Capacity Building

Capacity building of Councils and Health Facility teams on Direct Health Facility Financing (DHFF)

BMF supports and complements the Government’s strategy through the Ministry of Health and PORALG in implementing Direct Health Facility Financing (DHFF) modality. Through the Mkapa Fellows Phase III, BMF has conducted coaching and mentoring ten in (10) health facilities in Misungwi DC & Chemba DC on planning, budgeting and reporting system to help improve the quality of health service delivery and increase service utilization resulting in improved health system performance. In collaboration with facility accountants and Districts’ Treasurer, BMF review DHFF practice and compliance. This intervention involves also working at the facility to assess the process of DHFF, lesson learned and highlight recommendations for process improvement. 

BMF Grants and compliance manager Mr Erasto Bugoye with Monitoring and Evaluation Manager Ms Rahma Musoke (Right) with SOYA Health Facility in Chemba DC Accountant during an assessment of existing structures and capacity for planning and preparing DHFF in January 2020

Resource mobilization capacity at national, regional, district and facility levels

The demand for healthcare workers in Tanzania is at an all-time high, especially for Nurses, Clinicians, Pharmacy and laboratory Technicians, dental therapists and Health Assistants (at community level). This shortage is compromising the ability of the health systems to effectively deliver the National Essential Health Care Intervention Package – Tanzania (NEHCIP) and other health services. The human resource for health shortage is further exacerbated by an increased disease burden attributed to HIV, lifestyle – related diseases and expanded services in health facilities such as CEmoc Since 2017, BMF has been taking the lead, in collaboration with the Government and other likeminded organizations to conceptualize various other financing modalities to fund HRH. It is a mechanism for health graduate to volunteer in facilities that have critical shortage of HRH through the use of other existing sources of fund for allowances to the volunteers. Currently, the National is at stage of developing health workforce volunteerism scheme to increase the availability of essential health service and coverage and increasing financial protection.