MAISHA Program: Development and Overview
To improve health outcomes in the area of maternal, neonatal, and child health and HIV/AIDS, the Mothers and Infants, Safe, Healthy and Alive (MAISHA) program was initiated by Tanzania Ministry of Health and Social Welfare (MoHSW), technically managed by Jhpiego, and funded by USAID. This integrated program sought to improve access to and quality of maternal, newborn, and reproductive health services and was initially implemented in the Morogoro region of Tanzania. Through this program, the MoHSW and Jhpiego were developing a model for integrated maternal, newborn and child health and HIV/AIDS services through a 3-week training of Community Health Workers (CHWs) that was intended to be a sustainable and scalable package for national roll out. Under this program, CHWs would be trained to provide health education, counselling, and referrals to strengthen linkages between the community and each facility.
The Morogoro Evaluation Project
From 2011-2014, Muhimbili University of Health and Allied Sciences and Johns Hopkins Bloomberg School of Public Health, with funding from USAID, partnered to evaluate the success of the MAISHA program. Classified as the Morogoro Evaluation Project (MEP), this evaluation undertaking aimed to provide assess various aspects of this integrated program by using a mixed method approach to generate lessons in the area of program functionality and overall program assessment. Specifically, the goal of the MEP was to strengthen maternal, newborn and child health outcomes in Tanzania by identifying optimal strategies for integration of maternal newborn and child health interventions; with attention to both HIV positive and negative mothers and infants and implementation and sustained delivery through evidence-based, cost-effective, culturally acceptable strategies.
The MEP accomplished this goal through monitoring, evaluation, and documentation of the implementation processes and outcomes of the integrated MNCH intervention package in Morogoro Region, Tanzania. A series of dissemination workshops were provided during the lifespan of the MEP to engage stakeholders in this work.