Increasing Access to Quality Family Planning and Other Reproductive Health Services in Kigoma
- Target Location Kigoma Region, Tanzania
EngenderHealth—with support from local partners Thamini Uhai and KIVIDEA—implemented the Increasing Access to Quality Family Planning and Other Reproductive Health Services in Kigoma Project in Kigoma, Tanzania in collaboration with the Ministry of Health, President's Office for Regional and Local Government, and CDC Foundation. The project improved maternal and neonatal health and increased contraceptive prevalence, including for youth, by improving access to quality maternal and reproductive health services—particularly emergency obstetric and neonatal care (EmONC)—and family planning (FP). Capacity-building interventions included: upgrading facilities; supplying essential drugs and equipment for FP and EmONC; providing training and supportive supervision in EmONC and contraceptive technology; and ensuring adequate contraceptive supplies. The project took a holistic approach, from supporting facility renovations to ensure adequate infrastructure to training public sector health workers. Under the project, Thamini Uai led EmONC interventions, while EngenderHealth expanded access to FP and postabortion care services.
In Tanzania (an in the Kigoma region in particular), high maternal mortality and fertility rates persist and only 46% of women give birth in a health facility (among the lowest rate in the country) (Tanzania Demographic and Health Survey 2015-16). To address these and other critical reproductive health challenges, EngenderHealth implemented this project to support the local government in reducing incidence of maternal dealth, increasing access to high-quality family planning services and uptake of modern contraceptive methods, expand access to postabortion care, and increase the rate of facility-based delivery. When Tanzanian women, girls, and young people can access the sexual and reproductive health information and services they want and need, free of discrimination and bias, they are better able to make their own decisions about sex and childbearing, and to fulfill their life goals. When that happens, all Tanzanians—children, families, communities, and society as a whole—benefits.