acerwc 3rd cso forum session safe motherhood campaign presentation

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© Plan

Campaign on Safe Motherhood& Child Survival: Experience

from Tanzania

By Emmanuel Kihaule

Communications Advisor-Plan International Tanzania

Friday March 12, 2010

At the 3rd Forum on the African Charter on the Rightsand Welfare of the Child, Addis Ababa-Ethiopia



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W ho we are

Plan is an international child-centred development organization without religious,

political or governmental affiliation.

W hen we started

Founded over 70 years ago, one of the oldest and largest international

development agencies in the world working in 66 countries across the globe.

Our Primary Partners

Plan works with and for children, their families, communities and governments to

implement programmes at grassroots level in health, education, water and

sanitation, income generation and building relationships across cultures.

Plan at a glance



© Plan

Our Vision

Our vision is of a world in which all children realize their full potential in societies

which respect people¶s rights and dignity and therefore empower children to realize

their basic rights including survival, development, protection and participation.

W here we work in Tanzania

In Tanzania Plan started implementing its programmes in 1991 and has projects in

Dar es Salaam (Ilala), Kisarawe, Kibaha, Ifakara, Mwanza and Geita.

Our Programmes in Tanzania

-Sauti ya W atoto (Children¶s Voice) - W ater and Environmental Health

-Community Health Promotion -Sustainable Family Livelihoods

-Enabling Children to Learn



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grim picturecontd.

Children below five years constitute about 16% of the population, however, they account

for 50 percent of the total mortality burden for all ages.

In Plan supported areas the maternal mortality rates are also high and range between

217/100,000 in Mwanza and 578/100,000 in Kisarawe.

Infant and under five mortality rates are also high whereby the under five mortality rate

ranges from 99/1000 in Ifakara to 145/1000 in Kisarawe.

Poor budget allocation/prioritization (the available budget could have been distributed

better )

Low education among the public (infant and child mortality is highest in women without

education)

Traditional beliefs and practices e.g. on malnutrition , immunisation among others.



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Causes

Major direct causes of maternal mortality include obstetric hemorrhage, obstructed

labour and pregnancy induced hypertension.

Most of these deaths are due to preventable diseases like malaria, pneumonia, diarrhea,

HIV/A IDS, malnutrition and neonatal conditions.

A ccording to annual Health Statistical A bstract Tanzania mainland 2008, severe malaria

is the main killer disease and in 2006 alone it accounted for 33% of all under five deaths,

followed by pneumonia 13%, anemia 13% and diarrhea 5%.

Malnutrition is a contributory factor to about 50 percent of all deaths.



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Safe motherhood and child survival campaign inTanzania

Background

Born in March 2004 the W hite Ribbon A lliance of Tanzania resulted from the attendance of some of its founding members to;

-The International Conference on Safe Motherhood Best Practicesorganized by Global W hite Ribbon A lliance-October 2002 (India) and

-a workshop on the same that was held in Lusaka, Zambia

Objective

To advocate for maternal, newborn and child health in Tanzania in response to high

maternal, infant and child mortality rates.

Membership

In March 2004 (when launched) W R ATZ had 13 members only but now it has 2500 individualmembers and 107 member organizations both local and international. Fast growing.



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The campaign¶s frontA wareness creation campaigns throughout the country including mass and community

media, communications support materials, community dialogues, house to house visits,

dialogues with Govt officials, among others.

Community mobilization against bad traditional and cultural beliefs/practices

A dvocacy e.g. for policy change/enforcement, more budgetary allocation, improvement of

healthcare service delivery to mothers and children, the rolling-out of IMCI (Integrated

Management of Childhood Illnesses), and c-IMCI

Training of CORPs to work as Voluntary Health W orkers right at village level

Facilitating access to health services to mothers, newborns and children including PMTCT

(by some members).

A nnual celebrations to mark the Safe Motherhood and Child Survival Day (see advocacy

package)



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A chievements

Infant mortality rate improved from 68 in 2004 (TDHS 2004/2005) to 58 per 1,000 live

births in 2008 and the under-five mortality has declined from 112 in 2004 to 91 per

1000 live births in 2008 (HIV/ A IDS and Malaria Survey 2007/2008 by T A CA IDS)

Prevention of Mother to Child Transmission of HIV (PMTCT) services have been

rolled out in all district hospitals, all health centers and some dispensaries.

Enhanced political will on the country¶s leadership e.g. full support and participation

of top most Government officials i.e. Presidents, Prime Ministers, Ministers, First

Ladies etc.

Enhanced public awareness

Ever expanding membership base with commitments to take the work to higher

levels



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Challenges

Maternal (neonatal) mortality has remained the same in the past 10 years

Though slightly dropped, infant and under five mortality rates still unacceptably high

Poor budgeting from family to national level

Traditional and cultural beliefs/practices are die hard elements in our society

Low education level among the public

Poor infrastructure and equipment

Low number of qualified staff

Unreliable power supply

Long distance to health centres/facilities especially in remote rural areas



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Hope/commitments by Government

The National Road Map Strategic Plan to accelerate Reduction of maternal, Newborn and

Child Deaths in Tanzania 2008-2015

Plan by the Government under the Primary Health Services Development Program (PHSDP)

2007-2017 to construct 3088 dispensaries, 19 district hospitals, 95 maternity waiting homes

and 2,074 health centers.

Under the Plan, services provided by health centers and district hospitals focusing on

maternal health will be improved through strengthening 2555 health centers and 62 district

hospitals.

This has already begun in several parts of the country starting with those in dire need.

W ill we reach there?

MDG 4. Reduce child mortality Reduce by two-thirds the mortality rate of children under five

MDG 5. Improve maternal health Reduce by three-quarters the maternal mortality ratio

acerwc 3rd cso forum session safe motherhood campaign presentation

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