CURRENT ONGOING PROJECTS
- Tabora Maternal Newborn Health Initiative (TAMANI) project
The TAMANI project aims to improve the quality of reproductive, maternal, and newborn health services available, and to address the existing barriers women and girls face in accessing care. It is expected to directly support 56 health planners, 270 health care workers and 1000 community health workers, and to indirectly support 298,900 women and girls of reproductive age, 660,500 men and boys, and 68,600 newborns.
Partners;
CARE, AGOTA, Canadian Society for International Health (CSIH), McGill University Institute for Health Policy & Social Research and Society of Obstetricians & Gynaecologists of Canada (SOGC)
Tabora Regional Health Management Team and Ministry of Health, Community Development, Gender, Elderly & Children (MoHCDGEC)
Key activities include:
- Emergency Obstetrics and Newborn Care (EMONC) Trainings : Overseeing the training of health care providers (approximately 270 providers from 150 facilities) and the use of OSCE’s to collect data on learned skills
- Post- EMONC training coaching and mentorship :Coordinate members to participate in coaching and mentoring activities, and provide orientation and training in use of the OSCE’s ensuring data collection to measure retention
- Development of Job aids pastors :Oversight and approval of job aids (large poster form, largely visual (limited text), and in Swahili)
Collaboration: Work with SOGC to facilitate learning and exchange between the two professional associations
Project expected outcomes
- Improved availability of quality reproductive, maternal, and newborn health services in underserved districts in Tanzania.
- Increased utilization of reproductive, maternal, and newborn health ser‐ vices by women and their families in targeted districts in Tanzania.
COMPLETED PROJECTS
- Postpartum Intrauterine Device (PPIUCD) Project
AGOTA in collaboration with FIGO launched the project to Institutionalize provision of PPIUCD in selected regions and facilities in Dar es Salaam, Pwani, Dodoma, Mbeya, Arusha and Mwanza. Health facilities with teaching institutions for doctors, midwives and nurses were trained on counselling and insertion of PPIUCD. Project also involved supportive supervision of providers on counselling and insertion of PPIUCD. The service has been integrated in the teaching curriculum in these institutions. The project commenced in 2015 and ended in 2018. In that time a total of 2676 providers were trained and resulted in 50,779 postpartum family planning counselling and 7,404 IUCD insertions. See published paper here….
- Help Mother Survive Bleeding After Birth (HMS-BAB) Cluster Randomized Trial
The study was implemented by the Association of Gynaecologists and Obstetricians of Tanzania (AGOTA) in collaboration with the Tanzania Associations of Midwives (TAMA) and funded by The International Federation of Gynaecologists and Obstetricians (FIGO) with Laerdal support. Other partners were Jhpiego (training), Karolinska Instituet and Muhimbili University of Health and Allied Sciences (MUHAS). It was cluster randomized trial aimed at assessing the impact of the HMS BAB training on maternal outcomes: maternal near miss and deaths due to postpartum haemorrhage in Geita, Simiyu, Lindi and Mtwara. See papers published here….
https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-2056-7
https://www.ncbi.nlm.nih.gov/pubmed/30997164
https://obgyn.onlinelibrary.wiley.com/doi/10.1002/ijgo.12976
https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1002/ijgo.12689
- Manual Vacuum Aspiration (MVA) Projects:
Partner: DKT International, PSI Tanzania
In collaboration with FIGO, DKT International and PSI Tanzania (each partner independently) AGOTA conducted trainings on use of MVA to public and private health care providers in Dar es salaam, Mwanza, Mbeya, Dodoma and Morogoro health facilities.
- Life Saving Skills (LSS) Project:
Partner: Liverpool School of Tropical Medicine (LSTM)
AGOTA in collaboration with Ministry of Health and Social Welfare (MOHSW) conducted Life Saving Skills training in Kagera and Pwani Regions. This Project began in December 2012 and it ended in 2016
- Unsafe Abortion Project:
Partner: Pathfinder International
AGOTA in collaboration with Tanzania Women Lawyers Association (TAWLA) conducted training of Health care providers on management of unsafe abortion in Dar es Salaam Health Facilities. The training was later expanded to Kigoma region. During the project period health care providers from selected facilities were trained on Comprehensive Post abortion Care (cPAC)
- Abortion Fact Sheet Project:
Partner: Guttmatcher Institute
AGOTA in collaboration with Guttmatcher Institute disseminated a Fact Sheet about abortion in Tanzania.
- Task Shifting Project:
Partner: Engender Health
AGOTA with MOHSW also implemented a project on task shifting at Kagera Region. Clinical officers were trained to do mini-laps for bilateral tubal ligation (BTL). More than 3000 women have received the service.
- Management of unsafe abortion project
Pathfinder International partnered with AGOTA to conduct training of Health Care Providers (HCPs) on management of unsafe abortions in selected Health facilities in Dar es Salaam and Kigoma regions. More than 200 HCPs already trained were trained in this activity.
- Dissemination of Abortion incidence results
AGOTA in collaboration with Guttmatcher Institute launched the dissemination incidence of abortion in Tanzania results.