Neonatal Survival Initiative (NESI) by Repro-Health program is an evidence based latest partnership program based project that address priorities and strategies for reducing maternal and newborn health. The design in built in giving Electronic feedback innovation and training for WHO Essential Newborn Care package in Tanzania and Ethiopia. The program is based on five pillars to ensure significant and sustained Reproductive-Health on maternal and newborn morbidity and mortality: access, utilization, quality, leadership and innovation. By working in under-served areas in South-west Tanzanian and South Ethiopian district health approach to meet most under-served people

To improve the availability of quality MNH services, the programme will introduce electronic feedback system in 40 public facilities in Mbeya, Tanzania (20) and Hawassa. Ethiopia (20) as per Ministries of Health priorities. The projects will support full signal emergency maternal and neonatal care (EmONC) and training by WHO Essential Newborn Care package in Tanzania and Ethiopia. To improve the availability of quality MNH services, REPRO-HEALTH will introduce electronic feedback system in 40 public facilities in Mbeya, Tanzania (20) and Hawassa. Ethiopia (20) as per Ministries of Health priorities. The projects will support full signal emergency maternal and neonatal care (EmONC) and training by WHO Essential Newborn Care package in Tanzania and Ethiopia. Over 1,200 health workers and 40 health facility managers and leaders will be trained for internet base mobile phone feedback and Essential Newborn Care package, then supervised and coached to deliver national prioritized, evidence-based prevention and treatment interventions which address the major causes of death and disease among pregnant women and newborns, such as post-partum hemorrhage, newborn asphyxia, and infections. Quality of care will be improved in close collaboration with the Mbeya Regional and Council Health Management Teams (R/CHMTs) and Hawassa Regional Bureau of Health in alignment with the Ministry of Health quality standards with the aim for all targeted public facilities to reach the three star accreditation rating. The program will also support the Ministries of Health priorities to strengthen the implementation of the health management information system (HMIS) at the facility and community levels through training, supervision and data quality audits. In addition, the project will support the R/CHMTs in filling out the Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCAH) scorecards and using them to improve the quality of services provided an essential accountability mechanism developed by the Government of Tanzania (GoT) and Federal Government of Ethiopia. Vijiji International as partner community organization will work with the Community health workers (CHWs) in increasing the utilization of MNH services by women and their families. Vijiji International will identify, train and engage over 1,069 CHWs to inform and mobilize communities to adopt healthy practices for mothers and newborns, while incorporating strategies to engage men and boys in MNH to address gender roles in health access and sustainability in both countries.

1. Train 1,200 health workers on full signal Emergency Maternal and Neonatal Care (EmONC) and training by WHO Essential Newborn Care package in Tanzania and Ethiopia 2. Training health workers on quality of health care by electronic feedback system 3. Train 40 health facility managers on health management systems 4. Train 1,069 Community Health Workers (CHWs) to inform and mobilize communities to adopt healthy practices for mothers and newborns Install a special Electronic web based data system that is synchronized with ,mobile phones for feedback and reminders to improve quality of Neonatal health care by WHO Essential Newborn Care

University of Dar es Salaam-Mbeya College of Health sciences (UDSM) and the Mbeya consultant Referral Hospital is the prime recipient in partnership with Hawassa University. Consultations with the Ministry of Health in Tanzania, and Federal Ethiopia Ministry of Health and Health bureau in Hawassa Ethiopia are ongoing. The regional administrative health authorizes will manage the project in two countries while using the local government authorities and community levels and increasing community engagement with and utilization of MNH services. The district and village authorities will play the ownership roles of the project deliveries in the community part while health administrative will monitor the facility entities. The university of Dar es Salaam and Hawassa University will monitor and evaluate the programme intermittently using Monitoring, Evaluation, Research and Learning platforms. The data collection points will be the health facilities registered by the project as the focal areas of data collection and information sedimentation to the beneficiaries. Community health workers (CHWs) are central to the program approach to increasing the utilization of MNH services by women and their families. The program will identify, train and engage over 1,069 CHWs to inform and use Vijiji International as an organization to support and mobilize communities to adopt healthy practices for mothers and newborns, while incorporating strategies to engage men and boys in MNH to address gender roles in health access. The program will maximize the retention and sustainability of CHWs by working in close partnership with Ministries of Health in Tanzania , Health Bureau in Ethiopia and engaging regional and district authorities in collaboration with Vijiji International to engage with communities to selecting, training and support CHWs. Vijiji International will foster the Income generation activities, such as agriculture, will also be tested as a means to sustain CHWs in their communities. The program will document best practices and lessons learned through operational research and disseminate findings in Tanzania and Ethiopia through policy dialogues with key stakeholders. In every three month interventions will be rigorously monitored and results assured through the technical expertise of University of Dar es Salaam school of Public Health as well the University of Hawassa in Ethiopia as the implementation Tanzania. The NESI Performance Measurement Framework (PMF) will ensure activities and investments result in optimum Repro-Health, with an emphasis on evidence-based interventions to prevent, manage and treat the leading causes of maternal and newborn deaths, delivered across the continuum of care.

University of Dar es Salaam, Hawassa University, Vijiji International,