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TRM Highlights

TRM Highlights. Conclusions and Recommendations. Representation. All key stakeholders – MOHSW, PMORALG, Private sector, NGOs, CSOs Regional and District health managers MOHSW Departments, Agencies, Programs

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TRM Highlights

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  1. TRM Highlights Conclusions and Recommendations

  2. Representation • All key stakeholders – MOHSW, PMORALG, Private sector, NGOs, CSOs • Regional and District health managers • MOHSW Departments, Agencies, Programs • Participation was good; discussions and perspectives frank and quality. Some sessions enjoyed intense exchange of views

  3. Highlights • Satisfactory immunization coverage • Child mortality reduction surpassing target • Sloth in reduction of Maternal mortality and neonatal mortality • Persistently high stunting • Facility deliveries 60% (compared to 80%) • FP target (80%) will not be met (now 43%) • High HRH gap calls for more effort in HSS and CBHC revitalization

  4. Human Resource (AMO, MO, Nurses/Nurse Midwife Laboratory staff) Per 10,000 Population by Region 2013 Kagera 5.2 Mara 6 Mwanza 7 Arusha 8.6 Simiyu2.5% Geita 3.1% Kigoma 3.3% National Average 7.4 Kilimanjaro 14.8 Shinyanga 4,9% Manyara 7.3% Singida 5.5 Tabora 2.9% Dodoma 6.9 Tanga 6.7 Katavi 2.5% = Morogoro 7.9 Pwani 9.6 DDSM 0.66 DSM 13 Rukwa 4.7% Mbeya 10.1 Iringa 11.3 Lindi 8.3% Key 0 – 4.9% Njombe 10.9% 5.0 – 6.9% Ruvuma 7.2% 7.0 - 9.9% >10 Mtwara 6.5

  5. Major Causes of Deathare preventable Under five years Above five years 45% of deaths due to HIV/ AIDS Malaria Tuberculosis Other causes NCDs 2/3rd of deaths due to • Malaria • Pneumonia • Anaemia Underlying causes • Malnutrition

  6. Key aspects for policy level attention • Significant inequity in HRH distribution – adverse in West • Data issues affecting robustness of information and evidence for decisions • Limited availability of funds within the sector • Universal coverage compels establishing One compulsory NHI with safeguards for the poor • Clients charter – one of ways to mitigate against corruption

  7. Aspects for policy level attention ctd • Harmonization, integration, quality, efficiency are key guides (to avoid duplication, optimize resources, increase revenue, enhanced utilization) BRN aspects • 4 work streams will form an integral part of HSSP IV • Its principles (Prioritization, Equity, efficiency, accountability and quality) and themes should apply even beyond the targeted regions

  8. TRM proposed SWAp Policy priorities 2015/16 • BRN work streams - Equity (HR distribution) - Efficiency (Performance management) - MNCH BEmONC, CEmOC - Commodities and medicines security • Community Health • Health Care Financing • Accountability • Social Determinants of Health

  9. Conclusion from panel discussions and closing session • Partners would like to ensure GOT is supported in BRN • A strong well-functioning health system is crucial considering looming threats (Ebola, Marburg) • Revenue increase is possible • PPP is an important entity to optimize

  10. Conclusion ctd • Evidence base needs attention: PMORALG working to have a system and Technical Team to support and monitor health plans • MOHSW has major tasks at hand - new health basket MoU, HCF strategy, RBF model and HSSP IV • DPs support commitment reaffirmed

  11. Recommendations • Extend efforts against leading causes of death • Strengthen health systems for better RCHS • Coordinated health promotion and well supported community based health • Foster peer learning and sharing best practices (e.g Mbeya, Singida)

  12. Recommendations ctd • Reverse the observed decline in health sector budget • Strengthen TWGs and governance • Strengthen data quality, completeness, timeliness and analytical capacity

  13. Thank you for your attention

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