Marie Stopes Tanzania Increasing Access to Quality Reproductive Healthcare

VISION: A world in which every birth is wanted MISSION: Children by choice, not chance MST Bajaji Nurse in Dar es SalaamMarie Stopes Birth Control Caravan, UK c.1920

Maximising National Impact

Urban Services 13 clinics + 1 hospital across Tanzania Full range of Reproductive + Primary Healthcare services Ensuring access for underserved through urban outreach

Rural Mobile Service Core service: Long acting + permanent methods of FP (currently 14 teams) Standard MSI model – very low incident rate National coverage – in 96% of districts Flexibility allows additional services – VCT, STI, MCH, YFS

Innovative Mix of Funding/Delivery Models Current Models in Tz Social Business Approach at clinics Low user fees/corporate health insurance to achieve sustainability Access for poor and vulnerable through donor funded initiatives, OBA, PPP and community health insurance Other MSI Models Social Franchising Social Marketing Voucher Schemes

Service Output 2010 Tubal Ligations32,000 Implants23,000 IUDs26,000 CYPs625,000 VCT28,000 PMTCT4,000 Immunisation37,000 (Visits)

What’s next? Increasing impact through expansion and innovation Longer term funding for existing outreach More mobile outreach teams to meet demand for FP (4+) Increasing access of urban poor through bajaji outreach model and subsidised clinic service Youth RH programme with national reach Further integration of non FP services – e.g. cervical cancer screening

In Brief… A major contributor to Reproductive Health in Tanzania Established, high quality, cost effective models of service delivery that can be easily expanded A flexible nationwide delivery platform which can integrate a range of services Experience of handling different funding models

Contact Details Justine Coulson Country Director Marie Stopes Tanzania Mob