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TANZANIA’S HEALTH SECTOR : THE PATH TO INCREASE COUNTRY OWNERSHIP

TANZANIA’S HEALTH SECTOR : THE PATH TO INCREASE COUNTRY OWNERSHIP. PRESENTATION OF THE SCIENTIFIC ASSESSMENT REPORT ON “TANZANIA’S COUNTRY OWNERSHIP” Presented on behalf of the Swiss Development Cooperation Office by Uliane Appolinario and Martina Locher

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TANZANIA’S HEALTH SECTOR : THE PATH TO INCREASE COUNTRY OWNERSHIP

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  1. TANZANIA’S HEALTH SECTOR : THE PATH TO INCREASE COUNTRY OWNERSHIP PRESENTATION OF THE SCIENTIFIC ASSESSMENT REPORT ON “TANZANIA’S COUNTRY OWNERSHIP” Presented on behalf of the Swiss Development Cooperation Officeby Uliane Appolinario and Martina Locher The Presentation will be followed by a round table discussion

  2. Structure of the Presentation • Research Design • Brief evolution of Tanzania’s Health Sector • Cooperation Framework to the Health Sector 3.1 Mechanisms adopted by GoT to improve ownership 3.2 Mechanisms adopted by SDC to improve ownership • Challenges • Final Remarks

  3. 1. Research Design & Structure Object of Study Country’s ownership in Tanzania’s Health Sector Problematic Research Question ? How could country’s ownership be improved?

  4. 1.2. Main Argument • (DV) Mechanisms • & • Strategies adopted • by DPs and GoT (VI) Greater Ownership achieved in Tanzania’s Health Sector

  5. 2. Evolution of Tanzania’s Health Sector • 1995: Decision by the GoT and DPs to alter the mal-functioning health sector; • 1999: Start of implementation of Health Sector Reform; • Increase of financial resources to the health sector (both external and domestic); • Adoption of innovative strategies and mechanisms

  6. MDGs Civil Society Mkukuta(PRSP) JAST Technical Committee SWAp Gouvernment of Tanzania Development Partners Groupfor Health- 20 bi- + multilateral agencies MOHSW PMO-RALG MoFEA • SDC • UNICEF • WHO • WB • - etc. GBS Local Govt Authorities HSSP III Health Basket Fund harmonised Direct Project Support Other health projects PPP 3. Cooperation Framework

  7. Government of Tanzania 3.1 Strategies Adopted by the GoT MoHSW PMO-RALG MoFEA Guidelines • Vision 2025 Regional Health Management Teams Government and Holding accounts Disbursement of funds, financial reporting • MDGs 2000 National and Regional hospitals - National Health Services • Mkukuta 2005 LGRP 2008-2013  LG Capital Development Grant • HSSP III 2009-2015 Strategies & Mechanisms Local Government Authorities - District Health Services - Council Health Services • Health Sector Reform 1995 • Decentralisation by Devolution • SWAp • Health Basket Fund • HR capacity building • Monitoring & Evaluation system

  8. 3.2 Strategies adopted by the SDC • Tools to Strength Country’s Ownership • Strengthening the General Budget Support (GBS) • Technical Assistance to Public Financial Management • Assistance to the Health Sector • Support to the Health Basket Fund • Support to Community-based Health Initiatives • Long-term commitment and predictability

  9. 4. Challenges • Low human resources capacity • Inadequate managerial skills • Lack of financial structures • Corruption • Financing Gap

  10. 5. Final Remarks The Results… Together, the GoT and the SDC have taken important steps towards greater country ownership in the health sector Donors and Recipient Coordination

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