Since the beginning of 2011, Pathfinder International has been working together with The Nature Conservancy and the Frankfurt Zoological Society to design a project that reduces pressures on the diverse and fragile Greater Mahale Ecosystem in western Tanzania by Lake Tanganyika. As a health partner invited in to join the ongoing conservation work, Pathfinder aims to meet the reproductive healthcare needs of local communities and improve the well-being of women and their families. This brief describes a rapid needs assessment of the health facilities conducted in March 2011 and summarizes information gathered through focus groups.