Healthy Timing & Spacing of Pregnancy (HTSP)

The Medical Women Association of Tanzania has been working to promote the concept of Healthy Timing and Spacing of Pregnancy (HTSP) under USAID. The programme was launched with the involvement of various stakeholders and a secretariat formed. Various meetings were held together with the lecturers of Obstetrics and Gynaecology of various Medical Schools, Nursing school staff, RCH clinical staff and Representatives from the RCH section of MoHSW. Some very positive inputs were gained of which we are presenting today.

It was unanimously agreed that HTSP was not a new concept in RCH but rather an advancement of the previously existing Family Planning concept. Members agreed that the topic of Family Planning was theoretically taught to undergraduate levels of most Medical and Nursing schools and was more practical to postgraduate students. It is however being slowly introduced in training institutions as an additional topic, seminars and workshops without the need of curriculum review.

However there was still a need to train the trainers as most of them were not properly trained so as to make all RCH providers conversant with HTSP. There is also a need to ensure CME to RCH providers.

There was also a need to train staff of lower medical cadres and nurses at grassroots level to reach the majority in the country. The training should be in collaboration with the RCH coordinators in different zones through the RCH coordinator to harmonize the training.

From the clinical aspect, the need to improve the involvement of men could not be surpassed though most women still attend RCH clinics alone. This could be through creating male friendly infrastructure in clinics, Family Planning adverts in strategic areas to attract the attention of men etc.

It was also suggested to involve Religious Leaders in promoting the concept as they play a big role in peoples’ lives and beliefs.

Lastly was to address the Ministry of Education and Vocational Training and create adolescent friendly clinics.  

We therefore conclude by requesting the Ministry to develop means of incorporating the concept into its policies considering the recommendations above.



Healthy diet according to WHO to reduce the risk of cancer and other non communicable diseases

  • A healthy diet helps protect against malnutrition in all its forms, as well as non communicable diseases (NCDs), including diabetes, heart disease, stroke and cancer.
  • Unhealthy diet and lack of physical activity are leading global risks to health.
  • Healthy dietary practices start early in life breastfeeding fosters healthy growth and improves cognitive development, and may have longer-term health benefits, like reducing the risk of becoming overweight or obese and developing NCDs later in life.
  • Energy intake (calories) should be in balance with energy expenditure. Evidence indicates that total fat should not exceed 30% of total energy intake to avoid unhealthy weight gain, with a shift in fat consumption away from saturated fats to unsaturated fats, and towards the elimination of industrial trans fats.
  • Limiting intake of free sugars to less than 10% of total energy intake is part of a healthy diet. A further reduction to less than 5% of total energy intake is suggested for additional health benefits.
  • Keeping salt intake to less than 5 g per day helps prevent hypertension and reduces the risk of heart disease and stroke in the adult population.
  • WHO Member States have agreed to reduce the global population’s intake of salt by 30% and halt the rise in diabetes and obesity in adults and adolescents as well as in childhood overweight by 202.


Pics of MEWATA AGM 2016
MEWATA scientific conference and Annual General Meeting was conducted on 18th November 2016 in Mwanza region. Members from different regions and zones participated this important meeting. This year AGM will be conducted in Dar es Salaam MORE GALLERY