Population, Births, and Health System, Kigoma Region, 2013, 2016, and 2018

Population and births
    Total population2,179,0002,339,6842,453,336
    Population in rural areas, %82.883.684.1
    Women of reproductive age (15–49 years)485,803526,441572,463
    Expected annual number of live births87,45091,014100,287
Health workforce
    Number of health workers providing skilled care at birtha9891,5441,621
    Density of health workers providing skilled care at birtha (per 10,000 population)
Health care facility types
    Regional hospitals111
    District hospitals222
    Other hospitals (all private)233
    Health centers with surgical care81216
    Health centers without surgical care151311
    Dispensaries providing maternity careb99143164
Heath facility ownership
Health facilities supported by the program
    Governmental hospitals333
    Health centers supported (groups 1 and 2)61213
    Dispensaries receiving predominantly EmONC supportb01718
    Dispensaries receiving predominantly family planning supportb04949
Health facilities providing EmONCc,d
    Basic EmONC001
    Basic EmONC w/o AVD (BEmONC-1)235
    Comprehensive EmONC888
    Comprehensive EmONC w/o AVD (CEmONC-1)117
  • Abbreviations: AVD, assisted vaginal delivery; EmONC, emergency obstetric and neonatal care.

  • a Includes obstetrician/gynecologists, surgeons, medical doctors, assistant medical officers, clinical officers/assistants, nurse-midwives, advanced practice nurses, and nurse assistants/medical attendants.

  • b All program-supported dispensaries were upgraded for essential maternal and newborn care and family planning services; 18 dispensaries received additional support, mentorship, and supported supervision for basic EmONC; 49 dispensaries received additional support, mentorship, and supervision for family planning activities, including outreach activities.

  • c EmONC includes a set of evidence-based lifesaving interventions or “signal functions” that the World Health Organization recommends for reducing maternal and neonatal mortality.44 Basic EmONC interventions include administration of parenteral antibiotics, uterotonics, or anticonvulsants; manual removal of placenta; removal of retained products; assisted vaginal delivery; and basic neonatal resuscitation. Comprehensive EmONC interventions include 2 additional services: ability to perform obstetric surgery (e.g., cesarean delivery) and blood transfusion. Facilities were classified based on whether they had, within the previous 3 months, performed each of these interventions. Because assisted vaginal delivery—using either forceps or vacuum extractor—is relatively uncommon in Tanzania, some facilities were classified as fully providing EmONC care even if they did not perform assisted vaginal deliveries within the past 3 months.

  • d A minimum of 25 EmONC facilities including at least 5 fully functional CEmONC facilities are recommended for the 2018 population size of Kigoma.45,46