Mkapa Foundation Pledges More Support to Tanzania’s Health Sector

Benjamin Mkapa Foundation (BMF) has pledged to continue supporting the Tanzania Government towards the attainment of Sustainable Development Goals (SDGs), the Universe Health Coverage (UHC) targets and the country National Development Frameworks.

BMF’s Chief Executive Officer Dr Ellen Mkondya-Senkoro issued the commitment when she delivered her speech during the Health Symposium which was organized by BMF took place on October 1, 2019 in Dar es Salaam whereby the stakeholders discussed various issues related to the health sector.

We are committed to complement and support Governments’ efforts to deliver health care services reaching all people equitably, in both Tanzania Mainland and Isles, as well as other neighboring Africa regions through strategic partnerships,” said the CEO.

She added: “We understand that we cannot bring change on our own. Therefore, we plan to cement our trusted cooperation with the Government of Tanzania, at the same time sustain the mutual partnership with existing and new traditional and non-traditional partners, including donors, civil societies, professional bodies, private sector, researchers, media, and other interested parties.”

BMF CEO Dr Ellen Mkondya Senkoro shaking hands with CRDB Managing Director Mr. Abdul Majid Nsekela.CRDB was the main sponsor of the event

The Symposium was accompanied by the launch of BMF’s 5 years Strategic Business Plan (termed as SBPIII) extending from 2019-2024 which is in place to build upon the success of the previous two Strategic Plans since BMF’s inception.

Referring to the newly launched business plan, Dr Ellen disclosed that the plan is estimated to cost Tsh156 billion, further noting that BMF under the new plan, among others, it is dedicated to continue investing on health systems in efforts to combat maternal, new-born, child and adolescent health situation, especially in rural settings.

In recognizing the contribution of BMF in the health sector in Tanzania, the Deputy Minister of Health, Community Development, Gender, Elderly and Children Dr Faustine Ndugulile who was the Chief Guest of the Symposium commended BMF for being a good partner to the Government of Tanzania in improving access and quality of health services to all.

Your work in areas of Human Resources for Health, HIV/AIDS and many others have contributed significantly to the gains we have attained in the health sector,” said the Deputy Minister.

He added: “Let me assure you that the Government is working closely with its development partners on specific interventions to address some of the challenges.”

HE Benjamin  William Mkapa Former President of Tanzania and BMF Settlor Handing over a Brief Copy of the New Strategic Business Plan to Amref Tanzania CEO Dr. Florence Temu During the symposium

The minister further highlighted that Tanzania has made substantial gains in improving access and quality of health services such as increased availability of essential medicines to over 95 percent coupled with increased Government budget towards medicines and other commodities.

Health systems strengthening is a critical component of the 2030 agenda for SDGs and UHC. With this in mind, we need to look into ways that will ensure quality, equity, efficiency, accountability, resilience and sustainability of health services,” added the minister.

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Tanzania Set to Launch National NCD’s Programme

Tanzanian Government is making progress in prioritizing health prevention and promotion measures as on November 16 this year it will be launching a National Non-Communicable Diseases (NCD’s) programme with strong components of health promotion, prevention curative and rehabilitation.

Deputy Minister of Health, Community Development, Gender, Elderly and Children Dr Faustine Ndugulile said this when he addressed participants during Health Symposium organized by Benjamin Mkapa Foundation (BMF) which  took place on October 1, 2019 in Dar es Salaam whereby the stakeholders discussed various issues related to health sector.

Deputy Minister of Health, Community Development,Gender,Elderly and Children Dr Faustine Ndugulile speaking during the Health Symposium

In this regard, we are looking at complementary efforts of community health workers whom we believe will further add value in health promotion and prevention besides curative care at the community level,” said the Deputy Minister.

Dr Faustine during the colorful event further acknowledged that for many years, the government has been focusing on curative services, rather than looking into health promotion, prevention and rehabilitation.

Unlike with the communicable diseases, whereby a patient can graduate from a health system once treated, with NCDs, the patient is tied to the health systems for life,” noted the Deputy Minister.

He added: “We need to now focus more on preventing people from getting sick rather treating the sick. Failure to do so, is a failure of the health system.”

Backing up the Deputy Minister’s arguments, During a Panel session discussion held at the Symposium Dr Mohamed Kambi, the Chief Medical Officer (CMO) admitted that the Government lacks enough funds to address the alarming burden of health conditions affecting the society such as NCDs.

Panel session discussion held during the health symposium

Globally there is evidence of the growing burden of NCDs especially in developing countries including Tanzania.

The World Health Organization (WHO) estimates that deaths from NCDs in the African region will increase by 27 percent by the year 2030, which is 28 million additional deaths.

In Tanzania, at least 31 percent of all deaths have been associated to NCDs, with the main killers identified as Cardiovascular Diseases at 9 percent and Cancers at 5 percent.

The Symposium was accompanied by the launch of BMF’s 5 years Strategic Business Plan (termed as SBPIII) extending from July 2019-June 2024 aiming at contributing to the attainment of Sustainable Development Goals (SDGs) by 2030, the Universe Health Coverage (UHC) targets and the country National Development Frameworks.

