, this problem will be reduced permanently.  In respect of other wastes, millions of tonnes of textiles waste are heaped up in homes and landfills every year. According a study, approximately 64% of post-consumer textiles are renewable and to extending the life of clothing by just nine months of active use would reduce carbon, waste and water footprints by around 20-30%.
      Project purpose and idea
The purpose of the Hard Waste Management Project is to minimize and control the waste circulation. The focus is on reusing and recycling. First of all, over the entire period 900 community people will be aware of the following environmental topics:
  • Innovative technologies on proper reuse of waste depending on the respective environment,
  •  Municipal waste including clothes and plastic waste,
  • Organic waste to minimize the usage of charcoal as a home cooking energy and to prevent tree cutting,
  • Animal faeces to produce bio gas and
  • Reuse of plastic bags to plant vegetables around houses and water bottles to aggregate water after refilling them and making holes in the cover for irrigation.

According to the newly gained awareness of how to deal with the environment and the associated options, environmental thinking will be put into practice through workshops. Initially, the total of 900 community people is divided into 30 groups, so that a total of 300 people perform the workshop within three years.  

The selection will take place within each training unit because the behavior, reaction and enthusiasm in relation to the topics can be determined immediately. Thereafter, the selected people will be invited to the workshop by direct call. The workshop will take place at a chosen central location, so that the connection can be realized by each person.


The workshops will take place six times a year and each one for three days. One workshop day will not be longer than three hours taking into account the physical exertion and weather conditions. The community will collect actively waste stuffs which will be reused and recycled through guaranteed machines. Any materials for trainings and workshops will be procured from retail stores in Moshi Town.


The required machines for briquette production, planting and clothes are financed by funds, grants, subsidies and donations. Contacting the community people will be done via the village leaders. The workshops are conducted by the Project Manager, volunteers and a training manager, someone from a professional field.


In addition, approximately four schools are contacted, visited and instructed each year through existing partnerships. In consultation with the school directors, there will be a school group of students for each school. Each group will compete against three other schools in an eco-friendly innovation competition for the acquisition of a scholarship. Each school group will be visited four times at regular intervals, including for instruction and subsequent monitoring of the developments of its innovative ideas. The content of the instruction is limited to the students as shown:

  • Plastic waste and its reuse for aggregation,
  • Municipal waste and its recycling into briquettes and
  • Organic waste and its recycling into bio gas.

After the visitations, the annual competition will take place at the end of a project year at a pre-selected school.  The procurement, communication and transport costs of the entire project will be financed by funds, grants, subsidies and donations.


      Overall project overview



FOURTH MILESTONE: EDUCATION IMPROVEMENT PROGRAM
The Education Improvement Program addresses the well-known topic of the lack of education and its consequences for the own future. As mentioned in the Poverty Alleviation and Entrepreneurship Program, disposable income and education are closely linked. The program-related projects of providing scholarships and improving school equipment serve to broaden skills and abilities, both theoretically and practically. Everyone can build and prove their strengths. One person has a lot of theoretical knowledge and the other person can work better practically. An improved classroom environment can promote a more effective learning atmosphere. Only poor families and their children and structurally weak schools shall be supported.  

Program justification and background data
The fourth program deals with the problem of lack of education and its consequences, especially of socially disadvantaged person groups. The motto “Education is the right of every child” is breached by classrooms with no windows, doors and benches. At least three students have to share a textbook. Some rural areas still lack the essentials. 1,882,313 school desks are missing in public schools. 

 
About 1.5 million children between the ages of 11 and 18 do not attend school. After the introduction of Complementary Basic Education (COBET) for students, 16% of girls and 15% of boys aged 15 to 19 are illiterate in reading, writing and arithmetic. The International Labour Organization (ILO) estimates that 58.5% of Tanzanian youths do not qualify for the labor market. 

In Tanzania, about 90% of politicians and celebrities send their children to private schools within the country and abroad. This shows what they think of the poorly equipped public schools. The problem would be solved through a new education concept. These data show that there is a striking gap between poor and rich people. Education often correlates with disposable income, making it difficult for socially disadvantaged groups to access education.

