The National Road Map Strategic Plan to Improve Reproductive, Maternal, Newborn, Child & Adolescent Health in Tanzania (2016 - 2020). One Plan II
Despite achieving the MDG4 of reducing the under-five (U5) mortality rate from 166/1,000 live births in 1990 to 54 per 1,000 live births (UN Inter Agency Group on Child Mortality Estimate, September 2013), Tanzania still have a very high numberof newborns and under-fives dying at 39,500 and 98,000 per year respectively. The country has also observed a Maternal Mortality Rate (MMR) declined from 870 per 100,000 live births in 1990 (UN reports) to 432 per 100,000 (2012 National Population and Housing Census). However, this reduction was insufficient to attain the committed MDG 5 target of 193 per 100,000 live births. Scale up of effective, evidence based, equitable and high impact interventions will be critical for the transformative impacts within Reproductive, Maternal, Newborn, Child and Adolescent Health.
This strategic plan provides guidance for implementation of RMNCAH interventions in the country, building on the progress made under One Plan (2008-2015). The strategy focuses on reducing maternal, newborn, child and adolescent morbidity and mortality by offering quality services, of equity, offered by skilled attendants, in enabling environment and in an integrated manner along the continuum of care by taking into consideration both community and facility factors. The One Plan II has five strategic objectives and several operational targets covering areas of Maternal Health; Newborn and Child Health; Adolescent Health; Family Planning; Prevention of Mother to Child Transmission; Immunization and Vaccine Development; Reproductive Health (RH) Cancer, Reproductive Health Gender and cross-cutting programmes. The overall goal is to accelerate reduction of preventable maternal, newborn, child and adolescent morbidity and mortality in line with the National Developmental Vision 2025. The plan aims at reducing maternal mortality from 432 to 292 per 100,000 live births, neonatal mortality rate from 21 t0 16 per 1,000 live births and under-five mortality from 54 to 40 per 1,000 live births by 2020.