Tripartite Dialogues and Actions for Maternal Health Services
bringing health workers , the community and policy makers to dialogue challenges in accessing, utilizing and provision of quality delivery services and develop a deliberate plan of actions which can be implemented and monitored by the community, and policy makers allocate enough resources and health workers’ working environment improved
Sobre Você
Seção 1: Sobre Você
Nome
Festa Andrew
Sobrenome
Mwanyingili
Organization
Women's Dignity
Country
Tanzânia, DS
Are you an individual between the ages of 18 and 35 who would like to apply for a nine month Young Champions Program mentored by an Ashoka Fellow?
Não
Seção 2: Sobre a Sua Organização
Nome da Organização
Women's Dignity
Página da organização na internet
Telefone da organização
Endereço da organização
BOX 79402 Dar es Salaam Tanzania
País da organização
Tanzânia, DS
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Sua ideia
Dê um nome ao seu projeto
Tripartite Dialogues and Actions for Maternal Health Services
Country your work focuses on
Tanzânia
Describe Your Idea
bringing health workers , the community and policy makers to dialogue challenges in accessing, utilizing and provision of quality delivery services and develop a deliberate plan of actions which can be implemented and monitored by the community, and policy makers allocate enough resources and health workers’ working environment improved
Website URL
INOVAÇÃO
What makes your idea unique?
This process aims to offer an opportunity for service providers, policy makers and the community to get an insight of some hidden issues, that emerge when communities are given an opportunity to air their views and when service providers can also give a feed back to the community and also consider reflecting the concerns of the communities in strategies during planning. It will provide an opportunity for systematic feedback from users of public services collecting feedback on the quality and adequacy of public services from actual users, hence critical issues in health service delivery could be resolved though a dialogue rather than in a confrontational way.
Do you have a patent for this idea?
Não
Impacto
Temas relacionados à inscrição
What impact have you had?
it is at the implementing stage an one Village in Singida Rural had started to fundraise for building a dispensary and at the same time mobilizing funds (Community Emergency Fund) for transport to help pregnant women and other people who needs emergency transport due to the distance and the cost involved to reach to the nearby health facility
Problem
In our Country there is high rates of maternal mortality and morbidity as indicated by the Tanzania Demographic Health Survey of 2004 578 per 100000 live births, and it also indicated that 94% of pregnant women are attending antenatal clinics but only 47% are delivering at health facilities. Women’s Dignity conducted a ‘Barriers Study’ which targeted women to explore the barriers they face in accessing and utilizing quality delivery care and midwives’ as well as traditional birth attendants to explore also the challenges they encounter in providing quality delivery care. Since Maternal health is across cutting issue, we have realized the importance of bringing the three sides and share the findings and then dialogue in a non- confrontational way that can improve the health system in general with a focus in maternal health services as an international indicator of a strong and functioning health system
Actions
Taking this activity in the work plan as well as providing the necessary support in organizing this activity and making sure it is publicized. Also it has plans for supporting to make this initiative operate by supporting financially when need arise, for example it will be supporting the Ulyampiti Village to construct the dispensary. Importantly the organizations is making sure that I acquire all the necessary skills and techniques for advocacy to make things work by allowing my time off to attend short courses and paying all the necessary costs when the need arises
Results
Reduction of Maternal Mortality and Morbidity rates through the increased national level political commitment and leadership in allocating enough resources for strengthening maternal health services , health workers be able to provide quality deliver care and the increased public participation in equitably planning, financing and governance for impact
What will it take for your project to be successful over the next three years? Please address each year separately, if possible.
The first year is to do the needs assessment i.e to conduct the community scorecard so as to provide opportunity and space for them to air their concerns and views regarding the quality of health services they get and this will be done by watching together the documentary which we use as a tool for advocacy commonly known as “Dead moms Don’t Cry” and the community will list issues of concerns similar to their situation and prioritize the issues to be dealt with. They will select actors amongst themselves who will undergo a training on data collection and agree on the modalities of this process meaning where, when, who and how to score the responses. After the data collection, data analysis will be done and the feedback will be shared through bringing health providers, communities and policy makers to dialogue and come up with a plan of action. The second year is to monitor the implementation of the action plan and making sure that the community is participating fully in the monitoring process. The third year is to empower the community in participating in the Council Comprehensive Health Plans processes and making sure their issues are taken into consideration by getting the necessary resources and be able to make the responsible authorities accountable to them.
What would prevent your project from being a success?
if the community is passive and not active in demanding for quality health services. Meaning that the community should own this process for sustainability and not waiting for the organization to go back and push for the issues to move.
How many people will your project serve annually?
101‐1.000
What is the average monthly household income in your target community, in US Dollars?
