• Reference: P-TZ-IB0-001
• Approval date: 11/10/2006
• Start date: 05/03/2007
• Appraisal Date: 03/07/2006
• Status: OngoingOnGo
• Implementing Agency: MINISTRY OF HEALTH
• Location: Mara, Tabora, Mtwara, Zanzibar

The Project comprises the following components:

 

(i) Strengthened Delivery of Maternal Health Services (Mainland). The project will provide an enabling working environment and ensure accessibility to quality health care services by providing adequate space including MCH units at dispensary and obstetric theaters at health centers and some selected district hospitals as prioritized under the Three Regions Health Study. All new and existing facilities that do not have appropriate water and sanitation facilities will be provided with boreholes, VIP latrines and placenta pits. All health facilities will be linked to a common call radio network and eight district hospitals will be provided with an ambulance. Given the current shortages of health workers, the project aims at increasing intake of various health cadres at selected training institutions and at updating skills of health workers through in-service training especially on emerging maternal and child health issues.

 

(ii) Strengthened Delivery of Health Care Services (Zanzibar). The project aims at strengthening delivery of health care services in Zanzibar. In order to increase the intake of students within Zanzibar, and to guarantee placement and accommodation for qualifying students from Pemba, the CHS will be upgraded with additional dormitories, classrooms, staff quarters and ancillary facilities and services. All female students will be guaranteed accommodation if it is required. Six second-line dispensaries will be upgraded to assist in meeting PHC demands and maternal health services. The project will further complement rehabilitation of 1st line dispensaries undertaken by DANIDA through construction of junior level housing units for officers in charge of some of these facilities. DANIDA is currently supporting strengthening of facilities and equipment maintenance and has a functioning maintenance unit at Mnazi Moja Hospital in Unguja. Maintenance of new and rehabilitated facilities and equipment will benefit from the DANIDA intervention.

 

(iii) Management and Coordination.

The objective of ADF's contribution is to accelerate the reduction of maternal and newborn deaths in Mara, Mtwara, Tabora and Zanzibar.

In spite of significant improvements in some health indicators and efforts to improve reproductive health care over the past five years, MMR remains high. Low caesarean rate, low levels of institutional deliveries and deliveries attended by skilled personnel give an indication of the poor quality of maternal services available to the poorer and more vulnerable groups in Tanzania. The Project will focus on the health facility and the community levels where the health sector can make a difference on direct causes of maternal deaths. At the health facility level the Project will support two of the sectoral priority activities in the HSSP namely, rehabilitation of health facilities and reproductive and child health.

At community level, community participation and education will empower communities to ensure a continuum of care between the household and the health care facility. The project will therefore, address the three delays that cause most of pregnancy-related mortality, namely, delays in: (1) deciding to seek appropriate medical help for an obstetric emergency; (2) reaching an appropriate obstetric facility; and (3) receiving adequate care when a facility is reached.

The project has many benefits such as: reduction of maternal and newborn deaths, the overall improvement of the health status of the population specially children and women; the increase in productivity as workers absent days due to sickness will be reduced; sustainability of the investment made in the health area (maintenance, etc.); poverty alleviation.

SHARAN Mona - OSHD3

Finance source	Amount
ADF	UAC 40,000,000
Government	UAC 4,440,000
Total	UAC 44,440,000