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PA00TP87.Pdf 1 THE RESPOND TANZANIA PROJECT FINAL REPORT TH ST 30 NOVEMBER 2012 – 31 OCTOBER 2017 AID-621-LA-13-00001 Reference LWA No GPO-A-00-08-00007-000 1 1 Our Mission Catalyzing the value of women and girls by harnessing the power of sexual and reproductive rights and health Our Vision A world where sexual and reproductive rights are respected as human rights and women and girls have the freedom to reach their full potential. The RESPOND Tanzania Project Associate Cooperative Agreement No. AID-621-LA-13-00001 Managing partner: EngenderHealth, Inc. Associated partners: Meridian Group International, the Population Council For inquiries, please contact: EngenderHealth Country Office Plot #254, Mwai Kibaki Road/Kiko Avenue - Mikocheni P.O. Box 78167 Dar es Salaam, Tanzania +255 22 277-2263 / 277-2365 Fax: +255 22 277-2262 www.engenderhealth.org ® © 2018 EngenderHealth. COPE , Supply-Enabling Environment-Demand, and the SEED™ Model are trademarks of EngenderHealth Photo credits: S.Lewis/EngenderHealth, M. Tuschman/EngenderHealth, Staff/EngenderHealth. (RTP) 2 22 CONTENTS CONTENTS....................................................................................................................................................................................................................... 3 FOREWORD ..................................................................................................................................................................................................................... 4 ACRONYMS AND ABBREVIATIONS .......................................................................................................................................................................... 5 ACKNOWLEDGMENTS .................................................................................................................................................................................................. 7 EXECUTIVE SUMMARY ................................................................................................................................................................................................ 9 BACKGROUND .............................................................................................................................................................................................................. 13 Maternal Mortality and Family Planning .................................................................................................................................................... 13 The Respond Tanzania Project (RTP) ...................................................................................................................................................... 13 Project Implementation Strategy ............................................................................................................................................................... 13 RESULT 1: ACCESS TO QUALITY LA/PM AND RH SERVICES (HIV AND AIDS AND GBV) INCREASED. ......................................... 15 Capacity building for service providers ...................................................................................................................................................... 15 Access to and Use of FP and LARCs/PMs ............................................................................................................................................... 17 FP method mix .......................................................................................................................................................................................... 17 Proportion of FP-LARC/PM clients attributable to RTP interventions ....................................................................................................... 18 Estimated impact from provision of FP services ....................................................................................................................................... 19 Uptake of LARCs among youths ............................................................................................................................................................... 19 PMTCT ...................................................................................................................................................................................................... 20 GBV and VAC ........................................................................................................................................................................................... 21 Task sharing of FP service provision ........................................................................................................................................................ 23 Postpartum FP .......................................................................................................................................................................................... 23 Comprehensive postabortion care ............................................................................................................................................................ 24 Improved contraceptive commodity security ............................................................................................................................................. 25 RESULT 2: QUALITY FP-LARC/PM AND RH INTEGRATED SERVICES DEMONSTRATED, EVALUATED, AND SCALED UP ......... 26 FP integration at workplaces ..................................................................................................................................................................... 27 RESULT 3: HEALTH SYSTEMS MANAGEMENT AND MONITORING AND EVALUATION STRENGTHENED FOR INTEGRATED FP- LARC/PM AND RH SERVICES................................................................................................................................................................. 28 Health systems strengthened .................................................................................................................................................................... 28 RTP research activities ............................................................................................................................................................................. 29 Safety of minilaparatomy provided by trained clinical officers and assistant medical officers ................................................................... 29 Access to RH and HIV services among young mothers in Tanzania ........................................................................................................ 30 Operations research on the optimal package and process of integrated health care ............................................................................... 31 Monitoring and evaluation ......................................................................................................................................................................... 32 RESULT 4: COMMUNITIES MOBILIZED TO INCREASE USE OF FP-LARCS/PMS AND RH SERVICES THROUGH THE FOLLOWING INTERVENTIONS ............................................................................................................................................................... 33 Community mobilization for outreach and FP weeks ................................................................................................................................ 33 Community engagement and mobilization through “site walk throughs .................................................................................................... 33 Legacy products ........................................................................................................................................................................................ 34 CONCLUSION ................................................................................................................................................................................................................ 35 REFERENCES ............................................................................................................................................................................................................... 36 APPENDIX 1: PERFORMANCE MANAGEMENT PLAN (PMP) ............................................................................................................................ 37 APPENDIX 2: FUNDING OBLIGATIONS .................................................................................................................................................................. 44 APPENDIX 3: RTP RESULTS FRAMEWORK .......................................................................................................................................................... 45 3 3 FOREWORD EngenderHealth has been the primary family planning and in contributing to its efforts to eliminate preventable reproductive health (FP/RH) partner to the Ministry of Health, maternal and child deaths and reach the national goal of Community Development, Gender, Elderly and Children achieving a contraceptive prevalence of 45% by 2020. (MOHCDGEC), Mainland, and the Ministry of Health, There has been a growing realization that up to one-third Zanzibar, for over a decade. In the past five years of all maternal deaths and illnesses could be prevented if EngenderHealth, through the RESPOND Tanzania Project women had access to contraception. Over the duration
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