With its rugged plains, snow-capped Mt. Kilimanjaro, and beautiful coastline, Tanzania is one of Africa's natural gems. But the country faces significant sexual and reproductive health challenges, including elevated rates of HIV and AIDS and a total fertility rate that has remained high.
More than 5.6 percent of the population is HIV-positive, more than half of whom are women. At the same time, maternal mortality in Tanzania is unacceptably high, as the lifetime risk of maternal mortality is one in 23.
Since 1984, Pathfinder has had a strong presence in Tanzania, working closely with the government and with local partners to improve access to reproductive health and HIV and AIDS services, while also building the capacity of local NGOs.
Based on our experience delivering community home-based care for people living with HIV and AIDS, Pathfinder is continuously working to integrate family planning services at the community level. Through trainings and the creation of a distribution system, Pathfinder has equipped community health workers with supplies to deliver information and non-clinical contraceptive commodities, such as condoms, to people in their homes.
Still today, the country has less than 40 percent of the health personnel it needs to deliver planned services. People in rural communities have difficulties in accessing health services. As the population of the country grows, the health care delivery system is unable to cope with increasing demand for services.
In Tanzania, Pathfinder works to prevent violence against children and adolescents at the household and community level.
Pathfinder joins Touch Foundation, Vodafone Foundation, and USAID in promoting the accessibility of appropriate maternal and newborn care in Tanzania by expanding the availability of comprehensive emergency obstetric care and by implementing community level activities to reduce maternal mortality during delivery and childbirth.
In Nigeria, Tanzania, and Uganda, Pathfinder aims to improve the capacity of community-based organizations to better prevent mother-to-child transmission of HIV.
With the human population in the Greater Mahale Ecosystem growing rapidly, in conditions of extreme poverty and ill health, this project used a model of population, health, and environment to address reproductive health and natural resource management.
Evidence to Action for Strengthened Family Planning and Reproductive Health Services for Women and Girls (E2A)
The Evidence to Action Project (E2A) is USAID’s global flagship for strengthening family planning and reproductive health service delivery.
This project provides community-home-based-care for people living with HIV and AIDS and their families. Pathfinder also works in the community to reduce the stigma and increase the voice and visibility of people living with HIV and AIDS.
Pathfinder’s mHealth in Tanzania began in 2008 with funding from the Center for Disease Control. The project uses mobile technology to improve communication and reporting between health clinics, home-based care providers and clients.
We believe change starts with expertly trained providers and pharmacies that never run out of supplies. It starts with open conversations among women, young people, men, religious leaders, mothers-in-law, policymakers, and others, joining to discuss their beliefs and remove barriers to their health and well-being. Our 2014 Annual Report shows a few highlights of how Pathfinder has served as a catalyst for change over the past year.
The purpose of the Working Paper Series is to disseminate work in progress by Pathfinder International staff on critical issues of population, reproductive health, and development.
This article retrospectively analyzes the scale up of adolescent-friendly contraceptive services in five countries and draws lessons learned to inform implementation and sustainable scale up of HIV and other services for adolescents.
This study examined the experiences of adolescents living with HIV in Tanzania in order to identify ways to improve home based care to better meet their needs.