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Leading Safe Choices: Tanzania

Goal: Increasing the number of health providers willing and able to routinely deliver postpartum family planning and comprehensive postabortion care services

Duration: 3 years (1 year extension)

Partner: Management and Development for Health, Ministry of Health Community Development Gender Elderly and Children of Tanzania

Funder: Large Anonymous Donor

Banner for Leading Safe Choices: Tanzania

Outcomes

  • 10,776 women postpartum and 841 women postabortion were reached with respectful information and advice about modern contraceptive methods, and received a contraceptive method of their choice
  • 89% training coverage of health care providers achieved in maternity and labour wards of the pilot sites
  • The number of postpartum women going home with a family planning method increased from less than 1% to 57% during the lifetime of the programme.
  • 10 health facilities have enhanced capacity and commitment for providing comprehensive contraceptive services and care, postpartum and postabortion, for women according to their choice.

Programme

The RCOG partnered with Management and Development for Health to improve postpartum family planning and comprehensive postabortion care services in Tanzania. The Leading Safe Choices programme adopted a systems approach, working through existing Ministry of Health structures in country and with local programme and clinical teams, to better ensure sustainability of impact.

The programme was implemented in Dar es Salaam and Kilimanjaro across ten selected health facilities in three districts: Moshi, Ubongo and Kinondoni. The facilities included four referral hospitals Sinza, Mwanayamala, Kilimanjaro Christian Medical Centre and Mawenzi, and six lower level facilities: Makurumla, Mbezi, Kimara health centres and Goba dispensary in Dar es Salaam and Pasua and Majengo in Moshi.

The programme comprised of interactive training courses addressing the knowledge, skills and attitudes essential for the provision of high quality postpartum family planning and comprehensive postabortion care. Training was followed by a mentorship model to provide on-the-job support, and strategies to tackle systems barriers, such as close liaison with facility and district management.

"In Tanzania we were not used to training a person and then to straight away take that person to the health facility to start providing services with him or her assisting, to make them gain confidence. We were used to training service providers and then leaving them for at least 2 to 3 months before follow up. When following up after this time, you can find that some have lost some of their skills. What I like about Leading Safe Choices is that after training you start guiding and mentoring a person instantly, it’s fantastic."

Hadija Mwanaupanga, LSC Mentor in postpartum family planning in Tanzania

 

Read more case studies from the Leading Safe Choices programme