Improving Family Planning Outcomes for First-Time Parents in the Greater Mahale Ecosystem of Tanzania: Programmatic Update

Cover of TZ Phase 2 reportIn 2019, the Evidence to Action (E2A) Project and Pathfinder International Tanzania began a new wave of programming for first-time parents in the Greater Mahale Ecosystem of Tanzania.

This work built on a 2018 FTP intervention implemented as part of the USAID/Tanzania-funded Tuungane Population, Health, and Environment (PHE) project. The new program incorporated strategies informed by insights from the first phase, including the need for more systematic outreaches with men and older women, stronger integration with Tuungane’s PHE activities, and collaboration with former peer leaders to reach young women in their communities of all parity levels.

The Phase 2 program was implemented over a five-month period (November 2019 to March 2020) in 14 communities within Uvinza and Tanganyika districts.

Key results include: 

  1. Overall, the FTP program was successful in attracting and retaining FTMs, husbands/partners, and older women for project activities.
  2. FP use increased from 50% to 73% among FTM peer group members throughout the course of the intervention.
  3. Knowledge and attitudes related to FP use improved among FTM peer group members throughout the course of the intervention.
  4. The program fostered increased couple communication about FP and shifts in attitudes related to couples’ decision making.
  5. Partner support and attitudes related to their involvement in HTSP/FP have improved since the start of the FTP program.
  6. The FTP program exposed FTMs and their households to new PHE ideas and participation in Tuungane PHE activities increased among FTMs, their husbands/partners, and other members of their households.
  7. Peer-to-peer outreaches reached a wider range of young women and built the capacity of previously trained peer leaders.