Referring to the newly launched business plan, BMF’s Chief Executive Officer, Dr Ellen Mkondya-Senkoro said the plan is estimated to cost approximately Tsh156 billion (equivalent to 68million USD).

BMF CEO Dr. Ellen Mkondya Senkoro speaking during the Symposium

Whereas we recognize the encouraging progress at country level in combatting communicable diseases, but yet we are still lagging behind with few indicators of HIV, TB and Malaria, and now the rapid emerging crisis on NCDs,” said the CEO when she delivered her speech.

In attendance, the event brought together representatives of International Organizations, representatives of Government institutions and His Excellency the former President Benjamin William Mkapa who is the Settlor of Mkapa Foundation

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Tanzania Faces Alarming Shortage of Health Workers

Inadequate Human Resources for Health (HRH) has been pronounced as one among key challenges that need to be addressed by the Government of Tanzania to achieve Universal Health Coverage (UHC).

This follows the revelation that despite the efforts by the Government and partners to address HRH challenges, the gap is still alarming at a national average of 52 percent particularly in rural settings and dispensary levels where shortage is estimated at 69 percent, according to the available statistics. The statistics further demonstrate that by 2018, the health sector was operating with estimated 99,684 health workers (47.6 percent) out of the required 209,603. However, investing in the education and employment of health workers has been part of national human capital strategies in Tanzania.

Health workers laughing during a learning session

The Government is working closely with its development partners on specific interventions to address some of the challenges including shortage of health workers,” said the Deputy Minister of Health, Community Development, Gender, Elderly and Children Dr. Faustine Ndugulile during Health Symposium. That was organized by Benjamin Mkapa Foundation (BMF) and took place on October 1, 2019, in Dar es Salaam whereby health stakeholders discussed various issues related to health sector. The Deputy Minister further cited that the health sector also faces challenges such as changing patterns of diseases, increasing costs Out-of-Pocket expenditure in healthcare and fast-growing population due to low Family planning uptake and high fertility rate.

HE Benjamin William Mkapa, Hon. Faustine Dungulile, BMF Board of Trustees and other stakeholders during the health symposium in Dar es salaam

The Symposium was accompanied by the launch of BMF’s 5 years Strategic Business Plan (termed as SBPIII) extending from 2019-2024 which is in place to build upon the success of the previous two Strategic Plans since BMF’s inception in Tanzania. The new plan is estimated to cost approximately 156billion (equivalent to 68million USD). Delivering her speech during the launch of the Business Plan, BMF’s Chief Executive Officer Dr. Ellen Mkondya-Senkoro reiterated the BMF’s commitment and determination to apply strategic interventions to address programmatic dimensions which include the shortage and quality of HRH in health facilities in underserved communities.

BMF is expecting to contribute significantly towards stronger health systems that will steer the success of UHC and SDGs in Tanzania and beyond in the next 5 years,” added the CEO.

To remain credible and relevant, Dr. Ellen reiterated BMF’s commitment to reinforce production of rare and highly demanded health professionals from Training institutions to address the existing shortage of health professionals.

The aim is to have the required health workforce as per workload, at the same time to build the capacity of central to district management teams on effective Human Resource Management,” said Dr Ellen.

Moreover, the CEO reassured the Government that it will adopt technology in most of its work and embark on digital transformation to reach a larger public, improve productivity, efficient use of resources, and improve its programs and services to the beneficiaries.


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REMARKS MADE BY H.E.BENJAMIN WILLIAM MKAPA, FORMER PRESIDENT OF THE UNITED REPUBLIC OF TANZANIA AND SETTLOR OF THE MKAPA FOUNDATION DURING THE BMF’s HEALTH SYMPOSIUM HELD ON 1ST OCTOBER 2019 AT THE SERENA HOTEL,DAR ES SALAAM

REMARKS MADE BY H.E.BENJAMIN WILLIAM MKAPA, FORMER PRESIDENT OF THE UNITED REPUBLIC OF TANZANIA AND SETTLOR OF THE MKAPA FOUNDATION DURING THE BMF’s HEALTH SYMPOSIUM HELD ON

1ST OCTOBER 2019 AT THE SERENA HOTEL,DAR ES SALAAM

 

Deputy Minister for Health, United Republic of Tanzania

Permanent Secretaries and Deputy Permanent Secretaries

Excellences Ambassadors

Representatives of International Organizations and UN Agencies;

Representatives of Government Institutions

Company Representatives,

Board of Trustees of the Mkapa Foundation

Ladies and Gentlemen,

 

I take this opportunity to welcome you and thank each one of you, for taking time to participate in this well-organized Health Symposium by the Mkapa Foundation.

I also thank you for your commitment and partnership spirit, towards one common agenda of improving health status and well being of the people of Tanzania.  I appreciate the dynamic deliberations and enthusiasm emanated from the discussions held here today. I believe through hard work, we will register impressive progress in attaining the national and global development targets that will lead us to successful socio-economic transformation towards achieving the status of a middle-income country.

I wish to congratulate the Board of Trustees, Management and Staff of the Foundation, for the complementary role that has a significant impact in the health sector programs. The Foundation must continue to be a trustworthy Tanzanian local Institution, to effectively supplement the Government and Partners’ efforts, in providing quality health services, particularly to the undeserved.

