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Prepared by Madina Mukulu – PBF Coordinator
Christian Social Services Commission
Performance Based FinancingPBF Rungwe Pilot Project
Tanzania 2010 – 2012
PBF Conference14-17 February 2011 – Bujumbura, Burundi
Prepared by Madina Mukulu – PBF Coordinator
CSSC Christian Social Services
Commission
An Ecumenical Body of Tanzania Episcopal Conference and Christian Council of Tanzania
Prepared by Madina Mukulu – PBF Coordinator
Presentation outline
1. Introduction2. Concept of Public Private Partnership3. PPP situation in Tanzania.4. Work done in PBF regarding PPP 5. Rationale of PPP in the provision of Health
services6. Achievements attained in PPP7. Way Forward
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Prepared by Madina Mukulu – PBF Coordinator
Introduction
PPP refers to partnership/collaboration between the non
government health service providers and the Government
This was a result of changing approach of donor partners in supporting development in Tz to general budget support.
From 1990,s some of the church hospitals were taken by the government as DDH.
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Prepared by Madina Mukulu – PBF Coordinator
Concept of PPP
It is an implementation of the Health Sector Reforms whereby the government tries to harmonize use of resources for the provision of quality health services.
Gives an emphasis that in the process of doing service delivery all parties involved have a complementary role.
It is an open avenue for allowing more participation of different actors in service delivery and provide a room for experience sharing and shared learning.
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Prepared by Madina Mukulu – PBF Coordinator
PPP situation in Tanzania
The PPP Bill has already been passed last year by the Members of Parliament waiting for the President endorsement to be an Act.
PPP desk has been established in the MOHSW under a special Technical Advisor.
SA document have been developed, as a tool for PPP operationalization
The Government has incooperated the PPP aspects in the newly developed strategy in the HSSP III.
At council level, private providers are members of the planning team.
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Prepared by Madina Mukulu – PBF Coordinator
Work done in PBF regarding PPP
Meetings with different government officials from
Ministerial level, regional and at district level has been
conducted to share PBF concept.
Different officials from the government have been trained
on PBF
A PBF forum has been established where some
members came from the government side.
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Prepared by Madina Mukulu – PBF Coordinator
Work done in PBF regarding PPP
District hospital secretary has been appointed by the DMO to be a PBF focal person in the district.
Many facilities in Rungwe and nearby districts has undertaken Costing Analysis preparing for signing SA as a result of sensitization meetings done in the project areas and beyond by CSSC.
Increased willingness of the government officials at regional (RMO)and district (DMO) level to support SA process.
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Prepared by Madina Mukulu – PBF Coordinator
Rationale of PPP in the Provision of Health services
Inability of the Government to fund for the provision of adequate and quality health services brought about by unfavourable economic situation.
Increased demand for health services due to increasing population, which in turn cause apparent decreasing coverage of provided health services.
To avoid duplication of efforts and allow rational use of available resources
Increased costs of providing health services Increasing freedom of choice for the quality and type of
health services.
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Prepared by Madina Mukulu – PBF Coordinator
Achievements attained in PPP
There is marked improvement in sharing of resources including HRH (staff are seconded in FBOs health facilities and training institutions).
Grant to FBO training school and Council designated hospitals (CDH,s)
Many of the VA health facilities are allocated and getting funds from the Council Health Basket Grant.
Rehabilitation grants provided in some of the councils as well as providing the equipment 10
Prepared by Madina Mukulu – PBF Coordinator
Way forward
Continued sensitization of stakeholders to understand fully the Health sector reforms and the PPP process.
Joint Supervision btn government and non governmental service providers in health facilities at various level
Formalize use of Service Agreement with Private for the Public goods (Immunization, Malaria, HIV/TB…)
Enforce the policy with greater efficacy, especially the HSSP III for cost-effective quality health service delivery.
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Prepared by Madina Mukulu – PBF Coordinator
ASANTENI SANATHANK YOU
MERCI
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