1. Christian Social Services Commission (CSSC) An Ecumenical Body of Tanzania Episcopal Conference and Christian Council of Tanzania Performance Based Financing PBF Rungwe Pilot Project Tanzania 2010 – 2012 PBF Conference 14-17 February 2011 – Bujumbura-Burundi by Sule, T.Michael- Zonal PBF Coordinator

2. Presentation Outline Introduction Over- all objective Specific Objectives Expected Results Project achievement Challenges and solutions Way forward

3. Introduction  PBF Rungwe Pilot project part multi-country Network implemented in 7 Africa countries: Rwanda, Burundi, DRC, CAR, Cameroon, Zambia and Tanzania  European Union (EU) supports Project via Cordaid  3 years PBF - Pilot Project in Rungwe District - Tanzania as a model to be replicated to other districts at a later stage.  Focus to shift approach in health financing from input to output based financing.

4. Project objectives The overall objective - To improve the functioning of the health sector through an active exchange of the experiences of the PBF approach in 7 countries Specific objectives - Create an international network of exchange between 7 countries - Learning through action research - Capacity building partners of Cordaid and other key stakeholders (LGA, Health authorities) to manage PBF - Promote community participation in relation to two systems of funding(PBF and insurance) and experiment with synergetic activities

5. Project expected results - There shall be a Tanzanian Training institute capable of giving training in PBF - CSSC independently capable of promoting and expanding experiences on PBF - Harmonization of PBF approach between church and government, through joint development of Service Agreements in Rungwe District - The Voice of Customer is strengthened

6. Project achievement (1) There is a Tanzanian Training institute capable of giving training in PBF –at KCMC - KCMC has trained 20 health care workers and administrators on PBF theories and practices CSSC independently capable of promoting and expanding experiences with PBF through - training of staff on PBF(TOT) - PBF forum established in the district for sharing PBF project progress, information and experiences

7. Project achievement cont…(2). Harmonization of PBF approach between church and government, through joint development of Service Agreements in Rungwe District - PBF inception meeting held between stakeholders in Rungwe for info sharing and project introduction - District PBF forum at district level in place and active by conducting biannual meetings. - Training of 6 HFs staff on strategic planning - Lobbying for the signing of SA between the Council and FBO health facilities started.

8. Project achievement cont…. (3) The Voice of Customer is strengthened 12 HFs have established Facility Governing Commitees and trained on roles and responsibilities Community representatives trained on strategic plan development for Health facility

9. Challenges & proposed solutions  Delayed process for development of SA Proposed solution: Continued discussion –CSSC with stakeholders  Lack of funding for the motivation of health workers (No motivation package). Proposed Solution: CSSC will lobby LGA to include motivation package in their budgetary Plans  The project covers only FBO health facilities that are fewer compared to Government the impact might not be significant Proposed solution: PPP initiatives in whole district

10. Wayforwad  Implementation of second year PBF  Involving government facilitiesin PBF  Engaged in Action Research

11. Thank you for listening Asanteni sana