Less than $50
Does your project seek to have an impact on public policy?
Sim
SUSTENTABILIDADE
Em que estágio está seu projeto?
Implementado há menos de um ano
Sua organização é
OSCIP/ONG
Is your initiative connected to an established organization?
Sim
If yes, provide organization name.
Women's Dignity
How long has this organization been operating?
Mais de 5 anos
Does your organization have a Board of Directors or an Advisory Board?
Sim
Does your organization have a non-monetary partnerships with NGOs?
Sim
Does your organization have a non-monetary partnerships with businesses?
Não
Does your organization have a non-monetary partnerships with government?
Sim
Please tell us more about how these partnerships are critical to the success of your innovation.
The NGOs through the networks, for this case Women’s Dignity is one of the founder members of the Health Equity Group which aims at building a popular health movement and sharing of various experiences and innovations. The Government to respond to the client needs and take the necessary steps and actions for implementing the public policy in our case the government is aiming at bringing health facilities closer to the people hence citizens engagement and participation is very critical.
What are the three most important actions needed to grow your initiative or organization?
As a non government organization, Women’s Dignity seeks to mobilize citizen’s particularly marginalized girls and women – to realize their basic right to health, supports citizens to access and use information to promote their rights; influence equitable policy development and allocation of resources; and monitor accountability of policies, programs and services to vulnerable populations. The first action needed is to build mutual relationship with the district authorities specifically in the remote areas which are very underserved so that we can start implementing this initiative (which are already identified in the National Referral System). The second action was to strengthen and expand our networks especially the Health Equity Group and its partners so that we can together achieve the Millennium Development Goal number 5. For Women’s Dignity we collaborate with our partners who are working in district so that they can be able to follow up and support the community when need arise. Therefore we have undergone the scorecard training which we also imparted to the community for data collection. The third action is to share the results and convene the tripartite dialogues hence strategies on plan of action for implementation and empower citizen’s capacity for engagement in Council Comprehensive Health Plans.
A História
What was the defining moment that you led to this innovation?
I was attending the meeting organized by officemate which aimed at enabling girls and women access fistula repair, where the consensus was to establish a National Referral System (NRS). The system links lower and higher levels health facilities e.g. health centers, hospitals to each other so referrals are managed efficiently. The system also connects NGOs, CBOs and FBOs and other partners to the hospitals providing repairs, so a wider network of actors are involved in helping girls and women with fistula access treatment. In that meeting what I felt needed to be done is to try to bring the service users as one way of fistula prevention by which our organization if focusing. Normally in this meeting fistula survivors are invited to dialogue with hospitals providing the repairs and other partners to make sure that strategies are put in place so that women and girls are prevented from ending up with fistulas as well making sure the fistula patients easily access repairs. It is when the idea was brought up as it seemed very critical for fistula prevention to include the community, health providers and the policy makers for effective strategies of improving maternal health services.
Tell us about the social innovator behind this idea.
In Tanzania the maternal mortality ratio (MMR) from the most recent Demographic and Health Survey (TDHS 2004-05) indicates over 8,000 maternal deaths annually with no decline over the last decade . Skilled attendance at delivery and the availability of emergency obstetric care (EmOC) – two key indicators of measuring progress towards reducing maternal mortality – are both extremely low. Acknowledging this crisis in maternal healthcare, Tanzanian President, Jakaya Kikwete, launched the ‘National Road Map Strategic Plan to Accelerate Reduction of Maternal, Newborn and Child Deaths in Tanzania’ (also known as ‘One Plan’) in April 2008. The plan commits to reducing maternal deaths by two-thirds by 2015. To help inform interventions to improve maternal health services and meet the goals of ‘One Plan’, CARE International and Women’s Dignity, in collaboration with the Tanzania Midwives Association (TAMA) and the Grassroots Female Communicators Association (GRAFCA), conducted a qualitative analysis of women’s access to facility-based delivery in November 2005. The study aimed at understanding the major barriers that women face in accessing and using delivery services, and that health providers face in providing quality delivery care. This innovative also is one way of sharing the key findings from the study together with recommendations on strategies that are urgently required to strengthen maternal care so that all women in Tanzania are able to realize their basic right to be safe in pregnancy and childbirth.
How did you first hear about Changemakers?
Through another organization or company
If through another, please provide the name of the organization or company
Center for Development and Population Activities (CEDPA ) Washington DC
 | 113 weeks agoBre Booren said: This is a very interesting idea including all of the aspects of a community. However what if people are not willing or scared to share ... about this Competition Entry. - leia mais > |
| 124 weeks agoFesta Andrew Mwanyingili submitted this idea. |
| 124 weeks agoFesta Andrew Mwanyingili submitted this idea. |