|Reporting Organization:||Dalhousie University|
|Total Budget ($CAD):||$ 997,704|
|Timeframe:||October 15, 2014 - April 14, 2020|
John C. LeBlanc, MSc MD
|Tanzania, United Republic of - $ 997,704.00 (100.00%)|
|Health Systems, Training & Infrastructure (50 %)|
|Newborn & Child Health (25 %)|
|Reproductive Health & Rights incl. Maternal Health (25 %)|
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.
|Gender and age:||Adult women Adult men Newborns|
|Total Direct Population:||Unspecified|
|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|
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.