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Andrew Kilonzo, MBBS, MMed, Michelle Kouletio, MPH, Sara J. Whitehead, MD, MPH, Kathryn M. Curtis, PhD and Brian J. McCarthy, MD, MSc

Andrew Kilonzo is with Bugando Medical Centre, Mwanza, Tanzania. Michelle Kouletio is with the Cooperative for Assistance and Relief Everywhere (CARE), Dar es Salaam, Tanzania. Sara J. Whitehead, Kathryn M. Curtis, and Brian J. McCarthy are with the World Health Organization Collaborating Center in Reproductive Health and the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Michelle Kouletio, MPH, CARE Tanzania, PO Box 10242, Dar es Salaam, Tanzania (e-mail: care-tzhq{at}care.or.tz).

Objectives. As part of a community-based reproductive health project in rural Tanzania, a maternal and perinatal health care surveillance system was established to monitor pregnancy outcomes. This report presents preliminary results.

Methods. Village health workers were trained to collect data during health education visits to pregnant and postpartum women. Maternal and fetal or infant survival or deaths were tracked on a community monitoring board.

Results. Among 904 pregnancies, the fetoneonatal mortality rate was 69.4 deaths per 1000 live births and fetal deaths; 4 maternal deaths occurred. Intrapartum and early neonatal deaths of infants with birthweights of 1500 g or greater represented a large proportion of deaths.

Conclusions. These preliminary results will be used to prioritize project interventions, including increasing access to skilled delivery care.

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