White Ribbon Alliance


White Ribbon Alliance for Safe Motherhood Tanzania (WRATZ)

Rose Mlay
National Coordinator


Galu Street Plot # 116,
Ada Estate
P.O. Box 65543
Dar es Salaam, Tanzania

Mobile: 255 754 316 369

Capital City
Dar es Salaam
Lifetime risk of maternal death
1 in 38
Maternal Mortality Ratio
Births attended by skilled personnel
Source: World Health Statistics 2015, WHO

Countdown to 2015: Maternal, Newborn, & Child Survival. Click here for the Tanzania Country Profile.


UN Secretary General’s Every Woman Every Child commitment:

Tanzania will increase health sector spending from 12 percent to 15 percent of the national budget by 2015 and will increase the annual enrollment in health training institutions from 5000 to 10,000, and the graduate output from health training institutions from 3,000 to 7,000. Tanzania will reinforce the policy for provision of free reproductive health services and expand prepayment schemes, increase the contraceptive prevalence rate from 28 percent to 60 percent; and provide Emergency Obstetric and Newborn care.

The above statement is an edited commitment. Please click here to read the full commitment.


More than 24 women and 144 newborns die each day in Tanzania due to labor complications and lack of quality care. Many of these deaths can be prevented with adequate investment in Comprehensive Emergency Obstetric and Newborn Care (CEmONC).

In 2008, the Government of Tanzania committed to ensuring that 50% of health centers provide CEmONC by 2015. However, the government has failed to operationalize this commitment and has made insufficient progress in improving maternal and newborn health.


WRA Tanzania decided to conduct health facility assessments in Rukwa, one of Tanzania’s 30 administrative regions, serving a population of more than one million citizens. In the initial assessment in 2013, WRA Tanzania found that none of the health centers were providing CEmONC.

Health centers lacked critical infrastructure, equipment, and supplies, and most health centers did not have the health workers necessary to provide emergency services. Only one health center was equipped to provide blood transfusion and only two were providing cesarean section. When women faced complications, they were referred to the regional referral hospital located an average of 94.5 kilometers (59 miles) from the local health centers.


After speaking with community members, health workers, health facility leaders and district, regional, and national officials, WRA Tanzania identified three major barriers impeding the delivery of the government’s commitment:
  • A lack of reliable baseline information on the availability of CEmONC at all levels;
  • Lack of plans and budget allocated to operationalizing the commitment at the regional and district levels;
  • Weak social accountability, with citizens unaware of commitments and lacking opportunities to engage in planning and monitoring.

  • Click here to read "WRA Tanzania Secures 50% Historic Budget Increase for Maternal and Newborn Health"

    Click here to read "Comprehensive Emergency Obstetric and Newborn Care: The Proven Approach in Tanzania" by WRA's Rose Mlay.

    Click here to read "A Day in the Life of a Maternal, Newborn Health Advocate" by WRA's Sizarina Hamisi.

    Click here to read "White Ribbon Alliance’s Social Accountability For Maternal Health Work Embraced By Parliamentarians" by WRA's Anna Sawaki.

    VIDEO CAPTION: Elvina Makongolo is the midwife at Mtowisa Health Centre, Rukwa, Tanzania who works around the clock to give pregnant women the care they need. She knows only too well the risks these women face in giving birth so far from the life saving equipment required in emergencies.

    Learn more about the “Zero Tolerance to Maternal Deaths, Be Accountable” campaign.

    WRA Tanzania-Strategic-Plan 2016-2020

    WRA Tanzania Citizen-Led Accountability Brochure

    WRA Tanzania has many member organizations working at the national and global levels, including (in alphabetical order): African Medical and Research Foundation; Africare; Association of Gynaecologists and Obstetricians; Benjamin William Mkapa Foundation; Care International; Chama cha Uzazi na Malezi Bora Tanzania; Childbirth Survival International; Comprehensive Community Based Rehabilitation in Tanzania; Elizabeth Glaser Pediatric AIDS Foundation; EngenderHealth; ITV Tanzania; Jhpiego; Marie Stopes International; Medical Women Association of Tanzania; Ministry of Health, Community Development, Gender, Elderly and Children; Parliamentary Group For Safe Motherhood; Partnership for Nutrition in Tanzania; Pathfinder International; Plan International; PSI; Radio One Tanzania; Save The Children; Tanzania Gender Networking Programme; Tanzania Midwives Association; Thamini Uhai; UNICEF, UNFPA; WAMA Foundation; World Health Organization; World Vision