pmnch



Tanzania


Maternal, newborn and child health in Tanzania

Trends

Tanzania in the past few years has experienced a substantial reduction in child mortality rates 1. In 2005, the infant mortality rate was 68 deaths per 1000, a vast improvement from the 1999 figure of 99 deaths per 1000. The under five mortality rate also decreased from 147 deaths per thousand in 1999 to 112 deaths per 1000 in 2005. Maternal mortality, on the other hand, has not benefited from trends similar to those of child mortality. Maternal deaths in Tanzania, with a ratio of 578 per 100 000.

More information


Actions

Faced with the critical state of MNCH, actors in Tanzania have taken steps to mitigate the issue. A Roadmap for the Reduction of Maternal and Newborn Mortality and Morbidity already exists. In order to accelerate the improvement of maternal, newborn and child health the Government of Tanzania and partners from the NGO, research, health professional and UN communities launched the Tanzania National Partnership for Maternal, Newborn and Child Health (Tanzania PMNCH) one of the first in Africa to do so.

More information

The Tanzania Ministry of Health led a Technical Consultation on the way forward for maternal, newborn and child health and for the Tanzania PMNCH in April 2007. This meeting, which was co-facilitated with The Partnership Country Support Working Group, demonstrated the commitment of the Tanzania maternal, newborn and child health actors and provided recommendations for the most effective ways to address these issues in the country.

More information [pdf 30kb]


Documents and links

PMNCH Grant [pdf 42kb]


Statistics

Tanzania Statistics Chart, 2007 [pdf 17kb]
1All statistics are taken from the Tanzania Statistics Chart.

Meetings and reports

Tanzania Technical Consultation on the Way Forward for Maternal, Newborn and Child Health [pdf 30kb]


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Trends

Tanzania in the past few years has experienced a substantial reduction in child mortality rates1. In 2005, the infant mortality rate was 68 deaths per 1000, a vast improvement from the 1999 figure of 99 deaths per 1000. The under five mortality rate also decreased from 147 deaths per thousand in 1999 to 112 deaths per 1000 in 2005. This decrease can be in part attributed to improved breastfeeding practices, IMCI and high immunization coverage. However, one in nine children still die before their fifth birthday. Malaria, acute respiratory disease and diarrhoea persist as the most common childhood illnesses. .

Maternal mortality, on the other hand, has not benefited from trends similar to those of child mortality. Maternal deaths in Tanzania, with a ratio of 578 per 100 000, represent 18 percent of all deaths of women age 15-49. The main direct causes of maternal death are haemorrhages, infections, unsafe abortions, hypertensive disorders and obstructed labours. The presence of these causes is exacerbated by HIV and malaria, Tanzania's number one killer. The fact that more than half of births in Tanzania occur at home also contributes to the elevated maternal mortality rate. Of all pregnant women, only 46 percent are assisted during childbirth by a doctor, clinical officer, nurse, midwife or maternal and child health aide.

Though, the rate of assisted birth is low, 94 percent of women receive antenatal care (ANC) from a health professional at least once. However, the number of women who seek ANC at least four times has decreased from 71% in 1999 to 62% in 2005. This indicates a need for increased effort in regards to maternal health. Also notable, though a large majority of women receive ANC, less than half of them are informed about the signs of pregnancy complication.

1The source for all Tanzania statistics: Tanzania Maternal, Newborn and Child Health Statistics table

The Tanzania PMNCH

The Tanzania PMNCH was launched during the first Global Partner's Forum, which took place in Dar Es Salam in April 2007. It was established by the Government of Tanzania and partners from the NGO, research, health professional and UN communities, in an effort to accelerate the national drive for improved maternal, newborn and child health. Ambassador Gertrude Mongella, President of the Pan-African Parliament, has been appointed as its champion.

The need for scaling up Maternal, Newborn and Child Health interventions through greater efficiency in the conduct of related activities is a substantial one in Tanzania. The Tanzania PMNCH will have as a principle role the development of a national plan and the coordination of the various partners to ensure successful implementation of said plan. As a technical reference group, the Tanzania PMNCH will also provide necessary support to members and Maternal, Newborn and Child Health actors where needed.

