Project for Capacity Development

inRegional Health Management

Phase 2 3 September 2014

DPG-H Meeting

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Presentation Contents

I. The RHM2 Approach

II. The Achievements

III. Way forward

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I. RHM2 Approach

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1. Project Scope (1)

Target: RHMT in 25 Regions in Tanzania

Implementing Agency: MOHSW & JICA

Project Period: Oct. 2011 – Oct 2014

Project Purpose Performance of all RHMTs in supporting CHMTs and RRHMTs is improved.

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1. Project Scope (2)

Output 1 Management skills of RHMTs in supporting CHMTs and RRHMTs are improved.

Output 2 Roles and functions of RHMT to support CHMTs and RRHMTs are institutionalized and consolidated.

Output 3Guidelines and tools for RHMTs to perform their functions are improved.

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2. Capacity Development / RHM2 Approach

RHMT

■Individual Capacity■Team Capacity 　

　

MOHSW

CHMT RRHMT

Org. Capacity ①• “Functions of

RHM” Doc• RHMT forum• Plan/Report

Gdln.• CMSS

Ind. Capacity• Training• Orientation / WSEnabling

Environment• Support

Coordination at Nat’l level

• Clarification of reporting & SS mechanism

• Advocacy on RHMT

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Org. Capacity ②• Development of

RMSS* tools & mechanism

II. Achievements of Technical Cooperation

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1. Management skill to support RHMT & CHMTTitle Participants Timing

RHMT Training 1: CCHP Guideline (Plan, Report and Assessment)

21 RHMT ( 63 ) Mar. '12

RHMT Training 2: RHMT Plan/Report, PlanRep 21 RHMT (105) Oct. – Nov. '12RHMT Training 3: RMSS-C (On-site) 21 RHMT+ DMO, RRHMT Feb. – May. '13RHMT Training 4: RHMT & RRHMT Training on RHM/RHMT Refresher

25 RHMT + RRHMT (130) Nov. ‘13 – Feb. ‘14

New Region Training (Introductory) 4 RHMT (31) Apr. '13New Region On-site Training 4 RHMT Sep. – Oct. '13TOT for MIS Facilitators on CCHP/PlanRep 24 MIS Facilitators Oct. '13

6 RHMT Trainings (21 + 4 new regions) + 1 TOT Follow up through assignments and performance Feedback and further follow up at RHMT Annual Review &

Monitoring Meetings On-site Follow up

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2. Roles and Functions of RHMT Institutionalised…

“Functions of Regional Health Management System ” (2014) approved by MOHSW.

Coordination and consultation with PMORALG and other departments of MOHSW.

“Implementation Arrangement” clarified.

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Implementation Arrangement in Health Sector

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3. Guidelines and tools for RHMTs improved

RMSS-C, RMSS-H tools developed through extensive consultation.

RMSS Manual approved by MOHSW.

RHMT planning and reporting formats reviewed to revise the Guideline to be approved by MOHSW.

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Regional Management Supportive Supervision (RMSS)

SS for proper functioning of offices in health public administration

2008-2011: Development and use of Central Management Supportive Supervision (CMSS).

2011-2014 : Development/dissemination of RMSS to Council Health Management Teams (RMSS-C) and to Regional Referral Hospital Management Teams (RMSS-H).

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RHMT conducted RMSS to all CHMT

RHMT as well as CHMT generally satisfied with the RMSS tools

(follow up and survey in 2013 - 2014)

RMSS to RRHMT

RMSS-H was disseminated from Oct 2013 and the status will be reviewed through Q3 and Q4 Reports

2012/13 2013/14Q1 Q2 Q3 Q4 Q1 Q2

RHMT covered all LGA

43% 43% 71% 86% 52% 62%

w/Report 38% 43% 67% 81% 52% 62%

Achievement of RMSS

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Materials

Functions of Regional Health Management System

RHMT Annual Planning and Reporting Guideline

RMSS Manual (RMSS-C, RMSS-H)

Training Modules on Regional Health Management

Booklet “Good Practices on RHMT Performances”

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Compilation of 16 cases by RHMTRHMT PerformanceRHMT Support to the Regional Referral HospitalRHMT Support to the CHMTRHMT Support to Health Service Delivery

Other Achievements

Contribution to clarification of CHOP format & processes (cooperation w/ Hospital Reform Team)

Promotion of working relationship between RHMT and RRHMT

Networking/peer learning among the 25 RHMT

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III. Way Forward

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Way ForwardFurther capacity strengthening at the regional levelNetwork of 25 RHMT / Promotion of peer learningUtilisation of Good Practice Strengthening RHMT Training InitiativesFurther strengthening of management capacity at

RHMT / RRHMT.

Further ChallengeLinking the capacity of RHMT to the service.Further organisational capacity strengthening of

RRHMT.

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Thank you for your attention!

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