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October 2001, Vol 91, No. 10 | American Journal of Public Health 1589-1590
© 2001 American Public Health Association

FIELD ACTION REPORT

Transportation for Maternal Emergencies in Tanzania: Empowering Communities Through Participatory Problem Solving

Thomas Schmid, PhD, Omari Kanenda, DipSW, Indu Ahluwalia, MPH, PhD and Michelle Kouletio, MPH

Thomas Schmid is with the Division of Nutrition and Physical Activity, and Indu Ahluwalia is with the Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Ga. Omari Kanenda and Michelle Kouletio are with the Community-Based Reproductive Health Project, Cooperative for Assistance and Relief Everywhere (CARE), Tanzania.

Correspondence: Requests for reprints should be sent to Thomas Schmid, PhD, Centers for Disease Control and Prevention, Mail Stop K-46, 4770 Buford Hwy, Atlanta, GA 30341 (e-mail: tls4{at}cdc.gov).

Inadequate health care and long delays in obtaining care during obstetric emergencies are major contributors to high maternal death rates in Tanzania. Formative research conducted in the Mwanza region identified several transportation-related reasons for delays in receiving assistance.

In 1996, the Cooperative for Assistance and Relief Everywhere (CARE) and the Centers for Disease Control and Prevention (CDC) began an effort to build community capacity for problem-solving through participatory development of community-based plans for emergency transportation in 50 villages. An April 2001 assessment showed that 19 villages had begun collecting funds for transportation systems; of 13 villages with systems available, 10 had used the system within the last 3 months. Increased support for village health workers and greater participation of women in decision making were also observed.




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