Christian Social Services
Commission
Performance Based Financing
PBF Rungwe Pilot Project
Tanzania 2010 – 2012
PBF Conference
14-17 February 2011 – Bujumbura, Burundi
Prepared by Madina Mukulu – PBF Coordinator
CSSC
Christian Social Services
Commission
An Ecumenical Body of Tanzania Episcopal
Conference and Christian Council of Tanzania
Prepared by Madina Mukulu – PBF Coordinator
Presentation outline
1.
2.
3.
4.
5.
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
6. Achievements attained in PPP
7. Way Forward
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
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
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Prepared by Madina Mukulu – PBF Coordinator
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.
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Prepared by Madina Mukulu – PBF Coordinator
ASANTENI SANA
THANK YOU
MERCI
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Prepared by Madina Mukulu – PBF Coordinator