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Texas Children's Global Health Baylor Foundation Tanzania

<p>Baylor Foundation Tanzania</p>

Baylor College of Medicine Children’s Foundation – Tanzania (Baylor Foundation Tanzania) is a patient-centered, pediatric HIV prevention and treatment program dedicated to reducing HIV/AIDS-related morbidity and mortality among infants, children, and adolescents in Tanzania. The foundation also provides comprehensive care for pediatric tuberculosis, malnutrition, cancer, and other complex chronic conditions. 

Operating two Centers of Excellence (COEs) in partnership with Bugando Medical Centre (Mwanza) and Mbeya Zonal Referral Hospital (Mbeya), Baylor Foundation Tanzania delivers direct clinical services while also providing technical assistance and mentorship at 187 health facilities across 15 regions in the Lake and Southern Highlands Zones. The multidisciplinary team—including pediatricians, medical officers, nurses, social welfare officers, and psychologists—employs a patient-centered approach that integrates medical care with psychosocial support. 

Beyond direct service, Baylor Foundation Tanzania actively strengthens health systems through training, mentorship, and partnerships with healthcare professionals and organizations. The foundation excels in capacity-building, standardizing clinical guidelines, and implementing high-impact interventions to improve pediatric and adolescent HIV outcomes. Recent efforts include initiatives to enhance viral suppression, nutrition support, and adolescent reproductive health, demonstrating its commitment to holistic, high-quality pediatric healthcare.

2024 at a Glance

16 Years in Operation, Mbeya & Mwanza, Tanzania

7,766 People Reached

99 Health Professionals Trained

32 Staff Employed

Voices of Hope: Stories of Strength, Healing, and Resilience

Empowering teen leaders in psychosocial programs fosters ownership, inspiration, and adherence. At Baylor Foundation Tanzania, adolescents lead, mentor, and shape their future—because “when we lead, we inspire.”

Empowering adolescent teen leaders and peer educators has transformed Baylor Foundation Tanzania’s adolescent psychosocial programs. By placing young people at the center of these initiatives, they gain not only a sense of responsibility but also the confidence to take ownership of their health and future.  

One of the most remarkable aspects of this approach is the role of teen leaders in the Teen Club program. These young leaders are not just participants—they are planners, facilitators, and role models. Before each session, they meet to choose discussion topics, assign responsibilities, and shape the event’s flow. On the day of the event, they take charge—leading sessions, sharing their experiences, and fostering a supportive environment.  

This peer-led model has been powerful. Adolescents find motivation in seeing their peers take the lead, reinforcing the importance of ART adherence, clinic visits, and reducing risky behaviors. As one teen leader put it:

When we lead, we inspire.”

After every session, these young leaders come together again, evaluating what worked and identifying areas for improvement. Their insights drive the program forward, ensuring it remains relevant and impactful. 

Baylor Foundation Tanzania has witnessed firsthand the power of adolescent-led initiatives. The future of psychosocial support belongs to these young leaders—equipped, empowered, and ready to guide their peers toward healthier, brighter futures.

From cooking demonstrations to a thriving tailoring business, FJ’s journey with Baylor Foundation Tanzania empowered her to build a hopeful future.

FJ, a determined 20-year-old, is the eldest of three children, living with her mother, a hardworking fruit vendor. Diagnosed with HIV as a child, she began receiving care at Baylor Foundation Tanzania in 2012. As she grew older, she juggled her education with supporting her mother’s business, doing everything she could to help meet their family’s needs. 

In 2018, her life took an unexpected turn. Baylor Foundation Tanzania launched a cooking demonstration program to educate caregivers on nutrition, food preparation, and hygiene. FJ, an active member of the adolescent club, was chosen as an assistant cook, helping the foundation’s nutritionist conduct weekly demonstrations. More than just a job, this opportunity gave her independence—her wages were deposited into her first-ever bank account. 

Her dedication did not go unnoticed. Recognizing her potential, the Tanzania Social Action Fund (TASAF) sponsored her enrollment in a vocational tailoring school. Determined to build a better future, FJ saved her earnings, and upon graduating, she proudly purchased a brand-new sewing machine to launch her own business. 

Now, as a skilled seamstress earning a steady income while maintaining her ART regimen, FJ reflects on her journey with gratitude.

Baylor Foundation Tanzania gives me hope."

A life-saving home-based TB care program transforms JB’s health, restoring his appetite, playfulness, and hope through early detection and treatment.

When JB was just 13 months old, his world was quiet. He didn’t play, didn’t laugh, and barely ate. His mother, worried and exhausted, brought him to a clinic where he was diagnosed with malnutrition. But something more was lurking beneath his fragile condition.  

Thanks to the TB Home-Based Care (HBC) program supported by Baylor Foundation Tanzania, JB’s case didn’t go unnoticed. Community health workers, tracing TB cases door to door, found him. They linked him to a local hospital, where the real culprit was revealed—he had tuberculosis. Just one week later, he was referred to Baylor Foundation Tanzania’s clinic, where he could receive comprehensive care for both TB and malnutrition.  

Two months later, JB’s transformation was nothing short of remarkable. He had gained weight, his appetite had returned, and for the first time in months, he was laughing and playing.

I had lost hope—but then they came to our home and changed everything."

TB HBC is not just about identifying cases; it’s about saving lives. Coordinators follow up with patients, screen household contacts, and ensure young children receive preventive therapy. Through their dedication, children like JB not only survive—but thrive.

A determined student overcomes stigma, treatment lapses, and health decline to reclaim her future with resilience and Baylor’s support.

