2010 Tanzania Demographic and Health Survey Maternal Health, Child Health, and Mortality

Antenatal care Delivery and postnatal care © 2008 Niemi Ritva, Courtesy of Photoshare Maternal Health

Antenatal Care by Provider Percent distribution of women with a live birth in the past 5 years *Skilled provider includes doctor/AMO, clinical officer, assistant clinical officer, nurse/midwife, and MCH aide.

Timing of Antenatal Care and Number of Visits 15% of women went to their first ANC visit during the 1 st trimester of pregnancy, as recommended. 43% of women had 4 or more ANC visits, as recommended. 2% of women had no ANC visits.

Antenatal care Delivery and postnatal care © 2008 Niemi Ritva, Courtesy of Photoshare Maternal Health

Place of Delivery Percent distribution of live births in the 5 years before the survey

Assistance During Delivery Percent distribution of births in the past 5 years 51% of births were delivered by a skilled provider. *Skilled provider includes doctor/AMO, clinical officer, assistant clinical officer, nurse/midwife, and MCH aide.

How Does Tanzania Compare? Percent distribution of live births in the past 5 years assisted at delivery by a skilled provider

Tanzania 51% Kagera 54% Mwanza 44% Mara 30% Arusha 47% Manyara 39% Tanga 45% Kilimanjaro 86% Pwani 74% Morogoro 61% Dodoma 46% Singida 49% Tabora 46% Shinyanga 35% Kigoma 34% Rukwa 30% Mbeya 43% Iringa 81% Ruvuma 83% Mtwara 60% Lindi 52% Dar es Salaam 91% Pemba North 25% Pemba South 42% Town West 77% Unguja North 45% Unguja South 71% Delivery by Skilled Provider by Region Percent of live births in the past 5 years assisted by a skilled provider* *Skilled provider includes doctor/AMO, clinical officer, assistant clinical officer, nurse/midwife, and MCH aide.

Trends in Maternal Health Care *Skilled provider includes doctor/AMO, clinical officer, assistant clinical officer, nurse/midwife, and MCH aide.

Maternal Health Key Findings 96% of women received antenatal care from a skilled provider (doctor, nurse, or midwife) at least once. 50% of women deliver in a health facility; 48% deliver at home. 51% of women were assisted at birth by a skilled provider. Assistance by a skilled provider during antenatal care and delivery has slightly increased since

Immunisation Coverage Childhood Illnesses and Treatment © 2007 Bonnie Gillespie, Courtesy of Photoshare Child Health

Full Immunisation Children who have received: BCG Measles 3 doses of DPT, DPT-Hep B, or DPT-Hep B-Hib 3 doses of Polio (excluding polio 0) Are said to be “fully immunised”

Childhood Immunisations Percent of children months immunised DPT-HB-HibPolio

Zanzibar 77% Northern 80% Central 79% Western 58% Southern Highlands 74% Eastern 87% Southern 80% Lake 80% Immunisation Coverage by Zone Percent of children months fully immunised Tanzania 75%

How Does Tanzania Compare? Percent of children months fully immunised

Trends in Immunisation Coverage Percent of children months fully immunised

Immunisation Coverage Childhood Illnesses and Treatment © 2007 Bonnie Gillespie, Courtesy of Photoshare Child Health

Acute Respiratory Infection (ARI) In the 2 weeks before the survey, 4% of children under age 5 were ill with cough and rapid breathing, symptoms of ARI.

Diarrhoea 15% of children under age five had diarrhoea in the 2 weeks before the survey; 2% had bloody diarrhoea. 53% of children with diarrhoea were taken to a health facility or received treatment from a health provider.

Diarrhoea Treatment Percent of children under 5 with diarrhoea in the two weeks before the survey

Child Health Key Findings 75% of children have all the recommended immunisations. 4% of children under five had symptoms of ARI in the 2 weeks before the survey. 15% of children had diarrhoea in the 2 weeks before the survey. Of these, 53% of children were taken to a health facility or provider. 63% were given ORT, RHF, or increased fluids. 17% did not receive any treatment.

Childhood Mortality Maternal Mortality © 2007 Meghan Ho, Courtesy of Photoshare Mortality

Neonatal mortality Probability of dying in the first month of life Postneonatal mortality Probability of dying between one month and first birthday Infant mortality Probability of dying before the first birthday Child mortality Probability of dying between age one and five Under-five mortality Probability of dying before the fifth birthday Childhood Mortality Estimates

Childhood Mortality Levels Deaths per 1,000 live births for the 5-year period before the survey

Trends in Early Childhood Mortality Rates Deaths per 1,000 live births

How Does Tanzania Compare? Under-five Mortality Deaths per 1,000 live births

Zanzibar 73 Northern 58 Central 84 Western 98 Southern Highlands 102 Eastern 94 Southern 94 Lake 109 Under-Five Mortality by Zone Deaths per 1,000 live births for the 10-year period before the survey

Childhood Mortality Maternal Mortality © 2007 Meghan Ho, Courtesy of Photoshare Mortality

Maternal Mortality Maternal mortality includes all deaths that occur to women during pregnancy, during birth, and up to 2 months after birth or the end of the pregnancy.

Maternal Mortality Maternal mortality ratio (MMR) for the 10-year period before the survey = 454 (deaths per 100,000 births) [95% Confidence Interval ranges from 353 to 556 deaths per 100,000 births]

Mortality Key Findings Childhood mortality has decreased over the past 15 years. Current infant mortality rate is 51 deaths per 1,000 live births and under-five mortality rate is 81 deaths per 1,000 live births. Under-five mortality ranges by zone, from 58 in the Northern zone to 109 in the Lake zone. Maternal mortality ratio is 454 deaths per 100,000 live births [95% Confidence Interval ranges from 353 to 556 deaths per 100,000 births].