      Program purpose and idea
This education program is valid from 2020 to 2035 and is based on the data available and the objectives of OVERWOME. It serves the purpose to enable children from poor ground, especially orphans, HIV and AIDS victims from poor families to be enhanced with education for the better future.
This program will also start with year-round funding for educational improvement through the recruitment of scholarships. Every single scholarship is provided by an individual person for a particular student and his families. The scholarships cover the costs of school fees, food and drink and school uniforms depending on the type of scholarship. The individual persons are mostly recruited via social networks. Students of the three main target groups
  • Orphans,
  • HIV sufferers and
  • Poor families

can apply for a scholarship of primary and secondary schools as well training centers and universities.

For this purpose, all communication channels and options e.g. radio announcements, churches and data of the government institutions in the Moshi area are initiated. In school classes, there will also be surveys about the ability of school fee payment.  After completing the applications, students will be screened to see if they are eligible for the respective scholarship. 

On practical and seasonal level, renovations and repairs will be made at schools in the Moshi area. Roughly five schools will be renovated and repaired annually. This will be done by the Project Manager, volunteer groups and, in addition, a social worker in collaboration with the students concerned to improve and build their skills. 

Certain school directors will be contacted by telephone or mail. The upgrades to the school equipment are funded by donations, funds, grants and subsidies. Each volunteer will contribute a one-off additional sum of approximately US$ 120 to US$ 250 for further financial support. Depending on the length of stay, each volunteer has to pay a corresponding rent of at least 120 to a maximum of US$ 250. The length of stay can vary from at least one week to one year. The materials needed for this program are procured at retail stores in Moshi Town.


     Overall program overview

FIFTH MILESTONE: HEALTH CARE PROGRAM
The Health Care Program addresses the well-known problems of health care, lack of access to health facilities, lack of awareness of diseases and knowledge of their treatment options. Particularly poor groups of persons in rural areas are affected by such diseases. Numerous people around the world have limited access to sanitation and lack of basic knowledge about their own personal hygiene. 

Many people around the world also lack of awareness diseases such as leprosy and HIV. These people concerned must be medically helped. Other people and relatives need to learn to integrate the sick people into their lives. Everybody has to deal with illnesses because they affect us all, whether directly or indirectly. 

Program purpose and idea
Our purpose is to ensure that the quality of life and sufficient health service of the Tanzanian community are secured by health education, awareness, medical supply, health infrastructure improvement and equipment supplies.

This purpose will be done by our three priority health projects. The Health Basic Care Project and HIV Minimization and Treatment Project are set up in the north of Tanzania, in Massai land, and implemented by a Project Manager, volunteers and specialist staff such as nurses, doctors and health officers.  

This creates cooperation between our organization and medical institutions. In the third and final Leprosy Minimization and Treatment Project, the venues are the three regions Arusha, Kilimanjaro and Tanga. 25 districts will also be managed by a Project Manager, volunteers and specialist staff such as nurses, doctors and health officers. Regional commissioners shall be added regarding cooperation. For all three projects, the necessary material will be procured in Moshi and its surroundings. The costs will be borne by donations, grants, subsidies and funds requested by OVERWOME.  


1. HOME BASIC HEALTH CARE PROJECT
A good health is one of the basic factors for community and country development. According to the study we have carried out, it has been found out that somebody possessing good health is like a productive land yielding aggregate strong and quality fruits. 

A case study for our demonstration is taken by using two plots of land where agricultural practice is carried out. For the first plot, the owners put a supposed care including watering, pruning, continuously washing the garden to remove bush tree and at the end the garden yielded returns. For the second plot, the owner did less involvement to his garden. He provided little water, no pruning and removal of bush trees. The returns were weak and few crops in number. These two situations indicate that the garden is similar to the human body. The two plots stand for two groups of people in the world. 

The first group consists of those people supported with necessitated health service. The second group consists of those people with less access to basic health services. As the two plots have diverse features like the human body. The first group is featured by long life span, productivity, high development, strong mind-set, and practical capacity to and the second group comprises with poverty, poor school attendance, less productivity and practical incapacity.   

      Project justification and background data
400 million people have no access to basic health care worldwide. Either there is lack of knowledge of what to do in a medical emergency or lack of medical connectivity and options such local health centres, hospitals, pharmacies and their health professionals. In addition, especially in poor rural areas such as Massai Land in northern Tanzania, physical care lacks because of their conservative attitude towards life and experience and non-openness to new insights. In particular, instruction and awareness will be very crucial for this purpose.
Today, the Massai are nomadic people and have a sedentary life. The 140,000 Massai people live mainly in the area around Arusha and in the Ngorongoro Conservation Area and in the Serengeti Area. The majority lives as a semi-nomad and only changes its place every few year, depending on the fertility of the landscape. In addition to animal breeding, the men earn their income as a night watchman.