For as long as she can remember, Tussa has been a patient at the Baylor Foundation Tanzania COE in Mbeya. She recalls walking through the doors of the old clinic before the move to the larger, new facilities. The COE had become her second home—a place of encouragement, support, and belonging. Clinic staff and her family praised her dedication, calling her one of the best clients. She thrived in Teen Club and Salama Camp, eventually becoming a teen leader, peer educator, and facilitator for community ART groups. 

With the same determination, Tussa set her sights on higher education, eager to be a leader in her community, just as she had been at the COE. When she received her university acceptance letter, she felt unstoppable. But as she moved 400 miles away, excitement quickly turned into isolation. 

Almost immediately, she sensed the stigma. Teachers, peers—people she had hoped would be her new support system—became barriers. Fear of rejection led her to hide her HIV status. She began skipping doses of her medication, wanting nothing more than to feel like a “normal” student. One missed dose became two, then weeks, until she stopped her ART altogether. 

Her health deteriorated, fatigue replaced focus, and soon, she was missing classes. The weight of secrecy and sickness became unbearable. Eventually, she dropped out. 

But Tussa is not one to give up. Now back on ART, she is regaining her strength and preparing to return to university next year. She has found a network of peers who have walked a similar path, reminding her that she is not alone. She dreams of becoming a psychologist—using her story to guide others through the same struggles.

HIV is a part of us, but it does not define us. We must take control of it, not let it take control of us.”

She repeats this to herself every day.

HIV is a part of us, but it does not define us. We must take control of it, not let it take control of us.”

Tussa is grateful for the unwavering support of Baylor Foundation Tanzania, especially for young women like her who are fighting to reclaim their futures.

2024 Annual Report

Explore the achievements, progress, and impact in Baylor Foundation Tanzania's latest report.

Notable Programs

Optimizing Case Identification

Baylor Foundation Tanzania has strengthened case identification by expanding index testing, ensuring vulnerable children and adolescents living with HIV receive timely care. Through improved collaboration with adult HIV care facilities, every newly diagnosed adult is linked to a team that offers home-based testing for their children or clinic-based screening at their preferred location. Additionally, healthcare workers received enhanced training on index testing, leading to increased identification and linkage of undiagnosed pediatric and adolescent HIV cases to life-saving treatment.

Health Systems Strengthening

Baylor Foundation Tanzania strengthens Tanzania’s health systems through capacity-building, mentorship, and collaboration. Partnering with the Pediatric HIV and TB working groups, it contributes to the development and review of national treatment guidelines. The foundation trains healthcare providers at 187 facilities across 15 regions, offering hands-on pediatric HIV, TB, and malnutrition training. By reinforcing best practices and mentoring providers, Baylor Foundation Tanzania enhances pediatric care, ensuring high-quality, evidence-based treatment in the Lake and Southern Highlands Zones.

Empowerment Through Holistic Support

Baylor Foundation Tanzania’s social work department provides comprehensive support through clinic visits, home assessments, and family meetings. To address food insecurity, families participate in the “Shamba Darasa” vegetable-growing initiative and a three-month food security program. Adolescent girls join “Tanzanite Girls” for life skills education, while income-generating programs like “Stitch by Stitch” and “Bead by Bead” equip youth with practical skills. “Benki Yetu” fosters financial literacy, and trained peer educators offer counseling, health education, and psychosocial support.

Tuberculosis Program

Baylor Foundation Tanzania continues to provide comprehensive pediatric TB prevention, case finding, and treatment across the Lake and Southern Highlands Zones. Through the USAID-funded Uhuru TB & Family Planning project, the Foundation has expanded active TB case finding, diagnosing 279 children from over 150,000 screenings. The program enhances pediatric TB diagnostics, sample transport, and youth-friendly services while advocating for improved national TB guidelines. Additionally, Baylor Foundation Tanzania is engaged in TB research and capacity-building for healthcare workers.

Palliative Care Program

Baylor Foundation Tanzania provides comprehensive, multidisciplinary palliative care to children and adolescents facing life-limiting conditions, including HIV/AIDS. This program integrates evidence-based symptom management with holistic psychosocial support, home visits, and a wish-making initiative that enhances patient well-being. The foundation continues to advance pediatric palliative care by sharing its expertise at global platforms, including the 6th International African Palliative Care Conference in Kigali, Rwanda, fostering collaboration and innovation in improving quality of life for affected children.

Discover more about our related programs:

Leadership & Partnerships

Leadership

Lumumba Mwita, MD, MMED

Executive Director

Partnerships

Tanzanian Ministry of Health 

United States Agency for International Development (USAID) 

United Nations International Children’s Emergency Fund (UNICEF) 

Bugando Medical Centre 

Mbeya Zonal Referral Hospital 

Regional and Zonal Governments in the Lake and Southern Highlands Zones 

Mbeya Medical Research Center – National Institute for Medical Research (MMRC-NIMR) 

Tanzania Health Promotion Support (THPS) 

SeriousFun Children’s Network 

Baylor College of Medicine 

Texas Children’s Hospital 

Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) 

Jhpiego 

Deloitte Tanzania 

Clinton Health Access Initiative (CHAI) 

International Center for AIDS Care and Treatment Programs (ICAP) 

Jhpiego - Tanzania 

Afya Bora Mtoto Imara Program 

Uhuru TB & Family Planning Project

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Texas Children’s Global Health Network leads efforts that advance healthcare equity through innovative collaboration in care, education and research globally.

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