As the Institution embarks into its next 5 years strategic and business direction (2019-2024), I emphasize the need to maintain the track record of performance. It is my hope that the unique attributes will prevail within the Institution; to attract more partners, ensure growth and sustainability, so as to better serve the key stakeholders and beneficiaries.

 

After these brief remarks, I am now ready and willing to launch the 3rd BMF Strategic Business Plan.

 

Thank you for your attention.

 

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REMARKS MADE BY THE GUEST SPEAKERS, HON. DR. FAUSTINE NDUGULILE

REMARKS MADE BY THE GUEST SPEAKERS, HON. DR. FAUSTINE NDUGULILE, DEPUTY MINISTER FOR HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN DURING THE HEALTH SYMPOSIUM HELD ON 1ST OCTOBER 2019, AT THE SERENA HOTEL, DAR ES SALAAM

 

 

Your Excellency, Benjamin William Mkapa

Deputy Permanent Secretaries

Ambassadors

Chair of the Board of Trustees of the Mkapa Foundation

Representatives of International Organizations and UN Agencies;

Representatives of Government Institutions

Company Representatives,

Ladies and Gentlemen,

 

 

It is my great honor to be present here today to officiate this Health Symposium organized by the Benjamin William Mkapa Foundation.

 

Your Excellency, Ladies and Gentlemen,

Let me start by commending Benjamin Mkapa Foundation for being a good partner to the Government of Tanzania. Your work in areas of Human Resources for Health, HIV/AIDS and many others have contributed significantly to the gains we have attained in the health sector.

I would also like to congratulate the outgoing Board of Trustees for a job well done. For the incoming Board of Trustees, it is my hope that you will take this organization into higher heights.

Your Excellency, Ladies and Gentlemen

Tanzania has made substantial gains in improving access and quality of health services. Allow me to mention a few:

  1. Overall childhood survival has increased over the years with vaccination coverage currently at 97% among all eligible children.
  2. Malaria prevalence, incidence and mortality have declined.
  3. TB treatment success rate is high, but there is still challenge in case detection.
  4. Steady progress is being made towards the 90-90-90 HIV/AIDS. PMTCT services are currently over 90%.
  5. Increased availability of essential medicines to over 95% coupled with increased Government budget towards medicines and other commodities.
  6. Infrastructure upgrading to improve access to health services.

 

Despite all these successes, there are challenges that need to be addressed. These include;

  1. Fast growing population due to low Family planning uptake and high fertility rate.
  2. High maternal and neonatal mortality rates
  3. Rural-urban migration.
  4. Changing pattern of diseases
  5. Competing national priorities which have put a strain on budgetary allocation to social services.
  6. Increasing costs out of pocket expenses in healthcare.
  7. Inadequate Human Resources for health

 

Let me assure you that the Government is working closely with its development partners on specific interventions to address some of these challenges.

Some of these measures encompass different health financing strategies, including a Single National Health Insurance, better Financial management by improving and using Direct Health Facility Financing, promotion Family planning and use of innovation to bridge HRH gaps to mention a few.

 

Your Excellency, Ladies and Gentlemen

Health systems strengthening is critical component of the 2030 agenda for sustainable development goals and universal health coverage (UHC). With this in mind, we need to look into ways that will ensure quality, equity, efficiency, accountability, resilience and sustainability of health services.

We also need to look into the ways health services are delivered. For many years, we have been focusing on curative services, we now need to look into health promotion, prevention and rehabilitation. Unlike with the communicable diseases, where are patient can graduate from a health system once treated, with NCDs, the patient is tied to the health systems for life. We need to now focus more on preventing people getting sick rather treating the sick. Failure to do so, it is a failure of the health system.

 

Your Excellency, Ladies and Gentlemen,

 

To meet the health-related targets and make progress towards sustainable development, Government is making progress in prioritizing health prevention and promotion measures. To illustrate this, on 16th of November, we will be launching a national NCD programme with strong components of health promotion, prevention curative and rehabilitation.

In this regard, we are looking at complementary efforts of community health workers whom we believe will further add value in health promotion and prevention besides curative care at the community level.

 

 

Your Excellency, Ladies and Gentlemen,

I wish to reiterate the Government of Tanzania’s commitment and its profound interest to continue working in partnership with the Development Partners, Private Sector as well as the Civil Society organizations to reach out each and every individual residing in Tanzania, with better health services.

 

On behalf of the MOHCDGEC, I hereby urge all players in the development sector to continue working in a coordinated fashion and in alignment with the national priorities, policies, systems and structure in-order to reach better health outcomes.  It is on this ground that I hereby commend highly the Mkapa Foundation, a home-bred local institution that has raised up to be one of the reliable and trustworthy organizations, which the Government and many other partners are keen to work with, in advancing the national health sector priorities.

