Expanding FP access for national impact: Scaling up mobile outreach in Tanzania Joseph Komwihangiro Director of Health Services, Marie Stopes Tanzania

The Tanzanian context Marie Stopes International2 25% of WRA have unmet need for family planning Total fertility rate and maternal mortality rate remain high Access to contraception and choice of FP methods limited in rural areas Government aiming to double CPR from 27% in 2010 to 60% by 2015

How is Marie Stopes Tanzania responding?

The mobile outreach model Marie Stopes International4 Team staffed by one surgeon, three nurses and a driver Comprehensive, free, voluntary FP and HIV screening services Reaches poor women living in hard to reach rural areas Synchronisation of service delivery, awareness raising and support is key Day 18 Day 21 OR field Office Day 1 Day 2

A public-private partnership Partnership with MoHSW: joint planning, implementation, M&E MOHSW provides team staff, commodities and venue Marie Stopes International5

SIFPO/USAID and DFID joint investment in mobile outreach scale-up, teams National coverage Rural areas

Results  600,000 clients received voluntary FP services, resulting in 2.4 million CYPs  159,000 clients took up VCT  Over 400 government health staff trained in FP including LARCs Marie Stopes International7 Services provided will avert an estimated 920,000 unintended pregnancies and 2,300 maternal deaths

Which FP methods did clients choose? Marie Stopes International8

National impact and contribution to CPR goals USAID funding enabled MST to dramatically scale up our mobile outreach footprint and FP choice for women In 2014, over 1 in 4 Tanzanian FP users received their method from MST Between , MST increased Tanzanian CPR by almost 2 percentage points Marie Stopes International9

What did it look like on the ground? pass: outreachtwo

Who did we reach? 70% of MST’s mobile outreach clients live on less than $1.25/day 58% were not using FP in the three months before coming to the mobile outreach site 24% were switching from a short term method to a LARC or PM 36% below the age of 25