Enabling access to improved mother and child health services for 101,632 women and newborn children in two districts of Tanzania The project aims at improving maternal / newborn / child health services in two rural and remote districts based in Southern Tanzania. It operates within the framework of “continuum of care”, supporting and strengthening the districts health systems at hospital, peripheral health units and communities levels.
Through an integrated approach, the project works for improving accessibility, quality and equity to health services for the population involved, specifically for the targeted groups like women in childbearing age and children aged under-five. 
At village level acts a network of community health workers providing home based care services, monitoring pregnancies at risk, gathering data and conducting health promotion campaigns to increase awareness among the population. 
Overall goal is to increase accessibility, equity and quality of mother and newborn health care services; to reduce household expenditure on health in the selected area and, at the same, to decrease maternal mortality, and to reduce the related poverty impact on the household. 
The expected impact is to contribute on reducing maternal and neonatal mortality and stillbirth (MDGs 4, 5) through also reduction of the burden of HIV/AIDS (MDG 6). 
; Expected outcomes:
To increase coverage of Emergency Obstetric and Neonatal Care; 
To set up a functioning District emergency referral system; 
To overcome barriers preventing access to emergency care particularly to the most-in-need population. 
The expected outputs: 
1. Increased number of deliveries attended by SBA (from 40% to 70%) both promoting community utilization and filling gaps at health facility level to meet quality standard for appropriate mother and newborn care. Particularly, to increase SBA deliveries for the women of the 3 poorest quintile of the population (from 20% to 50%), so as to overcome barriers preventing the poorest categories from accessing the services.
2. Increase coverage of Emergency Obstetric and Neonatal Care by ensuring: 1 C-EmONC facility 24h a day and 6 (in Iringa DC) plus 2 (in Mufindi) B-EmONC facilities providing quality assistance; a functioning district emergency referral system; measures to overcome barriers preventing access to emergency care particularly to the most-in-need population. 
3. Reduce by almost 50% the fresh stillbirths and very early neonatal death rates (from 22,5/1000 as baseline to 12/1000 in 3 years) as strictly linked to the skill attendance at delivery and to the emergency obstetric and neonatal care coverage and quality improvement.
4. Improve prevention of vertical transmission of HIV by increasing the percentage of HIV infected pregnant women who receive antiretroviral to reduce the risk of MTCT (from 28% to 60% at the end of the Project) through coverage of services and community mobilization as well as increasing the N. of health centre providing Early Infant Diagnosis (EID) to newborn (from 0 to 8).
; Direct beneficiaries: 
1. Women in childbearing age (65,640 in Iringa DC, 35,992 in two divisions of Mufindi District) and particularly women with complicated deliveries (1.300 in Iringa DC and 700 in Mufindi);
2. Newborns (8.564 in Iringa DC and 4760 in Mufindi district), with special attention to complicated deliveries;
3. Health Staff trained and re-trained (82);
4. CHWs (120) and CHWs supervisors (25)
5. Number of Women groups (60, on average 5 women on each - 300).
Indirect beneficiaries:
1. The total population of Iringa DC and 2 constituencies of Mufindi District (272,707 and 128,000 respectively). Subgroups: 1.1. Households of selected villages(25,000);
2. Staff of the HCs involved (180 in Iringa DC, 60 in Mufindi District);
3. District Health Authorities: CHMTs members (40), RHC members(10).;