 

Your Excellency, Ladies and Gentlemen,

Before I wind up my remarks, I am informed today that the Mkapa Foundation will be launching its 3rd Strategic Business Plan for the coming 5 years. It is my greatest hope that the Foundation will make effective use of the MTR results and address the areas we have notable gaps in health systems. I further look forward seeing the Foundation continue bringing innovative ideas and working hand in hand with the Government in translating the upcoming HSSPV which will be guiding us through the transitional phase from low income to middle income country. I would to use this opportunity to assure you of the Government cooperation in the implementation of SBPIII.

I also look forward to a vibrant and evidence-based discussions from our panelists that will further feed into the process of shaping the upcoming national frameworks for the health sector.

After these few remarks, I once again say thank you and I now declare this health symposium officially opened.

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KONGAMANO LA AFYA NA UZINDUZI WA MPANGO MKAKATI WA MIAKA MITANO WA TAASISI YA BENJAMIN WILLIAM MKAPA (2019-2024)

BENJAMIN WILLIAM MKAPA FOUNDATION

YAH: KONGAMANO LA AFYA NA UZINDUZI WA MPANGO MKAKATI WA MIAKA MITANO WA TAASISI YA BENJAMIN WILLIAM MKAPA (2019-2024)

 

Katika kuchangia utekelezaji wa vipaumbele vya  Serikali ya awamu ya tano vya uboreshaji wa huduma kwa wananchi ,Taasisi ya Benjamin William Mkapa katika siku ya uzinduzi wa Mpango Mkakati wake wa miaka mitano ijayo ( 2019-2024)  iliwakutanisha wadau  kujadiliana masuala mbalimbali ya afya, ili kuweza kufikia malengo ya Maendeleo endelevu ( Sustainable Development Goals) na Afya kwa Wote ( Universal Health Coverage). Mijadala hiyo iliyoendeshwa na Taasisi kupitia watalaam mbalimbali wa sekta ya afya, imeshirikisha Serikali za Tanzania, Wadau wa Maendeleo, Mashirika yasiyo ya kiserikali yakiwemo ya dini na sekta binafsi.

 

Mijadala hiyo ilitanguliwa na mwongozo kutoka kwa mgeni mzungumzaji (Guest Speaker),  Naibu Waziri wa Afya, Maendeleo ya Jamii, Jinsia, Wazee na Watoto, Dkt. Faustine Ndugulile kwa kutoa mwelekeo wa dunia, Afrika na Tanzania katika kimarisha ustawi wa wananchi ili kufikia malengo hayo ya kimataifa ambayo Tanzania ni nchi mojawapo iliyoridhia.

 

Dkt Ndungulile alibainisha kuwa Tanzania ipo katika hatua nzuri kufikia malengo hayo ya kimataifa na kitaifa kama ilivyodhihirishwa na tathmini ya utekelezaji wa mikakati iliyowekwa katika Mpango Mkakati wa Nne wa miaka mitano wa Sekta ya Afya. Dkt. Ndugulile alisema pia Serikali kwa sasa inalenga kuimarisha zaidi huduma za kinga za magonjwa ya kuambikiza sambamba na magonjwa yasiyo ya kuambukizwa ambayo ni tatizo linalokuja kwa kasi kubwa na inagharimu Serikali na familia fedha nyingi katika kupata matibabu husika.

Aidha Dkt Ndugulile alisisitiza wadau kuendelea kufanya kazi na Serikali ili kuhakikisha malengo yaliyofikiwa yanakuwa endelevu na yale yaliyosalia yanafikiwa kwa kiwango madhubuti wakati Serikali itakapoanza kutekeleza mkakati ujao wa tano wa Sekta ya afya.

 

Pamoja na hilo Mhe. Naibu Waziri alitoa pongezi na kuitaka Taasisi ya Mkapa Foundation na wadau wengine kuendelea na progamu za kuimarisha upatikanaji wa watumishi wa afya wenye sifa ikiwa ni mkakati wa kuisaidia Serikali katika kupunguza uhaba wa watumishi wa afya uliopo nchini, ambayo ni moja ya nguzo kuu ya kufikia malengo ya Afya kwa Wote.

 

Nae Mheshimiwa Rais Mstaafu wa Tanzania wa awamu ya tatu ambaye pia ni msarifu wa Taasisi ya Mkapa Foundation, Mhe. Benjamin William Mkapa alitoa shukrani zake za dhati kwa wadau wote ambao wamekuwa wakishirikiana na Taasisi ya BMF ili kuweza kufikia malengo waliojipangia kama Taasisi. Hali kadhalika Mhe. Mkapa ameipongeza Serikali ya Awamu ya tano chini ya uongozi madhubuti wa Rais Dkt. John. Pombe Magufuli, kwa  kuimarisha mifumo ya afya ikiwemo upanuzi wa miundo mbinu ya vituo vya tiba zaidi ya 400 vinavyotoa huduma ya msingi maeneo mbalimbali nchini, kwa nia ya kufikisha huduma kwa wote.

 

Miongoni mwa shughuli nyingine iliyofanyika siku hiyo ni pamoja na uzinduzi rasmi wa Mpango Mkakati wa Tatu wa Taasisi ya Benjamin William Mkapa utakaotekelezwa kwa miaka mitano ( Julai 2019- Juni 2024) . Mpango huu umekuja na kauli mbiu isemayo kuelekea mifumo imara ya afya “Towards Stronger Health Systems” na umejikita katika kuhakikisha nchi inafikia malengo ya maendeleo ya kitaifa na ya kimataifa.

