Grasiana Kimario

Grasiana Kimario - 2019 Nominee
Position: FIGO PPIUD Initiative National Project Manager
Organization: TAMA (Tanzania Midwives Association)
Current Location: Tanzania, Africa
Bachelor Degree from Social Science in Health Services Management
75 Public Votes Reached!
Grace project manages the PPIUD Initiative - working to institutionalise PPFP services - in Tanzania with efficiency, enthusiasm and attention to detail, in a context of high unmet contraceptive need and an increasingly challenging political climate. – Katherine Dean, Project Coordinator at The International Federation of Gynecology and Obstetrics (FIGO)
Describe your contributions to and achievements in family planning.

As a result of the project that I manage in Tanzania, uptake of PPIUD and other PPFP methods has increased: Before the start of project implementation in 2016, uptake of PPIUD in Tanzania was 0.9% (DHIS 2014), however, by 2018, rates had increased as high as 18%. From the data collected and analysed during the course of the intervention, we have learnt that uptake family planning post-partum increased as a result of effective and inclusive counseling to inform the choices of women, which was carried out by health care providers who were trained by the initiative.

Through the project that I lead in-country, we have established strong linkages between teaching hospital hospitals and universities/colleges through pre-service training by imparting knowledge and skills to teachers, tutors, final year students. Obstetrician-gynecological, nursing and midwifery schools were given training materials, such as Mama U models, to equip their simulation labs for practical teaching.

What sparked your passion for family planning?

Family planning is one of the central pillars for safe motherhood - when used effectively it can reduce maternal death by 35%. Addressing misconceptions of FP through continuous education and advocacy programs is key, as opportunities for PPFP are often missed due to wrong or misleading information.

Breaking the cycle of poverty and driving new economic growth: I strongly believe that increased birth spacing gives time to women to concentrate on other aspects of their lives, such as economically productive activities, be it formal or informal.

Give one or two examples of how you display leadership in your family planning work.:

I have led the establishment of key PPIUD linkages between teaching hospitals and training institutions (colleges/university) by developing and printing updated log books that contained PPIUD/PPFP content, as well as working to embed PPIUD counseling and insertion training within teaching hospital maternity departments.

Established the use of stickers as a method of identification for women’s choice of FP method after attending ANC counseling. This reduced missed opportunity cases and allowed easy identification of counseled and consented clients.

If you are named a winner of 120 under 40, how will you use this new platform and the $1000 grant to advance your work? :

I will conduct a qualitative study through in-depth interviews amongst men of reproductive age, focusing on testing the hypothesis that Involvement of Men as Stakeholders in Family Planning Initiatives will significantly improve the attainment levels of Family Planning Initiatives. It is increasingly clear that although Family Planning Initiatives are (rightly) centred on pregnant women as stakeholders, decisions about planned parenthood (as well as cultural, social, economic matters in the household) often also involve male stakeholders, who’s role needs to be considered, with attention to context.

Video Introduction
Photos of the nominee in the field/at work

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