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  • Title: The integrated project in Tanzania.
    Author: International Planned Parenthood Federation IPPF. Evaluation and Management Audit Department.
    Journal: Integration; 1989 Mar; (19):23-33. PubMed ID: 12282130.
    Abstract:
    The 1st Integrated Project (IP) in Africa was started in Tanzania in 1983 by the International Planned Parenthood (IPPF) Africa Bureau. It was to be done by the Family Planning Association of Tanzania (UMATI). 2 pilot areas are in the Kilimanjaro region. 1 covers Modio and Roo villages in rural Masama; the other is a sugar cane plantation run by Tanganyika Planting Company Ltd. (TPC). The IP National Steering Committee (NSC) was formed in 1983 with representatives from the Ministry of Health and a parasitologist. No nutritionist was included. In 1983 a survey of population, health care activities, and demographic characteristics was undertaken. In 1984 house-to-house visits were made. Information was gathered on family planning knowledge, practice, and sanitary conditions. Mass stool examinations and blanket treatment for both children and adults began in August, 1984. Family planning information is fully integrated with education about sanitation and nutrition. 11 films were shown at TPC to about 500 children and adults and almost 20,000 children and adults received some form of health education. Health educators and laboratory technicians moved to accommodations in TPC and Modio village to live among the people they were serving. At the end of 1986, the number of family planning acceptors had risen quite a bit. It continued to do so in 1987. At TPC mass stool tests and deworming were done in 1985. This was completed in Masama in May, 1987. For follow-up selective treatments twice a year was done. The focus of environmental sanitation activity, especially in Masama, was the search for a cheap, well-built latrine. The IP staff in Masama trained 43 of the 90 traditional birth attendants (TBAs). UMATI has realized in 1984 that thought IP they can more effectively involve the community in family planning. By working on parasite infection, the IP staff aroused community interest in family planning. The NSC has set the tone of this project because it understood the relationship between family planning and parasite control. It developed regional links with the Ministry of Health. The evaluation team has made recommendations to the NSC regarding project expansion. 1 of these is that the project area be expanded to 1 or 2 areas next to the present Moshi site. There is a need to establish an overall work plan. Appendix 1 lists the evaluation the team's work schedule; appendix 2, principal people contacted.
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