POLICIES AND PRACTICES TO ADDRESS SOCIAL PROTECTION AND ISSUES OF - - PowerPoint PPT Presentation

POLICIES AND PRACTICES TO ADDRESS SOCIAL PROTECTION AND ISSUES OF HEALTH INEQUITIES A CASE OF - TANZANIA

Dr FN Njau and Mr Mkumbo Ministry of Health Tanzania

SOCIAL PROTECTION KEY AREAS OF ADDRESS:

• PROMOTIVE
• PREVENTIVE
• MEDICAL SERVICES (curative services)
• REHABILITATIVE
• MAINTENANCE (replacement)

ISSUE AREAS TO ADDRESS

• THE UNDER FUNDING
• THE HUMAN RESOURCE CRISIS
• THE MANAGEMENT PROBLEMS
• THE HIV and AIDS EPIDEMIC
• DONOR DEPENDENCY ON HEALTH

BUDGET, GOVERNMENT BUDGET, AND PROGRAMS AND PROJECTS

POLICY AREAS AND STRATEGIES

• THE SECTOR IS INTEGRATED IN THE

NATIONAL VISION 2025

• NATIONAL STRATEGY FOR POVERTY

ERADICATION 2010

• NATIONAL STRATEGY FOR GROWTH

AND REDUCTION OF POVERTY 2005/09

POLICY AREAS AND STRATEGIES Cont…

• NATIONAL HELTH POLICY 2002
• HEALTH SECTOR STRATEGIC PLAN

2003/08

• DECENTRALIZATION TO LGAs
• 113 COMPREHENSIVE COUNCIL

HEALTH PLANS ANNUALY

• MTEFs

ACTIONS TAKEN TO DATE

• PER
• MTEFs FORMULATION SKEWED TO

SPAND VULNERABLE GROUPS

• ARTICULATION OF EQUITABLE

RESOURCE ALLOCATION FORMULA FOR BOTH BLOCK GRANTS AND BASKET FUNDS FOR DISTRICTS

ACTIONS TAKEN Cont…

• PARTICIPATION IN THE FORMUALATION

OF NATIONAL POVERTY REDUCTION PROGRAM DESIGN AND IMPLEMENTATION

1. Pro poor and social protection of vulnerable groups 2. Gender inequities 3. Urban Rural devide

• Adaptation of SWAPS
• Basket financing modalities for coordination
• f sector investments

CHALLENGES

• TOO MANY REFORMS AND INTERNATIONAL

AGREEMENTS NOT MATCHED WITH RESOURCES TO IMPLEMENT (MDGs)

• GROSS UNDER FUNDING THE SECTOR

EXCEPT THE GLOBAL PROGRAMS EG ATMS

• THE HUMAN RESOURCE FOR HEALTH IS IN

CRISIS

• UNDER MANAGED

CHALLENGES Cont…

• Poor coordination of the iNputs
• HIV and AIDS EPIDEMIC
• NON RESPONSIVE NESS TIMELY ON

THE NEW CHALLENGES

• MIS NOT ADDEQUATE
• AT SECTORAL LEVEL,

MULTISECTORAL IMPLEMENTATION IS NOT VERY RESPONSIVE

• PPP

WAY FORWARDS

• REFRAIN FROM TOOMUCH

VERTICALISATION

• POSITION HEALTH IN POVERTY

REDUCTION

• FIND SOLUTION OF THE CRISIS OF

HRH IN SERVICE PROVISION AND MGT

WAY FORWARDS Cont…

• COMPLEMENTARY FINANCING

STRENGTHENED

• COMMUNITY PARTICIPATION &

OWNERSHIP

• ADDRESS THE HEALTH SYSTEM

PROBLEMS MORE HOLISTICALLY

• INTRODUCE NEW TECHNOLOGY WHICH

IS AFFORDABLE AND SUSTAINABLE.

THE ISSUES ARE MANY I WILL END HERE FOR TODAY THANK YOU