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The National Road Map Strategic Plan to Improve Reproductive, Maternal, Newborn, Child & Adolescent Health in Tanzania (2016 - 2020)

Ministry of Health and Social Welfare, (M.) (2005) The National Road Map Strategic Plan to Improve Reproductive, Maternal, Newborn, Child & Adolescent Health in Tanzania (2016 - 2020). Other. Ministry of Health and Social Welfare. (Unpublished)

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Abstract

The first National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania, 2008-2015 (One Plan) was developed in 2008 with the aim to provide guidance on the implementation of Maternal, Newborn and Child Health (MNCH) programs across different levels of service delivery and to ensure coordination of interventions and quality service delivery across the continuum of care. The One Plan had three key target indicators and fourteen operation targets, which had to be achieved by 2015. The key indicators included reducing the maternal mortality ratio to 193 per 100,000 live births by 2015, reducing neonatal mortality to 19 per 1000 live births and reducing under-five mortality rates from levels in 2008 or before to 54 per 1000 live births, respectively. Progress has been measured in Mid Term Review reports; i.e. MTR Analytical Review of Performance of the HSSP III 2008-2015 and Mid Term Review of the One Plan and TDHS of 2015 (MOHSW, 2013 & 2014; TDHS, 2015). The summary of where the country has succeeded and needs to maintain the trend in the coming years and where there is poor progress with unfinished agendas needing to be addressed beyond 2015, are elaborated in this report. This forms the basis for interventions to be addressed in One Plan II 2016 - 2020. The interventions that Tanzania needs to embark upon in 2016 – 2020 and which are recommended here are guided by MTR reviews and evidence as suggested in different reviews by experts and leading UN bodies.
For the next five years, there will be a need to think beyond mortality and address morbidity in various groups. Key morbidities in RMNCAH and nutrition influence quality of life and can lead to premature death. In the next 5 years there is a need to strengthen and target interventions in the zones and regions with poor indicators as well as rural areas. Successful programs like immunization will need to make efforts in “the last mile’’ to reach every child and woman in hard to reach areas and populations. The strategies should strive to reach universal coverage of evidence-based interventions, provide high quality services, equity and accountability, based on human rights approach.
FUTURE DIRECTION
• Scale up and strengthen family planning services especially long term methods and community-based distribution of contraceptive commodities. Integrate Family Planning services into other reproductive and child health delivery points to minimize missed opportunities for women to access quality care.
• Strengthen adolescent, youth friendly reproductive health services. Interventions should be focused to improve contraceptive use, life skills, including healthy behaviours and diets, knowledge in overall sexuality and reproductive health and rights.
• Scale up of Emergency Obstetric and Newborn Care (EmONC), especially Basic Emergency Obstetric and Newborn Care (BEmONC), at primary health facilities to improve maternal and newborn survival.
• Improve coverage of postnatal care services to reach women that deliver newborns at home. The scaling up of services should target women and newborn in the first 7 days post-delivery by increasing home visits by outreach teams or by community health workers.
• Scale up and strengthen Essential Newborn Care (ENC), Newborn resuscitation for children requiring help at birth and Kangaroo Mother Care for preterm and low birth weight babies.
• Ensure continuous improvement of clinical knowledge and skills of health providers in Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition (RMNCAH) to enable them to offer integrated care and services along the continuum of care.
• Ensure an “enabling environment’’ for providers in order to provide quality services. This includes ensuring availability of key lifesaving commodities, supplies and medicines to offer RMNCAH services.
• Ensure provision of quality services, quality assurance and clinical mentorship
• Strengthen provision of RMNCAH services and nutrition in an integrated manner. Integration should be reflected at all levels of policy, administration and service delivery.
• Strengthen Community health services by building capacity of Community Health Workers to provide integrated RMNCAH and nutrition services.
• Having cross cutting issues integrated into RMNCAH services. These include; gender based violence and violence against children, male involvement, nutrition and, community engagement.
• Improved collaboration and coordination among key RMNCAH actors at all levels including MOHSW, PMO-RALG and partners in planning and implementing of RMNCAH interventions.

Item Type: Report (Other)
Keywords: Maternal, Reproductive health, Newborn, Child, Adolescence, Tanzania
Subjects: Maternal & Neonatal Health > Maternal Mortality & Morbidity
Divisions: Ministry of Health and Social Welfare
Depositing User: Digital Library Manager
Date Deposited: 20 Apr 2016 10:49
Last Modified: 20 Apr 2016 10:49
URI: http://ihi.eprints.org/id/eprint/3733

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