THE SADC GENDER PROTOCOL SUMMIT 2014 OUTREACH TOWARDS MATERNAL DEATH REDUCTION (RCH) DAREDA HOSPITAL JOHANNESBURG, SOUTH AFRICA MAY, 2014 PRESENTED BY RENATUS SONA BAMC, PGD-MFR 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

SYNOPSIS Christian Social Services Commission (CSSC) is an ecumenical body jointly established by Tanzania Episcopal Conference (Catholic) and Christian Council of Tanzania (Protestants),to facilitate Social Services with the main focusing on education and health services provided by member churches CSSC developed a documentation project to enhance sharing and exchanging experiences through best practices It identified best practice in Reproductive and child health undertaken by Dareda Hospital, one among its member institutions It produced film documentary of Dareda outreach service and shared with other healthcare providers

Film documentation process

SYNOPSIS CONT……. Measures have been taken by Dareda CDH situated in Manyara region since 2007 to decrease the number of maternal deaths by conducting out-reach services “OS”(mobile) to identify the risk pregnancy mothers and taken for safe delivery care in the hospital The target affected population is between and years of age, pregnant women have to walk long distance about 30-60km to reach health facilities This approach of OS is good practice previously estimated about 50% of women delivered at home compared 39% observed after the above approach

OBJECTIVES Improve health status of the population through documentation and dissemination of best practice Increase efficiency and effectiveness of health care delivery especially in Reproductive and Child health to other healthcare provision through Dareda hospital experience Reduction of maternal death 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

BACKGROUND 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA Before establishing outreach services at Dareda hospital, the situation of RCH services was not encouraging due to number of maternal deaths occurred due to some complications like; Obstructed (complicated) labour, severe hemorrhage (Bleeding) due to multiple pregnancy, severe malaria complications and Malposition The main factors were; failure to attend clinics, delays in reaching health facilities due to long distances VillagesFrequency of the outreachDistance from Dareda Hospital DohomEvery 1 st Monday of the month55 Km MandiEvery 2 nd Monday of the month36 Km EndaduEvery 3 rd Wednesday of the month34 Km ArriEvery 3 rd Monday of the month32 Km SabiloEvery 4 th Monday of the month35 Km

KEY ACTIVITIES Please list at least five in bullet form Conduct outreach services to identify the risk pregnancy mothers Sensitize (Educate) mothers the importance of attending clinic and safe delivery in the health facilities Hospital in collaboration with government (Council) organizing several trainings to keep staff with updates/changes established/developed in health sector 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

RESOURCE ALLOCATIONS 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA Amount local currency (specify) Amount in Rand Gender specific allocation TZS, 37,000,000 Gender in mainstream projects (please specify) 100 Million TZS Amount contributed in cash or in kind by partner organisations (please specify) Human resources, materials TOTAL

BENEFICIARIES 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA CATEGORYWOMENMENTOTAL% WOMEN Direct beneficiaries Communities Indirect beneficiaries (e.g. through other networks) Online beneficiaries (e.g. website access, mailing lists, scholarly articles) 156, ,000276,000 Total 156, ,000276,567

CHALLENGES Inadequate resources in terms of human, financial and materials to undertake outreach services Local culture whereby most of the women, especially those living in remote areas, depend economically on their husband and often require their husband’s approval to go to the hospital for delivery Increase number of deliveries to the hospital compared to the Maternity ward and qualified staff To overcome the above challenges; hospital closely working with Babati council (PPP) by participating in Comprehensive Council Health Planning Budget meetings The local government allocate staff /seconded to fill HR gap. On going plans to expand Maternal ward to accommodate pregnant mothers 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

MONITORING AND EVALUATION We have measured the impacts through; Conducting joint regular supportive supervision with CHMT (Checklist tool) RCH data records (MTUHA) Hospital RCH meetings 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

RESULTS The development of Dareda Hospital Maternity Ward has attracted more people from nearby villages (such as Masakta, Endasak, Gajal, Bashnet…) and remote areas so that they are coming to deliver within a health care facility 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

RESULTS CONT.. CSSC has managed to support Dareda hospital to organize different RCH Seminars and workshops, it has contributed to improve services and innovation 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

RESULTS CONT… CSSC has a huge Public participation through collaboration efforts with both public and private sector as well as community at large. Through public participation CSSC has managed to reduce maternal death to some of the areas such as Babati district (Dareda hospital initiatives) 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

LESSON LEARNED AND INNOVATION Involvement of communities, for example community leaders and influential people to effective RCH outreach services/sensitize mothers the importance of attending clinics Existence of good collaboration/PPP between Dareda hospital with district Council eg; CHMT, Community groups and village leaders Patient Education and strong care plan The district council collaborates with Hospital by sharing human resources and capacity building etc. 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

LEARNING AND SHARING WITH PARTNERS How have you learned from and sharing with other partners? We learn that that in improving RCH services in the country all stakeholders including government, private, FBOs and others partners is essential in reduction of maternal death 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

SUSTAINABILITY AND REPLICATION Continue involving community group and collaborate with government at the district level Scaling up to other areas 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

KEY PRIORITIES FOR 2014 The focusing for the 2014 is to scale up the initiatives and continue undertaking advocacy to more facilities for the reduction of maternal death 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA

END Thank you very much for listening and understanding how CSSC promote gender issues by documenting and sharing best practice through experience learnt from Dareda Hospital 50/50 BY 2015: DEMANDING A STRONG POST 2015 AGENDA