|Reporting Organization:||Amref Health Africa in Tanzania|
|Total Budget ($CAD):||$ 13,017,308|
|Timeframe:||November 1, 2011 - March 31, 2015|
|Tanzania, United Republic of - $ 13,017,308.00 (100.00%)|
|Health Systems, Training & Infrastructure (50 %)|
|Reproductive Health & Rights incl. Maternal Health (20 %)|
|Primary Health Care (10 %)|
|Law, Governance & Public Policy (20 %)|
The project aims to improve health services for mothers, newborn babies, and young children in all five districts of the Simiyu region in Tanzania. The project is designed to strengthen existing health systems and to empower community members, especially women, to demand the health services they require, to make choices that support good health, and to get involved in managing local health care services. Specific activities include refurbishing and equipping health centres and district hospitals, providing training for local government officials to help them better manage and prioritize health services for mothers and children, and providing training for health workers with a focus on gender equality and public health issues. The project also supports community engagement activities that help local communities become more aware of issues relating to the health of women and children and to gender equality. The project provides community health workers with essential tools for treating women and children and training in home-based life-saving skills, birth planning, the treatment of childhood illnesses, and involving men in supporting the health of women and children in their community. This project is expected to directly help 108,000 pregnant women, 20,000 infants, and 114,000 children under five and indirectly help another 400,000 women and their families. The African Medical and Research Foundation is working in partnership with the Government of Tanzania, the Ministry of Health and Social Welfare, and local government authorities to implement the project. This project is part of Canada’s maternal, newborn, and child health commitment.
|Gender and age:||Adult women Under-5 children Newborns|
|Total Direct Population:||242,000|
|Total Indirect Population:||400,000|
|Women knowledge increased|
|3924||New CHW trained|
Results achieved as of the end of the project in March 2015 include:
(1) Births taking place in a facility with a skilled birth attendant increased to almost 70% by March 2015, up from 58% in 2012; (2) 64% of pregnant women are receiving antenatal care at least four times during pregnancy, up from 29% in 2012; (3) 82% of all primary level health facilities have at least one skilled birth attendant compared to 15% in 2012. This was achieved through reallocation of staff by local authorities, with project support; and (4) Client satisfaction with MNCH services increased to 91% by March 2015, up from 58% in 2012.
Results achieved as of March 2014 include: (1) the percentage of births taking place in a facility with a skilled birth attendant increased from 58% in 2012 to 67%; (2) the number of perinatal deaths (such as still births or deaths within the first seven days of life) dropped from 36 per 1,000 live births to 20 per 1,000 live births, exceeding the project target of 25 and lower; (3) 838 health care workers were trained in different MNCH intervention skills, including emergency obstetrics and integrated management of childhood illness; (4) 3,924 new community health workers were trained MNCH issues and are active in their respective villages; and (5) The percentage of women with knowledge of danger signs of obstetric, neonatal and child health complications has increased from 26% at the beginning of the project to 70% by March 2014.
These results have contributed to improving the quality and reliability of MNCH facilities and services, as well as the ability of communities to participate in the response to basic MNCH issues in Simiyu region.