CCHP PERFORMANCE MANAGEMENT TRAINING CONDUCTED TO 170 COUNCIL HEALTH MANAGEMENT TEAM MEMBERS FROM THE 34 LOCAL GOVERNMENT AUTHORITIES 7TH TO 10TH JULY 2018 – SHINYANGA

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Pic 1 Above: Part of the 170 CHMT members attending the  two days training

The Benjamin William Mkapa Foundation in collaboration with the President’s Office Regional Administration and Local Government (PORALG) organised a two days training session on  performance management and monitoring of Comprehensive Council Health Plans ( CCHP).The training conducted emphasized on Health Basket Fund Indicators   and performance management among other national health indicators being assessed .

The training attracted a total of 170 members from 34 Council Health Management Teams (CHMT) from the five beneficiaries Regions of Lake Zone namely Kagera, Geita, Simiyu, Shinyanga, and Mwanza.  The training was divided into two phases; phase one covered two Regions, Mwanza and Kagera from 7th to 18th July 2018 while phase involved Geita, Shinyanga and Simiyu as from 9th to 10th June 2018. All these sessions were held in Shinyanga Municipality. Facilitators were drawn from both BMF and Presidents Office Regional Administration and Local Government (PORALG).

 cchp2 Left : Pic 2 Facilitator Dr. Anna Nswila  among the facilitators during the training sessions

 

To officiate the meeting was the Deputy Permanent Secretary (Health) Dr. Zainab Chaula (Pic 3; below).  In her key notes she underscored professionalism while providing services as stipulated in the CCM manifesto which stress all civil servant to work with Integrity,   Trustfulness and professionalism.

 

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 Pic 3 Above: guest of Honor Deputy Permanent Secretary (Health) Dr. Zainab Chaula (standing) giving key note during the officiating of the Training.  Left Is The Regional medical Officer Shinyanga Dr Rashid Mfaume following up the speech, Second Right is Dr Anna Nswila Assistant DirectorPORALG and Far Right Dr Adeline Nyamwihura – Program manage from Mkapa Foundation

 

She further urged the CHMT members and all staff while working to continue evaluating themselves and address the shortfall which impact the service delivery.  Further she requested CHMT and other staff countrywide to continue thinking hard and innovatively on how to address challenges in service delivery especially which include the high maternal mortality rates.  She stressed that staff should work hard and try as much as possible to be attentive in listing to clients seeking services and at the end one will reach to a correct diagnosis.     She said observing protocol such as taking clear history thoroughly well will save mothers lives of innocent pregnant mothers who are dying of maternal cause. She further went to ask “If a client is attending all 4 ANC visit, why it that the complications are suddenly is observed when she is in labour? This implies that the history was not taken well and thus miss all dangers signs”

 

She informed the participants that 3, 413 facilities have received funds disbursed directly to the facility Accounts through the Direct Health facility Funding modality.  The Government is now upgrading the facilities to enable perform surgeries and this shows how the Government is keen in improving health services for the benefit of all Tanzanians.

 

As they are attending the training on indicators of Health basket funding the  participants should be attentive and use the skills and knowledge gained to ensure that they pass the assessment for receiving funds  through Basket funding and when they get back to the working session they should be provide feedback to the entire CHMT and District Authorities.

 

 

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Pic 4 Above ; Participants from Kwimba DC  Left and Kyerwa DC right attentively following  up the presentation

 

Apart from training of Indications facilitators took them through improved Community health Funding, Allocation formula of basket Funding and also issues of Prime Vendors. Further, an assessment on implementation of Community Based Health Program was conducted.

 

The Training ended with development of action plans for improvement of indicators by all 34 CHMT members which enable them to receive more funds from Health Basket Funding as well as for improvement in implementation of Community Based Health Program.  The impact of the training will be monitored through the next quarter performance assessment of health basket Fund Indicators report and hence more funds will be disbursed to the facilities.

 

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Community Based Health Program (CBHP) Awareness in Mwanza Region

From June 25th to 27th of June 2018, the Benjamin Mkapa Foundation conducted a community based health programmes (CBHP) awareness and advocacy workshop in Mwanza region. The 3 day meeting`s objective was to contribute to community leaders` involvement on ensuring access, coverage and quality of primary health care services at the community through Community Health Workers (CHWs). The meeting also aimed to advocate for the prioritization of CHWs in Council’s budgeting and planning as well as facilitate BMF make a presentation of the advocacy toolkit to the community leaders

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Figure 1; Participants listening attentively to Facilitator from MoHCDGEC- Tumaini Haonga during Advocacy activity on CHWs in Mwanza Region.

The meeting involved all districts of the Mwanza region where by a total of 54 participants attended the meeting and among them, were Council Chairpersons, Ward councilors’ who are also vested with responsibilities on community health services and district technical personnel. Representatives from the Central Ministries namely the Ministry of Health and Presidents Office Regional Administration and Local Government , were also in attendance for the meeting.

The workshop was opened on the 25th of June 2018 by the Acting RMO of Mwanza, Dr. Silas Wambura. Speaking with the delegates, Dr Wambura emphasized the importance of community leaders being involved in ensuring the provision of quality health care at the community level. He requested members to have positive acceptance to this new cadre of CHWs so that they can help to deliver health services at the community level and ultimately promoting healthy behaviors and preventing  diseases thus ensuring better health of the population.

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Figure 2- Hindu Yahya- Ward Councillor (Community Services commitee member) from Misungwi with other district officials from Misungwi LGA developing action plan to intergrate CHWs on Councils’ planning.

