1. RBF IMPLEMENTATION PROGRESS
MOHCDGEC 7TH JUNE 2017

2. Objectives
“To strengthen health system for universal health coverage” “by improving the availability, accessibility and quality of health services and their optimal utilization”,

3. Tanzania’s RBF model Focuses on PHC
Quantity and Quality indicators which exist within HMIS
Quantity earning is topped up by a Quality bonus
Payment of incentives made after verification
Implementation started in 2015 as a pilot in Kishapu DC
Rolled out for Shinyanga region Jan 2016
Currently 5 Regions and all MSD zones are implementing RBF
Three regions Kigoma, Geita and Kagera trained awaiting to start implementation in July 2017

4. RBF IMPLEMENTING REGIONS
HFs implementing RBF
Eligible HFs %
Pwani
123
273 45
Shy
163
169 96
Mwanza
157
290 54
Tabora
145
298 49
Simiyu 58
101 57
Geita 68
118
Kigoma
102
265 38
Kagera
186
281 66
Total
1,002
1,795 56

5. ACHIEVEMENTS
Waste disposal
Placenta pit.

6. Health commodities store

7. Buildings

8. Simple basic bed side investigations
Simple tests such as RBG, UPT,HB,MRDT,HIV1/2, Syphilis and urine for glucose matter a lot.

9. Labour/Post-natal

10. Child care indicators

11. Quality improvement for Dispensaries and Health Centers

12. Quality improvements for Hospitals

13. Supply chain indicators

14. Error rate trends – service data

15. Fund utilization rates (Disps & HCs)

16. Fund utilization rates (Hosp & HTMs)

17. Fund utilization rates (MSD)

18. LESSONS LEARNT Strengthen PPP
Follow clients/ patients at community level
Team work in report compilation
Introduction of reinforcements
Ensure active participation of accountable leaders e.g DED
Active and continuous communication

19. Comprehensive Outreach services…
Use all possible partners in the Council

20. VEO office at a very remote village, people never accessed health services since then.

21. Report compilation
At critical moments HCW are occasionally tempted to cheat by adding more clients to HMIS

22. +ve reinforcement.

23. DED- A take-charge person!!!!!
HF CUG
Engaging the District Director to be part and parcel of implementation has a big impact

24. Cont….

25. WAY FORWARD All eligible HF to be enrolled in RBF
Establish an equity bonus for marginalized HFs
Conduct operational research for informing the program
Continue providing technical support to CHMTs and HFs for better performance
Collaborate with DP to mobilize financial resources for adding more regions to the program

26. Finally!!
Smiling faces, bonuses and good working environment.