Health—General & Rehabilitative


Advancing Patient-Centered Care

aka FAME

Redding, CA


To provide high quality medical care to local Tanzanians who currently cannot easily access medical care.

Ruling Year



Dr. Frank Artress


Susan Gustafson

Main Address

4553 Crimsonwood Dr.

Redding, CA 96001 USA


Africa, Orphans, Medical Care, Mobile Clinic





Cause Area (NTEE Code)

Hospital (General) (E22)

Ambulance/Emergency Transport (E62)

Community Health Systems (E21)

IRS Filing Requirement

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Programs + Results

What we aim to solve New!

Rural Tanzania comprises nearly 80% of the country’s poor people and only 20% of doctors. About 70% of Tanzanians live on less than US $2.00 per day. Access to healthcare is influenced by poverty and education levels, while health outcomes are impacted by low-quality care and a dire lack of doctors, nurses and surgeons. Poor retention in rural areas is due to under-resourced work environments, chronic supply shortages, meager professional support and continuing medical education, and poor compensation, among other issues. Thus, rural Tanzanians are dying from and/or becoming debilitated by very treatable conditions. Nearly 20% of deaths are the result of diseases that can be treated with surgery. Tanzania also has one of the highest maternal mortality rates globally: 556 deaths per 100,000 live births in 2016. Only 55% of rural deliveries are assisted by a skilled health worker. A huge gap exists in equitable, affordable, quality healthcare for the most under-resourced communities.

Our programs

What are the organization's current programs, how do they measure success, and who do the programs serve?

SOURCE: Self-reported by organization

Reproductive and Child Health

Outpatient, primary care

Diagnostic Services

Inpatient Hospital

General Surgery

Capacity Building

Where we workNew!

Charting Impact

Five powerful questions that require reflection about what really matters - results.

SOURCE: Self-reported by organization

What is the organization aiming to accomplish?

What are the organization's key strategies for making this happen?

What are the organization's capabilities for doing this?

How will they know if they are making progress?

What have and haven't they accomplished so far?

FAME is scaling up strategic priority programs, while continuing to provide comprehensive, patient-centered primary care. Specific goals over the next five years include: -Increase new enrollees to our reproductive/child health programs and hospital deliveries by 15-25% annually -Expand infrastructure for the demand for high quality Labor & Delivery services and emergency obstetrical care -Ensure that FAME patients receive high quality maternal and child care delivered by well-trained medical personnel in a well-resourced medical facility -Develop our community outreach to promote a better understanding of Reproductive and Child Health -Build the capacity of local healthcare providers through on-campus education/training, a scholarship program, and medical volunteer program - Increase the scope of general surgeries our doctors can do independently -Build a quality service across departments through a systematic program of Continuous Quality Improvement and M&E.

FAME is developing a more robust and diversified funding base to ensure that FAME can continue to respond effectively and efficiently to the challenges inherent in operating a top-tier hospital in rural Tanzania. Partnerships and collaborations are central to fulfilling FAME’s Strategic Plan. FAME’s services and programs coordinate with the services and programs of the Tanzanian Government/Ministry of Health and Social Work (MoHSW) in a variety of ways. FAME has also established referral relationships with private non-profit hospitals and programs in our region that specialize in the following: orthopedic and plastic surgery, severe malnutrition, physical rehabilitation and therapy, fistula surgery, and cancer treatment. FAME also collaborates with international NGOs and medical institutions.

Our 148 all-Tanzanian staff are vital to FAME’s success and capacity to provide equitable, high-quality care. Our medical team regularly engages in on-campus continuing education and training and partners with international medical specialists on-site to advance their skills in primary care, surgery, emergency obstetric and newborn care, radiology, and laboratory testing. To date, FAME’s programs and services have been financed by private donations and grants, as well as a highly inclusive graduated fee structure that enables the poorest families to have the same access to medical care as those with greater resources. FAME is now diversifying its funding base by building a robust major gifts program; seeking multi-year grants from larger foundations, and continuing to develop partnerships with medical/global health institutions and peer NGOs to strengthen programs and services, as well as FAME’s capacity to measure impact in key program areas, such as maternal and child health.

We collect and analyze data on the following indicators at FAME Medical: -# of patient visits -# of admissions -# of Lab tests and distribution of results -# of CT scans and X-rays -Top 10 outpatient diagnoses -Top 10 reasons for admission - Average stay in hospital -# of births -# and reasons for C-sections -#/type of obstetrical emergencies -# and type of general surgeries -Maternal mortality -Infant mortality -Participation levels in antenatal program -Participation levels/preferred methods of family planning -Number of trainings and participation levels -Clinical competencies of nurse and doctors -Geographical reach To gather and evaluate outcomes on indicators, we will use departmental data recorded in our customized FileMaker Pro database, excel documents and district registers, competency-based assessments, training module development, calendar of trainings, attendance sheets, chart reviews, evidence-based protocol development, CQI process, and management team meetings.

With a catchment of 1.2 million rural Tanzanians, FAME serves diverse communities who would otherwise have limited access to quality healthcare. Since 2008, FAME has offered comprehensive primary care and specialty services, with a commitment to nurturing leaders and a culture of Continuous Quality Improvement that can serve as a model to other medical facilities in the region. FAME continues to provide advanced professional education and training for our medical team across departments. Since 2014, FAME has offered comprehensive Maternal and Child Health services. With 52 Tanzanian staff trained in emergency obstetric and newborn care, FAME is the region’s referral destination for high-risk women. FAME has a state-of-the-art laboratory with 13 quality staff. FAME is now scaling up its Maternal and Child Health and General Surgery programs. FAME aims to develop surgical capabilities to respond to emergencies and perform elective surgeries that can prevent life-long disabilities.

External Reviews



Fiscal year: Jan 01 - Dec 31

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The people, governance practices, and partners that make the organization tick.

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Board Leadership Practices

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SOURCE: Self-reported by organization


Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations?



Has the board conducted a formal, written assessment of the chief executive within the past year?



Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year?



Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership?



Has the board conducted a formal, written self-assessment of its performance within the past three years?