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 of 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