खोज्न टाइप गर्नुहोस्

द्रुत पढ्नुहोस् पढ्ने समय: 3 मिनेट

प्रजनन र मातृ स्वास्थ्य सेवाहरूमा पहुँच सुधार गर्दै

One Tanzania Healthcare Worker’s Skills-Building Journey

In the Simiyu Region of Tanzania, long-acting and reversible contraceptives (LARCs) have not been available to most women—only to those who could travel 100 kilometers to Somanda Regional Referral Hospital. For those women who couldn’t accommodate trip, which is two hours each way, the Ikungulyabashashi Dispensary—which serves a community of 5,000 people in Simiyu Region—could provide family planning clients with contraceptive pills and injectable contraceptives. A provider at the dispensary shared, “For about ten years we have been referring clients to Somanda Hospital and only a few clients could go to Somanda; the rest either opted for short-term methods or stayed without a family planning method.” Improving access to reproductive and maternal health services—including family planning services and LARCs in particular—was a critical challenge.

“For about ten years we have been referring clients to Somanda Hospital and only a few clients could go to Somanda; the rest either opted for short-term methods or stayed without a family planning method.”

Uzazi Uzima Project: प्रजनन र मातृ स्वास्थ्य सेवाहरूमा पहुँच सुधार गर्दै

The Uzazi Uzima Project, implemented from 2017 through early 2021 in Simiyu Region, aimed to reduce maternal and newborn mortality and morbidity by improving the availability of quality reproductive, मातृ, नवजात, र किशोर स्वास्थ्य (RMNCAH) services and subsequent utilization of those services, including family planning. One key aspect of Uzazi Uzima (meaning “Safe Deliveries” in Swahili) is to enhance the knowledge and skills of health workers to deliver quality RMNCAH services.

A Quick Fix in the Community

Healthcare worker Shija Shigemela provides family planning services at the Ikungulyabashashi Dispensary. Image courtesy of Uzazi Uzima.

Healthcare worker Shija Shigemela provides family planning services at the Ikungulyabashashi Dispensary. Image courtesy of Uzazi Uzima.

Shija Shigemela is a healthcare worker at the Ikungulyabashashi Dispensary. मा 2018, Shija was selected to attend a two-week comprehensive family planning training, followed by a certification process three months later. Because Shija had not yet attained full competence in the insertion of intrauterine contraceptive devices (IUDs or IUCDs), he was linked with Uzazi Uzima’s outreach team for further practice and skills enhancement. One year later, Shija was reassessed for certification, and as a result of his job attachment with Uzazi Uzima, he was found to be among the most competent providers—able to provide proper health education and counseling on more types of family planning services, including LARCs.

Shija is now providing the full range of family planning services to the community of Ikungulyabashashi, enabling women to access LARCs locally, rather than be referred to distant health centers, which has increased women’s satisfaction and improved access to quality RMNCAH services. A provider at the dispensary said:

“Before, women would complain of being pregnant because they could not get a method of their choice or because they forgot to take pills since they were the only methods provided, but now you would not hear this challenge from women.”

Ikungulyabashashi dispensary is now reaching about 15 को 20 women with family planning services per week. Shija said: “I have targets that have helped me in my skills that I have to attend to family planning clients every day, no matter how busy it gets in the clinic.”

“I have targets that have helped me in my skills that I have to attend to family planning clients every day, no matter how busy it gets in the clinic.”


Since the inception of Uzazi Uzima, nearly 34,000 clients have received a family planning method in Simiyu Region. As the project progressed, there was an upward trend in the number of clients reached with family planning methods, with a large majority selecting LARCs—so those 34,000 clients represent 123,737 couple-years of protection overall.

The Uzazi Uzima project is a partnership between Amref Health Africa and Marie Stopes. The project was implemented from January 2017 through March 2021 with funding from the Government of Canada through Global Affairs Canada. Learn more about Uzazi Uzima.

उत्तरी तान्जानियाको सुख्खा नुन ताल Eyasi नजिकैको गाउँको परिदृश्य छवि. छवि क्रेडिट: Pixabay प्रयोगकर्ता jambogyuri
शिफ्राह कुरिया

RMNCAH Regional Manager, Amref स्वास्थ्य अफ्रिका

डा. Shiphrah Kuria is an Obstetrician/Gynecologist and public health specialist who holds a doctorate in public health, currently working as the Reproductive, Maternal, Newborn, Child, and Adolescent Health (RMNCAH) Regional Manager at Amref Health Africa. She is responsible for providing technical oversight over multicounty SRHR and MNCH projects, coordination with partners including donors and Ministries of Health (MoH), and strengthening both the formal health and community systems for sustainable health improvement. She has been involved in several research initiatives looking at the effects of the COVID-19 pandemic and the associated responses on vulnerable groups, particularly women, girls, and children. डा. Kuria has an excellent understanding of the health context in Sub-Saharan Africa, government/MoH procedures, service provision, and management of health facilities. She has worked in Kenya, South Sudan, Ethiopia, युगान्डा, तान्जानिया, मलावी, and Zambia. Before joining Amref she worked as a front line health worker in Kenya and as a policymaker/program manager at the national reproductive health program.

