1. TANZANIA MAINLAND NATIONAL HEALTH POLICY AND STRATEGY REPORT

2. OUTLINE  Introduction  Overview of Health system in Tanzania  Overview of National Health Policy and Strategies  Assessment of National Health System-Building Blocks  Health Needs and Policy Priorities FY 2014/15  Conclusion and way Forward 2

3. 3 INTRODUCTION

4.  Population Tanzania Mainland: 43,625,354  Female: 22,386,041  Male: 21,239,313  Area size: 945,087 sq.km, the largest country in East Africa  Economy: Per Capita income around 600 USD  GDP growth Rate is between 6 -7%  Life expectancy: Male 58 yrs, Female 61 yrs  Official Language:Swahili and English 4

5. OVERVIEW OF HEALTH SYSTEM - TANZANIA MAINLAND…1 5

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7. 7  Ministry of Health and Social Welfare is responsible for managing the delivery of health care and social welfare in the country  Its duties is to manage and provide services on:  Prevention  treatment  rehabilitation and  Social Welfare Provision of these services is done in conjunction with the PMO Regional Administration and Local Government(PMORALG), private sector, religious institutions, public agencies, individuals and other stakeholders. OVERVIEW OF HEALTH SYSTEM - TANZANIA MAINLAND…3

8. 8  Specific roles for MOHSW:  Develop policies which is translated through strategies, guidelines, laws etc  Setting standards (Standards) for service delivery  Manage Institute which experts with intermediate skills  Specific Roles for PMO-RALG  Manage service delivery at regional district and lower levels  Ministry of Education and Vocational Training  Produce skilled personnel at a degree level and above  Ministry of Finance and Planning Commission  Provide finance OVERVIEW OF HEALTH SYSTEM - TANZANIA MAINLAND…4

9. OVERVIEW OF HEALTH SYSTEM - TANZANIA MAINLAND…5  Levels of services:  Primary Level Dispensary Health centre District Hospital  Secondary level Regional referral hospitals  Tertiary Zonal referral hospitals National and Special hospitals 9

10. OVERVIEW OF NATIONAL POLICY AND STRATEGIES…1  Overall Polices  National Development Vision 2025  Plan for Economic Growth and Poverty Reduction  Millennium Goals  Program for Public Service Reform 10

11. OVERVIEW OF NATIONAL POLICY AND STRATEGIES…2  Sectorial polices  Health Policy in 2007  Health Sector Reform since 1990s  Development Plan for Primary Health Care (MMAM)  Health Sector Strategic Plan III (2009-2015)  Specific Strategic Plans like HIV and AIDS, Malaria, Maternal and Child Health etc  Local Government Policy  Policy of decentralization (Decentralization by Devolution) 11

12. ASSESSMENT OF NATIONAL HEALTH SYSTEM – BUILDING BLOCKS FINANCES INFORMATION SYSTEM AND RESEARCH MEDICINE AND SUPPLIES HUMAN RESOURCE GOVERNANCE AND ACCOUNTABILITY HEALTH SERVICES APPROPR IATE AFFORD ABLE ESSENTIAL PACKAGE EFFICIEN CY ACCESS QALITY

13. ASSESSMENT OF NATIONAL HEALTH SYSTEM – BUILDING BLOCKS…2  Establishment of Health Systems Strengthening Unit in the Directorate of Policy and Planning  Human Resources  Increased enrolment of Human resource for health students from 3,025 in 2007/08 to 7,458 in 2011/12  Increased recruitment of health workers from 4,812 in 2007/08 to 7,028 in 2011

14. ASSESSMENT OF NATIONAL HEALTH SYSTEM – BUILDING BLOCKS…3  Health Services  Infrastructure Number of health facilities increased from 5,379 (2005/06) to 6,663 (2011/12), aims at having health facility to a distance not more than 5 km.  Immunization Increased coverage from 90% in the year 2010/11 to 95% in the year 2011/12. 14

15. ASSESSMENT OF NATIONAL HEALTH SYSTEM – BUILDING BLOCKS…4  Malaria Reduction of Malaria prevalence by 40% through implementation of Malaria Strategic Plan.  RCH Reduction of under five mortality rate from 91 (2007/08) to 81 (2010) per 1000 live births. Reduction of MMR from 578 (1999) to 454/100,000 live births (2010).

16. ASSESSMENT OF NATIONAL HEALTH SYSTEM – BUILDING BLOCKS…5  HIV and AIDS HIV prevalence rate has droped from 5.7% in 2010 to 5.1% in 2013  TB Deaths due to tuberculosis, have dropped from 8% in 2006 to 4.9% in 2010.  Medicine and Medical Supplies  Improved delivery of medicine and medical supplies in health facilities.

17. ASSESSMENT OF NATIONAL HEALTH SYSTEM – BUILDING BLOCKS…6  HMIS - Established HMIS tool used by all health facilities  Leadership/Governance  Close collaboration of PMO RALG & MoHSW to improve health service delivery.  Council Health service board and Health Governing Committees  Financing  Establishment of Health Care Financing Strategy  Improved health financing system and schemes through prepayments e.g. NHIF, NSSF,CHF,TIKA 17

18. HEALTH NEEDS AND POLICY PRIORITIES FY 2014-15 According to 2014/15 budget guideline priority areas are going to be as follows: -  Implementation of sectoral programs and strategies aimed at improving service delivery, including reducing maternal morbidity levels.  To improve prevention, treatment, training and fighting infectious diseases, non-communicable and priorities that were not treated.  Construction and maintenance of infrastructure to offer services as well as strengthening the referral system  Strengthening training institutions for professionals in the health sector and social welfare. 18

19. Conclusion and Way Forward Establish Health Care Financing Stratage where by all citizens will be required to have Health Insurance (Universal coverage) 19

20. THANK YOU FOR LISTENING 20