Improving TGPSH Support in the Districts for Implementing the

Comprehensive Council Health Plans

Michael Simon

1. Task

2. Challenges

3. Results3.1 Tanga region3.2 Mbeya region3.3 Mtwara region3.4 Lindi region

4. Discussion

Contents

• CCHP analysis of all districts in the four project regions Tanga, Mbeya, Mtwara and Lindi

• Identification of interventions that are similar to the activities supported by TGPSH

• Basis: Individual operational plans of the four TGPSH components

• In close collaboration with the health financing component

• Data: electronic versions of all CCHPs provided by TGPSH

1. Task

2. Challenges• Difficulties in obtaining electronic versions of CCHPs from

the district level

• Outdated or/and incomplete CCHPs

• Plans labeled current budget year, actual data from previous years

• Difficult to assign certain interventions to one of the four TGPSH components due to an overlap of actions (e.g. both, the HRH & CD and the DSHS component conduct management trainings)

2. Challenges• No matching activities with interventions listed in the

operational plans of TGPSH

• Many CCHP interventions do not qualify for TGPSH support(e.g. general procurement, maintenance of health facilities or the payment of wages)

• CCHPs of 24 districts have been analysed for the budget year 2011/2012

• Tanga: 9 CCHPs, Mbeya: 7 CCHPs, Mtwara: 6 CCHPS, Lindi: 2 CCHPs

• Basis for the analysis: “Plan of Action” (Chapter 6) = information about cost centre, intervention, activity, output indicator, time frame, source and amount of funding, responsible person

• On average: 120 – 220 interventions listed, 20 – 40 qualify for TGPSH support

3. Results

3. Results• People involved in the CCHP planning process:

Municipal Medical Officer of Health Faith Based Organization Representative

Health Secretary Private Sector Representative

Health Accountant Community Development

Municipal Health Officer Pharmacist

Municipal Nursing Officer Dental Officer

Laboratory Assistent Municipal Sanitation Officer

RHMT Representative Reproductive and Child Health Services Coordinator

NGOs Representative School Health Coordinator

Social Welfare Officer TB HIV Officer

Malaria Control Coordinator

• Comprehensive Excel-database with the possibility to sort the activities by region, district or component

Examples of Identified Interventions

3.1 Tanga Region

SRHR & HIV/AIDS

• Refresher trainings to CBD’s on family planning• Selection of peer educators for HIV/AIDS prevention

Health Financing

• Refresher trainings on CHF and NHIF promotion• CHMT capacity building on financial management

HRH & CD• Short course trainings on managerial skills for CHMT• Facilitation of CHMT members to attend district health management modular courses

DSHS• Training of new established Hospital Governing Com.• Sensitization on mental health problems

PPP• Training on services agreements• Training on importance of PPPs and their implementation

3.2 Mbeya RegionExamples of Identified Interventions

SRHR & HIV/AIDS

• Sensitization meetings on teenager pregnancies• Conduction of family planning week

Health Financing

• Training to service providers on CHF data management• Workshops on compiling and filling NHIF forms

HRH & CD• Refresher trainings on HIMS• Courses in computer skills (Exel) for service providers

DSHS• Training of hospital governing committee members• Courses on mental health management

PPP• Service agreement between Kyela District Council and Matema hospital for free maternal and under five services

3.3 Mtwara RegionExamples of Identified Interventions

SRHR & HIV/AIDS

• Training of peer educators• The roles of families for the reduction of maternal death

Health Financing

• Training of revenue collections staff on finance regulations • Meetings to increase the number of CHF members

HRH & CD• Training of CHMT members on planning/reportingand Health Management Information Systems

DSHS• Train new CHSB members on their functions• Coaching of traditional healers on management of mental illness

3.4 Lindi RegionExamples of Identified Interventions

SRHR & HIV/AIDS

• Refresher trainings to drama groups • Promotion of the linkage between SRHR and HIV

Health Financing

• Trainings to CHMT members on Public Financial Management • Workshops about the finalization of NHIF forms

HRH & CD

• Trainings on medical record keeping• Facilitation of CHMT members to undergo diploma courses in district health management at the Zonal Health Resource Centre

DSHS • Trainings to established CHSBs on their responsibilities

4. Discussiona) How do we use the information?

b) How do we incorporate our support?

c) Do we need a follow up mechanism?

ContactMichael SimonCenter for Development Research (ZEF)Bonn Interdisciplinary Graduate School for DevelopmentResearch (BiGS-DR)University of BonnWalter-Flex-Str. 3D-53113 Bonn, GermanyPhone: 0049 173 9244095http://www.zef.de

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