सेराफिना ब्रास

Programme Manager, RMNCAH, Amref स्वास्थ्य अफ्रिका, तान्जानिया

डा. Serafina Mkuwa is a public health specialist with Degree of Medicine. उनी सकिसकेकी छिन् 13 years of experience in public health programming and health systems strengthening interventions. Within Amref, she has worked as a National Program Coordinator for Pamoja Tunaweza—an SRHR alliance implemented by nine organizations: five from the South (तान्जानिया) and four from the North (Netherlands)—and as a Program Manager for Research and Advocacy, where she pioneered establishment of a local Institutional Research Board (IRB) for Amref and was involved in conducting a number of research studies and evidence-based advocacy. Prior to joining Amref Health Africa, डा. Mkuwa worked with Benjamin Mkapa Foundation (a local NGO) as M&E officer and later on as a Project Manager. Before that she worked at MUHAS as a clinical Research Scientist for HIV Vaccine trials and practiced general medicine at Muhimbili National Hospital while employed by the Ministry of Health. She was elected by female doctor members to serve as a President of the Medical Women Association of Tanzania for seven years, where she led several mass campaigns with teams of female medical doctors for community breast and cervical cancer screening—reaching more than 80,000 women with screening services. डा. Mkuwa has vast experienced in working with multilateral and bilateral donors, including PEPFAR, GAC (Global Affairs Canada), DFATD, SIDA Sweden, DFID through HDIF, Big Lottery fund, Allen and Ovary, UN –Trust Fund, UNFPA, UNICEF, Amref Northern Offices, and the Dutch Ministry of Foreign Affairs (Netherlands). At the national and local level she interacts closely with various Ministries, local government authorities and departments, and local agencies and partner organizations.

सारा कोसगेई

नेटवर्क र साझेदारी प्रबन्धक, Amref स्वास्थ्य अफ्रिका

सारा क्षमता विकास संस्थानमा नेटवर्क र साझेदारी प्रबन्धक हुन्. उनी सकिसकेकी छिन् 10 पूर्वीमा दिगो स्वास्थ्यको लागि स्वास्थ्य प्रणालीको क्षमतालाई सुदृढ पार्ने दिशामा बहु-देशीय कार्यक्रमहरूमा नेतृत्व प्रदान गर्ने वर्षको अनुभव, केन्द्रीय, र दक्षिणी अफ्रिका. उनी ग्लोबल हेल्थ - अफ्रिका हब सचिवालयको पनि हिस्सा हुन्, जसको निवास अमरेफ हेल्थ अफ्रिकामा छ, एक क्षेत्रीय अध्याय जसले अफ्रिका भित्र लिंग-परिवर्तनकारी नेतृत्वको लागि छलफलको लागि प्लेटफर्म र सहयोगी ठाउँ प्रदान गर्दछ।. सारा युनिभर्सल हेल्थ कभरेजको सदस्य पनि हुन् (UHC) स्वास्थ्य को लागी मानव संसाधन (HRH) केन्यामा उपसमिति. उनीसँग सार्वजनिक स्वास्थ्यमा डिग्री र बिजनेस एडमिनिस्ट्रेशनमा कार्यकारी मास्टर्स छ (विश्वव्यापी स्वास्थ्य, नेतृत्व र व्यवस्थापन). सारा उप-सहारा अफ्रिकामा प्राथमिक स्वास्थ्य हेरचाह र लैङ्गिक समानताको लागि एक भावुक अधिवक्ता हो.

एलेक्स ओमारी

पूर्वी अफ्रिका केएम अधिकारी, ज्ञान सफलता, Amref स्वास्थ्य अफ्रिका

एलेक्स एमरेफ हेल्थ अफ्रिकाको क्षमता विकास संस्थानमा प्राविधिक परिवार योजना/प्रजनन स्वास्थ्य अधिकारी हुन्।. उहाँ क्षेत्रीय ज्ञान व्यवस्थापन अधिकारीको रूपमा काम गर्नुहुन्छ (पूर्वी अफ्रिका) ज्ञान सफलता परियोजना को लागी. एलेक्स सकियो 8 किशोर र युवा यौन र प्रजनन स्वास्थ्य मा वर्ष को अनुभव (AYSRH) कार्यक्रम डिजाइन, कार्यान्वयन, अनुसन्धान, र वकालत. उहाँ हाल केन्याको स्वास्थ्य मन्त्रालयमा AYSRH कार्यक्रमको लागि प्राविधिक कार्य समूह सदस्य हुनुहुन्छ. एलेक्स सार्वजनिक स्वास्थ्य को लागी रोयल सोसाइटी को एक निर्वाचित फेलो हो (FRSPH) र परिवार नियोजनका लागि अन्तर्राष्ट्रिय युवा गठबन्धनका लागि पूर्व केन्या देश संयोजक (IYAFP). उनले विज्ञानमा स्नातक गरेका छन् (जनसंख्या स्वास्थ्य) र सार्वजनिक स्वास्थ्य को एक मास्टर (प्रजनन स्वास्थ्य) केन्याटा विश्वविद्यालयबाट, केन्या. उनी हाल स्कुल अफ गभर्नमेन्ट एन्ड पब्लिक पोलिसीमा सार्वजनिक नीतिमा दोस्रो स्नातकोत्तर गर्दै छन्। (SGPP) इन्डोनेसियामा जहाँ उहाँ सार्वजनिक स्वास्थ्य र स्वास्थ्य नीति लेखन विद्वान र रणनीतिक समीक्षा जर्नलका लागि वेबसाइट योगदानकर्ता पनि हुनुहुन्छ।.

