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Background: Globally, Civil Registration, and Vital Statistics is the recommended method to track births and deaths. This system is weak in developing countries, including Tanzania. Other systems that may be used to report deaths, especially maternal mortality include integrated Disease Surveillance and Response (IDSR) and DHIS 2. Tanzania has been using Demographic and Health Survey to track maternal deaths from as early as 2000. This study uses a sisterhood method which is conducted every five years, tracking events of the past ten years. It collects maternal deaths related from sisters of the same mother from sampled 10,000 households out of 11,000,000 available in Tanzania. The methodology uses wide confidence intervals, which affect its reliability. Therefore, the presented data is the outcome of tracking maternal deaths data using routine system from health facilities and communities in Tanzania Mainland. GJMR-K Classification: NLMC Code: WA 310 BaselineDataonTrendofMaternalMortalityinTanzaniausingAdministrativeDataanditsPolicyImplication2018Report Baseline Data on Trend of Maternal Mortality in Tanzania using Administrative Data and its Policy Implication. 2018 Report Dr. Ahmad Mohamed Makuwani , Dr. Phineas Ferdinand Sospeter , Dr. Leonard Subi , Dr. Mukome Anthony Nyamhagatta , Dr. Ntuli Kapologwe , Mr. Habib Ismael , Dr. Naibu Mkongwa , Dr. Mpoki Mwasumbi Ulisubisya ν & Prof. Muhammad Bakari Kambi Ѳ AbstractBackground: Globally, Civil Registration, and Vital Statistics is the recommended method to track births and deaths. This system is weak in developing countries, including Tanzania. Other systems that may be used to report deaths, especially maternal mortality include integrated Disease Surveillance and Response (IDSR) and DHIS 2. Tanzania has been using Demographic and Health Survey to track maternal deaths from as early as 2000. This study uses a sisterhood method which is conducted every five years, tracking events of the past ten years. It collects maternal deaths related from sisters of the same mother from sampled 10,000 households out of 11,000,000 available in Tanzania. The methodology uses wide confidence intervals, which affect its reliability. Therefore, the presented data is the outcome of tracking maternal deaths data using routine system from health facilities and communities in Tanzania Mainland. Background: Globally, Civil Registration, and Vital Statistics is the recommended method to track births and deaths. This system is weak in developing countries, including Tanzania. Other systems that may be used to report deaths, especially maternal mortality include integrated Disease Surveillance and Response (IDSR) and DHIS 2. Tanzania has been using Demographic and Health Survey to track maternal deaths from as early as 2000. This study uses a sisterhood method which is conducted every five years, tracking events of the past ten years. It collects maternal deaths related from sisters of the same mother from sampled 10,000 households out of 11,000,000 available in Tanzania. The methodology uses wide confidence intervals, which affect its reliability. Therefore, the presented data is the outcome of tracking maternal deaths data using routine system from health facilities and communities in Tanzania Mainland. Methodology: Data collected were from all regions, all health facilities, and communities in Tanzania Mainland using National Governance structures on a daily basis. No funds were used to collect data except for airtime to make calls and internet connectivity. Results: A total of 1,744 maternal deaths were mapped from health facilities and community. This number was adjusted for abortion 5%, ectopic pregnancy 5%, community deaths 10%, and unreported 5%. The final adjusted number of maternal deaths was 2,138. Through a regional comparison of maternal deaths with population density, regional variation was critically noted. The data showed that 70% of maternal deaths were caused by PPH (29%), Eclampsia (18.9%), Anemia (8.8%), puerperal sepsis (7.9%), and suspected venous thromboembolism (5.5%). Anesthetic complication contributed to 3.3% of all maternal deaths. Conclusion: Tanzania’s health sector is mature enough to use routine data on maternal deaths to inform policy. However, a comprehensive, rigorous study needs to be conducted in Tanzania to come up with a better methodology of estimating maternal mortality ratio using routine data. I. Literature Review he Millennium Development Goals (MDGs) launched in 2000 required all United Nations member states to be committed to increase investments to improve the life of people worldwide. Goal number 5 was among the goals that needed member states to reduce the magnitude of maternal mortality by 75%. Tanzania is one of the members in the global community; she committed herself to meet the goal above by reducing maternal mortality ratio to 193 deaths per 100,000 live births by 2015. To monitor progress, the DHS study was conducted in 2005, 2010, and 2015, and these showed that maternal mortality ratio was 578 per 100,000 live births, 454 per 100,000 live births, and 556 per 100,000 live births, respectively (1, 2, 3). Tanzania, in the last two decades, has invested heavily in socioeconomic development, especially in health, by increasing modern contraceptive use among women of reproductive age from 7% (1990) to 32% (2016) and 38% (2019). Furthermore, there was an increase in the health work force to almost 52% (2018), and EmONC services availability was 32% in 2015. TDHS 2016 report shows that the proportion of women attending the fourth antenatal clinic was 51%, delivery conducted by skilled birth attendants was 64%, and RMNCAH scorecard (January-March 2019) showed that postpartum attendance was 78% (3, 4). Furthermore, Tanzania enjoyed, an increase in political commitment for health shown by Tanzania becoming a co-chair of UN commission on Information and accountability for women and children (2010/2011), launch of Tanzania Sharpened One Plan (2014-2015) and a significant increase in resource allocation in health systems that commenced from 2016 by the new Government led by His Excellency Dr. John Pombe Joseph Magufuli, the 5th President of United Republic of Tanzania (5, 6). The Lancet countdown report to 2015 observed that although Tanzania between 1990 2015 doubled the population and total budget allocated to the health sector, and increased three-times donor funding for child health and HIV/AIDS interventions, these T 5 Ye a r 20 20 G lo ba l Jo ur na l of M ed ic al R es ea rc h V ol um e X X I ss ue V I V er sio n I