ACT NOW TO SAVE NEWBORNS! CHUKUA HATUA KUOKOA WATOTO WACHANGA!

ACT NOW TO SAVE NEWBORNS!
CHUKUA HATUA KUOKOA
WATOTO WACHANGA!

Act now to save Tanzania’s
newborns!
Do you know that newborn mortality is a widespread
problem in Tanzania?
Tanzania now ranks 11 th in the world for number
of newborn deaths. 1
Each year there are 39,000 newborn deaths and
22,000 stillbirths during delivery. 1,2
Newborn deaths now account for 40% of all deaths
to children under 5 years old. 1
More than 80% of all newborn deaths result from
preventable and treatable conditions.
• Complications due to prematurity;
• Complications during delivery including asphyxia;
• Newborn infections.
These lives could be saved with available drugs and
simple interventions. 3
2

Chukua hatua sasa kuokoa maisha
ya watoto wachanga wa Tanzania!
Je wajua ya kwamba vifo vya watoto wachanga ni tatizo
kubwa sana hapa nchini Tanzania? Tanzania inashika
nafasi ya 11 duniani kwa idadi ya vifo vya watoto
wachanga. 1
Kila mwaka watoto wachanga 39,000 hufariki dunia,
na watoto wengine 22,000 huzaliwa wafu. 1,2
Vifo vya watoto wachanga vinachangia asilimia 40%
ya vifo vyote vya watoto walio chini ya miaka 5. 1
Zaidi ya asilimia 80% ya vifo vyote vya watoto wachanga
hutokana na sababu zinazozuilika au kutibika.
• Matatizo kutokana na kuzaliwa kabla ya muda;
• Matatizo wakati wa kuzaliwa, pamoja na
kushindwa kupumua;
• Maambukizi kwa watoto wachanga.
Maisha ya watoto hawa yangeweza kuokolewa kwa
kuwepo dawa na huduma nyingine rahisi. 3
3

Act now to save Tanzania’s
newborns!
Prioritise these evidence-based, cost-effective,
and feasible solutions across all health facilities in Tanzania
that provide pregnancy and delivery services!
• Newborn resuscitation;
• Hygienic cord care;
• Antibiotics;
• Mother to newborn skin-to-skin contact;
• Breastfeeding;
• Trained health workers;
• With a focus on the 48 hours surrounding birth. 3,5
4

Chukua hatua sasa kuokoa maisha
ya watoto wachanga wa Tanzania!
Toa kipaumbele kwa hatua hizi muhimu na zenye gharama nafuu
zinazopaswa kutolewa kwenye vituo vyote vya huduma za afya Tanzania
ambapo huduma kwa wajawazito zinapatikana kabla, wakati na baada
ya kujifungua!
• Huduma za kuokoa maisha ya mtoto mchanga ikiwemo
kumsaidia kupumua
• Utunzaji wa kitovu
• Vijiuasumu (antibiotiki)
• Mbinu ya ngozi kwa ngozi kwa mama na mtoto mchanga
• Unyonyeshaji maziwa ya mama
• Wahudumu wa afya waliosomea fani hiyo
• Msisitizo ukiwekwa katika masaa 48 baada ya kujifungua. 3,5
5

We have made commitments!
In 2014 Tanzania committed to the Every Newborn
Action Plan 3 and the Sharpened One Plan. 4 These
strategies set out the priority solutions, and call for
a united effort to dramatically reduce preventable
stillbirths and newborn deaths, by:
• Strengthening family planning for safer planned
pregnancies, especially for adolescents;
• Investing in the quality of care around delivery
and postnatal care and special care for small
and sick babies;
• Reducing inequities in those accessing quality care
to ensure all mothers and babies receive essential
services and close the rural-urban divide;
• Harnessing the power of communities to ensure
all deliveries and newborns receive essential care;
• Counting every newborn for better measurement
and accountability. 3,4
Crucially, if these solutions are scaled up we could save
9,400 newborn lives and avert 2,500 stillbirths by the
end of 2015. 4
6

Tumeahidi!
Mwaka 2014 Tanzania imeahidi na kuweka dhamira
ya kutekeleza Mpango Kazi wa Kila Mtoto Mchanga 3
na Mpango Mkakati Ulioboreshwa wa Kupunguza
Vifo vya Mama na Watoto. 4 Mikakati hii inaonyesha
vipaumbele, na kutoa rai ya kuunganisha nguvu ili
kuweza kupunguza kwa kiasi kikubwa vifo vinavyozuilika
vya watoto wachanga wanaozaliwa wafu na wale
wanaokufa baada ya kuzaliwa, kwa:
• Kuboresha uzazi wa mpango, hususani kwa vijana;
• Kuwekeza katika kutoa huduma bora wakati na
baada ya kujifungua, na huduma maalum kwa
watoto njiti na wagonjwa;
• Kupunguza pengo la usawa katika upatikanaji
wa huduma bora;
• Unganisha nguvu ya jamii ili kuhakikisha kila uzazi
na watoto wachanga wanapata huduma muhimu;
• Kuhakikisha kila mtoto anayezaliwa anasajiliwa
ili kuboresha tathmini na uwajibikaji. 3,4
Muhimu zaidi ni kwamba mambo haya yakitiliwa mkazo
tunaweza kuokoa maisha ya watoto wachanga 9,400
pamoja na kuepusha watoto wengine 2,500 kuzaliwa
wafu ifikapo mwishoni mwa mwaka 2015. 4
7

