Project for Capacity Development in

Regional Health Management Phase 2Presentation

August 2013

Outline of the Presentation

• Overview of RHM2• Highlights of Mid-term Review Result• Issues

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Overview of the Cooperation

Project Period ： Nov 2011 ～ Oct 2014 （ 3 years ）Implementing Agency ：

Ministry of Health and Social WelfareCollaborating Agency ：Prime Minister’s Office, Regional Administration

and Local GovernmentTarget Group ： MOHSW and RHMT in 25 Regions

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ObjectivesOverall 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.

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Improvement of Health Services

RHMT

MOHSW

Phase 2 Scope

RR Hospital MT

Coordination

The Project Approach

PMORALG

Phase 1 Scope

OUTPUT 1Improved RHMT Managerial skills

OUTPUT 2RHMT Roles & Functions consolidated & institutionalised

Health Facilities

Regional

Central

OUTPUT 3Improved Tools /Standardized Procedures of SS from RHMT to RRHMT &CHMT

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CHMT

Mid-term Review

Achievement (Indicators)RHMTs’ Annual Plan

Timely Submission

Quality (over 70 % scored in assessment)

2011/12 2012/13 2013/14 2014/15Target

9/21(43%) 18/21 (86%) (最新？ ) 20/25 (80%)

2011/12 2012/13 2013/14 2014/15Target

Data not available 4/21 (19%) 16/21 (76%) 25/25 (100%)

RHMT Quarterly ReportTimely Submission

2011/12 Q3 Q4

2012/13 Q1 Q2 Q3

8/21 (38%) Data not available

10/21 (48%)

21/21 (100%)

14/21 (67%)

Achievement (Indicators)

Supportive supervision to the CHMT (21 regions)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

2011/12Q1

Q2 Q3 Q4 2012/13Q1

Q2

62% 62%

81% 81%

56%

44%

Achievement (Indicators)

Conclusion and RecommendationsConclusionAll outputs are being attained more or less as planned and project purpose likely to be achieved on time.

Major RecommendationsFurther clarification and articulation of RHMT and

RRHMT.

RHM2/MOHSW to share and strengthen the SS tools with stakeholders.

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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.

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Further Impact, Issues and Challenges

Reaching to objectivesOverall 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.

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Further Impacts Observed (1)

Supportive Supervision ImplementationSensitisation of roles and responsibilities of

RHMT Positive reaction to RHMT and RMSS

Mutual strengthening through interactionInformation sharing and mutual sensitisation

within and between RHMTPeer learning

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.

Further Impacts Observed(3)

Impact on CHMT’s practiceIntroduction of facilitative aspect to the

Supportive Supervision Case of incorporating the essence of RMSS

(simple tool with emphasis on dialogue focusing on problem solving)

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

Remaining Issues/ChallengesCCHP 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. 18

Thank you for your attention19