Project Description

Uzazi Uzima (Swahili for “Safe Deliveries”)

Many mothers and their children in the Simiyu region of northwestern Tanzania lack access to basic health care during pregnancy, delivery and the first few years of life. Focusing on five districts where mother and child deaths are high, Amref Health Africa in Tanzania, building on our previous work in maternal health in Tanzania, is continuing to ensure quality health care is available to prevent unnecessary deaths.

Project timeline: January 2017 to August 2021
Funder: Government of Canada through Global Affairs Canada

Situation – Moms and babies lack access to health care

Many women, including adolescent mothers and their children, in the Simiyu region of northwestern Tanzania lack access to basic health care during pregnancy, delivery and the first few years of life–largely due to a lack of access to, and low use of, health services.

Action: Improving access to and use of health services for women, including adolescent mothers and their children

To improve access to health care, Amref Health Africa and our partners will:

  • provide training, supervision and mentorship to health workers to improve their skills in sexual and reproductive care, maternal care and family planning
  • support health facilities with infrastructure and equipment with an emphasis on IT, health management information systems
  • improve referral systems so that rural communities are encouraged to access health services.

To improve the use of health services by women and their families, we will:

  • train and equip Community Health Workers, Traditional Birth Attendants, traditional healers and community influencers
  • reinforce education and awareness-raising efforts with a media campaign around reproductive, maternal and newborn health topics, including gender equality, harmful traditional practices, and the significance of men’s involvement in mother and child health
  • encourage community feedback on quality of services for reproductive and maternal health, and nutrition.

Results to Date: Highlights (April 2019 to March 2020)

  • 25,319 people received essential health care services, such as immunization, pre- and post-natal care, and cervical cancer screening.
  • 19 health facilities renovated, including 8 boreholes dug to provide clean water for health workers and patients.
  • 16,179 women and men, including youth, received family planning services.
  • 923 health workers trained, including community health workers who are the first point of contact for health education.
  • 75% of births in the project area took place in health facilities with skilled health workers – an increase of 8% from 2018. Giving birth in a health facility increases the likelihood of a woman and newborn surviving childbirth.
  • 51% of young people in the project area used youth-friendly services set up to address their needs.

Project at a Glance

Situation

The maternal mortality ratio in Tanzania is still an astonishing 454 per 100,000 live births, and is even worse in the Simiyu region of northwestern Tanzania. This project will build on our previous work in maternal health in Tanzania and aim to improve access to basic sexual reproductive health care for moms and babies in Simiyu.

Action

We are improving access to, and improving the use of, health services by women and their families.

Expected Results

2.3 million women, children and men benefit directly or indirectly through training, education and other initiatives.

Partners

Marie Stopes

Service Partner

Deloitte