PROJECT FOR IMPROVEMENT OF HEALTH CARE SERVICES FOR MOTHERS AND NEWBORNS IN CHANIKA AND SURROUNDING AREAS
In Tanzania, 454 mothers out of 100,000 die each year due to pregnancy-related complications, and newborns constitute 50% of all deaths of children under-five. In order to support the Government of Tanzania to improve the delivery of MNCH services, both qualitatively and quantitatively, KOICA initiated the “Project for Improvement of Health Care Services for Mothers and Newborns in Chanika and Surrounding Areas” (2014-2018, USD 4.25 million).
The Project involves the upgrading of Chanika dispensary, located in the periphery of Dar es Salaam in a suburb with a population of 43,912 residents (Census, 2012), to the status of a maternity hospital. The 150-bed high tech hospital will improve maternal and newborn child health care by providing quality health services to women from pregnancy to delivery. The project’s other components include capacity building of health care workers, procurement of advanced equipment, and the provision of services that are currently not available at the dispensary level, including OBGYN ultrasound, high risk mother care, antenatal and postnatal care, Kangaroo mother care, anesthesia and outpatient services.
In addition to the maternity hospital, the project also constructs staffs housing to ensure the availability of health providers on any emergency cases. The project has also invested in an extensive capacity building program that trained 78 medical staff at Chanika Hospital in anesthesia, OBGYN ultrasound, BEmONC and CEmONC, and theatre management, as well in providing quality maternal and newborn child health services.
SAVING MOTHERS AND CHILDREN’S LIVES THROUGH INNOVATIVE, SUSTAINABLE AND COMPREHENSIVE REPRODUCTIVE, MOTHER, CHILD AND ADOLESCENT HEALTH SERVICES PROJECT
With support and funding from KOICA, Unicef is implementing the “Saving Mothers and Children’s Lives Through Innovative, Sustainable and Comprehensive Reproductive, Mother, Child and Adolescent Health Services” Project in all districts of Mbeya and Songwe regions in collaboration with the Local Government Authorities (LGAs), the Prime Minister’s Office–Regional Administration and Local Government (PMORALG), and the NGOs within the regions implementing MNCH projects (2013-2018, USD 5.6 million).
The Project involves the provision of ambulances, medical equipment, supplies, and renovations of 30 strategic health facilities in the region to provide quality services for mothers, newborns, and children under-five; and strengthening Comprehensive Emergency Obstetric and Neonatal Care. 154 health facilities in the region will be strengthened for Basic Emergency Obstetric and Neonatal Care (BEmONC) and Youth-Friendly services.
A key component and innovation of the project is the introduction of the Mama na Mwana mhealth program in 10 districts of Mbeya and Songwe regions. The mobile application registers all pregnant mothers into the system and provides information concerning the health of a pregnant mother and newborn babies, promotes health seeking behavior, and obtains feedback from mothers on the quality of MNCH services through text messaging. The program focuses on Patient Feedback Mechanism and Community of Practice (CoP).
MATERNAL AND NEWBORN HEALTH (MNH) FACILITY ASSESSMENT; ASSESSMENT OF COMMUNITIES’ KNOWLEDGE AND DEMAND FOR MATERNAL AND NEWBORN HEALTH SERVICES
the district of Kishapu in Shinyanga region, Good Neighbours International (GNI), with funding from KOICA, is executing the Maternal Health Project which commenced in 2015 and is expected to end in 2018. The goal of the project is to decrease the high Maternal Mortality Rates among women of reproductive ages in the district due to pregnancy related complications.
The project’s key interventions include enhancing medical infrastructure and human resources of 48 health facilities in 124 villages. The project utilizes Community Health Workers in creating linkage between communities and health system through monitoring households with pregnant mothers or with newborn babies, providing referrals to health facilities, advocacy on health intervention and community mobilization for demand on utilization of MNCH services.
STRENGTHENING HEALTH SYSTEMS TO REDUCE MATERNAL MORTALITY AND MORBIDITY IN SIMIYU REGION
A new partnership has been established between KOICA and the United Nations Population Fund (UNFPA) to initiate a Reproductive Maternal, Neonatal and Child Health (RMNCH) project titled “Strengthening Health Systems to Reduce Maternal Mortality and Morbidity” in the region of Simiyu with support and funding from KOICA (2017-2018, USD 5 million).
The 2-year project aims to improve access to equitable, acceptable, and affordable quality Reproductive Maternal, Neonatal and Child Health (RMNCH) services, including emergency obstetric and newborn care (EmONC) and Adolescent Friendly Reproductive Health Services (AFRHS) in Simiyu region. Simiyu region faces critical challenges in health indicators with the lowest national percentage of facility deliveries, double the national rate of institutional maternal deaths, and the lowest skilled birth attendance and high teen pregnancies.
This project to officially start in 2017 will address some of the key challenges in Maternal, Newborn and Child Health in line with national priorities stipulated in the National Vision 2025, the National Five-Year Development Plan (2015-2020) operationalized through the national Health Sector Strategic Plan IV (2015-2020), and the RMNCH Road Map Strategic Plan (2016- 2020).
THE HEALTH BASKET FUND
The Health Basket is a funding mechanism initiated in 1999 as part of the Government of Tanzania’s decision to pursue a sector wide approach (SWAp) in the health sector. The basket is funded by a number of Development Partners Group Tanzania (DPG-TZ) that pools un-earmarked resources to support the implementation of the Health Sector Strategic Plan IV (2015-2020).
In 2016, KOICA reached one of its milestones by joining the Health Basket Fund (HBF). KOICA contributed to the HBF for the 2016/17 Government fiscal year, which is guided by the Health Basket Memorandum of Understanding (2015-2020) and is funded by World bank, Canada, Denmark, Ireland, Switzerland, , and UNICEF.
The Health Basket Fund currently supports all 184 districts of Tanzania mainland using a specific allocation formula that takes into consideration local needs, equity , the population of the district and area of coverage. This model has significant benefits, including a more efficient and effective use of aid resources, greater flexibility in financing activities, maximization of coordination of activities within the sector, and greater ease in aligning with the Government’s public financial and economic management.