Strengthening Quality of Care Room: Freesia Pre-Formed Panel
May 10, 2023 11:50 - 13:05(Africa/Johannesburg)
20230510T1150 20230510T1305 Africa/Johannesburg A 13-Year Initiative to Expand Access to High-Quality Emergency Obstetric and Newborn Care (EmONC) and Family Planning Services in Tanzania

The Program to Reduce Maternal Deaths in Tanzania was a 13-year initiative that worked to expand mostly rural communities' access to high-quality emergency obstetric and newborn care (EmONC) and family planning services. The Tanzanian Ministry of Health and its partners worked together to enhance the quality of maternal and perinatal care and improve health outcomes in Kigoma region.

Sub-Saharan Africa accounts for only 15% of the world's population but bears nearly 70% of the global burden of maternal deaths and about 40% of global newborn deaths. More than half of maternal and newborn deaths result from complications during childbirth and are largely preventable. However, poor quality of care in low-resource settings is often a greater contributor to poor health outcomes than health coverage. The Tanzanian program model of decentralized reproductive, obstetric, and newborn care from hospitals to more accessible, lower-level health facilities through infrastructure upgrades and training of non-physician health care providers demonstrated substantial reduction in maternal and perinatal deaths. The panel will present the history of the program, key program interventions, a population-based multilevel decomposition analysis that shows how a rapid increase in facility deliveries is mostly attributable to the increase in quality of health facilities, and an innovative birth companionship model that was scaled up and led to a policy change in Tanzania.

Lessons learned from the program can inform policymakers and program managers in settings where similar approaches could be used to improve and sustain the utilisation of quality facility care at birth.

Room: Freesia International Maternal Newborn Health Conference 2023 information@imnhc.org
58 attendees saved this session

The Program to Reduce Maternal Deaths in Tanzania was a 13-year initiative that worked to expand mostly rural communities' access to high-quality emergency obstetric and newborn care (EmONC) and family planning services. The Tanzanian Ministry of Health and its partners worked together to enhance the quality of maternal and perinatal care and improve health outcomes in Kigoma region.

Sub-Saharan Africa accounts for only 15% of the world's population but bears nearly 70% of the global burden of maternal deaths and about 40% of global newborn deaths. More than half of maternal and newborn deaths result from complications during childbirth and are largely preventable. However, poor quality of care in low-resource settings is often a greater contributor to poor health outcomes than health coverage. The Tanzanian program model of decentralized reproductive, obstetric, and newborn care from hospitals to more accessible, lower-level health facilities through infrastructure upgrades and training of non-physician health care providers demonstrated substantial reduction in maternal and perinatal deaths. The panel will present the history of the program, key program interventions, a population-based multilevel decomposition analysis that shows how a rapid increase in facility deliveries is mostly attributable to the increase in quality of health facilities, and an innovative birth companionship model that was scaled up and led to a policy change in Tanzania.

Lessons learned from the program can inform policymakers and program managers in settings where similar approaches could be used to improve and sustain the utilisation of quality facility care at birth.

What Does It Take to Reduce Maternal and Neonatal Deaths in Under-resourced, Rural Settings? Lessons from a 13-year Initiative in Kigoma, Tanzania
Panel 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
None
Strengthening Quality of Care
Presenters
NP
Neena Prasad
Director Of Global Obesity Prevention And Maternal And Reproductive Health Programs., Bloomberg Philanthropies
Co-authors Sunday Dominico
Director Of Programs, Thamini Uhai/Ministry Of Health
SL
Samantha Lobis
Consultant, Averting Maternal Death And Disability Program (AMDD)
Florina Serbanescu
Senior Health Scientist, Centers For Disease Control And Prevention
Improving Access to Quality Emergency Obstetric and Newborn Care in Kigoma, Tanzania
Panel 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
None
Strengthening Quality of Care
Presenters Sunday Dominico
Director Of Programs, Thamini Uhai/Ministry Of Health
Co-authors
NM
Nguke Mwakatundu
Board Member, Thamini Uhai
MK
Mkambu Kassanga
Deputy Clinical Director, Thamini Uhai
SL
Samantha Lobis
Consultant, Averting Maternal Death And Disability Program (AMDD)
Changes in Individual, Community, and Health Facility Factors Associated with Using Facility Delivery Services in Rural Tanzania: A Repeat Multilevel and Decomposition Analysis
Panel 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
None
Strengthening Quality of Care
Presenters Florina Serbanescu
Senior Health Scientist, Centers For Disease Control And Prevention
Co-authors
PS
Paul Stupp
Demographer, CDC
AR
Alicia Ruiz
Senior Data Analyst, CDC
MS
Michelle Schmitz
Epidemiologist, CDC
Sunday Dominico
Director Of Programs, Thamini Uhai/Ministry Of Health
SL
Samantha Lobis
Consultant, Averting Maternal Death And Disability Program (AMDD)
JH
Jason Hsia
Statistician, CDC
Introducing, Sustaining, and Scaling Up Birth Companionship in Tanzania
Panel 11:50 AM - 01:05 PM (Africa/Johannesburg) 2023/05/10 09:50:00 UTC - 2023/05/10 11:05:00 UTC
None
Strengthening Quality of Care
Presenters Sunday Dominico
Director Of Programs, Thamini Uhai/Ministry Of Health
Co-authors Alex Mputa
Project Manager, Thamini Uhai
AM
Agness Mbanza
Project Coordinator, Thamini Uhai
NM
Nguke Mwakatundu
Board Member, Thamini Uhai
DB
Dunstan Bishanga
Visiting Lecturer, MUHAS
SM
Shanon McNab
Consultant, AMDD
IM
Irene Mashasi
Consultant, ICAP/AMDD
SM
Selemani Mbuyita
Consultant, ICAP/AMDD
SL
Samantha Lobis
Consultant, Averting Maternal Death And Disability Program (AMDD)
senior health scientist
,
Centers for Disease Control and Prevention
Director of Global Obesity Prevention and Maternal and Reproductive Health Programs.
,
Bloomberg Philanthropies
Director of Programs
,
Thamini Uhai/Ministry of Health
Director
,
Ministry of Health
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What Does It Take to Reduce Maternal and Neonat...
IMNHC_1691436155IMNHC_1684524489234_neena_prasadnovideo.pptx View Submitted by Sunday Dominico 3
Improving Access to Quality Emergency Obstetric...
IMNHC_1684524610sunday_dominico_quality_emgergency.pptx View Submitted by Sunday Dominico 2
Changes in Individual, Community, and Health Fa...
IMNHC_1684524548florina_serbanescu.ppt View Submitted by Sunday Dominico 2
Introducing, Sustaining, and Scaling Up Birth C...
IMNHC_1684524641sunday_dominico.pptx View Submitted by Sunday Dominico 1
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