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Self-reliant Capacity Development for District Health Managers Harmonization of TAs and SWAp A Case of Morogoro Health Project, Tanzania Dr. G.J.B. Mtey.

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Presentation on theme: "Self-reliant Capacity Development for District Health Managers Harmonization of TAs and SWAp A Case of Morogoro Health Project, Tanzania Dr. G.J.B. Mtey."— Presentation transcript:

1 Self-reliant Capacity Development for District Health Managers Harmonization of TAs and SWAp A Case of Morogoro Health Project, Tanzania Dr. G.J.B. Mtey Dr. G.J.B. Mtey & Ms. Erika Fukushi Morogoro Health Project LenCD Forum, Nairobi, Kenya 3 rd October, 2006

2 2 Better Management Better Health Better Future Mt. Ulugulu

3 3 Contents 1. SWAp and Health Sector Reform in Tanzania 2. Morogoro Health Project (MHP) 3. Complementary Roles of SWAp & MHP 4. Effective Approaches for Self-reliant CD

4 4 SWAp & Health Sector Reform in Tanzania Mkambarage Dispensary

5 5 Fragmental budgeting On budgeting Sector Programming Bipolar Sector Budgeting Integrated Sector Budgeting National budget planning Sector budget planning Transparent budgeting Unknown budgeting MTEF Planning Management Multiple budget complex On project budget Sector Basket Fund Project type budget (known) Sector budget integration TANZANIA Steps towards SWAp/GBS Integrated National Budgeting National budget integration (GBS)

6 6 million US $ 24.2% 19.3% 13.9% 7.3% Health Sector Public Expenditure Review 2003/ Annual Health Sector Review 2005 26.0% Sector Basket Fund in Tanzania

7 7 Health Sector Reform in Tanzania PASTNOW Central Government International Society Community RHMT CHMT Central Government International Society Community RHMT CHMT MH P

8 8 Morogoro Health Project Morogoro RHMT Municipal CHMT Morogoro CHMT Mvomero CHMT Kilosa CHMT Kilombero CHMT Ulanga CHMT & Project Advisor Team Dr. Sugishita Dr. Fupi Ms. Fukushi Ms.Tsuda Mr. Goto

9 9 Morogoro Health Project (MHP) (April 2001-March 2007) OBJECTIVE Health management skills of the Regional/Council Health Management Teams (RHMT/CHMT) and other Frontline Health Workers (FLHWs) are improved in a self-reliant and sustainable manner. OVERALL GOAL Quality of health services in Morogoro region is improved.

10 10 Management Skills Leadership Teamwork Delegation Resource Mgt. M&E Community involvement Active listening Communication Feedback & dissemination Customer care PC skills Data analysis Financing Documentation Presentation FLHWs involvement Data collection Supervision Motivation Facilitation

11 11 Development with MHP Development without MHP Daily Practice in workplace Capacity Development Team-work Training WGs MHP Development Package (Trainings + Working Groups + Support in Daily Practices) Leadership Feedback Training WGs

12 12 Complementary Roles of SWAp & MHP

13 13 Complementary Roles of SWAp and MHP in HSR Demand-driven prioritization and budgeting Decentralized power of decision-making Evidence-based planning Sound M&E framework and managing system Linkage between funding and outcomes Sector-beyond coordination and collaboration Effective use of rapidly increased budget for LG by SWAp Smooth disbursement of the available funds Scrutiny of different financial management practices Timely reporting and visual presentation MHP responds to various demands in Health Sector Reform at Local Government in collaboration with SWAp.

14 14 Basis Political BasisFinancial BasisManagement Basis Objective Self-reliant effort for poverty reduction Self-reliant budgeting at Local Government Sustainable management capacity development at Local Government Implication Administrative reform and Power decentralization Sector basket fund in health sector Strengthening of office function and human resources Response National Policy PRSP, MTEF etc) Available fund at Local Government (26% x 48%) JICA Morogoro Health Project Enabling Health Sector Reform Three Basis for sustainable CD

15 15 Development Budget to Recurrent Budget MHP integrated development budget for project operational costs into recurrent budget for the Local Government through Health Sector Basket Fund in the Health SWAp. This delegation is welcomed by Tanzanian side and Basket sponsors, because it promotes a self-reliant capacity development with a highly motivated way due to additional incentives. Development budget by JICA Recurrent budget by LG of TZ Initial period Development budget by JICA intermediate period SWAp HSBF CCHP Recurrent budget by LG of TZ Technical assistance (management training) terminal period Regular budgeting Incentive Motivation CCHPSWAp HSBF

16 16 Effective Approaches for Self-reliant CD Kimamba Health Center

17 17 A person or project that cause a change. I see my role as being a catalyst for change. Catalyst

18 18 Management training Working Groups Day-to-day Activity Communication forum Self-reliantDevelopment SystemInnovation Local to Local Network Potential Capacity Leadership, Teamwork, Communication Encouragement Enforcement Exposure Enhancement Excitement Effective Approaches for Self-reliant CD Empowerment Exercise

19 19 7E Catalytic Approach for CD 3.Excitement 4.Exercise 2.Exposure 6.Empowerment 5.Enhancement Think together, learn together! 1. Encouragement 7. Enforcement To be exposed to new knowledge and experiences *Basic Management Trainings *Exchange/ Study visit *Involvement of stakeholders To be exercised to consolidate applied skills in day to day routine activities. *Application of PCM method (project management tool) in Planning, implementation and M&E. To be enhanced conventional skills to develop better management tools through local to local networking. *Working Group management *Utilization of local resources To be empowered to innovate health systems in a self-reliant manner. *Continuous process of personal, organizational and system development. To be excited to develop applied management skills. *Identification of district ignored problems through OPR, IT, communication and IRC tools. To be enforced management tools in an institutionalization manner. *Dissemination, integration and sophistication in areas, organizations or sectors CATALYSTS

20 20 Innovation & Development Central Government Development Partners Region Morogoro Interactive Local Communication & Networks System innovation at local level ManagementEmpowerment CommunicationForum Integration and Sophistication

21 21 Lessons Learned Overview Basic and Applied Management skills Teamwork and Leadership Working Group Arrangement Visual Products Utilization of Local Resources District to District Networking in the Region Focus on Practices (Do it again and again and again!) Role of Catalysts Evidence-based District Health Management System innovation Cost-sharing in Collaboration with SWAp

22 22 Innovation towards the health system, in which everybody feels happiness. I can do it !!

23 23 The Way to Our Future Tanzania – Japan Morogoro Health Project P.O.Box 1193, Morogoro, Tanzania Tel: 023-2614002 Fax: 023-2614148 Mobile: 0754-335599 E mail: morogorohealthproject@yahoo.com morogorohealthproject@yahoo.com erikafuku@yahoo.co.jp Website: http://www.project.jica.go.jp/tanzania/5481081E0/ http://www.project.jica.go.jp/tanzania/5481081E0/ (Access to Google and search with Morogoro Health Project)


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