Christian Social Services Commission (CSSC)

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Christian Social Services Commission (CSSC)

• An Ecumenical Body of Tanzania Episcopal
  Conference and Christian Council of Tanzania
• Performance Based Financing
• PBF Rungwe Pilot Project
• Tanzania 2010 2012
  
• PBF Conference
• 14-17 February 2011 Bujumbura-Burundi
• by Sule, T.Michael- Zonal PBF Coordinator
  
  

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Presentation Outline

• Introduction
• Over- all objective
• Specific Objectives
• Expected Results
• Project achievement
• Challenges and solutions
• Way forward

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Introduction

• PBF Rungwe Pilot project part multi-country
  Network implemented in 7 Africa countries
  Rwanda, Burundi, DRC, CAR, Cameroon, Zambia and
  Tanzania
• European Union (EU) supports Project via
  Cordaid
• 3 years PBF - Pilot Project in Rungwe District -
  Tanzania as a model to be replicated to other
  districts at a later stage.
• Focus to shift approach in health financing from
  input to output based financing.

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Project objectives

• The overall objective
• To improve the functioning of the health sector
  through an active exchange of the experiences of
  the PBF approach in 7 countries
• Specific objectives
• - Create an international network of exchange
  between 7 countries
• Learning through action research
• Capacity building partners of Cordaid and other
  key stakeholders (LGA, Health authorities) to
  manage PBF
• Promote community participation in relation to
  two systems of funding(PBF and insurance) and
  experiment with synergetic activities

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Project expected results

• There shall be a Tanzanian Training institute
  capable of giving training in PBF
• CSSC independently capable of promoting and
  expanding experiences on PBF
• Harmonization of PBF approach between church and
  government, through joint development of Service
  Agreements in Rungwe District
• The Voice of Customer is strengthened

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Project achievement (1)

• There is a Tanzanian Training institute capable
  of giving training in PBF at KCMC
• KCMC has trained 20 health care workers and
  administrators on PBF theories and practices
• CSSC independently capable of promoting and
• expanding experiences with PBF through
• training of staff on PBF(TOT)
• PBF forum established in the district for
  sharing PBF project progress, information and
  experiences

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Project achievement cont(2).

• Harmonization of PBF approach between church and
  government, through joint development of Service
  Agreements in Rungwe District
• PBF inception meeting held between stakeholders
  in Rungwe for info sharing and project
  introduction
• District PBF forum at district level in place
  and active by conducting biannual meetings.
• Training of 6 HFs staff on strategic planning
• Lobbying for the signing of SA between the
  Council and FBO health facilities started.

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Project achievement cont. (3)

• The Voice of Customer is strengthened
• 12 HFs have established Facility Governing
  Commitees and trained on roles and
  responsibilities
• Community representatives trained on strategic
  plan development for Health facility

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Challenges proposed solutions

• Delayed process for development of SA
• Proposed solution
• Continued discussion CSSC with stakeholders
• Lack of funding for the motivation of health
  workers (No motivation package).
• Proposed Solution
• CSSC will lobby LGA to include motivation package
  in their budgetary Plans
• The project covers only FBO health facilities
  that are fewer compared to Government the impact
  might not be significant
• Proposed solution PPP initiatives in whole
  district

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Wayforwad

• Implementation of second year PBF
• Involving government facilitiesin PBF
• Engaged in Action Research

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Thank you for listeningAsanteni sana