The Tanzania Partnership has a secretariat which is located at the Ministry of Health. This structure is financially supported by partners on a rotational basis. Currently UNICEF is supporting the secretariat.

The Tanzania Partnership is divided into working groups which meet monthly to follow up on management of previously identified activities and to identify next steps.

Currently the Partnership secretariat is housed at the Tanzania government Ministry of Health. With the arrival of new consultant at the secretariat, the planned activities are well under way. The main areas of immediate focus are:

Tanzania Technical Consultation on the Way Forward for Maternal, Newborn and Child Health

In April 2007, the Tanzania Partnership, hosted a technical consultation, led by the Tanzania Ministry of Health and co-facilitated with the Global Partnership Country Support Working Group. During this two-day meeting, over forty participants debated steps to be taken in order to: produce a single MNCH plan for Tanzania, increase focus on child interventions, improve the monitoring and evaluation system and operationalise the plan of action while taking into consideration effective implementation at district level. Click here for a summary of the technical consultation.

Over forty partners were present at the Tanzania Technical Conference. This is an indication of the number of implicated parties in Tanzania. The advances in MNCH that have occurred thus far are the result of programmes and initiatives conducted by UN organisations, NGOs, the government and health professional communities.

Some specific examples of action:

The Partnership members active in Tanzania

Members with Tanzania field offices

CARE
P.O. Box 10242
Dar es Salaam

German Foundation for World Population
Tanzania Office
P.O. Box 14279
Arusha
Tel: (+255) 27 254 81 86
Fax: (+255) 27 254 81 86

GTZ
P.O. Box 1519
Dar es Salaam
Tel: +255 222 115901
Fax: +255 222 116504
Email: gtz-tanzania@tz.gtz.de

Uzazi na Malezi Bora Tanzania (UMATI)
International Planned Parenthood Foundation
Samora Machel Avenue
Zanaki Street
P.O. Box 1372
Dar es Salaam
Tel: ( 22) 211 7774
(22) 211 1638-9
(22) 2139050
Email: infor@umati.or.tz

Marie Stopes
Email: africa@mariestopes.org.uk

PATH
P.O. Box 13600
Dar es Salaam
Tel: (+255) 22 212 2398
Fax: (+255) 22 212 2399
Email: info@path.org

UNICEF
Dar Es Salaam field office
P.O. Box 4076
Dar es Salaam
Tel: (+255) 22 219 6600

UNFPA
Dar Es Salaam field office
Plot 11, Ocean Road
Sea View
Dar es Salaam
P.O. Box 9182
Email: unfpa.tz@undp.org

USAID
686 Old Bagamoyo Road
Msasani
P.O. Box 9130
Dar es Salaam
Tel: (+255) 22 266 8482 / 8489 / 8490
Fax: (+255) 22 266 8421
Web Site: tanzania.usaid.gov

White Ribbon Alliance
481 Ring Street, Garden Road
Mikocheni A Opposite Mwl. Nyerere Residence
Dar es Salaam
Tel: 255 22 2771346/48
Tel: 255 754 316 369
Email: wra_tz@yahoo.com

World Bank
50 Mirambo Street
P.O. Box 2054
Dar es Salaam
Tel: (+255) 22 2116 197/9, 2114 575/7

World Health Organization
WHO Representative
PO Box 9292
Dar es Salaam
Tel: (+255) 22 2113005
(+255) 22 2132784
Fax: (+255) 22 2113180
E-mail: wrtan@tz.afro.who.int

World Vision
P.O.Box 6070
Arusha
Tel: (+255) 27 250 8850
Tel: (+255) 27 250 4359

Members involves in projects in Tanzania

ACCESS Tanzania
BASICS
CIDA
Engender Health
IntraHealth International Inc.
John Snow International
Minnesota International Health Volunteers (MIHV)
Options Consultancy
PLAN International
Save the Children

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