Sexual & Reproductive Health

Protecting a woman's life when she is giving birth is a fundamental human right to life and health and a core value of UNFPA's mission. Working within the framework that it takes three interventions to save that life: i) universal access to contraception to avoid unintended pregnancies, ii) access to skilled care during delivery and iii) rapid access to quality emergency obstetric care. UNFPA's support is to the central level as well as to decentralized levels. Centrally, UNFPA supports overall health system strengthening and demand creation for reproductive health through health basket funding in the mainland, while central level support includes capacity improvements such as - integration of GBV guidelines for health service provisions. At subnational level UNFPA provides technical assistance and capacity building for improved district sexual reproductive health care delivery system in selected regions, provision of technical assistance, equipment and supplies for EMOC, Fistula, Family Planning and Fistula.

Protecting a woman's life when she is giving birth is a fundamental human right to life and health and a core value of UNFPA's mission. Working within the framework that it takes three interventions to save that life: i) universal access to contraception to avoid unintended pregnancies, ii) access to skilled care during delivery and iii) rapid access to quality emergency obstetric care.

UNFPA's support is to the central level as well as to decentralized levels. Centrally, UNFPA supports overall health system strengthening and demand creation for reproductive health through health basket funding in the mainland, while central level support includes capacity improvements such as - integration of GBV guidelines for health service provisions. At subnational level UNFPA provides technical assistance and capacity building for improved district sexual reproductive health care delivery system in selected regions, provision of technical assistance, equipment and supplies for EMOC, Fistula, Family Planning and Fistula.

UNFPA has a three tiered approach in support of the Implementation of the National Family Planning Costed Implementation Programme (NFPCIP) 2010/1015 is envisaged to increase the contraceptive prevalence rate from 27% to 60% by 2015 and contribute to address unmet need for family planning among married women, currently at 25% mainland and 35% in Zanzibar. The three approaches include:

  • Advocating together with partners on need for increased political and financial commitment for programmes that make accessible to all especially the poorest affordable, accessible and family planning services. Advocacy includes elements of policy change such as using Community Based Distributors (CBDs) for injectables that are demonstrated to have high impact in neighboring countries. Ensuring that national development priorities and policy dialogue for integrating the importance of FP is critical. Planning and budgeting for FP as a priority area in the national development agenda requires significant efforts. The cost for implementation of the costed plan is estimated at Tshs. 133 billion.
  • Secondly ensure RH commodity security, to identify existing gaps and challenges in the supply chain management. Through basket funding, and development programmes UNFPA will continue to support and collaborate with GoT and other partners in linking efforts for increased contraceptive prevalence rate and ensure pregnancies are by choice not chance.
  • On ensuring skilled access at birth: UNFPA is prioritizing support for skilled midwifery. The support in Mainland and Zanzibar includes bonding schemes to ensure that trained midwives return to areas which have a dearth of skilled staff. Distance learning and improving overall capacity of tutors and training institutions is part of the strategy for increasing skilled attendance.

On the pillar of ensuring access to EmOC and BEmOC, the Shinyanga region has been prioritized for provision of support to health facilities so that at least 8 functioning health centers are fully equipped and staff have latest refresher trainings for delivery of comprehensive life saving maternal health care.

For HIV prevention, UNFPA works with the National AIDS Commissions of Tanzania mainland and Zanzibar, NGOs, FBOs, and the media to support HIV prevention efforts at national and sub-national levels. In Zanzibar, responding to the concentrated epidemic, the focus is on addressing SRH/HIV prevention needs among key populations, while in mainland the emphasis is HIV prevention in the context of a generalized epidemic with a focus on women and young people. In both Zanzibar and mainland the prevention support has been within prevention mandate namely; condom programming, enhancing youth and women's access to HIV prevention information and services, integration of SRH and HIV services, life skills based SRH/HIV education for young people out of school and addressing the gender and cultural dynamics of the HIV epidemic from a human rights-based approach.