 

Dkt. Ellen Mkondya Senkoro, Afisa Mtendaji Mkuu wa Taasisi ya BMF alisema, Mpango Mkakati huo umezingatia mabadiliko ya magonjwa na teknolojia, maendelo ya kiuchumi nchini na duniani, hivyo utagusa mahitaji na changamoto za utoaji afya ngazi zote, na hivyo kuendelea kuifanya Taasisi ya Mkapa kuwa chachu ya kutatua changamoto zilizopo kwa sasa na kuleta mbinu mbadala.

 

Aliongeza kwa kusema, ili kuendana na mahitaji ya kisekta ya sasa, Dira ya BMF itakuwa “Maisha yenye Afya njema na ustawi wa watu wote wa Tanzania na Afrika” (Healthy Lives and well-being in Tanzania and the rest of Africa)) na Dhima yake ni “Kuchangia katika kufikia matokeo bora ya kiafya, kwa kupitia ubunifu na suluhisho la mifumo husika”. (To contribute towards attainment of better health outcomes through innovative health and related system solutions) 

Aidha Taasisi italenga kufikia malengo makuu matatu ambayo ni:

  1. i) Uboreshhwaji mifumo ya kuongeza kasi ya kufikia malengo ya Kitaifa ya Afya Kwa Wote
  2. ii) Matumizi mathubuti ya taarifa kwa kubuni mikakati yenye matokeo

iii)        Kuongeza utendaji wa kitaasisi na uendelevu

 

Hali kadhalika BMF inatarajia kuendesha mikakati ya kuchangia nguvu za Serikali na wadau wengine katika kuimarisha mifumo ya afya ili kuwa endelevu na kuleta tija hususan, masuala ya upatikanaji wa watalaam wa afya katika ngazi ya vituo na kwenye jamii; kuhakikisha ongezeko la wananchi wenye bima ya afya;, kuimarisha uongozi na utawala bora wa ngazi za hospitali na vituo vya tiba, na kuimarisha upatikanaji na menejimenti ya rasilimali watu na fedha katika ngazi zote za vituo vya tiba.

Hali kadhalika uimarishaji wa huduma za kinga na tiba zitapewa kipaumbele na Taasisi ya BMF ikiwemo afya ya uzazi, magonjwa yasiyo ya kuambukizwa na magonjwa ya kuambukiza yakiwemo,  Ukimwi, Kifua kikuu na Malaria

Pamoja na hilo Taasisi itajikita katika utafiti na matumizi ya taarifa ambazo zitasaidia katika kuhabarisha, kuchochea mabadiliko chanya na kuimarisha utengenezaji na utekelezaji wa mikakati ya kisekta pamoja na sera mbalimbali za Serikali.

 

Aidha Dr. Senkroo aliongeza kwa kusema kwamba Taasisi pia itajikita kujiimarisha zaidi mifumo, sera na miundo yake ya ndani ya Taasisi, ili kuwa na utendaji mahiri zaidi wenye ufanisi na weledi, na unaozingatia huduma kwa mteja, haki na ushirikiano.

 

Wakati wa mdahalo huo, Mwenyekiti wa Bodi ya Wadhamini, Dkt. Adeline Kimambo alisema kwamba ni dhahiri kuwa BMF ina uzoefu mkubwa katika utendaji wake na imeweza kuwanufaisha kwa njia moja au nyingine takribani watu milioni 11 kwa miaka 13 sasa tokea kuanzishwa kwake. Hivyo aliomba ushirikiano endelevu na wadau wote ili kuweza kufanikisha dira ya Taasisi na hivyo kuwatumikia vizuri zaidi wananchi.  Kufanikiwa kwa mpango huu kutatokana na ushirikishwaji na ushiriki wa Serikali, washirika wa maendeleo, wanataaluma, watafiti, sekta binafsi, mashirika ya dini, vyombo vya habari, jamii na wadau kwa ujumla wake.

 

 

Imetolewa na Menejimenti ya Taasisi ya Benjamin William Mkapa

1 Oktoba 2019

 

 

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VOTES OF THANKS MADE BY THE CHAIR OF THE BMF BOARD OF TRUSTEES

 

 

VOTES OF THANKS MADE BY THE CHAIR OF THE BMF BOARD OF TRUSTEES, DR. ADELINE KIMAMBO DURING THE BMF HEALTH SYMPOSIUM HELD ON TUESDAY, 1ST OCTOBER 2019 AT THE SERENA HOTEL, DAR ES SALAAM

 

  • Your Excellency Benjamin William Mkapa
  • Deputy Minister of Health – Hon. Dr. Faustine Ndungulile,
  • Permanent Secretaries,
  • Your Excellences Ambassadors & Representatives of International Organizations and UN Agencies here present,
  • CEO and Company Representatives here present,
  • Distinguished Guests
  • Ladies and Gentlemen

 

On behalf of the Board of Trustees of the Benjamin Mkapa Foundation, I hereby wish to thank each and every individual in here, for your presence today, which conveys your commitments towards the development agenda that touches lives and health of the society.

