Summary and Analysis of RHMT Reports 2009/ R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Presentation Layout Introduction RHMT Progress Report July 2009-June 2010 CMSS and its impact on RHMT Capacity Development Recommendations 2

Introduction Assessment of RHMT reports was made in order; To see to what extent the RHMTs have improved their capacity to coordinate health activities and get reflection on increase of RHMT performance To identify areas in which RHMTs will need backstopping in the process of implementation 3

Introduction cont….. Implementation progress report focuses on ten major RHMT roles and functions. All 21 RHMT mainland reports were assessed. 4

Progress Report July 2009-June 2010 RHMT CORE Members Regional Medical Officer Regional Health Secretary Regional Health Officer Regional Dental Officer Regional Nursing Officer Regional Pharmacist Regional Laboratory Technician Regional Social Welfare Officer 5

CURRENT STATUS Until August 2010 the Inventory of RHMT staff indicates that; Confirmed staff were 158= 94% Acting were 7= 4% Deficit 3= 2% Total 168= 100% 6

RHMT Functions Develop and operationalise RHMT Plan from the 5 year Strategic Plan and strategies. Disseminate and support the translation of the policies, strategies and guidelines of the MOHSW/PMO-RALG to CHMTs. Support an appropriate environment for private sector development. Coordinate services in the region. Support Human Resource for Health management. 7

RHMT FUNCTIONS Ensure the quality of health services at all health and Social welfare facilities. Facilitate emergency and disaster preparedness and response. Support and backstop Regional Referral Hospital. Instituting network system. Conduct innovative supervision. 8

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Basket Fund expenditure 10

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RHMTs’ progress Most RHMTs (95%) managed to supervise the councils at least once in each quarter. More funds were spent by regions on SS this function (36%) All councils were supported during the preparation of CCHP. All regions conducted PHC meetings at twice once in a year. 12

There has been improved quality of supportive supervision by RHMT to CHMTs There has been improved working tools at regional health offices. All RMT members were trained on Policy Dissemination in June RHMTs’ progress (cont…)

CMSS: findings and impact on RHMT Capacity Development CMSS is an abbreviation for the Central Management Supportive Supervision Two visits on CMSS were conducted to thirteen regions in November 2009 and April- May 2010 Visited regions were Mara, Kagera,Shinyanga,Tabora, Rukwa, Ruvuma, Lindi, Manyara, Kilimanjaro, Tanga, Coast, Lindi and Singida. 14

Findings from CMSS All planned activities were implemented at the average of 98.9 % Regions made assessment of quarterly implementation reports. However there were delays in receiving reports from the districts. As a result submission of reports from RHMT to PMO –RALG was also late. 15

Findings from CMSS Among RHMT roles and functions, networking, private sector coordination, quality assurance had a low average of implementation. In some regions, Regional Social Welfare Officers are not fully involved in RHMT activities Documentation of useful documents to some of the RHMT is weak. 16

Areas for improvement Follow up on demarcation of responsibilities between RHMT and Regional Referral Hospitals. Follow up on required human resource to avoid dual responsibilities among the RHMT and RRHospital Management Teams 17

Recommendation MOHSW and PMO-RALG should support the regions to take action against the CHMTs which do not submit reports at required time. Capacity building to RHMTs should be a continuous process. 18

END Thank you for listening! 19