ISDSM Project

Improved Service Delivery for Safe Motherhood Project (ISDSM)-Strengthen Midwifery in Tanzania

  • Through the UMOJA Twinning Project, both the CAM and TAMA have seen remarkable results in terms of increased visibility, as well as capacity to both serve members, and to advocate for the needs of women and newborns.
  • The relationship has provided opportunities for international knowledge sharing, collaborative research, and continuing education; strengthened health profession leadership, and promotion of best practice supporting higher quality midwifery services in Tanzania and Canada.
  • As a direct result of our collaboration TAMA has increased visibility and recognition as the face of midwifery in the country.
  • As well as strengthened linkages with Government, Development partners International and local NGOs, and other primary health care providers.
  • In 2013 Tanzania Midwives Association(TAMA) and Canadian Association of Midwives( CAM) won the Midwives for life awards from the Sanofi Espoir Foundation,
  • CAM and TAMA embarked the “Three-years project entitled “Improved Service Delivery for Safe Motherhood(ISDSM)- Strengthening and Supporting Midwifery in Tanzania”
  • The Project is being implemented in six districts councils across the country namely, Musoma , Mbeya , Morogoro, Mtwara , Korogwe and Ushetu District councils

Project Outputs

  • A total of 250 Midwives have been trained on emergency skills, 90% of the trained Midwives were from the rural, primary care facilities (health centres and dispensaries). The remaining 10% were from the hospitals.
  • 170 health facilities across 5 project districts currently have a minimum of 1 to 2 midwives trained in emergency skills.
  • Increased number of health facilities deliveries, for an example in Musoma rural the number has increased by 50% from 34% (2013) to 65 % (2015).
  • 200 deliveries have been conducted in the two clinics where the 2 retired midwives are deployed
  • 60%of trained midwives reported had a good experiences in managing PPH and 15% have reported successfully performing manual removal or retained placenta
  • 50% reported increased confidence in assisting breech delivery 10% have reported successfully managing shoulder dystocia
  • Pregnant women and children under 5 in target districts have access to MNCH services through registration all pregnant women and children
  • Participants demonstrating how to apply supra-pubic pressure for woman with shoulder dystocia in Mbeya rural district
  • Improved management of new born resuscitation, In the course of these trainings 79 Newborn Resuscitation Kits were distributed  in every dispensary and health facility in Mtwara and Ushetu district Councils
  • Increased teamwork, networking and knowledge exchange among midwives working at different levels of care
  • Increased awareness of  women and community members on need for prenatal, antenatal and postpartum care by skilled midwives
  • Increased recognition of retired skilled midwives to complement the shortage of human resources for health
  • Participants demonstrating on how to resuscitate the newborn in Musoma rural district
  • Increased awareness on MNCH services and rights to all women in the project districts and across the country
  • Increased recognition  and vital roles of midwives in the  public
  • Increased commitment and support of high level Policy makers, on Midwives and Midwifery service “ I am deeply  thankful to the midwife who for assisted me during my childbirth as I did not have any access to the health facility due heavy rainfall, impassable road and lack of transport” Reported  by a woman from Musoma rural district Mrs Robi Magati from Musanja Maternity home
  • 12 retired Midwives and Community health workers have been Re-engage and deployed in three project districts (Musoma, Morogoro, Mtwara)
  • CAM Instructor Mrs. Esther Wills and TAMA executive Committee Member Ms. Agnes Mtawa handling over 50 Newborn Resuscitation Kits to the AG Executive Director for Mtwara Rural district.
  • Increase involvement of media groups to support Midwifery activities to the public
  • 500 new members have been recruited and a data base have been established
  • TAMA website and Facebook page have been developed and functioning which provides an online forum for all its members (Facebook page name: TAMA and website: www.tama.co.tz)

Goal of the Project

  • To improve maternal and newborn health service delivery, supporting safe motherhood, and reduced maternal and infant morbidity and mortality in Tanzania
  • Its main focus is strengthening the emergency, technical, and management skills of practicing  and re- engaged midwives in six districts councils

 

Scope of the project

  • Training of 300 midwives in Emergency Skills – 50 midwives from each project districts across the country.
  • Identification and re-employment of 12 retired rural midwives working at the dispensary level within target districts.
  • Identification and engagement of 24 CHWs to work alongside skilled midwives in specified rural areas
  • Inception of the project held in October, 2013 by both TAMA and CAM
  • TAMA and CAM collaborate to develop Emergency Skills manual for both participants and instructors
  • Training of total of 12 midwives from target districts as Emergency Skills Instructors, acting as a resource for further trainings
  • Post-workshop supportive supervision visits to assess the impact of ESW trainings
  • Strengthened TAMA presence in each of 6 districts

 

Specific Objectives

  • Strengthen the capacity of midwives across the country to provide high quality maternal and newborn care to women in Tanzania
  • Develop /create tools to enhance midwifery knowledge transfer and advocacy
  • Provide essential resources to support access to quality midwifery care
  • Increase community outreach and awareness of TAMA activities and available support systems

Support deployment of  retired midwives, working in communities, by the government or registered health facilities, to provide MNCH services to strengthen the continuum of care from home to hospital/health facility in collaboration with community health workers

Implementation Status

  • Inception workshop was conducted in October 2013
  • Midwives Emergency training manual for Participants and Facilitators was developed and shared with MOHCDGEC
  • 250 Midwives have trained 50 in each district of Musoma, Korogwe,  Mtwara  Mbeya  and Ushetu district councils
  • 12 Retired Midwives have been deployed by the project since August 2014
  • 16 Community Health Workers have recruited 4 in each district of Musoma, Korogwe, Mtwara and Morogoro.
  • Distribution of 102 Mama Natalie Neonatal Resuscitation kits to Mtwara and Ushetu district councils.