Directorate of Social Services and Women's Work is involved in four
- Health and
- Women's Work
Christian Churches in Tanzania provide more than 50% of the health
care services. The ELCT runs 20 hospitals and 120 primary health
care institutions corresponding to about 15% of health care services
in the country. Most of our hospitals are dependent on
donations from partners abroad. These donations have enabled our hospitals
and health care institutions to keep their fees at affordable rate.
The cost of health services is a challenge to many Tanzanians, whose
average per capita is US$260. The present approach to overcome this
medical challenge is to institute community health funds. ELCT has
embarked on this approach. Presently, funds for the scheme come from
members. The government of Tanzania runs a parallel program.
cooperation with the government of Tanzania in running health services
is a historical one. We have hospitals that are jointly run by government
and the church. These are called District Designated Hospitals where
the government is responsible for administrative costs. The
rest of the hospitals receive a small grant per patient.
is the feeling of ELCT that there is no equity in sharing resources
from the government. We therefore are planning a consultation for
the leadership of the Church to address and strategies on this issue
the government now receives debt relief funds, there is no reason
why Church Hospitals and other NGO's should share only 10% of the
are completing a six year program in health delivery where the focus
was on improving quality of health services by strengthening governance
and financial stability of our health institutions. We will
soon plan for the next phase of the program, which will focus on Primary
Health Care among other areas.
are grateful to our partners for their long-standing commitment.
Our hospitals have benefited from World Hunger Appeal of the Evangelical
Lutheran Church in America and other similar programs.
look forward to more years of cooperation.
late President and father of the nation, Mwalimu Julius Cambarage
Nyerere, once said, ''The best approach to assist poor persons is
by educating their children.'. To him, this was one way of ensuring
that there is equality in sharing resources that are aimed for poor
the ELCT is among the founders of education in Tanzania, as our involvement
in Education can be traced to the time the Churches were instituted
in the country.
the mid 70's schools were nationalized. Since that time, the focus
of the church has been in secondary education and vocational training.
in Tanzania is provided at following levels;
- 2 years of
- 7 years of
- 6 years of
Secondary Education divided into
- 4 years
of Ordinary Certificate of Education and
- 2 years
of High School Certificate
- Higher Education
Colleges and University.
present, the Government is on a program that aims at increasing enrollment
of pupils at Primary Level. The Program includes financial support
in terms of student fees and institutional physical resources.
runs more than 50 Secondary Schools, about 20 vocational training
Institutions, 2 Colleges of Teachers Training and 1 university with
its Educational institutions, ELCT aims at keeping together learning
and faith in god. The state of education in Tanzania has gone
down over the last few years. Many eligible children are out of school
mostly because of lack of fees. This has made our illiteracy level
to come to 26.4% with that of female youth illiteracy standing at
13% while that of male stands at 8%.
involvement in many pre-schools that are managed by our parishes,
as well as in other levels of education, is a move to participate
in the eradication of poverty.
membership of ELCT is constituted of more than 50% women. Their
work in Church activities is very visible at congregational level.
They are the ones who oversee the kindergarten and play schools that
are owned by the parishes. However, when one looks at the decision-making
mechanism and the hierarchy of the church, women are not visible.
Various steps have been taken to address this discrepancy which include:
decision by the national church to ordain women was made in 1990.
To date, there are still some dioceses that have not ordained women.
In some of these dioceses, the issue is a big one in the sense that
discussion about it is minimal.
reasons for women's secondary leadership roles are more than cultural.
One sees the influence of the Mission Agency that works in the area.
In the Executive Council of the Church which is the next highest decision
making body to the General Assembly, amongst 52 members, 5 are women.
In other decision-making organs, women constitute less than 20%. Some
of the ways being used to address this situation include:
Training Sensitization. This has been done for Bishops and
General Secretaries of Dioceses.
Training for Women.
This is a 10 weeks course that is conducted yearly.
courses. These are conducted yearly for women leaders.
These are conducted for women leaders subject to the availability
program is at present located in the Health work of the church. Its
focus is to enable and sensitize each parish to take care of people
in their locality with special needs - people whose numbers
are on the increasing due to various social and economic reasons.
Special attention is given to people with disabilities. Advocacy work
is also done on their behalf.