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Christian Social Services Commission

Christian Social Services Commission. Performance Based Financing PBF Rungwe Pilot Project Tanzania 2010 – 2012. PBF Conference 14-17 February 2011 – Bujumbura, Burundi.

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Christian Social Services Commission

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  1. Christian Social Services Commission Performance Based Financing PBF Rungwe Pilot Project Tanzania 2010 – 2012 PBF Conference 14-17 February 2011 – Bujumbura, Burundi

  2. CSSCChristian Social Services CommissionAn Ecumenical Body of Tanzania Episcopal Conference and Christian Council of Tanzania

  3. Presentation outline • Introduction • Concept of Public Private Partnership • PPP situation in Tanzania. • Work done in PBF regarding PPP • Rationale of PPP in the provision of Health services • Achievements attained in PPP • Way Forward

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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

  11. 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.

  12. ASANTENI SANA THANK YOU MERCI

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