Behavior Change Impact at Scale: Results and Lessons Learned from a Large, Integrated Health Social and Behavior Change (SBC) Program for Reproductive, Maternal, Newborn, and Child Health (RMNCH) Behaviors in Tanzania

U.S. Agency for International Development (USAID) Tulonge Afya catalyzes opportunities for Tanzanians to improve their health status by transforming socio-cultural norms and supporting the adoption of healthier behaviors. The project supports the Government of Tanzania (GOT) to use a life stage approach and a branded, long-running social and behavior change (SBC) platform called NAWEZA (or "I Can") to integrate promotion of priority maternal, newborn, and child health (MNCH), family planning (FP), and malaria behaviors with a focus on gateway behaviors.

Investment Case for Small and Sick Newborn Care in Low- and Middle-Income Countries: Systematic Analyses in Tanzania 

Worldwide, 2.4 million neonates die during their first 28 days. Scale-up of small and sick newborn care (SSNC) is high impact and necessary to meet Sustainable Development Goal (SDG) and Every Newborn targets. Many countries have committed to scaling World Health Organization (WHO) level-2+ newborn care units for 80% of districts. There is demand for data-based investment cases to inform budgeting and resource mobilization. Tanzania has SSNC targets in their National One plan III, requiring additional investment.

Using a Combination of High-Impact Interventions to Improve Maternal Health Outcomes: Results from Mara Region, Tanzania 

According to the Tanzania Health and Demographic Survey 2015–16, Tanzania's maternal mortality ratio had increased to 556/100,000 live births, missing Millennium Development Goal (MDG) 4. Tanzania's Mara Region reported 66 maternal deaths out of 49,800 deliveries in 2015, with only 10% of antenatal care (ANC) attendance below 12 weeks and 43% of mothers with four or more ANC visits. Their average rate of institutional delivery was only 50%. Research shows that quality ANC visits with timely identification of risk factors and pregnancy-induced complications reduce maternal morbidity and mortality.

Predictors of Respectful Maternity Care and Influence of HIV Status among Women Giving Birth in Kilimanjaro, Tanzania 

Respectful maternity care (RMC) is a rights-based approach to childbirth that centers the dignity, autonomy, and well-being of the birthing woman. This study aimed to examine factors associated with RMC among women giving birth in Tanzania, and to examine whether HIV status was associated with self-reported RMC.