BACKGROUND
Obstetric fistula is a preventable and treatable childbirth injury caused primarily by prolonged and obstructed labor in the absence of timely access to quality emergency obstetric and newborn care (EmONC). Women and girls living with obstetric fistula experience chronic incontinence, infections, infertility, stigma, and profound social and economic exclusion. The condition reflects broader systemic challenges, including inequitable access to sexual and reproductive health services, weak health systems, poverty, harmful gender norms, and gender inequality. The Government of the United Republic of Tanzania, with financial support from UNFPA and other partners, has implemented interventions across the continuum of prevention, treatment, rehabilitation, and social reintegration. Despite progress, significant challenges remain, including limited and fragmented data, uneven geographic availability of services, shortages of trained fistula surgeons and multidisciplinary care teams, weak referral systems, inadequate financing, and low community awareness.
In line with national health priorities, the Sustainable Development Goals (SDGs), and the global commitment to end obstetric fistula, UNFPA Tanzania seeks to support the development of a National Obstetric Fistula Strategy. A comprehensive situational analysis is required to assess the status of obstetric fistula prevention and response in Tanzania and to identify strategic priorities, gaps, and opportunities to guide the national response.
OBJECTIVE OF THE ASSIGNMENT
The situational analysis will aim to:
- Assess the epidemiology, magnitude, types, causes, and geographic distribution of obstetric fistula in Tanzania, including available data sources and estimates.
- Review existing policies, laws, strategies, and programmes related to the prevention, treatment, rehabilitation, and reintegration of women and girls affected by obstetric fistula.
- Map and assess the availability, accessibility, quality, and coverage of obstetric fistula services across the continuum of care, including prevention, identification, referral, surgical repair, post-operative care, psychosocial support, and socio-economic reintegration.
- Analyze health system capacity related to obstetric fistula, including human resources, infrastructure, equipment, commodities, financing, referral systems, and health information systems.
- Assess community-level factors influencing obstetric fistula, including awareness, socio-cultural norms, gender dynamics, stigma, and barriers to care-seeking.
- Identify key gaps, challenges, best practices, and opportunities for strengthening the national response to obstetric fistula.
- Provide strategic, evidence-based recommendations to inform the development of the National Obstetric Fistula Strategy, including implementation priorities and a monitoring and evaluation framework.
SCOPE OF WORK
The consultant will collaborate with the Ministry of Health, through the Department of Reproductive, Maternal and Child Health (DRMCH), UNFPA and a designated Technical Working Group to undertake this assignment.
APPLICATION PROCESS
All applicants should send their applications together with a detailed technical proposal, financial proposal and CVs via email addressed to the following:
Procurement Officer,
Tanzanian Training Centre for International Health,
P. O. Box 39, Ifakara Morogoro Tanzania Email: procurement@ttcih.ac.tz
TTCIH Policy and Ethics
The consultant is required to comply with TTCIH’s Protection from Sexual Exploitation and
Abuse (PSEA) and Code of Conduct policies during his/her tenure
Disclaimer:
TTCIH does not charge any application, processing, training, interviewing, testing or other fee in
connection with the application or recruitment process. Fraudulent notices, letters or offers may
be submitted to the TTCIH fraud hotline http: info@ttcih.ac.tz
Job Posting : 03rd, June, 2026
Closing Date : 17th, June, 2026, 11:59 PM
Email Subject Line : All email applications must include the following subject line: Consultancy for Conducting Baseline Assessment.
*Only shortlisted candidates will be contacted*