Publication info


Project Name: Tabora Maternal Newborn Health Initiative (TAMANI)

Donors: Government of Canada

Partner(s): Society of Obstetricians and Gynaecologists of Canada, Association of Gynaecologists and Obstetricians of Tanzania, the Canadian Society for International Health, McGill University’s Institute for Health and Social Policy, Ifakara Health Institute and the Tanzanian Government

Duration: 2017-2021

Location: Tanzania

Objective: TAMANI aims to empower regional and district level health planners to effectively plan for, and deliver respectful and skilled reproductive health care, improve the skills of health care workers to effectively manage labor and delivery, and support communities to address local barriers that impede access to sexual and reproductive health care, especially for women and girls.



While Tanzania has made great strides in reducing preventable deaths of children under the age of five, progress in reducing maternal and newborn mortality has been much slower. Maternal mortality rates remain high at 556 deaths per 100,000 live births due to challenges such as inadequate quality of services, lack of access to emergency obstetric care, and limited ability of women and girls to independently access health services.

Newborn deaths continue to make up a significant proportion of deaths in children under five. This highlights the importance of responding to the major causes of newborn deaths and complications, such as infection and birth asphyxia (lack of oxygen), and the need for skilled care to manage labor and delivery to ensure healthy outcomes for both mothers and newborns.

CARE is focusing our health work in Tanzania in the region of Tabora, a remote and isolated part of the country where maternal, newborn and child mortality is high. Almost half of the population is living on less than two dollars a day, which has a direct bearing on health outcomes, especially for women and girls.



Key activities include:

  • Training and mentoring of health care workers to provide emergency obstetric care, respectful maternity care, contraception and youth-friendly health services
  • Health facility rehabilitation projects, and equipping health facilities to effectively deliver emergency obstetric and newborn care
  • Training and mentoring of district and regional health planners in budgeting, data collection and use, and the financial management of maternal and newborn health services
  • Distribution of ambulances to support women and girls' access to emergency care
  • Facilitating communities and health facility staff to develop joint action plans using Community Score Card (CSC) to improve health service delivery and accountability
  • Training and support to scale up community health worker program to deliver community-based health care and monitoring
  • Social Analysis and Action (SAA) dialogues to reflect on sexual and reproductive health and rights, and the gender dynamics that impact health outcomes for women and girls (such as unequal decision-making power to access contraception, gender-based violence, etc.)



Stay tuned! An endline evaluation is planned for 2021.



TAMANI overview brief


For more information on TAMANI, visit the CARE Canada website.

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