Consultancy to Conduct Root Cause Analysis

BACKGROUND

Despite commendable national efforts and progress in reducing maternal and perinatal mortality in Tanzania over the past decade, substantial regional disparities continue to persist. One such region is Kigoma, which remains burdened with high rates of maternal and perinatal deaths, highlighting persistent gaps in access to and quality of maternal and newborn care. According to national statistics, Tanzania’s maternal mortality ratio stands at 104 per 100,000 live births (TDHS 2022), while the perinatal mortality rate remains around 39 per 1,000 births, with Kigoma region showing consistently higher-than-average figures.

These troubling indicators underscore the urgent need to better understand the context-specific causes of maternal and perinatal deaths in Kigoma. While several interventions have been rolled out nationally and regionally—such as improved access to skilled birth attendants, emergency obstetric care, and community health education—the effectiveness of these interventions in Kigoma has been uneven. Limited infrastructure, workforce shortages, referral delays, and sociocultural factors may be contributing to poor outcomes, but a systematic, evidence-based analysis is required to uncover the root causes.

OBJECTIVE OF THE ASSIGNMENT

The primary objectives of this consultancy are to:

Conduct a thorough root cause analysis of maternal and perinatal deaths in Kigoma region.
Identify systemic, clinical, and socio-cultural factors contributing to these deaths.
Develop actionable recommendations to address identified root causes
Enhance the capacity of local health authorities to implement and monitor interventions

 SCOPE OF WORK

The consultant will undertake the following tasks:

Review existing data on maternal and perinatal deaths in Kigoma region, including reports from health facilities, district health offices, and regional health authorities
Conduct qualitative interviews with healthcare providers, district health officers, community health workers, and families affected by maternal and perinatal deaths
Facilitate focus group discussions to explore community perceptions and experiences related to maternal and perinatal health
Analyses the data to identify recurring themes, systemic barriers, and clinical challenges
Develop a comprehensive report detailing findings and providing evidence-based recommendations.
Present findings to TTCIH, regional health authorities, and other stakeholders

APPLICATION PROCESS

All interested consultants and firms meeting the above requirements are invited to submit the following to the email address provided below:

  1. A detailed inception report,
  2.  A financial proposal outlining the consultancy fees and any associated costs,
  3. Curriculum vitae (CV) highlighting relevant experience and qualifications, and
  4. Samples of previous similar work or publications

Procurement Officer,
Tanzanian Training Centre for International Health,
P. O. Box 39, Ifakara Morogoro Tanzania Email: procurement@ttcih.ac.tz

Disclaimer:

 TTCIH does not charge any fee at any stage of the application, processing, training, interview, testing or recruitment process. Any fraudulent notices, letters or offers should be reported to the TTCIH fraud hotline at: info@ttcih.ac.tz

Job Posting: 06th June 2025

Closing Date: 19th June 2025, 11:59 PM

Email Subject Line : All email applications must include the following subject line: Root Cause Analysis Consultancy.

*Only shortlisted candidates will be contacted*

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