Accessing Safe Deliveries in Tanzania (ASDIT)

Reporting Organization:Dalhousie University
Total Budget ($CAD):$ 997,704
Timeframe: October 15, 2014 - April 14, 2020
Status: Implementation
Contact Information: John C. LeBlanc, MSc MD
[email protected]

Partner & Funder Profiles

Reporting Organization

Dalhousie University

Funders (Total Budget Contribution)

Return to top


Country - Total Budget Allocation

Tanzania, United Republic of - $ 997,704.00 (100.00%)

Return to top

Areas of Focus

Health - Total Budget Allocation

Health Systems, Training & Infrastructure (50 %)

Newborn & Child Health (25 %)

Reproductive Health & Rights incl. Maternal Health (25 %)

Return to top


Tanzania has placed a priority on improving access to obstetrical and neonatal care in health facilities. This is currently a major barrier to reducing deaths. Few healthcare workers are trained to offer emergency obstetrical care, so timely access to services for safe birthing is a challenge. There is also insufficient support and mentorship from senior staff, lack of motivation to participate in training courses, and limited equipment to support obstetrical interventions.

To reduce some of these gaps, associate clinicians, midwives, and nurses need training and skills upgrading. This will help meet the demand for life-saving emergency obstetrical procedures for mothers and their newborns. This promising training approach is often referred to as task shifting and forms part of the Tanzanian Ministry of Health’s comprehensive emergency obstetrical and newborn care strategy.

Return to top

Target Population

Gender and age: Adult women Adult men Newborns
Total Direct Population: Unspecified
Return to top


CEMONC training program assessed
Effect of CEMONC on health service delivery and health outcomes assessed
Enabling and inhibiting factors for successful implementation of CEMONC identified
KT Plan for CEMONC implemented
Quality of mentorship and post-training support assessed
Resource package for CEMONC scale up developed
Return to top

Results & Indicators

Expected Results

The project will rank barriers and highlight factors that support a national scale-up process. With better access to skilled care and emergency services, the project aims to improve maternal and newborn health outcomes throughout Tanzania. It will also identify and improve activities that increase community members’ access to comprehensive care.

The project team will publish evidence on the effectiveness of the comprehensive emergency obstetrical and newborn care training program as it relates to health service delivery and health outcomes. Researchers will submit policy briefs to government officials and use a Web-based reporting tool to share lessons learned. They will organize training workshops to enhance collaboration among researchers and decision-makers.

Achieved Results



MNCH-related indicators
  • # of health facilities equipped with maternal and newborn child health, or sexual and reproductive health equipment
  • %/total of health workers (male/female) trained and using their learned skills
  • Relevant data collection on vital statistics (birth, deaths, and causes of deaths) are collected
Return to top
Return to top

Associated Projects (If applicable)

Return to top