The maternal and child mortality rate in Tanzania is high. Problems in the area of sexual and reproductive health are a.o. women delivering without qualified health staff, women not following up on antenatal checkups and unwanted (early) pregnancies as a result of insufficient sexuality education, cultural practices and lack of family planning. Problems which are compounded by the lack of good facilities on water, sanitation and hygiene. In Tanzania, not even half of the population has access to safe drinking water and less than 20% has access to clean toilets.
- Capital: Dodoma
- Under-five mortality rate: 76 per 1,000
- Maternal mortality rate: 460 per 100,000
- Life expectancy (M/F): 53 / 58
- Adolescent fertility rate (girls aged 15-19 years): 116 per 1,000
- Proportion of population without access to improved drinking water-sources: 47%
- Proportion of population without access to improved sanitation: 90%
Source: World Health Statistics 2012, WHO
Simavi's strategic focus for Tanzania
On WASH specifically, Simavi has a thematic focus on supporting local communities through support to COWSO’s (Community Owned Water and Sanitation Organisations) and through setting up and registering independent water commissions. They are responsible for the management and maintenance of simple and affordable water facilities. Simavi encourages local government authorities and the private sector as much as possible to offer financial and technical support .
Simavi and its local partners will continue to focus on preventive health in order to stimulate health seeking behaviour. Thereby they work with intermediary groups such as TBA’s, peer educators, teachers, community health workers, in order to link the community to the formal health system. In the coming years, Simavi’s partner organizations will intensify their collaboration with local government authorities, activities will be part of community and village health plans and joint monitoring of activities will take place.
Within the SRHR Alliance, Simavi will implement the Unite For Body Rights Programme. This programme addresses poor SRHR services, Sexual and Gender Based Violence, including harmful traditional practices, the lack of rights and acceptance of sexual diversity and gender identity. The programme will also support with various capacity building activities aiming at strengthening civil society and advocacy capacity. This creates the conducive environment that is needed to realize SRHR in Tanzania in a sustainable way.
In all activities, Simavi strives to put the local community at the centre through involving them actively in problem identification, assessments and mapping, implementation and evaluation.