Transcript FAITH-BASED HEALTH CARE SERVICES DELIVERY IN TANZANIA Presented by Dr Adeline I Kimambo

FAITH-BASED HEALTH CARE SERVICES
DELIVERY IN TANZANIA
Presented by Dr
Adeline I Kimambo
Acting Director CSSC
Background
History
 Before independence
- Urban
- Government, Missionaries, Private
 After independence
- Rural focus
- Government, VAs, “Private for private”
- Free medical services
Background (cont)
Levels of health care services
 Referral and specialized hospitals
 Regional hospitals
 District hospitals/Designated District
hospitals
 Health centres
 Dispensaries
National Health Policy


Developed in 1990, revised in 2002
The overall goal of the policy is to improve
the health and wellbeing of all Tanzanians
with a focus on those at risk, and to
encourage the health system to be more
responsive to the needs of the people
National Health Policy (cont)
Specific objectives:
 Reduce the burden of disease, maternal and
infant mortality and increase life expectancy
through the provision of adequate and
equitable maternal and child health services,
promotion of adequate nutrition, control of
communicable diseases and treatment of
common conditions.
National Health Policy (cont)


Ensure that the health services are available
and accessible to all the people in the
country urban and rural areas
Train and make available competent and
adequate number of health staff to manage
health services with gender perspective at all
levels.
National Health Policy (cont)

Sensitize the community on common
preventable health problems and improve the
capabilities at all levels of society to assess
and analyze problems and design
appropriate action through genuine
community involvement.
National Health Policy (cont)

Promote awareness among Government employees
and the community at large that, health problems
can only be adequately solved through multisectoral
cooperation, involving such sectors as Education,
Agriculture, Finance, Regional Administration and
Local Government, Water and Livestock, Community
Development, Gender and Children, Executive
Agencies, Non-Governmental Organizations, the
Civil Society and the private sector.
National Health Policy (cont)



Create awareness through family health promotion
that the responsibility for ones health rests with the
individuals as an integral part of the family,
community and nation.
Promote and sustain public-private partnership in the
delivery of health services.
Promote traditional medicine and alternative healing
system.
Health Sector Reform
Strategies/objectives
 Strategy 1:
Improve access, quality, and efficiency of
primary (district level) health services
 Strategy 2:
Strengthen and reorient secondary and tertiary
service delivery in support of primary health
care;
Health Sector Reform (cont)

Strategy 3:
Improve capacity for policy development and
analysis; develop guidelines for national
implementation, performance monitoring and
evaluation; legislation and regulation of
service delivery and health professionals
Health Sector Reform (cont)

Strategy 4:
Implement a human resource development
programme to ensure adequate supply of
qualified health staff for management of
primary, secondary and tertiary services
Health Sector Reform (cont)

Strategy 5:
Strengthen the national support systems for
personnel management; drugs and supplies;
medical equipment and physical
infrastructure management; transportation
management and communication;
Health Sector Reform (cont)


Strategy 6:
Increase the financial sources and improve
financial management
Strategy 7:
Promote private sector involvement in the
delivery of health services
Health Sector Reform (cont)


Strategy 8:
Within the sector-wide approach, develop a
system for donor involvement, coordination,
monitoring and evaluation
Strategy 9: (Added in 2003)
HIV/AIDS
Health Sector Strategic Plan (2003 –
2008)



Development involved all stakeholders
Vision: “quality health services accessible
to all Tanzanians and responsive to their
needs”.
Components:
- District health services
- Secondary and tertiary hospital services
- Central support
Challenges





Low capacity of the faith based
- proposal writing, general/programme
management,
- shortage of qualified staff
Lack of long term strategic plans
Financing
Governance issues
Poverty