Project profile — Supporting Systems to Achieve Improved Maternal Newborn and Child Health in Kigoma Region


World Vision Canada (CA-CRA_ACR-3119304855)
2016-03-06 - 2021-06-30
Global Affairs Canada
WGM Africa

Country / region 

• Tanzania (100.00%)


• Health, General: Health policy and administrative management (12110) (10.00%)
• Basic Health: Basic health care (12220) (20.00%)
• Reproductive health care:
Reproductive health care (13020) (25.00%)
Family planning (13030) (10.00%)
Personnel development for population and reproductive health (13081) (35.00%)

Policy marker 

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (not targeted)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (significant objective)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (principal objective)
• Youth Issues (significant objective)
• Indigenous Issues (not targeted)
• Disability (not targeted)
• ICT as a tool for development (not targeted)


The project seeks to implement evidence-based maternal newborn and child health (MNCH) interventions to reduce mortality and morbidity of pregnant women and newborns in underserved districts of Kigoma region, Tanzania. This goal is achieved by improving the availability of quality MNCH services in underserved districts and increasing the utilization of maternal and newborn health services by women and their families in targeted districts. The project also aims to strengthen the capacity of council and health facility management teams to deliver services by training local health managers on evidence-informed program planning and decision making. Project activities include: (1) training 190 local health managers and Council Health Management Teams (CHMTs) on evidence-based planning and budgeting, leadership, supportive supervision, and supply chain management of essential pharmaceuticals and contraceptives; (2) supporting the CHMTs to develop and implement a data quality assurance and maternal and newborn mortality review system at district and health facility levels; (3) training and mentoring 335 frontline health workers to enhance their clinical capacity on emergency obstetric and neonatal care and family planning; (4) strengthening referral networks and supporting quarterly mobile outreach MNCH clinics and supportive supervision visits to hard-to-reach areas; (5) upgrading and equipping 26 health facilities with medical equipment and WASH facilities to provide Emergency Obstetric and Newborn Care services; and (6) conducting awareness sessions and community conversations with men and women support groups to discuss family planning issues and address concerns around the use of contraceptives, antenatal care and men’s role in supporting pregnant women and newborns. The project is implemented in collaboration with World Vision Tanzania and the Centre for Global Child Health – SickKids.

Expected results 

The expected outcomes for this project include: (1) increased utilization of maternal and newborn health services by women and their families in targeted districts in Tanzania; and (2) improved availability of quality maternal and newborn health services in underserved districts in Tanzania.

Results achieved 

Results achieved as of the end of the project (March 2022) include: (1) 215 health facility staff (109 women and 106 men) trained in basic emergency obstetric and newborn care, comprehensive obstetric and newborn care and waste management; (2) care provided for 45,251 people (of whom are 13,555 women, 17,626 girls 6,191 men and 7,789 boys) using 392 integrated reproductive, maternal, newborn, child and adolescent health outreach clinics; (3) 3 health facilities upgraded and equipped with medical supplies and waste management infrastructure to deliver gender-sensitive basic and comprehensive emergency obstetric and neonatal care; (4) 116 health facility staff and Council Health Management Team members (58 women, 58 men) trained, coached and mentored to provide adolescent-friendly services; (5) counselled 35,524 women of reproductive age, adolescents and caregivers by community health workers on health practices and care for newborns; (6) conducted 1,117 participatory peer-to-peer sexual and reproductive health rights workshops; (7) 29,492 youth (of whom are 14,789 girls and 14,703 boys) participated in peer education sessions on prevention of early pregnancy, danger signs during pregnancy and after delivery, effective communications between boys and girls, and sexually transmitted infections and HIV/AIDS; (8) reached 6,982 participants (of whom are 3,986 women and 2,996 men) through communication campaigns and training sessions on family planning; (9) distributed 50,000 information, education and communication materials; (10) 60 Citizen Voice and Action groups formed. 792 of the group members reached 20,877 people (of whom are 7,569 women, 3,793 girls, 2,518 boys, and 6,997 men) through community dialogues; and (11) developed 31 functional village savings and loan associations with 674 women participants.

Budget and spending 

Original budget $627,001
Planned disbursement $0
Transaction Date Type Value
11-03-2022 Disbursement $213,801
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Project-type interventions
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