Project purpose and idea
The purpose of the Health Basic Care Project is to make the Massai Community aware of medical options and proper body care and appropriate nutrition, so that they can achieve a liveable existence. More and more Massai people send at least one of their children to school. Nevertheless, they are rather poor and tend to be little educated because of their sedentary nature. This creates a tunnel vision while their life could be healthier and enriching, as there are opportunities for improvement. Thus, a Massai family will be visited and instructed once a week. There will be three education focuses with their following sub-topics.
Trained families can share knowledge with other family members, friends and colleagues. This is how knowledge shall be spread in a sustainable way and a more valuable life guaranteed.

     Overall project overview
2. HIV MINIMIZATION AND TREATMENT PROJECT
HIV causes AIDS and affects the body’s ability to fight infection. In the past, medicine was powerless against HIV and AIDS. Fortunately, this is not the case today. Medicines can prevent the proliferation of HIV in the body. Then, the virus hardly harms the body. However, HIV cannot be removed completely out of the body. So healing is impossible. Today people with HIV can live with the virus for a very long time due to the treatment with HIV medication. It assumes an almost normal life expectancy up to 75 years. 

It is important to start the therapy in time. The medication must be taken permanently and regularly. The medications can have side effects varying greatly from person to person. Most people with HIV get along relatively well with their medication. However, some people suffer from side effects. Fewer and fewer persons suffer from AIDS in countries with good health care due to therapies. 


Transmission
HIV is transmitted through the following circumstances:

  • By blood products (non-sterile needles or untested blood)
  • From mother to baby through pregnancy, childbirth or breastfeeding
  • Through unprotected vaginal, anal or oral sex
In general, the virus can be transmitted by contact with infected blood, semen or vaginal secretions. 


Treatment and Therapy
Treatment may help but the disease is incurable. Medical diagnoses and laboratory tests or imaging procedures are required in any case. Today, many people living with HIV can have a relatively normal life due to HIV medication. In the profession, the infection usually does not mean much restriction. Most persons with HIV work and are good at the demands of their job. 

However, problems often arise through discrimination and exclusion. Often, supervisors and colleagues are afraid of becoming infected – even though this is not possible under normal workplace conditions. Even in private life has become much easier for people with HIV.  

For example, due to medicines, HIV positive people in many cases get naturally children. An infection risk for the children can be almost excluded. The medication must be started in time in order to ensure this therapeutic success. According to the current state of research, they have to be taken regularly throughout life. 

How does HIV therapy work?
HIV multiplies in the body by penetrating certain cells and taking command. The infect cells produce new HIV viruses. The medicines prevent this increase. There are several ways to stop the multiplication process.
For example, some medications prevent the virus from entering these cells. Others prevent from taking command the cells and others prevent an infected cell from releasing new issues. In HIV therapy, several medications are used at the same time, which start at different points. This ensures that HIV cannot continue to multiply. Such a treatment is called combination therapy. 


Resistance of HIV
As HIV multiplies, countless new viruses are formed every day. Some of these viruses are slightly different to their predecessors. That is how new variants of HIV come into being. Some of these new virus variants can multiply even though the active ingredient of certain HIV medications is in the body, so they are resistant to these medications. The therapy does not work anymore in this case. 

That is why more medications are used at the same time: One medication fails, another attacks. For this process, there must always be enough active ingredients of all medications in the body. This is achieved mainly by taking the medicine regularly. Nevertheless, HIV therapy may not work properly over time. Then new medications must be used. 

Side effects of HIV therapy
Like most medications, HIV medications can have unwanted side effects. Common side effects include nausea, diarrhea and headache. Often, such symptoms only occur at the beginning of a combination of therapy and pass by when the body has become accustomed to the medication. Everyone can relieve these side effects with medication. Some side effects can also have serious health consequences.
These include an increase of blood liquid levels which can lead to an accurate risk of heart attack. Physical damage can usually be prevented by switching to other HIV medications. 

AIDS Elimination
AIDS becomes increasingly rare in countries with good medical care. In such other cases, the infection is often noticed too late and the immune system has already suffered considerable damage. Even in this case, HIV therapy can still stop the disease. The immune system can recover to some degree. Today, AIDS is largely preventable and is not synonymous with the imminent death anymore. 

