The first time I saw Africa, I was doing a shoot for a British fashion
magazine on a small island off the coast of Mombasa, the Kenyan port
city. While the trip was extremely lovely and memorable, it wasn’t quite
the Africa I had anticipated. So the following year, I returned, this
time to Tanzania. On the flight over, I remember looking out at Mount
Kilimanjaro from my airplane window and promising myself: The next time I
come back, I will climb that mountain.
That was nearly 20 years ago. Over the years, I did make it back to
sub-Saharan Africa several times, spending time in Madagascar,
Swaziland, South Africa. I returned to Tanzania and Kenya and stayed
with a friend who lived in the Masai Mara, beside a river packed with
wild hippos. And yes, I did climb Mt. Kilimanjaro. This year, I decided
to make the journey again, to Tanzania—but with a much different
purpose. As an advocate for maternal health, I wanted to help ensure
that mothers live to see their children grow up.
Exact numbers are hard to come by, but recent surveys suggest that for
every 100,000 babies born in Tanzania, nearly 1000 mothers lose their
lives in childbirth. Tanzania recognizes the magnitude of the problem;
the country’s president, Jakaya Mrisho Kikwete, says he is committed to
reducing maternal mortality by 75 percent by the year 2015. With the
help of development partners like the World Bank and the Swiss
government, President Kikwete plans to further educate hundreds of
doctors, nurses, and midwives over the next 10 years, and train
clinicians to perform emergency services like C-sections.

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