Hoviyeh Afnan?Holmes|Moke Magoma|Theopista John|Francis Levira|Georgina Msemo|Corinne Armstrong|Melisa Martínez-Álvarez|Kate Kerber|Clement Kihinga|Ahmad Makuwani|Neema Rusibamayila|Asia Hussein|Joy E Lawn
Tanzania's Countdown to 2015: an analysis of two decades of progress and gaps for reproductive, maternal, newborn, and child health, to inform priorities for post-2015
London School of Hygiene & Tropical Medicine|Tanzania Social Action Fund|Ifakara Health Institute|Ministry of Health and Social Welfare|London School of Hygiene & Tropical Medicine|Tanzania Social Action Fund|London School of Hygiene & Tropical Medicine|University of the Western Cape|Ministry of Health and Social Welfare|Ministry of Health and Social Welfare|Ministry of Health and Social Welfare|London School of Hygiene & Tropical Medicine
tanzania track meet millennium development goal mdg 4 child survival making insufficient progress newborn survival maternal health mdg 5 family planning understand mixed progress identify priorities post2015 era tanzania selected countdown 2015 case studywe analysed progress made tanzania 1990 2014 maternal newborn child mortality unmet need family planning used health systems evaluation framework assess coverage equity interventions along continuum care health systems policies investments also considering contextual change eg economic educational five objectives assessed level health systems evaluation framework used lives saved tool list multiple linear regression analyses explain reduction child mortality tanzania analysed reasons slower changes maternal newborn survival family planning inform priorities end preventable maternal newborn child deaths 2030in past two decades tanzanias population doubled size necessitating doubling health social services maintain coverage total healthcare financing also doubled donor funding child health hivaids tripling trends along continuum care varied preventive child health services reaching high coverage 85 equity socioeconomic status difference 1314 lower coverage wider inequities child curative services 71 coverage socioeconomic status difference 36 facility delivery 52 coverage socioeconomic status difference 56 family planning 46 coverage socioeconomic status difference 22 list analysis suggested around 39 child mortality reduction linked increases coverage interventions especially immunisation insecticidetreated bednets economic growth also associated reductions child mortality child health programmes focused selected highimpact interventions lower levels health system eg community dispensary levels despite high priority implementation maternal health care intermittent newborn survival gained attention since 2005 highimpact interventions already implemented family planning consistent policies recent reinvestment implementationmixed progress reproductive maternal newborn child health tanzania indicates complex interplay political prioritisation health financing consistent implementation post2015 priorities tanzania focus unmet need family planning especially western lake regions addressing gaps coverage quality care birth especially rural areas continuation progress child healthgovernment canada foreign affairs trade development us fund unicef bill melinda gates foundation