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Kusoma Haraka Wakati wa Kusoma: 3 dakika

Kuboresha Upatikanaji wa Huduma za Afya ya Uzazi na Uzazi

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: Kuboresha Upatikanaji wa Huduma za Afya ya Uzazi na Uzazi

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, mama, mtoto mchanga, na afya ya vijana (RMNCAH) services and subsequent utilization of those services, ikiwa ni pamoja na kupanga uzazi. 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. Katika 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 kwa 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.”

Conclusion

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.

Picha ya mandhari ya kijiji karibu na ziwa la chumvi kavu la Eyasi kaskazini mwa Tanzania. Salio la picha: Mtumiaji wa Pixabay jambogyuri
Shiphrah Kuria

RMNCAH Regional Manager, Amref Afya Afrika

Dk. 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. Dk. 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, Uganda, Tanzania, Malawi, na 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.

Serafina Brass

Programme Manager, RMNCAH, Amref Afya Afrika, Tanzania

Dk. Serafina Mkuwa is a public health specialist with Degree of Medicine. Amemaliza 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 (Tanzania) 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, Dk. 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. Dk. 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.

Sarah Kosgei

Meneja wa Mitandao na Ubia, Amref Afya Afrika

Sarah ni Meneja Mitandao na Ubia katika Taasisi ya Ukuzaji Uwezo. Amemaliza 10 uzoefu wa miaka mingi wa kutoa uongozi kwa programu za nchi nyingi zinazolenga kuimarisha uwezo wa mfumo wa afya kwa afya endelevu katika Mashariki., Kati, na Kusini mwa Afrika. Yeye pia ni sehemu ya sekretarieti ya Women in Global Health - Africa Hub inayomilikiwa na Amref Health Africa, Sura ya Kikanda ambayo hutoa jukwaa la majadiliano na nafasi ya ushirikiano kwa uongozi wa mabadiliko ya kijinsia ndani ya Afrika. Sarah pia ni mwanachama wa Huduma ya Afya kwa Wote (UHC) Rasilimali Watu kwa Afya (HRH) kamati ndogo nchini Kenya. Ana digrii katika Afya ya Umma na Shahada ya Uzamili katika Utawala wa Biashara (Afya Ulimwenguni, Uongozi na Usimamizi). Sarah ni mtetezi mwenye shauku wa huduma ya afya ya msingi na usawa wa kijinsia katika Afrika Kusini mwa Jangwa la Sahara.

Alex Omari

Afisa wa KM wa Afrika Mashariki, Maarifa MAFANIKIO, Amref Afya Afrika

Alex ni Afisa wa Kiufundi wa Upangaji Uzazi/Afya ya Uzazi katika Taasisi ya Amref Health Africa ya Ukuzaji Uwezo.. Anafanya kazi kama Afisa wa Usimamizi wa Maarifa wa Mkoa (Afrika Mashariki) kwa mradi wa Maarifa SUCCESS. Alex amekwisha 8 uzoefu wa miaka katika vijana na vijana afya ya ngono na uzazi (AYSRH) muundo wa programu, utekelezaji, utafiti, na utetezi. Kwa sasa ni mshiriki wa Kikundi cha Kufanya Kazi cha Kiufundi cha mpango wa AYSRH katika Wizara ya Afya nchini Kenya. Alex ni mshiriki aliyechaguliwa wa Jumuiya ya Kifalme ya Afya ya Umma (FRSPH) na aliyekuwa Mratibu wa Nchi wa Kenya kwa Muungano wa Kimataifa wa Vijana wa Upangaji Uzazi (IYAFP). Ana Shahada ya Kwanza ya Sayansi (Afya ya Watu) na Mwalimu wa Afya ya Umma (Afya ya Uzazi) kutoka Chuo Kikuu cha Kenyatta, Kenya. Kwa sasa anasomea shahada yake ya pili ya Uzamili katika Sera ya Umma katika Shule ya Serikali na Sera ya Umma (SGPP) huko Indonesia ambapo pia ni msomi wa uandishi wa sera za afya na afya ya umma na mchangiaji wa tovuti kwa Jarida la Mapitio ya Kimkakati.

Diana Mukami

Mkurugenzi wa Mafunzo ya Dijiti na Mkuu wa Programu, Amref Afya Afrika

Diana ni Mkurugenzi wa Mafunzo ya Dijitali na Mkuu wa Mipango katika Taasisi ya Maendeleo ya Uwezo ya Amref Health Africa.. Ana uzoefu katika kupanga mradi, kubuni, maendeleo, utekelezaji, usimamizi, na tathmini. Tangu 2005, Diana amehusika katika programu za elimu ya masafa katika sekta ya afya ya umma na ya kibinafsi. Hizi zimejumuisha utekelezaji wa programu za mafunzo kazini na kabla ya huduma kwa wafanyikazi wa afya katika nchi kama vile Kenya, Uganda, Tanzania, Zambia, Malawi, Senegal, na Lesotho, kwa kushirikiana na Wizara ya Afya, vyombo vya udhibiti, taasisi za mafunzo ya wafanyakazi wa afya, na mashirika ya ufadhili. Diana anaamini teknolojia hiyo, imetumia njia sahihi, inachangia kwa kiasi kikubwa katika maendeleo ya rasilimali watu mwitikio kwa afya barani Afrika. Diana ana shahada katika sayansi ya kijamii, shahada ya baada ya kuhitimu katika mahusiano ya kimataifa, na cheti cha baada ya bachelor katika muundo wa kufundishia kutoka Chuo Kikuu cha Athabasca. Nje ya kazi, Diana ni msomaji mchangamfu na ameishi maisha mengi kupitia vitabu. Pia anafurahia kusafiri kwenda sehemu mpya.

Jerome Mackay

Mshauri wa Kiufundi, Monitoring & Evaluation, Amref Afya Afrika, Tanzania

Bwana. 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, afya ya uzazi na uzazi, women’s empowerment, financial inclusion, and education management. Bwana. 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). Bwana. Mackay has vast experience in planning and implementing new and innovative projects and programs, including participatory approaches for planning, utekelezaji, ufuatiliaji, quality assurance, na tathmini; 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, mitandao, 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®.

Florence Temu

Country Director, Tanzania, Amref Afya Afrika

Dk. 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, Dk. 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. Dk. 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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