We’re lost. Which, on an ordinary day in the UK, wouldn’t be much of a big a deal, thanks to modern technology and the occasional helpful bystander. But we’ve been driving for more than three hours in a remote part of Tanzania with no map and no mobile phone signal, on a dirt road with no road signs, in blazing summer heat, and we’re starting to get a bit nervous.
As we head deeper into the bush of Kisarawe District, we pass an occasional scattering of huts with washing flapping in the breeze outside, but no people; most will be inside sheltering from the hot sun, or farming in the scrub. We see a Masaai woman herding cattle and ask her the way to Ving’hande village, but she’s never heard of it. Eventually someone tells us it’s “just up the road” – a full hour later, we arrive in the village, and the whole team’s relief is palpable.
We’re here at Ving’hande Village Health Centre to meet District Eye Care Coordinator Rachel, who’s leading an outreach team from Kisarawe District Hospital. The team regularly sets out to remote areas and goes from village to village checking for cases of trachoma (a contagious eye infection that can cause eye irritation, scarring and often gradual blindness), but they only have one vehicle between them. Getting to everyone who needs help is a huge challenge.
The health centre (where eye examinations and treatment take place as part of the Sightsavers-supported Tanzania Integrated Neglected Tropical Disease project) is a simple concrete building with six rooms. There’s no running water and the toilet is a latrine behind the centre. Water for surgery comes from a large white bucket with a tap at the bottom and the health workers use a powder to sterilise their hands. Despite the limitations of this setup, the health workers will see up to 50 people on each of the three days they’re here.