The meeting was conducted as a series of presentations, focus group discussions and group work with the aim of getting the community leaders to highlight challenges of implementing CBHP through CHWs, as well as strategies to combat these challenges. Among other challenges, the community leaders doubted that the number of graduated formal CHWs at the respective councils/village may not meet the existing demand of CHWs per village, hence there may be need to recruit formal CHWs from other localities which is not in line with the National CBHP policy of Tanzania. Other modalities would be the need to have formal CHWs work with the existing Community Health Volunteers from the same localities.

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Figure 3 District officials from Kwimba LGA developing their action plan toward improving CBHP through CHWs.

The meeting was closed on the 27th of June after a work session to discuss strategies to improve community health using Community Health workers. On the last day of the meeting, community leaders were also involved in the reviewing of the advocacy toolkit and had the opportunity to add their views on how the toolkits can be improved and distributed, not only to the community leaders, but the community in general.

 

 

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BMF HOSTS THE 3RD ANNUAL PARTNERS MEETING IN DAR ES SALAAM

The 3rd Annual Benjamin Mkapa Foundation`s Partners internal meeting, was held on the 24th of April 2018 at the New Africa Hotel in Dar Es Salaam. This annual gathering of development partners, corporates, government and Non –Governmental organization aims to share BMFs annual performance for the previous year, lessons learnt, challenges and way forward for organization for the coming year.

The Foundation’s Chief Executive Officer, Dr. Ellen Mkondya-Senkoro, said from July 2015 to December 2017, the institution in collaboration with partners has carried multiple projects contributing to National Frameworks.

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Photo 1; A group photo of BMF Staff and Partners during 3rd Annual Partners internal meeting on 24thApril 2018 at New Africa Hotel, Dar es Salaam.

She mentioned those multi-funded projects and their financiers in the brackets as Health Systems on Maternal New-born health (UNFPA), Advocacy on HRH Project (Irish Aid, USAID), The Mkapa Fellows Programme II (Irish Aid, ACACIA, Corporates/ Individuals), The TB/HIV Project (Global Fund) and Health Systems Strengthening (HSS) Project (Global Fund).

Others are Regional Hospital Strengthening Project (ABBOTT Fund), Public Sector Systems Strengthening (USAID), HIV/AIDS Support (UNAIDS), Community Health Workers Project (UK Comic Relief), Site Improvement through Monitoring Systems (Walter Reed) and Anaesthesia Project (Gradian).

Dr. Senkoro said through those projects, BMF has reinforced response to HIV and AIDS and related health conditions, found solutions for Human Resources for Health problems and managed information, education and communication for policy and advocacy issues.The CEO said until Dec 2017, a total of 482 newly constructed staff houses in 269 health facilities in 55 Districts were fully completed and handed over to the Government authorities.

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Photo 2; Dr. Ellen Mkondya – Senkoro – CEO, giving updates on BMF performance during 3rd Annual Partners Meeting.

“Through our interventions we have managed enhancing accessibility and availability of quality maternal health services, whereas BMF has built and equipped 11 operating theatres, trained staff to undertake caesarean section and strengthened supportive supervision by medical specialists to lower level health staff in providing comprehensive emergency obstetric care services. We have managed to put smiles on the faces of the underserved people. For instance we have reduced facility obstetric referrals by 74% in the 19 beneficiary sites,” she said.

During the meeting, the partners recommended BMF to expand more across  its Key Focused areas and at the same time become also an active player in supporting the Health Financing agenda at the country level.

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Photo 3; Jacqueline Mahon – UNFPA representative Tanzania speaking during 3rd Annual Partners Meeting.

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WALIOPATA AJIRA ZA MIKATABA KUPITIA MRADI WA GLOBAL FUNDS NA MKAPA FELLOWS PROGRAM III

TANGAZO LA AJIRA BOFYA HAPO CHINI

TANGAZO LA KUITWA KAZINI BMF

MAJINA YA WALIOITWA KAZINI BOFYA HAPO CHINI

MAJINA YA WALIOITWA

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THREE THOUSANDS REACHED FOR HIV TESTING IN MONDULI JUU WARD- ARUSHA

The Benjamin Mkapa Foundation (BMF) through ongoing Combination Prevention Campaign which started on 17th August 2018 in Arusha has currently reached 2987 people for HIV testing in Monduli Juu ward with a good turnout number of males 1781 (59.6%).

Speaking during Furaha Yangu Campaign Launching on 28th August 2018 in Arusha region, which carries a slogan of “PIMA, JITAMBUE, ISHI” David Magiri, BMF Regional Program Officer highlighted that BMF under TB/HIV project through AMREF aims to cover all 48 wards in Monduli and Ngorongoro districts through Combination Prevention Campaign whereby 2081 people are targeted to be reached for HIV testing in each ward.

“In three years of project implementation we will also take on board the mass media to promote behavioral change for cultural practices that are epidemic drivers for HIV prevalence in Arusha” he added.

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David Magiri, Regional Program Officer in Arusha speaking during Furaha Yangu Campaign Launching in Arusha

Furthermore, The Monduli District Commissioner, Iddi Kimanta, who represented Regional Commissioner as a Guest of Honor for the Launching, insisted that the ongoing combination prevention campaigns should also consider in places with night gatherings to ensure the good turnout number of people for HIV testing especially males.

Among other services on the ongoing Combination prevention campaign are family planning services, diagnostic services for cervix cancer screening, TB & Sexual Transmission Diseases (STDs), checkups on blood sugar and pressure, condom distribution, entrepreneurship skills and distribution of information materials.

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The community receiving various services including HIV testing during the Launching

The Furaha Yangu Campaign has also been launched in Manyara Region on 29th August 2018 where BMF implement the same project intervention in Mbulu and Simanjiro districts.

 

 

 

 

 

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