Design and Planning of PHCs

INTRODUCTION • In Tanzania, MNCH is high priority

– Child mortality greatly reduced – Neonatal mortality little change

• Estimated 34,000 newborn lives could  be saved IF essential care reached  mothers and babies

Source: Manji, K. Situation analysis of newborn health in Tanzania: Current situation, existing plans and strategic next steps for newborn health. Dar es Salaam: Ministry of Health and Social Welfare, Save the Children; 2009. via http://www.countdown2015mnch.org/documents/2012Report/Tanzania_SituationAnalysis_Newborn.pdf

Source: Walker PR, Downey S, Crigler, LeBan K. (2013). CHW "Principles of Practice": Guiding principles for NGOs and their partners for coordinated national scale-up of Community Health Worker programmes. Washington, DC: CORE Group, World Vision International. via http://www.coregroup.org/storage/Program_Learning/Community_Health_Workers/CHW_Principles_of_Practice_Final.pdf

Supporting CHW efforts to improve MNCH

PROBLEM STATEMENT • High maternal and neonatal mortality in Kagera District 

– Highest infant mortality in Tanzania: 62 deaths/1,000 live  births 

– Maternal mortality: 578 deaths/100,000 live births  • Unmet need for antenatal and perinatal care

– Skilled attendant at birth: 39% – EmOC need met: 15%  – 4+ ANC visits: 61% 

• Poor knowledge of essential newborn care practices • Shortage of skilled birth attendants, high CHW attrition Care group volunteers working with TBAs and SBAs can meet  many of these needs from a community level Mortality and Health, National Bureau of Statistics, United Republic of Tanzania, 2015 Situation analysis of newborn health in Tanzania, United Republic of Tanzania, 2009

PROJECT GOAL & OBJECTIVES Over 5 years, we intend to:

1) increase the proportion of pregnant women who have 4  comprehensive antenatal care visits by 20% from 60% 

2) increase the proportion of women delivering with a skilled  birth attendant by 25% from 49% 

3) increase the proportion of mothers with an infant under 1  year old who demonstrate correct knowledge or practice of  at least 3 out of 4 essential newborn care components to at  least 75%

4) retain at least 90% of trained care group volunteers