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Healthy Mothers, Healthy Babies (ANC–SRHR) 

Project Overview 

Location: Tanzania 
Timeline: 2024 – 2027
Partner(s): Government of Tanzania (Ministry of Health), local organizations 
Funding Partner: Global Affairs Canada 

Focus Areas
  • Maternal and newborn health  

  • Antenatal care (ANC)  

  • Sexual and reproductive health and rights (SRHR)  

  • Health systems strengthening  

  • Gender-responsive care  

Project Summary 

The Healthy Mothers, Healthy Babies project supports efforts to improve access to antenatal and maternal healthcare services for women and girls in underserved communities in Tanzania. 
 

Working with local health systems and community partners, the project combines health worker training, portable ultrasound technology, community outreach, and systems strengthening to support earlier identification of pregnancy-related complications and improve access to maternal healthcare services. 

The project also promotes greater awareness of maternal and reproductive health and supports more gender-responsive approaches to care. 

Why It Matters

Many women in rural Tanzania face significant barriers to accessing timely maternal healthcare, including long travel distances, limited diagnostic services, shortages of trained health workers, and social barriers that delay care-seeking. 
 

These challenges can lead to preventable complications during pregnancy and childbirth for both mothers and newborns. 

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Remote Ultrasound Antenatal Care Access (RUAA)

Location: Amhara and Oromia Regions, Ethiopia 
Timeline: 2019–2025 
Funding Partner: Global Affairs Canada 
Partners: Government of Ethiopia and local stakeholders 

Project Overview

The RUAA project was a pilot initiative designed to improve access to quality antenatal care for pregnant women in rural Ethiopia, where obstetric ultrasound and specialist services are often unavailable. Through health worker training and a tele-ultrasound mentorship model, the project strengthened early identification of pregnancy complications, improved referral pathways, and supported better maternal and newborn health outcomes. 

Why It Matters

In many rural communities, women face significant barriers to accessing antenatal care, including long travel distances, high transportation costs, limited specialist services, and social factors that delay care-seeking. As a result, many pregnancies go without adequate monitoring, increasing the risk of preventable complications for both mothers and newborns. RUAA addressed these challenges by bringing ultrasound-supported care closer to communities and strengthening local health systems. 

Healthy Mothers, Healthy Babies

24M +

People
Reached

Individuals reached through CPAR-supported programs and initiatives. 

20K +

Healthcare Professionals Trained 

Physicians, nurses, midwives, community health workers, and other frontline providers trained to deliver essential health services. 

390 +

Health Facilities Strengthened 

Health facilities supported through training, equipment, infrastructure improvements, technical assistance, and health systems strengthening initiatives. 

110K +

Children and
Adolescents Engaged

Young people participating in education, life-skills, hygiene, environmental, and school-based development initiatives. 

2.2K +

Water Sources
Improved

Community water sources constructed or rehabilitated to improve access to safe water.

12K +

Sanitation
Facilities Improved

School, household, and community sanitation facilities constructed or rehabilitated.

18K +

Handwashing Facilities Installed

Handwashing stations established or improved in schools, health facilities, and communities.

76M +

Trees
Planted

Trees planted through community-led environmental restoration and climate resilience initiatives.

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Key Results

Improved Maternal and Child Health 

  • 7,297 pregnant women received tele-ultrasound examinations between 2020 and 2023  

  • Obstetric complications decreased from 20% to 6% through earlier detection and intervention  

  • Clinically significant findings were identified in 5.3% of pregnancies, leading to timely referrals  

Strengthened Health Worker Capacity 

  • 14 frontline healthcare workers trained in ultrasound imaging and risk assessment  

  • Increased confidence and independence among providers  

  • Improved access to specialist expertise through remote consultations  

Increased Community Awareness 

  • More than 800 community members reached through education activities  

  • Approximately 500,000 people reached through mass media campaigns  

  • Increased male engagement in antenatal care and maternal health  

Systems Strengthening 

  • Expanded telemedicine capacity through improved connectivity  

  • Local commitment to sustaining task-sharing approaches  

  • Research generated to support future scale-up and replication  

24 Million+ 

People Reached 

Individuals reached through CPAR-supported programs and initiatives. 

20,000+ 

Healthcare Professionals Trained 

Physicians, nurses, midwives, community health workers, and other frontline providers trained to deliver essential health services. 

390+

Health Facilities Strengthened 

Health facilities supported through training, equipment, infrastructure improvements, technical assistance, and health systems strengthening initiatives. 

110,000+

Children and Adolescents Engaged

Young people participating in education, life-skills, hygiene, environmental, and school-based development initiatives. 

2,200+

Water Sources Improved

Community water sources constructed or rehabilitated to improve access to safe water.

12,000+

Sanitation Facilities Improved

School, household, and community sanitation facilities constructed or rehabilitated.

18,000+

Handwashing Facilities Installed

Handwashing stations established or improved in schools, health facilities, and communities.

76 Million+

Trees Planted

Trees planted through community-led environmental restoration and climate resilience initiatives.

How We
Measure Results

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CPAR uses project monitoring systems, partner reporting, evaluations, and field data to track progress and inform decision-making. 

 

Unless otherwise noted, the figures presented above represent cumulative results from CPAR-supported programs since 1984. 

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Lasting Impact

RUAA helped strengthen primary healthcare systems by integrating ultrasound-supported antenatal care into routine services and building sustainable referral pathways for high-risk pregnancies. The project increased provider capacity, strengthened community trust in maternal health services, and encouraged earlier and more consistent antenatal care attendance. Together, these improvements continue to support healthier pregnancies, safer deliveries, and better outcomes for mothers and newborns. 

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Looking Ahead 

CPAR and its partners will continue working with local health authorities and communities to strengthen maternal healthcare services and support sustainable, locally led approaches that improve health outcomes for mothers and newborns. 

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Looking Ahead 

CPAR and its partners will continue working with local health authorities and communities to strengthen maternal healthcare services and support sustainable, locally led approaches that improve health outcomes for mothers and newborns. 

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