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RESOURCE MOBILIZATION FOR FAMILY PLANNING SUPPLIES An Advocacy Work for Political and Financial Commitment in Tanzania. BACKGROUND. In July 2008 : partners formed an advocacy network for FP (Project RMA) The network include government agencies and non-governmental organizations
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RESOURCE MOBILIZATION FOR FAMILY PLANNING SUPPLIESAn Advocacy Work for Political and Financial Commitment in Tanzania
BACKGROUND • In July 2008 : partners formed an advocacy network for FP (Project RMA) • The network include government agencies and non-governmental organizations • To date the network has 15 members • The network advocates for “increased political and financial commitment for family planning in Tanzania”
Network Composition Government Agencies • Reproductive and Child Health Section of MOHSW • Tanzania Commission for HIV/AIDS Local NGOs • Tanzania Media Women Association • Tanzania Midwives Association • Legal and Human Rights Centre • Tanzania Public Health Association • Kiota Women Health and Development • Medical Women Association of Tanzania
Network Composition……….. • INGO • Marie Stopes (Tanzania) • PSI • Participating Partners • JSI/Deliver Project • Pathfinder International • UNFPA • Media Houses (The Guardian, The African, The Citizen, Tanzania Daima, TBC, ITV)
Situational Analysis • Researched on • FP situation in the country • Who does what on family planning • Any on-going advocacy efforts for family planning in the country • Identification of advocacy opportunities • Identification of champion(s) • Identification of advocacy target
Identified Financing Mechanisms • Donors basket fund for health through District Council Comprehensive Health Plans (CCHPs) • Formed CSOs networks in five districts • Developed advocacy strategy • Sensitized the decision makers on the FP importance • Mid Term Expenditure Framework (MTEF) • Formed a national advocacy network • Undertook research and developed a strategy for advocacy
Identified Targets • At Central Level • Primary targets: MoF and MOHSW • Secondary targets: Parliamentarians and media • At District level • Primary target: District Council • Secondary target: Council Health Management Teams (CHMT)
Implementation of the Strategy at District Level • Organized sensitization meetings with CHMTs who in turn assisted to mobilize and organize sensitization meetings with the councilors • The councilors assisted to address the sensitivity of decision makers (at sub-district level) to family planning
Implementation of the Strategy at National level • Trained the media on reporting RH/FP issues • The importance of FP to reduction of maternal deaths • The importance of FP to achieving our national development goals • The importance of FP to achieving MDGs • FP a key gender strengthening factor • Organized advocacy meetings with parliamentary committees that are influential to our primary targets • Emphasized the importance of FP (as above)
Implementation of the Strategy at National level • Held dialogue with the Ministry of Health and Ministry of Finance respectively
Lessons Learnt • More efforts are to be directed to the Ministry of Health • That in the CCHPs there are three key indicators (immunization, malaria, HIV/AIDS) • Decentralized health/political system versus the reality
Lessons Learnt • Thus, PMO-RALG became another key advocacy target i.e. to influence the district authorities to include FP as one of the key indicators in the District Councils’ Comprehensive Health Plans (CCHPs)
Outcome • Stimulated a public debate on the role of family planning to achieving national development goals. • This may , in a long run , impact on the weight family planning carries in public agenda, • Increased pressure by MPs and the media to push for government’s increased budget for FP
Outcome……….. • The government (Deputy Minister for Health) vowed to increase allocation for contraceptives budget from Tsh 3.5billion ($2.65million) for 2008/09 to Tsh. 9.6 billion ($7.26 million) for (2009/10) for FP • Recruited the Deputy Minister for Finance and Economic Affairs as a network ‘s champion
Challenges……………… • Government domestic revenue down by 7.79% (2009/10) • Donors cutback in their pledges for 2010/11 by about $220 million in General Budget Support • Donor intervention to rescue • CIDA (2009) • UNFPA, USAID (2010) • German Government (2010)
Way Forward • To strengthen advocacy network by bringing in different experiences and skills • advocacy • networking, • budget tracking, etc • Advocacy for FP into national development strategies, e.g. PRSP, CCHPs • Step up advocacy efforts to the Ministry of Health