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Bridging the gap among healthcare workers and decision-makers through improved routine measurement of the quality of maternal and newborn care

Progress in maternal, newborn, and child health (MNCH) outcomes in low-income countries has been slow. In Tanzania, recent data suggests that although significant progress has been made in increasing coverage of essential services, the lack of data on quality of care is a major impediment to the achievement of the desired progress in MNCH outcomes.

Through this project, researchers will build on insights gained from previous work to develop and validate a novel electronic tool for measuring the quality of maternal and newborn care. They will integrate the tool into the existing Health Management Information System (HMIS) in Tanzania, generate evidence on how a gender and equity perspective can be integrated in the routine assessment of quality of care, and identify the critical factors required for the scale-up and integration of the electronic tool into routine use.

This project will build on the existing partnership between Ifakara Health Institute (Tanzania), the SickKids Hospital’s Centre for Global Child Health (Canada), and the Tanzania Ministry of Health. The proposed project is closely aligned with several Tanzanian government-led strategies to improve maternal, neonatal, and child health outcomes, including the Big Results Now initiative.

This project is funded by the Innovating for Maternal and Child Health in Africa program. It is a seven-year $36 million initiative funded by Global Affairs Canada, IDRC, and the Canadian Institutes of Health Research.

Project ID
Project Status
End Date
36 months
IDRC Officer
Sana Naffa
Total Funding
CA$ 478,920.00
Global Health
Innovating for Maternal and Child Health in Africa
Institution Country
Project Leader
PhD Fatuma Manzi
The Registered Trustees of Ifakara Health Institute



Routine capturing of quality of care data using electronic tool to synergy quality improvement for maternal and newborn health at district scale (QUADS2) - Mtwara Region Southern Tanzania


Health workers were excited with the use of electronic tool for maternal and newborn health care data


Improved maternal and newborn health in developing countries : the role of quality improvement


Increasing ANC utilization : a qualitative realistic evaluation on the role of health facility quality improvement in Southern districts of Tanzania