Project justification and background data
In 2015, there were approximately 36.7 million HIV-positive persons worldwide according to the United Nations Joint Program of HIV/AIDS (UNAIDS). In the same year, there were about 2.1 million new HIV infections, thus 5,600 per day, and about 1.1 million people died as a result of AIDS.
In Tanzania, 7.7 cases per 1,000 people were affected by the virus in 1993. Today, the number of Tanzanian HIV sufferers is limited to 1.4 million people. The transmission rate has decreased significantly since the wave of enlightenment but the disease still has a chance to spread because in some ways people are still indifferent. 

Thus, Tanzania is one of the top 15 countries with the most affected HIV persons. Half of those people are unaware that they are affected by the virus. About 90% of the knowledgeable people are treated accordingly. However, many adolescents, 40% of men and 49% of women, do not use contraceptives such as condoms. The trend is that women and poor regions are more likely to be affected by this disease, as education, awareness and necessary money are always lacking. The general population has a prevalence rate of 5% while for female sex workers the HIV prevalence is estimated to be 26%, for men having sex with men it is about 25% and for people injecting illegal drugs 36%.

Project purpose and idea
Based on the available data, action is needed urgently to reduce the HIV rate. In doing so, we will provide education of the disease itself and its possible contraceptives for prevention and avoiding of spread as well as feasible medicines, adequate and immune-boosting nutrition and also contraceptives for those affected people. 

 
In addition, they shall be tested for this issue. Again, we deal with families coming from Massai Land in northern Tanzania. Here we will also visit and train a family once a week and as start-up aid we ensure adequate nutrition and medicine in tablet form for family. Just like the Health Basic Care Project, here the HIV infected people have to be taught about a balanced and immune system strengthening nutrition. This includes fruits and vegetables daily, once to twice a week meat and one egg as well as daily two to three liters of water.


     Overall project overview
3. LEPROSY MINIMIZATION AND TREATMENT PROJECT
Leprosy is a chronic, curable infectious disease that causes skin lesions and nerve damage. 99% of people worldwide are immune to this disease and are not at risk, but it shall not be underestimated.

Transmission
Leprosy is caused by an infection with the bacterium Mycobacterium leprae. It mainly affects the skin, eyes, nose and the peripheral nerves. It is treatable by a health care professional. Accordingly, medical diagnoses area required. Leprosy is transmitted by droplet infection, coughing and sneezing. 


Treatment and therapy
In the case of leprosy, therapy is primarily to destroy the pathogen, Mycobacterium leprae. Since 1980 a combination therapy was used; multi-medication therapy from various antibiotics:

  • Rifampicin
  • Chlofamizine
  • Lamprene Dapsone
It is necessary to take the medication for a period of six months to one year to complete the killing of the pathogens in the body. The therapy must be continued for two years to achieve healing process for the more aggressive and sever form. In order to be able to continue the treatment in case of insufficient healing, the pharmaceutical industry offers so-called reserve leprostatics. The treatment of leprosy includes the care of the wounds and an active movement treatment to minimize and delay the onset of paralysis. Specialists for the treatment are:

  • Infection specialists: They deal with the treatment of infections, even those that occur mainly in the tropics,
  • Immunologists: They deal with diagnoses and treatment of immune system disorders,
  • Dermatologists: They are specialized in terms of disorders of the skin, nails and hair.

      Project justification and background data
30 people worldwide contract leprosy hourly. Every 20 minutes, a child is diagnosed with leprosy. The number of new cases is probably even higher. There shall be a high number of unreported cases because those affected are ashamed and do not want to be diagnosed. Anyone who is infected will notice it five to ten years later. Leprosy is one of humanity’s oldest diseases. Most affected are people in poverty. The worse diet and hygiene can increase the risk of infection. Since 1982, over 15 million people were cured of leprosy. Social consequences are exclusion, stigmatization and poverty. Millions of people still suffer from the effects of leprosy either as direct relatives. 
Project purpose and idea
On the basis of these data and also of social exclusion and poverty, awareness, trainings must be conducted to make it clear, that leprosy sufferers, in accordance to their disability, can nevertheless be able to work and be treated on an equal footing. The venues will include the three regions of Arusha, Kilimanjaro and Tanga including 25 districts. For each instruction there must be informed a group of 40 people at a selected place. The topic of leprosy itself also includes possibilities of prostheses to supplement the atrophied parts of the body. Thus, long-term full activation of the body is feasible.

     Overall project overview


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