  1. I sincerely thank Your Excellency Benjamin William Mkapa for your continued visionary leadership that has sustainably branded the Mkapa Foundation to the current credible status.

 

  1. I also express our deep sense of appreciation to the Government of Tanzania represented by the Deputy Minister for Health, Dr. Faustine Ndugulile. Your presence is a reflection of a trusted partnership of Government with BMF, which has lasted since when we were conceived in year 2006. The Board of BMF is confident that our impactful and sustained cooperation will prevail, thus guaranteeing realization of the National and International development targets.

 

  1. I am also very grateful to, Your Excellency Ambassadors, Representatives of Development Partners and UN Agencies for your attendance, which reveals your continued commitment in collaborating with the Foundation and the Government of Tanzania, to achieve the sustainable development goals.

 

  1. Moreover, I recognize and thank the Executives from the Corporates, Private Sector and Parastatals for creating time out of your busy schedule to join us. The forged partnership with the Private Sector is unique and highly encouraged for scale up.

 

  1. Our deepest appreciations are further expressed to the Heads of various local and international Non-State Actors or Civil Society Organizations, including Faith Based Institutes. It is our anticipation that the ongoing strategic and mutual partnerships, consortiums, and/or alliances will be beneficial and sustainable, for bigger impact.

 

  1. May I also take this opportunity to thank our Chief Facilitator – Mr. Taji Liundi for a well-moderated session. Likewise, my sincere appreciations are further extended to the panelists and the moderators- Yahya Ipuge and Dr. Khadija Kweka, for the thought-provoking discussions and recommendations. Asanteni sana.

 

Your Excellency, Ladies and Gentlemen,

Last but not least, I hereby wish to acknowledge the continued teamwork portrayed by the BMF Management and Staff under the dynamic leadership of Dr. Ellen Mkondya-Senkoro, which has further advanced the Foundation to greater heights.

Thanks to all the organizers of the event, particularly the CRDB Bank who sponsored today’s event-asanteni sana, and I further appreciate the work done by the Event manager, Decorators, Media and the Serena Hotel team.

Once again the Foundation commits to sustain the complementary work of bringing Hope to the underserved, in an impactful and sustained manner, through the great cooperation of each one of you.

Asanteni sana, and I wish you a good afternoon.

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CEO’S REMARKS ON THE OVERVIEW OF THE 5 YEARS MKAPA FOUNDATION STRATEGIC BUSINESS PLAN (2019-2024)

This is the third Strategic Business Plan of the BMF which will cover the period from July 2019- June 2024, and it is building upon the past experience and lessons learnt from the ended 2nd Strategic Plan.

 

In the next 5 years, we envision Healthy lives and well-being for all, in Tanzania and the rest of Africa.The main purpose being to complement and support Governments’ efforts to deliver health care services reaching all people equitably, in both Tanzania Mainland and Isles, as well as other neighboring Africa regions through strategic partnerships. Thus our mission aims to contribute towards attainment of better health outcomes through innovative health and related system solutions. To achieve our vision, the Mkapa Foundation will steer its complementary efforts on Health Systems strengthening to achieve the Sustainable Development Goals (SDGs) and Universal Health Coverage (UHC) targets at country level.

 

We understand that we cannot bring change on our own. BMF niche of working in “partnerships for results” will be further strengthened in the coming years, by cementing our trusted cooperation with the Government of Tanzania, at the same time sustain the mutual partnership with existing and new traditional and non-traditional partners, including donors, civil societies, professional bodies, private sector, researchers, media, and other interested parties.

 

We plan to closely collaborate with the Government, to reinforce production of rare and highly demanded health cadres from Training institutions, at the same time capitalize on tapping the qualified health professionals from the labour market, by innovatively engaging them as “Fellows” to make the facilities fully operational, thus having the required health workforce as per workload, at the same time build capacity of central to district management teams on effective Human Resource management.

 

Moreover we aim to supplement the health facility services with community based initiatives by testing and rolling out the National community based program guideline, particularly the community care providers that have so far proven to be resourceful on the first hand curative care at the community, health promotion and prevention.

Whereas we recognize the encouraging progress at country level in combatting communicable diseases, but yet we are lagging behind with few indicators of HIV, TB and Malaria, and now the rapid emerging crisis on non-communicable diseases, BMF will ensure effective integration of these services in a gendered and right-based approach, for maximum impact. This shall be coupled with reinforcement of leadership and governance pillar of the health systems, at the different tiers of the health sector delivery systems, in-order to deliver quality health services on Communicable and Non-Communicable diseases.

 

As we are aware our country has made minimal progress on maternal health outcomes and the adolescent group is vulnerable and at high risk with most of the health conditions, BMF shall continue investment on health systems to combat maternal, new-born, child and adolescent health situation, especially in rural settings. This shall further be integrated with nutritional service, which is key for health outcomes amongst this respective group of the population.

 

Another health systems pillar to be embarked by BMF is the health financing initiatives to ensure the Universal Health Coverage targets are reached, particularly increasing the iCHF coverage, at the same time support the Government in resource mobilization and effective financial management at different levels of service delivery.

