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Project for Capacity Development in Regional Health Management Phase 2 Presentation

Project for Capacity Development in Regional Health Management Phase 2 Presentation. August 2013. Outline of the Presentation. Overview of RHM2 Highlights of Mid-term Review Result Issues. Overview of the Cooperation. Project Period ： Nov 2011 ～ Oct 2014 （ 3 years ）

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Project for Capacity Development in Regional Health Management Phase 2 Presentation

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  1. Project for Capacity Development in Regional Health Management Phase 2Presentation August 2013

  2. Outline of the Presentation • Overview of RHM2 • Highlights of Mid-term Review Result • Issues

  3. Overview of the Cooperation Project Period：Nov 2011～Oct 2014（3 years） Implementing Agency： Ministry of Health and Social Welfare Collaborating Agency： Prime Minister’s Office, Regional Administration and Local Government Target Group：MOHSW and RHMT in 25 Regions

  4. Objectives Overall Goal： Managerial performance of Regional Referral Hospital Teams (RRHMTs) and Council Health Management Teams (CHMTs) is improved. Project Purpose： Improve the performance of all RHMTs in supporting CHMTs and RRHMTs.

  5. The Project Approach Phase1 Scope Coordination PMORALG MOHSW Central Phase2 Scope Regional OUTPUT 2 RHMT Roles & Functions consolidated & institutionalised RHMT OUTPUT 1 Improved RHMT Managerial skills RR Hospital MT CHMT OUTPUT 3 Improved Tools /Standardized Procedures of SS from RHMT to RRHMT &CHMT Health Facilities Improvement of Health Services

  6. Mid-term Review

  7. Achievement (Indicators) • RHMTs’ Annual Plan • Timely Submission • Quality (over 70 % scored in assessment)

  8. Achievement (Indicators) • RHMTQuarterly Report • Timely Submission

  9. Achievement (Indicators) • Supportive supervision to the CHMT(21 regions)

  10. Conclusion and Recommendations Conclusion All outputs are being attained more or less as planned and project purpose likely to be achieved on time. Major Recommendations • Further clarification and articulation of RHMT and RRHMT. • RHM2/MOHSW to share and strengthen the SS tools with stakeholders.

  11. Major Recommendations (Cont’d) • Further coordination and sharing between MOHSW and PMORALG to ensure resource allocation to RHMT. • Promotion of the good practices as impacted by the RHM2 among councils and regions. • The project outputs to be shared with stakeholders in Tanzania as well as in wider community through various forum.

  12. Further Impact, Issues and Challenges

  13. Reaching to objectives Overall Goal： Managerial performance of Regional Referral Hospital Teams (RRHMTs) and Council Health Management Teams (CHMTs) is improved. Project Purpose： Improve the performance of all RHMTs in supporting CHMTs and RRHMTs.

  14. Further Impacts Observed(1) • Supportive Supervision Implementation • Sensitisation of roles and responsibilities of RHMT • Positive reaction to RHMT and RMSS • Mutual strengthening through interaction • Information sharing and mutual sensitisationwithin and between RHMT • Peer learning

  15. Further Impacts Observed(2) Good Practices • Internet-based information sharing within RHMT • Initiative by the RHMT members to train others • Informal inter-region coaching • Region’s own initiative to implement RMSS • Collaboration with Regional Hospital on Operations Research leading to the improvement of user-fee system.

  16. Further Impacts Observed(3) Impact on CHMT’s practice • Introduction of facilitative aspect to the Supportive Supervision • Case of incorporating the essence of RMSS (simple tool with emphasis on dialogue focusing on problem solving)

  17. Way Forward • Improvement of CHMT’s management through RHMT’s support • Increase effectiveness of RMSS-C • Promoting sharing of the good management practices by CHMT • Support to the Regional Referral Hospitals • Introduction and utilisation of RMSS-H tools • Support capacity strengthening of RHMT to ensure their sustainable growth • Effective peer learning and inter-regional networks • Trial on localized capacity-building approach

  18. Remaining Issues/Challenges • CCHP Assessment Process • Line of CCHP assessment/reporting as well as demarcation of tasks/responsibilities needs clarification and consensus. • Support to RRHMT • RRHMTs’ responsibilities needs further articulation. • CHOP still in process of fine tuning. • Resource Constraints • Major portion of RHMTs’ resource (=HBF) normally disbursed in late 2nd or 3rd quarter.

  19. Thank you for your attention

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