Uzazi Uzima (Improving Maternal and Newborn Health in Underserved Areas in Tanzania)

Reporting Organization:Amref Health Africa in Canada
Total Budget ($CAD):$ 10,887,651
Timeframe: January 11, 2017 - December 30, 2020
Status: Implementation
Contact Information: Jasmine Vallve
[email protected]

Partner & Funder Profiles

Reporting Organization

Amref Health Africa in Canada

Participating Organizations

Funders (Total Budget Contribution)

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Country - Total Budget Allocation

Tanzania, United Republic of - $ 10,887,651.00 (100.00%)

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Areas of Focus

Health - Total Budget Allocation

Reproductive Health & Rights incl. Maternal Health (30 %)

Primary Health Care (25 %)

Health Systems, Training & Infrastructure (15 %)

Other - Total Budget Allocation

WASH (30 %)

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The Uzazi Uzima project aims to improve health conditions and reduce maternal and newborn mortality and morbidity in five (5) districts of Simiyu region, namely Bariadi DC/TC, Busega, Itilima, Maswa, and Meatu. The Simiyu region, located in the Lake Zone, has been identified as a priority by the Government of Tanzania due to its high mortality rate in the country. In general, Tanzania’s maternal mortality ratio has been on the increase, rising from 432 per 100,000 live births in 2012 to 556 in 2015/2016. This project aims to address key gaps uncovered during implementation and evaluation of a previous Global Affairs Canada-funded reproductive, maternal, newborn, child and adolescent health (RMNCAH) project implemented by Amref Tanzania under GAC’s Muskoka Initiative to incorporate strategies that investigate causes of maternal deaths, including the recent increase in maternal mortality, and other RMNCAH challenges. This will be accomplished through an age and sex disaggregated baseline survey, various qualitative data collection methods, a gender analysis, close collaboration with health and governmental bodies, partner organizations and local communities in order to achieve long-term sustainability of project results. All of the strategies and partnerships outlined above will be approached through a gender lens, actively seeking out ways to improve the decision-making power of women and girls, to advance their human rights and improve their access to and control over their health decisions.

Project activities will be carried out over a four-year period (January 2017-December 2020). On the demand side, the project will (1) improve delivery of quality maternal and newborn services through enhancing knowledge and skills among health workers (HWs) to deliver RMNCAH services, nutrition counselling and WASH services, (2) refurbishing / rehabilitating health facilities / dispensaries and WASH infrastructure, including provision of equipment, and (3) strengthening gender responsive health management systems. On the supply side, the project will focus on (4) increasing utilization of services through awareness building and sensitization activities and through conducting advocacy activities related to RMNCAH care and on (5) strengthening community and government engagement across all tiers. The project will target directly 683,081 women of reproductive age, girls, adolescents, children and men, and indirectly reach 1,1751,005 women of reproductive age, girls, adolescents, children and men.

This project is implemented by the lead agency, Amref Health Africa in Canada in partnership with Amref Health Africa in Tanzania, Marie Stopes Tanzania, and Deloitte, as a service partner with technical support from the Institute for International Programs Johns Hopkins University (IIP-JHU).

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Target Population

Gender and age: Adult women Adult men Adolescent females Adolescent males Under-5 children Newborns
Total Direct Population: 683,081
Total Indirect Population: 1,175,052
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Results & Indicators

Expected Results

Ultimate Outcome: Reduced maternal & newborn mortality & morbidity in five districts in Tanzania’s Simiyu Region
Intermediate Outcomes:
1) Improved delivery of quality maternal & newborn health services in five districts in Tanzania’s Simiyu Region
2) Increased utilization of maternal & newborn health services by women & their families in five districts in Tanzania’s Simiyu Region,

Achieved Results



SRHR-related Indicators
  • # of health care service providers trained in SRHR services
  • # of health facilities that provide care for complications related to unsafe abortion or, where it is not against the law, that provide safe abortions
  • # of health professionals trained to provide safe abortion and post-abortion care
  • # of teachers/facilitators trained on comprehensive sexuality education
  • # of women and girls (age) provided with access to sexual and reproductive health services, including modern methods of contraception
  • $ invested that promote the integration of comprehensive sexuality education in school curriculums
  • % of primary service delivery points with least 3 modern methods of contraception available on the day of assessment
  • % of women who decided to use family planning, alone or jointly with their husbands/partners
MNCH-related indicators
  • # of district/health facilities that use sex disaggregated data to inform health service delivery
  • # 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
  • %/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
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 3.2.2 Neonatal mortality rate
  • SDG 3.7.1 Proportion of women of reproductive age (aged 15–49 years) who have their need for family planning satisfied with modern methods
  • SDG 3.b.3 Proportion of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis
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Associated Projects (If applicable)

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