title: An evaluation of a community-based approach to safe motherhood in northwestern Tanzania.
abstract: OBJECTIVE
  We present an evaluation of the Community Capacity Building and Empowerment initiative, undertaken by the Community-Based Reproductive Health Project (CBRHP), designed to address high maternal morbidity and mortality.
  
  
  METHODS
  Qualitative data from group interviews and program data from CBRHP were used to assess progress in development and use of community level transport systems and support for the village health workers (VHWs).
  
  
  RESULTS
  Project activities increased community participation in maternal health. An increase was seen in knowledge of danger signs, birth planning, timely referrals, and transport of pregnant women to hospitals, as well as in support and retention of VHWs. More women with obstetrical problems are using the community-based transport system to get to hospitals.
  
  
  CONCLUSIONS
  Community participation and support for VHW activities and the transport systems have led to better care for pregnant women and sustained links between the communities and health facilities, which may reduce maternal and infant morbidity and mortality.
authors.affiliation: Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA. iahluwalia@cdc.gov
authors.forename: I B
authors.initials: IB
authors.lastname: Ahluwalia
authors.forename: T
authors.initials: T
authors.lastname: Schmid
authors.forename: M
authors.initials: M
authors.lastname: Kouletio
authors.forename: O
authors.initials: O
authors.lastname: Kanenda
mesh_terms: D001294:Attitude to Health; D002423:Cause of Death; D018672:Community Health Planning; D003150:Community Health Workers; D004522:Educational Status; D005191:Family Characteristics; D005260:Female; D006801:Humans; D008427:Maternal Health Services; D008428:Maternal Mortality / Q000639:trends*; D011247:Pregnancy; D018571:Sentinel Surveillance; D011795:Surveys and Questionnaires; D013636:Tanzania / Q000453:epidemiology; D014944:World Health Organization