1. FIRST ANNUAL MONITORING AND EVALUATION BEST PRACTICE CONFERENCE
Unit 18T, Slide 1
What should be the roles of the M&E Universities on Technical Support to the Government of Tanzania
December 2017
By. Claud J. Kumalija
Principal Statistical Epidemiologist,
Monitoring and Evaluation Specialist

2. Presentation Overview
Preamble
Situation Analysis of the current Monitoring and Evaluation in the Ministry of Health
Structure of the Monitoring and Evaluation
Capacity of M&E to perform its core functions
Health Sector Data fragmentation
Health Sector Data digitization
Capacity on data analysis, dissemination and use
Routine Data quality
Data for decision making
Recommendations

3. Preamble

4. Most M&E projects in Africa

5. “Many people can see data but very few can hear the voice of data”
Unit 18T, Slide 5
“Many people can see data but very few can hear the voice of data”

6. Where do we see data and where do we hear the Voice of data
Research Findings
In Tanzania 30 mothers die of Maternal causes every day
Breaking News
The school bus carrying 30 pupils has crushed this morning and all pupils died

7. Situation Analysis of the Current Monitoring and Evaluation in the Ministry of Health

8. Perceptions of Ministry of Health Staff on the Positioning of M&E in the Ministry
Currently the M&E is the Section under the Directorate of Policy and Planning (DPP)
M&E Universities
Guide where should M&E be positioned at deferent levels i.e. central, regional and council levels
What should be the role of Monitoring and Evaluation in the Government Ministry and Ministry Department Agencies (MDAs)
n=30

9. Perception of M&E staff in the Ministry on their Capacity to perform its core M&E functions
60% of proposed key skill/professional required to perform M&E functions do not exist in the M&E Section (including, Demographer, Public Health Specialist, ICT data analyst, Public Health Nurse, etc)
The M&E cadre established at Regional and councils is not yet filled up
No dedicated data personnel at facility level (hospital, Health Centre and dispensaries) to manage data
M&E Universities
Provide advise to the Ministry on key skills and number of staff to be available for effective and efficiency of M&E performance at all levels.

10. Recommended Number of Staff and Skills to perform M&E in the Ministry of Health

11. Health Sector Data fragmentation
Existing of Multiple Sources of data in the Health Sector data
National Census
Demographic and Health Surveys
Health Facility Assessments
Routine Health Management Information System (HMIS and DHIS2)
PORALG (CCHP, Plan-Rep, Epicar, GoT-HOMIS, etc)
National, Specialised and Zonal Referral Hospitals
Health Vertical Programs
Health Institutions (MSD, NHIF, NIMR TFDA etc)
Budget speech, MTEF, NHA etc
Annual Reports and Progress reports
International UN reports
University and Research institutions
Other Ministries and Agencies NIDA, Water, Agriculture, Education, Police, RITA, MOFP etc
M&E Universities
Urgent need for support on planning and implementation of National data warehouse

12. Health Data digitization
Currently the Health Sector is digitizing the health data systems
Number of initiatives is ongoing
GoT- HoMIS
eMR
DHIS2
eLMIS
Telemedicine
HF Registry
PlanRep, Epicar
Etc
Challenge on coordination of resources
Currently Tanzania data is a mixed one. Paper based at health facilities and computerised at district up to national level
M&E Universities
Technically support the Ministry to develop roadmap for digitization of Health Sector data

13. Quality of Health Data
It is generally perceived that Routine health data is of poor quality
What should be data quality in the context of Tanzania ?
M&E Universities,
Do we have evidence on quality of Tanzania routine health data?

14. Capacity on data analysis, dissemination and use
Health staff has low capacity on data analysis
Health staff are overburdened by tedious data collection process
Data results is poorly disseminated at all levels
No evidence on use of health data for decision making and planning
We collect to much but we use less
No evidence research to demonstrate capacity of health staff on data analysis, dissemination and use
M&E Universities
Support the government to advocate on culture of data use for evidence based decision making

15. Data for decision making
Who influence decision making at National, region, councils and at facility levels?
What is the influence of politics on decision making?
If collected data is not used for decision making then it is wastage
M&E Universities
Do we have evidence on use of data for decision making

16. Conclusion
“Monitoring and Evaluation is under-performing because it is not implemented according to the Government guidelines”

17. Recommendations
Call for working together between the M&E universities and the government of Tanzania.
The government to strengthen the capacity to Monitoring and Evaluation Staff at all levels
Recruit M&E staff at Regional and Councils, and dedicate staff for data management at facility levels.
It is high time for training institutions to establish Diploma, first Degree courses and introduce short courses on Monitoring and Evaluation.
The Government should recognize M&E cadre in the manning level
Funding partners supporting Monitoring and Evaluation through vertical Programs should align with the Central M&E Operation plan.

18. Thank You All