Service Delivery


By using approaches that engage community leaders, government agencies, and international donors, the uptake of family planning—including long-acting and permanent methods—has increased dramatically, especially in underserved, hard-to-reach populations.

— Dr. Seif Seleman Rashidi,
Minister of Health of Tanzania

In Tanzania, the social, political, and economic future of this southeastern African nation depends on its youth. Comprising roughly 31 percent of the population, adolescents 10-24 years of age face a number of challenges in health, education, and the labor market. Tanzania also faces a number of health obstacles, including HIV/AIDS and malaria, as well as basic reproductive health needs, which are exacerbated in remote areas.  Partnerships between the Ministry of Health and Social Welfare and civil society have proven to be essential in reaching underserved communities and in driving progress for youth, especially for women and adolescent girls.

The Resolve Award

The Resolve Award celebrates country-level, public sector leadership in driving innovations in reproductive health policy development, service delivery, and financing mechanisms. The Global Leaders Council for Reproductive Health (GLC) recognizes national governments for their leadership and for serving as the hub around which civil society, the private sector, donors, and so many others engage.

The GLC celebrated Tanzania with the 2014 Resolve Award in Service Delivery for extending reproductive health services to rural areas, and for establishing a peer-to-peer leadership program for girls. The Ministry of Health and Social Welfare partnered with two NGOs for the projects, on the former with EngenderHealth and Restless Development on the latter. Both approaches addressed the reproductive health needs of young women and adolescent girls by improving access to services increasing the capacity of existing health centers, and by creating a structured space for girls to discuss reproductive health issues more openly and confidently.

Since the implementation of these programs:

There were 7,000 individuals directly and 40,000 community member indirectly impacted by the peer leadership program

Due to this reach, there has been a 79 percent increase in long-acting reversible contraceptive use in districts that previously had the lowest rates of family planning use