 

As we are all aware that BMF has acquired wealth of knowledge for more than a decade, and this ought to be reinforced to enable us portray the phenomenon of being a Centre of Excellence. On this regards, we will intensify Implementation Research and Knowledge Management through ensuring robust systems, guidelines and structures of collecting and use of evidence-based information that is expected to stimulate health related policies and guidelines, and on the same vein influence high impact interventions.

 

Furthermore,     BMF will adopt technology in most of its work and embark on digital transformation to reach a larger public, improve productivity, efficient use of resources, and improve its programs and services to the beneficiaries. Innovations through application of technology in service delivery will be reinforced including capacity development of health workers and performance management systems.

Our decade experience and lessons learnt on health systems strengthening as well as the dual-prong approach of strengthening “demand” and “supply” in health programs, this will be well documented and scaled up to inform policy and strategic documents formulation and implementation by the Government and partners. In addition, BMF’s long outstanding and strategic policy dialogue engagement will continue in transparency and constructive manner, as a cross cutting approach. This shall take into account the value added and win-win situation of both State and Non-State Actors, for better health outcomes of the society.

Result Based management will be at the heart of implementation of the BMF Plan. As for the Programmatic Performance Management, this shall be monitored and evaluated with well- defined and robust systems and structures set up within the Institution, which will link and be aligned to the Government reporting frameworks, as much as possible. We will also track and collect indicators to monitor and evaluate the interventions that are designed to contribute to the realization of national impact indicators, as stipulated in the various national documents. Moreover our Institutional Performance Management Systems and structure will further be strengthened and linked with accountability and rewarding systems within the Institution.

 

To remain credible and relevant, we will continue reinforcing our leadership and management capacity, as we all as our operational systems and technical excellence within the Institution, so as to align with the increasing demand and expectations of quality services, from our clients and stakeholders. We will further remain committed to strengthening our internal controls, financial and grants management systems by ensuring integration of digitalization in most of our operational systems, thus leading to more efficiencies and effectiveness.

 

To operationalize the Strategic Business Plan in five years it is estimated to cost approximately 156billion (equivalent to 68million US $), and the BMF Board and Management is dedicated to deploy coherent, innovative and well-informed resource mobilization strategy that will secure both financial and technical resources to attain its goals.

 

The Board of Trustees, Management and Staff thank the Irish Aid and UNAIDS for their financial and in-kind support, respectively, during the entire development process of this Strategic Business Plan.

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Dr Ukio: Climbing the ladders of leadership as Mkapa Fellow

 

Dr Ukio: Climbing the ladders of leadership as Mkapa Fellow

[Dar es Salaam] From working in the hard-to-reach areas of the country to occupying a region’s top medical office, Dr Kusirye Ukio, the Morogoro Regional Medical Officer (RMO), is an epitome of resilience in leadership.

Today, Dr Ukio, aged 42,recounts his story as a leader and medical doctor who, for over a decade, has seen the highs and lows of the country’s health system—its progress and setbacks.

Thirteen years ago, at the age of 29 he was awarded a mkapa fellowship upon successful application among hundred applications and was posted to work in Simanjiro District, Manyara; a region where healthcare resources were limited in every sense of the word.

“I was a Mkapa Fellow from Mkapa Foundation. We were a team of three and I was the first medical officer then,” he recalls.

However, it bordered on the adventurous for Dr Ukio who had been used to life in the country’s major city of Dar es Salaam, before being posted to the rural area.

“By then, I was a graduate with a lot of expectations and career ambitions. But there was a job in front of me and the team. It was indeed tough but we had to do it for public good.”

The Benjamin William Mkapa Foundation(BMF) by then known as the Benjamin William Mkapa HIV/AIDS Foundation, embarked on a fellowship programme known as Mkapa Fellows to complement the government efforts to  improve rural healthcare by extending health services to the areas and bridging the human resource gap.

Health workers were sent in many districts of the country including Simanjiro, to support HIV/AIDS Care patients

Dr Ukio bears a good testimony of how the Mkapa Fellows programme has grown over the past ten years, as the project looks forward to further spreading services to communities across Tanzania.

Life in Simanjiro back then

“When we arrived in Simanjiro, our goal was to scale up care and treatment for people afflicted by HIV/AIDS and other associated services. In collaboration with the District’s health team, we managed set up clinics for the HIV/AIDS patients.”

“It wasn’t easy. The district’s geographical area was so vast and everything, including provision of services was still at infancy. As fresh graduates, we also had little experience in the field.”

“The task ahead of us was huge.”

“Having been the only medical doctor in the area at that time, I could sense the need for the district to have more doctors.”

“I had been attending to almost every patient, in addition to providing HIV/AIDS services. So, there was a serious need for more professional medical care.”

The hurdles

“Simanjiro was indeed tough. As we speak, there is a lot of improvement, I must say. The government has made a lot of improvements.”

“But back then, there were big challenges.  There was no electricity supply.  Water was a big problem.”

“To get water, one had to walk miles to a place called Njoro and line-up a bucket at the water source for several hours. At times we had to depend on a 20-litre bucket for two days. The water was also too salty. But, as a human being, there is always a way of acclimatizing in such hardships.”

