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Centre for Global Child Health

Quality Improvement for Maternal and Newborn Health at District-level Scale in Mtwara Region, Tanzania

Principal investigators: Dr. Zulfiqar A. Bhutta, Inaugural Robert Harding Chair in Global Child Health at the Hospital for Sick Children (SickKids), Toronto, Co-Director of the SickKids Centre for Global Child Health and the Founding Director of the Centre of Excellence in Women and Child Health at the Aga Khan University. Dr. Fatuma Manzi, Senior Scientist, Ifakara Health Institute, Dr. Wedson Sichwale, Mywara Region Medical Officer.

Tanzania reached the Millennium Development Goal (MDG) 4 child mortality target, yet its maternal and newborn mortality rates remain unacceptably high. Quality improvement in health care has been identified as a key priority area for scaling up gains by the Tanzanian government. The Quality Improvement at District Scale (QUADS) intervention is linked to this priority by focusing on interventions to improve quality of care from pregnancy until the post-partum period to improve maternal and newborn outcomes. The five year roll-out will occur across four districts in Mtwara Region and interventions will be implemented at the district, health facility, and community levels. The project specifically seeks to address poor health-seeking behaviors, quality of service delivery, and health system weaknesses that constrain the use of high-quality interventions.

Project collaborators include  Ifkara Health Institute, London School of Hygiene and Tropical Medicine, Karolinska Institutet.

Supported by: International Development Research Centre (IDRC)