Decision Makers Act Now!
More than 80% of all newborn deaths result from
preventable and treatable conditions. These lives
could be saved with available medicines and simple
interventions. We’re calling on Decision-makers to take
action now to save thousands of lives by:
1. Generate and sustain political will and momentum
to achieve great progress for newborn survival;
2. Ensure increased resources are budgeted, timely
disbursed and used for effective newborn
interventions, starting with the 2015/16 budget;
3. Ensure all council development plans in 2015/16
prioritise newborn interventions, particularly
investing in quality of care around delivery and
postnatal care, and special care for small and sick
babies;
4. Ensure that these plans and the implementation
of newborn interventions address the inequities
of accessing quality healthcare across underserved
populations;
5. Demand strong stewardship of resources and
accountability for investment in quality of care
for our newborns;
8

6. Ensure an effective supply chain of essential
medicines and supplies for newborn
interventions;
7. Strengthen and invest in human resources
for health, ensuring healthcare providers are
skilled in essential newborn care and equitably
distributed across health facilities;
8. Generate a cross-sectoral awareness and
commitment to creating enabling environment
for newborn survival including improved e.g.
water and sanitation; electricity; infrastructure etc.
9. Ensure that every newborn birth and death,
including stillbirths, are officially notified and
registered, so as to enable more effective
monitoring and response to newborn survival;
10. Determine to raise awareness across our
communities including appropriate care-seeking
and shifting social norms to take action for
newborn survival;
11. Ensure newborn survival remains prominent
in the national plans and strategies currently
being developed including One Plan II, HSSP IV
and NSGRP/MKUKUTA III.
9

Watoa Maamuzi, Chukua Hatua Sasa!
Zaidi ya asilimia 80 ya vifo vya watoto wachanga hutokana
na sababu zinazozuilika. Maisha ya watoto hawa yangeweza
kuokolewa kwa kutumia njia rahisi na uwepo wa dawa.
Tunawataka watoa maamuzi kuchukua hatua sasa ili kuokoa
uhai wa maelfu ya watoto wetu kwa kufanya haya:
1. Kuweka na kuendeleza msukumo wa kisiasa na
kuhakikisha kasi yake inafanikisha kwa maelfu ya
watoto wachanga wanaishi;
2. Kuhakikisha kuwa rasilimali za kutosha zinapangiwa
bajeti, fedha kutolewa kwa wakati na kutumika
kikamilifu kwenye njia mbali mbali zinazohitajika
kuokoa watoto wachanga, kwa kuanzia na bajeti ya
mwaka 2015/16;
3. Kuhakikisha kuwa mipango yote ya maendeleo ya
halmashauri nchini, inaweka kipaumbele mbinu mbali
mbali za kuokoa watoto wachanga na hasa huduma
bora wakati wa kuzaliwa na baada ya kuzaliwa,
umuhimu mkubwa ukiwekwa kwa huduma na uangalizi
kwa watoto wenye uzito mdogo na wagonjwa;
4. Kuhakikisha mipango hiyo na utekelezaji wake katika
kuokoa watoto wachanga inazingatia upatikanaji sawa
wa huduma za afya kwa makundi yote katika jamii
mkazo ukitiliwa kwa makundi yaliyo pembezoni;
5. Kudai matumizi na ufuatiliaji makini wa rasilimali na
uwajibikaji katika uwekezaji wake kuleta ubora wa
huduma za afya kwa watoto wachanga;
10

6. Kuhakikisha mfululizo wa hatua za ugavi na
upatikanaji wa dawa muhimu kwa ajili ya watoto
wachanga unatekelezwa kwa ufanisi;
7. Kuimarisha na kuwekeza katika mfumo wa rasilimali
watu katika sekta ya afya kuhakikisha wahudumu wa
afya wana utaalamu unaohitajika zaidi kwa watoto
wachanga tena uwepo kwa uwiano sawa kwenye
vituo vyote vya afya;
8. Kuweka dhamira na uhamasishaji wa sekta zote
kujenga mazingira yatakayowawezesha watoto
wachanga waishi ikiwa ni pamoja na upatikanaji
wa maji safi na salama, vyoo bora na mfumo wa maji
taka, umeme na miundombinu, n.k.;
9. Kuhakikisha kuwa kila kila mtoto mchanga
anayezaliwa hai, au kuzaliwa mfu, au kufariki baada
tu ya kuzaliwa kumbukumbu zake zinawekwa na
kusajiliwa ili ufuatiliaji wa suluhu ya tatizo uwe rahisi
utakaosaidia wengine nao waishi;
10. Kudhamiria kwa dhati kusambaza ujumbe kwenye
jamii zetu, ikiwemo namna ya kutafuta na kupata
huduma sahihi na kubadili mila ili zisaidie kuokoa
watoto wachanga;
11. Kuhakikisha suala zima la uhai wa watoto wachanga
unabaki kuwa kipaumbele katika mipango na
mikakati ya kitaifa inayoandaliwa sasa, kama wa
One Plan II, HSSP IV na NSGRP/MKUKUTA III.
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