SUSTAIN-Kigoma: Supporting Systems to Achieve Improved Maternal, Newborn, and Child Health

Reporting Organization:World Vision Canada
Total Budget ($CAD):$ 11,911,394
Timeframe: December 9, 2016 - December 31, 2020
Status: Implementation
Contact Information: Unspecified

Partner & Funder Profiles

Reporting Organization

World Vision Canada

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Country - Total Budget Allocation

Tanzania, United Republic of - $ 11,911,394.00 (100.00%)

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Areas of Focus

Health - Total Budget Allocation

Reproductive Health & Rights incl. Maternal Health (83 %)

Newborn & Child Health (17 %)

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SUSTAIN Kigoma is part of GAC’s Improving Reproductive, Maternal and Newborn Health in Underserved Areas of Tanzania. Five projects are being implemented by 5 NGOs (Care Canada, Aga Khan Foundation, Plan Canada, World Vision Canada, and AMREF Canada-Tanzania) in 5 hard-to-reach areas. Each NGO has a distinctive approach – this is not a coalition. World Vision Canada is implementing in Kigoma region with SUSTAIN Kigoma.
The project goal of SUSTAIN Kigoma is to contribute to the reduction of maternal and neonatal mortality in eight districts among marginalized and vulnerable women and newborns.

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Target Population

Gender and age: Adult women Adult men Adolescent females Adolescent males Under-5 children Newborns
Descriptors: Rural
Total Direct Population: 236,478
Total Indirect Population: 2,275,738
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Clinics built or refurbished
395 Providers trained
645 Stakeholders trained
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Results & Indicators

Expected Results

ULTIMATE OUTCOME: Contribute to the reduction of maternal and neonatal mortality in targeted regions among the most marginalized and vulnerable women and newborns.

1100 Improved availability of quality gender-responsive maternal and newborn health services in underserved districts in Tanzania
1200 Increased utilization of reproductive maternal newborn health services by women and their families in targeted districts in Tanzania

1110 Strengthened capacity of health service managers (HSMs) and regional and community health management teams (R/CHMTs) to implement and monitor gender sensitive and adolescent-friendly RMNCAH services for women of reproductive age 1
1120 Strengthened capacity of health system (facility and community) to provide comprehensive, appropriate environmental, gender-sensitive and adolescent-friendly, RMNCAH services with specific focus on pregnancy, childbirth and neonatal conditions including pre-term births.
1210 Improved knowledge of women of reproductive ages and men, including adolescent girls and boys on gender sensitive and age appropriate RMNCAH information and services
1220 Increased community demand creation and policy environment for women of reproductive age and men, including adolescent girls and boys to adopt recommended RMNCAH practices

Achieved Results

Total beneficiaries reached as of June 2018: 97,441 beneficiaries reached

Results as of December 2018:
• Improved management of data at health facilities. Regular reporting of maternal deaths to the DHMT as depicted from the midline report which shows an increase of 52% at dispensary level (33% from baseline and 85% from MTR) and 23% at Health Clinic level (77% from baseline and 100% from MTR).
• Contributed to a 5% decrease in perinatal deaths at the regional level, reducing deaths from 15.7% in 2017 to 10.7% in 2018.
• Improvement in heath facilties’ Results Based Financing (RBF), where health facilities are provided funds according to their performance. For example, Matendo Health Facility was on the verge of closing due to funding mismanagement, but after WV training the health facility improved from 10% to 76% achievement in Results Based Financing in two quarters of 2018
• 47.4% increase in knowledge among 224 CHWs (105 male, 119 female) trained on MNCH community health workers’ integrated package and among 89 health facility workers (47 male, 42 female) on CHW supervision.

Outputs as of December 2018:
• Impacted the knowledge of 60 R/CHMT and 240 health facility in-charges and governing committee chairpersons on evidence-based planning and budgeting,
• Improved knowledge on leadership and management for 55 R/CHMT and 126 Facility in-charges.
• Enhanced the knowledge of 100 health facilities in-charges on updated HIMS tools.
• Increased knowledge of 62 RCHMT on data quality review, and of 122 Health facility in-charges on supply chain management of essential pharmaceutical include contraceptives and electronic logistics management information systems.
• Supplied 59 Health facilities staff with maternal perinatal mortality national guideline,
• Trained and oriented 14 R/CHMT at the regional and district levels to impact knowledge on maternal perinatal review
• Improved the capacity of 224 CHWs on vital statistics reporting.
• Impacted RMNCAH knowledge and practices to 30 groups of CVA from 6 Councils and 2 districts, each group consisting of 30 CVA members from each Ward who cascaded their knowledge and reached 718 CVA team members.
• 738 faith and government leaders (221 female and 517 male) were impacted with knowledge on RMNCAH using the Channels of Hope (CoH)-MNCH model and cascaded their knowledge to their communities where 123 Channels of Hope Action Teams (CHATs) were formed.
• 599 community influencers (community women influencers and grandmothers) supported adoption of recommended RMNCAH practices amongst women of reproductive age, adolescent girls and their families.


SRHR-related Indicators
  • # of health care service providers trained in SRHR services
  • # of women and girls (age) provided with access to sexual and reproductive health services, including modern methods of contraception
MNCH-related indicators
  • # of district/health facilities that use sex disaggregated data to inform health service delivery
  • # of health facilities that provide gender-responsive family-planning services
  • %/total of health workers (male/female) trained and using their learned skills
  • %/total of infants (0-5 months) who are fed exclusively with breast milk
  • %/total of mothers, and %/total of babies, who received postnatal care within two days of childbirth
  • %/total of women attended at least four times during pregnancy by any provider for reasons related to the pregnancy
  • Relevant data collection on vital statistics (birth, deaths, and causes of deaths) are collected
SDG Goal 3. Ensure healthy lives and promote well-being for all at all ages
  • SDG 3.1.1 Maternal mortality ratio
  • SDG 3.1.2 Proportion of births attended by skilled health personnel
  • SDG 3.2.1 Under‑5 mortality rate
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Associated Projects (If applicable)

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