What is Leading Safe Choice programme?    
Leading Safe Choices (LSC) was a two year project led by the Royal College of Obstetricians and Gynaecologists (RCOG) and implemented in Tanzania by Management and Development for Health (MDH) in collaboration with the Tanzania Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) and the Kilimanjaro Christian Medical Centre (KCMC).

The project was implemented across ten health facilities (HFs) in Dar es Salaam and Kilimanjaro regions. In Dar es Salaam, the project was implemented in Ubungo and Kinondoni districts across 6 health facilities: Mwananyamala & Sinza referral hospitals, Makurumla, Mbezi, Kimara health centres and Goba dispensary. In Kilimanjaro, the project was implemented across 4 heath facilities in Moshi Municipal: KCMC zonal hospital, Mawenzi Regional Hospital, Pasua & Majengo health centres.

Aim of the project
 “Strengthening competence and raising standing of family planning professionals by promoting best practice, training and support systems in immediate postpartum family planning (PPFP) and comprehensive post-abortion care (CPAC) services in Tanzania”.

Capacity building on immediate PPFP
To achieve the overall project aim, we targeted to train 300 HCPs on provision of immediate PPFP and by the end of the project life span 266 HCPs (89%) were trained. To create demand and increase provision of FP, 148 HCPs were oriented on FP counselling.

Capacity building on CPAC
To strengthening an already existing CPAC services, we trained a total of 52 HCPs, 32 from Kilimanjaro and 20 from Dar es Salaam.

LSC Project Outcomes
Increased uptake of FP immediately after child birth


Increased uptake of FP after PAC


Strategies used achieve the results?
o    Engagement of key stakeholders at facility, district and regional levels
o    Close and immediate on the job mentorship
o    Certification for recognition
o    Exchange program to recognize best performers and motivate other HCPs

Project Summary results
o    266 Trained on PPFP (89% coverage)
o    148 orientated on PPFP counselling
o    52 Trained on cPAC
o    Over 10,000 women received PPFP
o    Over 800 women received PAC FP

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