“There were few vehicles by then. The roads were too bad. This was also compromising the quality of health services.”

“Take a scenario where you want to refer a patient to the nearest referral facility, which was Mount Meru Hospital in Arusha, another Region.”

“It would take at least 6 hours to arrive in Arusha because of a bumpy road. You can’t be sure the patient will arrive safely. There were cases of death of the roads or premature labour.”

Serving humanity

“Despite the fact that we were young medics and ambitious, it dawned on us that we were bound to serve humanity and actually forego our earlier dreams for the sake of saving lives.”

“The role of Benjamin Mkapa Foundation was to take health workers like us to serve in places where most staff wouldn’t have wished to go.”

“If it was my own decision, perhaps I couldn’t have gone to Simanjiro under normal government procedures. But, one thing that kept us going was the team-work spirit that we had been blessed with as Mkapa Fellows.”

How I triumphed

“We worked as Mkapa Fellows for two years; that is 2006 to 2008. After this, we were main-streamed into government employment. By then, I was still working as a medical doctor.”

“But, as a team, we collaborated with the Council of health Management Team, CHMT of Simanjiro. They were very responsive.”

“Then, I became the District Aids Control Coordinator. Our collaborations were further strengthened. But my roles went beyond providing HIV/AIDS services. We could provide clinical care in various ways.”

“In 2009, I was appointed the District Medical Officer of Simanjiro. At that moment, I had to take the lead and institute initiatives that would improve people’s lives and health.”

“So, I began working with the team to ensure that we put up a health centre with the capacity to provide surgical services.”

“As we went on with this, we decided to work in collaboration with the Lutheran Church to build a district hospital where Caesarean Sections could be done. We were focusing on how to reduce maternal and new born deaths.”

“We began by putting up a big maternity ward in 2009. I am sure now it’s completed. We started with strategic locations.  We set up one in Okesmeti and another in Mirerani. They were highly populated and major sources of maternal death.”

“We thought that empowering them with medical commodities and Human Resource would help reduce maternal mortality. So, we had to take many health workers to school. We were able to sponsor some of them.”

Credit to team-work

“In 2012, we had the right human resource to carry out Caesarean Section and other services. We ensured that we intervened in all areas notorious for preventable maternal and new-born deaths. All this was done through team work. I don’t really deserve all the credit.”

“So, this was a long-term process but there had to be a pioneer. The most important thing is on the succession plan and seeing the importance of small pioneering efforts and initiatives that aim to curb primary healthcare challenges.”

“The leaders who came after us, have recognised those efforts and worked to strengthen the services even further. But more importantly is that the current government is building more and more health facilities.”

“We are in the right direction and I believe, as a country, we will be able to deal with maternal and new-born deaths still occurring in many corners of the country.”

“So, I stayed in Simanjiro from 2006 to 2015. I was then transferred to Meru District Council as a District Medical Officer. I worked in Meru for two years.”

New life, new challenges in Meru

“Up to 2017 in June, I experienced another life with new challenges. That was now an urban setting.  But there was a human resource gap in this area.”

“It was a place closer to the highway so there were many emergencies. The population was so high and the, maternity wing was overwhelmed.”

“I sat with the team and we drafted a paper to expand the maternity wing. We got sponsorship. In the first phase, we were given $60,000 to begin the construction of the first wing-maternity, which has so far been completed.”

“We embarked on strategic financing mechanisms so that as a hospital, we weren’t high dependent on the government.”

“The aim here was not to make profit but to find ways of taking services closer to those who didn’t have them and raise the capital to serve those who didn’t afford the services.”

“We built a state-of-the art dental unit. We obtained medical supplies from stakeholders. We stocked the unit with new equipment.”

“I have always believed that when you have a good health facility, it’s easy to convince a client to appreciate the value of the services and pay for them. We did much more on putting up a stand-alone pharmacy.”

A vibrant community in Lindi

“From 2017 to 2019 June, I was taken to Lindi Region. I was welcomed by a highly responsive team that dreamed of nothing other than development.”

“We worked to ensure that people don’t have to go to private health facilities while there is a public facility with a large number of well-trained health workers and equipment.”

How Mkapa Foundation shaped me

“From June 2019, I was transferred to Morogoro where I am to date. The role of Mkapa Foundation was to build my ability to go to places that I shouldn’t otherwise have wished to go and serve. They taught me discipline, resilience and to be open-minded.”

“I had always dreamed of becoming a surgeon and my strategy was to work for Mkapa Foundation and go to study further.”

“But, what made stay, was the feeling I got when I saw that people surrounding me were in great need of better health services.”

“But, the advantage of working in harsh conditions, it’s easy to show the results of your efforts. Whatever small improvement you do is noticeable and contributes to significant change. The resources are usually meagre but there are always ways.

Dr Ukio, a good example

Dr Ukio, who now plays government roles at regional level, represents the large number of doctors who have transformed over the years.

Since then, the number of doctors in resource-limited region has risen, thanks to BMF’s interventions as it focuses on the underserved areas of the country which are mainly rural.

 

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