डायना मुकामी

Digital Learning Director and Head of Programmes, Amref स्वास्थ्य अफ्रिका

Diana is the Digital Learning Director and Head of Programmes at Amref Health Africa’s Institute of Capacity Development. She has experience in project planning, डिजाइन, development, कार्यान्वयन, management, and evaluation. देखि 2005, Diana has been involved in distance education programmes in the public and private health sectors. These have included the implementation of in-service and pre-service training programmes for health workers in countries such as Kenya, युगान्डा, तान्जानिया, Zambia, मलावी, सेनेगल, and Lesotho, in partnership with Ministries of Health, regulatory bodies, health worker training institutions, and funding organisations. Diana believes that technology, used the right way, contributes significantly towards the development of responsive human resources for health in Africa. Diana holds a degree in social sciences, a post-graduate degree in international relations, and a post-baccalaureate certificate in instructional design from Athabasca University. Outside of work, Diana is a voracious reader and has lived many lives through books. She also enjoys traveling to new places.

जेरोम म्याके

Technical Advisor, Monitoring & Evaluation, Amref स्वास्थ्य अफ्रिका, तान्जानिया

श्री. Jerome Steven Mackay is a trained social scientist with over ten years of technical expertise in international development, specializing in Results-based Monitoring, Evaluation, Research and Learning (RbMERL) in health and development areas including HIV/AIDS/Tuberculosis, sexual and reproductive health, women’s empowerment, financial inclusion, and education management. श्री. Mackay holds a Masters of Science in Project Planning and Management (MSc.PPM) from Mzumbe University and a Post Graduate Diploma in Trade Policy and Trade Law (ESAMI). He has a number of local and international certifications in project management, MERL, and information and communication technologies (ICT). He has managed large financial portfolios in line with policies and regulations for donors and organizations including the Bill and Melinda Gates Foundation, USAID, Australia Aid (AUSAID), Financial Sector Deepening Trust Tanzania (FSDT), Centers for Disease Control, Deloitte Consulting (TZ), and John Snow, Inc. (JSI). श्री. Mackay has vast experience in planning and implementing new and innovative projects and programs, including participatory approaches for planning, कार्यान्वयन, निगरानी, quality assurance, and evaluation; strategy development; design and implementation of various studies including baselines, needs assessment and program/project reviews; training trainers; and workshop facilitation. He has also acquired skills and experience in project coordination and management; e-communication, नेटवर्किङ, and facilitating meetings with people from diverse backgrounds and cultures; and organizing multi-stakeholder meetings and workshops. He also has expertise in data management using various softwares and online platforms including ODK®, DATIM®, DHIS2®, IPRS, Epi info, and SPSS for Windows®.

फ्लोरेन्स टेमु

Country Director, तान्जानिया, Amref स्वास्थ्य अफ्रिका

डा. Florence Temu is the Country Director for Amref Health Africa in Tanzania. As a Country Director, Florence provides oversight for the country program, leads Amref's strategic and technical direction and identifying health intervention priorities, managing donor relations, and driving strategies for fundraising and resource mobilization. Before assuming this role, डा. Florence had worked for Amref Health Africa in Ethiopia and Tanzania as a Project Manager, Head of Programmes, Deputy Country Director, and Country Director. With Amref, Florence has spearheaded a number of initiatives that include the development of country strategies, technical reviews, and development of program-specific strategies. She has served as a technical advisor on Non-Communicable Diseases programming, and led program development and design for a range of health interventions (in Adolescent and Youth Sexual and Reproductive Health; Maternal, Newborn, and Child Health; HIV and AIDS; and Water, Sanitation, and Hygiene). Before joining Amref, she was the Head of Cancer Prevention Services Division at Ocean Road Cancer Institute in Tanzania and a general medical practitioner and researcher under maternal and HIV research projects at Muhimbili National Hospital. डा. Temu holds a Degree in Medicine, a Masters in Public Health, a Diploma in Palliative Care, and a University certificate in Geriatric Health Care Management. Florence had served as Vice Chairperson for the Medical Women Association of Tanzania, and is a member of the Institute of Directors of Tanzania, Global Women Leadership Network, and White Ribbon Alliance Tanzania’s Board of Directors.

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