Details:

Corporate Authors:
National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division of Reproductive Health. ; Tanzania. Wizara ya Maendeleo ya Jamii, Jinsia na Watoto.
National Center for Chronic Disease Prevention and Health Promotion (U.S.). Division of Reproductive Health. ; Tanzania. Wizara ya Maendeleo ya Jamii, Jinsia na Watoto. Less -
Description:
The Maternal and Reproductive Health in Tanzania Project aimed to improve maternal and neonatal health through better access to, and availability of, maternal and reproductive health services. Starting in 2006, The Project worked in Kigoma Region with the goals of decreasing maternal mortality through strengthening emergency obstetric and neonatal care and improving access to and use of contraception. Project partners Thamini Uhai (an affiliate of Vital Strategies) and EngenderHealth implemented interventions to achieve The Project’s 3 primary targets for the region:

1. Increase skilled birth attendance to 75% by 2019.

2. Increase met need for emergency obstetric and neonatal care to 60% by 2019.

3. Increase the contraceptive prevalence rate by at least 12 percentage points by 2019.

Project-supported interventions included: upgrading facilities; supplying essential drugs and equipment for family planning and emergency obstetric and neonatal care (EmONC); providing training and supportive supervision in EmONC and contraceptive technology; and ensuring adequate contraceptive supplies.

Since 2012, Project partner the Centers for Disease Control and Prevention/Division of Reproductive Health (CDC/ DRH) has conducted monitoring and evaluation activities to assess the contributions of The Project to the reduction in adverse pregnancy outcomes in Kigoma Region. These activities have addressed 4 objectives:

1. Document changes in EmONC capacity, functionality, coverage, and quality of care.

2. Examine changes in maternal and neonatal care and contraceptive use.

3. Assess changes in facility infrastructure and process indicators to EmONC services.

4. Assess changes in maternal morbidity and mortality and perinatal mortality.

As part of the evaluation activities, CDC conducted periodic data collection from health facilities providing maternity care in Kigoma. In February 2019, CDC-led teams used a pregnancy outcomes monitoring systems (POMS) approach to collect data on maternal and perinatal health outcomes (2019 POMS collected data for the period January–December 2018) in conjunction with conducting a health facility assessment (HFA). This report presents the results of the 2019 Kigoma region endline facility-based evaluation for pregnancy care and delivery indicators, and comparisons with previous POMS data collections. The initial baseline POMS/HFA evaluation was conducted in 2013 (2013 POMS collected data for January 2011–June 2013). Subsequent follow-up POMS/HFA evaluations were completed in 2016 (2016 POMS collected data for July 2013–December 2015) and 2018 (2018 POMS collected data for January 2016–December 2017). Thus, across all four evaluations, the collected data covered the entire time period from January 2011 through December 2018.

This report focuses on indicators related to maternal and perinatal health outcomes during 2011–2018. It adds data collected during the endline of the facility evaluation to the results already documented from the 2013, 2016, and 2018 evaluations. Indicators presented here include data from hospitals, health centers, and dispensaries. Selected indicators are also presented by project support status of hospitals, health centers, and dispensaries, as recorded in 2019. A separate report, Health Facility Assessment of Emergency Obstetric and Neonatal Care Services in Kigoma Region, Tanzania: Selected Findings, 2019 describes results for these facilities’ infrastructure, staffing, equipment and supplies, overall capacity, functionality, and geographic coverage of EmONC services.

Suggested citation: U.S. Centers for Disease Control and Prevention. 2019 Pregnancy Outcomes in Health Facilities in Kigoma Region, Tanzania: Final Report. Atlanta, GA: Centers for Disease Control and Prevention; 2019.


Subjects:
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Child Health Services Health Surveys Infant Maternal Health Services Pregnancy Reproductive Health Reproductive Health Services Women's Health
Document Type:
Report
Place as Subject:
Tanzania
Collection(s):
Stephen B. Thacker CDC Library collection
Main Document Checksum:
[+]
urn:sha256:d624e7d4cb6facde905b2e6cda8e9ad40d623ae0a09d0bf2f5ebbb7fae54e4b5
Download URL:
https://stacks.cdc.gov/view/cdc/110559/cdc_110559_DS1.pdf
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