Goal 1: Strengthened Systems to Accelerate the Attainment of National Universal Health Coverage Targets

Strategic Objective 1.1: Innovatively Developed and Sustained HR Solutions for Effective Service Delivery at all Levels

Tanzania faces a chronic shortage of qualified health workers particularly in the rural areas; causing a major barrier to people’s access to quality health services. The shortage is estimated to be 56% of the required health workers, with a national average of 1 doctor serving 20,396 people, as per Human Resources for Health Strategic Plan (HRHSP) 2014-2019. World Health Organization (WHO) for instance; recommends a standard requirement of 1 doctor for 10,000 population however, in Tanzania, there is a disparity across rural and urban areas but also the shortage varies across regions, districts and facilities. One doctor serves 78,880 people in rural areas, while in urban areas 9,095 people are being served by 1 doctor, data show. However, this is not limited to doctors. Shortages have been noted among nurses, attendants and other key specialties.

The government has, in the past years, announced the shortage of HRH- as national crisis; with intention to express its commitments and call for collaborative effort. The announcement stimulated Benjamin William Mkapa Foundation (BMF), in close collaboration with the Government of Tanzania, to design and implement innovative HRH approaches including that aim to improve supply, distribution, retention and enhancing HR development programs.

On the other hand, Community based health systems is a crucial platform currently being reinforced from Global to Country level to complement the health facilities investment and this has been carried through community service providers including CBOS, CHVs, CHWs and others, under various funded programmes with different disease specific and/or health conditions focused areas. BMF complements the Government current efforts to streamlining the community-based health programs focusing on strengthening supply, distribution and ensuring effective planning and management of CHW’s. Read More…

Strategic Objective 1.2: Enhanced Financial Solutions to Accelerated Access to Health and Related Services

Tanzania like many other countries, is embarking on health financing and primary health care (PHC) reforms that will have important implications for progress toward UHC. The Government is developing a new health financing strategy to enable access to financial protection, as well as affordable and cost-effective quality health care. To address current fragmented and low insurance coverage estimated at 32%, the Government is in the process of developing a new Single National Health Insurance scheme, with the goal of reducing out-of-pocket expenditure. Furthermore, in improving financial management as an avenue towards greater efficiency and effectiveness of healthcare service delivery, the Direct Health Facility Financing (DHFF) system has been rolled out nationwide, across the Primary Health care facilities. One of the key activities that BMF is supporting in collaboration with the CHMTs and ward leaders is provision of education, sensitization and roll out of community members to the iCHF.  Furthermore, BMF in collaboration with PORALG i.e. RS has been conducting a refresher trainings to the facility staff for the purpose of ensuring the facilities are undertaking planning sessions as per required current standards and procedures. Read More…

Strategic Objective 1.3: Enhanced Leadership and Governance for Quality Health Service Delivery

The health system in Tanzania follows the pattern of different levels of services in hierarchical and referral pattern. Services are provided from the grassroots level up through higher levels of care, beginning with community health care all the way to the national hospitals, all providing increasingly sophisticated and well-defined services.  BMF strength has been in strengthening systems on the bottom of the pyramid aligning with its agenda to support the undeserved. The Council Health Management Teams (CHMTs) manage health care and social welfare services at the Council/ District level and the Regional Health Management Teams (RHMTs) manage Regional hospitals. Faith Based and private facilities provide health services disproportionally more in urban than rural settings. On this regards, Leadership and good governance continue to be critical success factors on strengthening of the health systems.

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