Arusha: A recent study has highlighted the potential of Village Community Banks (VICOBA) in Tanzania to enhance maternal and child health outcomes by integrating health education into their existing financial support networks.
According to Aga Khan University, led by Dr. Kahabi Isangula from its School of Nursing and Midwifery, East Africa, the research project was conducted in Arumeru District and Shinyanga Municipal Council. These regions were chosen due to pre-existing relationships with communities and authorities, providing an opportunity to assess the adaptability of the initiative across different settings.
The study found that while VICOBA groups are trusted spaces for women to save and support each other financially, health education was rarely a focus during meetings. Many women had unstable incomes and relied on household funds for their contributions, sometimes causing tensions within families. Gender dynamics also posed challenges, as some men felt threatened by women's financial independence, and young women and girls were often excluded from these groups.
The research identified several priorities, including integrating maternal and child health education into VICOBA meetings, improving access to health insurance, strengthening leadership within groups, and including vulnerable women and adolescent girls in these networks. Health education was deemed the most immediate priority, with plans for short sessions led by trained facilitators on topics like nutrition, family planning, and antenatal care.
Dr. Isangula emphasized the potential of combining financial empowerment with health education to help women recognize health risks earlier and seek care promptly, ultimately building more resilient families. If successful, VICOBA meetings could evolve into platforms for both financial and health empowerment for women in Tanzania.