Regional Health Management Report on FY2012/13 and Plan 2013/ R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Presentation Layout 1.RHMT Performance FY2012/13 2.RHMT Annual Plans 2013/14 3.On-going efforts and way forward 2

1. RHMT Performance FY2012/13 Based on the Annual Report 3

RHMT reports are assessed in order to; review the RHMTs’ capacity to coordinate health activities and RHMT performance Check if Gov. set health policies and guidelines are being followed identify areas in which RHMTs need backstopping in the process of implementation 4 RHMT Progress in 2012/13

Source of Funds (actual) 5

Funds by Region (actual) 6

Recipients and Expenditures 7

Expenditure by function 8

Staffing 13 regions are missing some RHMT cadres (out of 8 cadres) 5 regions do not have RMO New regions are missing 3-4 cadres, out of 8 9

Achievement (by Indicators)  RHMTs’ Annual Plan Timely Submission Quality (over 70 % scored in assessment) 2011/122012/132013/14 9/21(43%)18/21 (86%)22/25 (88%) 2011/122012/132013/14 NA19%76%

 RHMT Quarterly Report Timely Submission Q1Q2Q3Q4Q4 10/21 (48%) 21/21 (100%) 14/21 (67%) 21/21 (100%) Achievement (…cont.)

 % of RHMTs which supervised to all CHMTs (21 Regions) Achievement (…cont.)

 Good Practices by Region Dodoma: NHIF - Income Improvement by Dodoma RHMT and RRHMT Pwani: Increased User fee collection at Tumbi Designated Regional Referral Hospital Kagera: Improving commodity management in region-wide Ruvuma: Intervention to alleviate enrolled nursing cadre shortage Achievement (…cont.)

Findings RHMT members managed to Annual Plan on time. RHMTs support the CHMTs in preparation of annual CCHPs and CHOP (CHOP in some regions). 14 RHMT Reports

Findings RMSS-C tools: RHMT conducted Supportive Supervision, using Regional Management Supportive Supervision (RMSS-C) tools after the training since Q4. Satisfaction of RMSS-C tool : 96% of respondents (63) satisfied with RMSS-C tools. The data shows using the RMSS-C tools really contributed the improvements of support to CHMTs, intern of understanding (92%), communication (88%), intervention and supports (92%), relationship with CHMTs (93%). (Based on RMSS-C User Feedback Survey in Sep. 2013) 15 RHMT Reports

Areas for Improvement and Challenges  Improvement of CHMT’s management through RHMT’s support  Support to the Regional Referral Hospitals Introduction and utilisation of RMSS-H tools  Support for capacity strengthening of RHMT to ensure their sustainable growth Effective peer learning and inter-regional networks Trial on localized capacity-building approach 16 RHMT Reports

2. Summary and Analysis of RHMT Annual Plans 2013/14 Based on the Annual Report 17

Introduction RHMT Annual Plans were made base on 10 Functions 1.Plan and Report for RHMT 2.Promote dissemination of Policies, Regulations, Guidelines and Circulars 3.Promote an appropriate environment for private sector 4.Coordinate Health and Social Welfare Services in the region 5.Support Human Resources for Health and Social Welfare Management 6.Promote provision of quality services in all councils 7.Facilitate emergency and disaster preparedness and response 8.Enhance Regional Referral Hospital management capacity 9.Develop inter-regional networking 10.Conduct Supportive Supervision to CHMTs 18

Source of Funds (FY2013/14) 19

Source of Funds by Region (FY2013/14) 20

Findings 52% of budget rely on Basket Funds. Amount of Basket Fund by Region was decreased due to increased numbers of regions (21 to 25) There are huge gap of budgets by Region. 21 Annual Plans

Assessment Results of RHMT Annual Plans 2013/14 CriteriaMaxAverage Score 1. Timing of submission 5 76 % 2. Structure /outlay of the plan3 81 % 3. Executive summary4 80 % 4. Budget Summary3 87 % 5. Regional Profile2 92 % 6. Current Status/Services & Admin5 76 % 7. Review of implementation3 78 % 8. Summary of issues to be considered5 73 % 9. Plan of Operation10 74 % 10. Budgeting10 81% Total50 Av. Score 78 % 22

Score by Region RegionScore (%)RegionScore (%) 1 Coast96% 13DSM78% 2 Kagera92%14Morogoro76% 2 Ruvuma92%15Rukwa 75% 4 Manyara88% 15Katavi75% 5 Mtwara86%17Arusha74% 5 Shinyanga86%18Dodoma72% 5 Singida86%18Kigoma72% 8 Lindi84% 18Njombe72% 8 Tanga84% 21Tabora71% 10 Mara82% 22Simiyu70% 10 Mbeya 82% 23Iringa 64 % 12 Kilimanjaro80% 23Geita64% 25Mwanza60%

Findings Average score of Annual Plans: - 80% for 21 regions - 78% for 25 regions Timing of submission improved i.e. 76% compared to previous year 40%. 24 Annual Plans

Areas for Improvement More emphasis needed for linkage between situation analysis – problem identification, planning and how to support CHMTs and RRHMT. Presentation of the figures in situation analysis needs further scrutiny. RHMTs need more clarification on how to set priorities 25 Annual Plans

On-going Efforts and Way Forward 26

On-going Efforts Revision of the Document on “Regional Health Management” (in 2008) RMSS-H tool development for enhancement of the RRHMT’s managerial capacity Closer relationship with PMORALG 27

Thank you for your listening!!! 28