Project for Capacity Development
inRegional Health Management
Phase 2 3 September 2014
DPG-H Meeting
1
Presentation Contents
I. The RHM2 Approach
II. The Achievements
III. Way forward
2
I. RHM2 Approach
3
1. Project Scope (1)
Target: RHMT in 25 Regions in Tanzania
Implementing Agency: MOHSW & JICA
Project Period: Oct. 2011 – Oct 2014
Project Purpose Performance of all RHMTs in supporting CHMTs and RRHMTs is improved.
4
1. Project Scope (2)
Output 1 Management skills of RHMTs in supporting CHMTs and RRHMTs are improved.
Output 2 Roles and functions of RHMT to support CHMTs and RRHMTs are institutionalized and consolidated.
Output 3Guidelines and tools for RHMTs to perform their functions are improved.
5
2. Capacity Development / RHM2 Approach
RHMT
■Individual Capacity■Team Capacity
MOHSW
CHMT RRHMT
Org. Capacity ①• “Functions of
RHM” Doc• RHMT forum• Plan/Report
Gdln.• CMSS
Ind. Capacity• Training• Orientation / WSEnabling
Environment• Support
Coordination at Nat’l level
• Clarification of reporting & SS mechanism
• Advocacy on RHMT
6
Org. Capacity ②• Development of
RMSS* tools & mechanism
II. Achievements of Technical Cooperation
7
1. Management skill to support RHMT & CHMTTitle Participants Timing
RHMT Training 1: CCHP Guideline (Plan, Report and Assessment)
21 RHMT ( 63 ) Mar. '12
RHMT Training 2: RHMT Plan/Report, PlanRep 21 RHMT (105) Oct. – Nov. '12RHMT Training 3: RMSS-C (On-site) 21 RHMT+ DMO, RRHMT Feb. – May. '13RHMT Training 4: RHMT & RRHMT Training on RHM/RHMT Refresher
25 RHMT + RRHMT (130) Nov. ‘13 – Feb. ‘14
New Region Training (Introductory) 4 RHMT (31) Apr. '13New Region On-site Training 4 RHMT Sep. – Oct. '13TOT for MIS Facilitators on CCHP/PlanRep 24 MIS Facilitators Oct. '13
6 RHMT Trainings (21 + 4 new regions) + 1 TOT Follow up through assignments and performance Feedback and further follow up at RHMT Annual Review &
Monitoring Meetings On-site Follow up
8
2. Roles and Functions of RHMT Institutionalised…
“Functions of Regional Health Management System ” (2014) approved by MOHSW.
Coordination and consultation with PMORALG and other departments of MOHSW.
“Implementation Arrangement” clarified.
9
Implementation Arrangement in Health Sector
10
3. Guidelines and tools for RHMTs improved
RMSS-C, RMSS-H tools developed through extensive consultation.
RMSS Manual approved by MOHSW.
RHMT planning and reporting formats reviewed to revise the Guideline to be approved by MOHSW.
11
Regional Management Supportive Supervision (RMSS)
SS for proper functioning of offices in health public administration
2008-2011: Development and use of Central Management Supportive Supervision (CMSS).
2011-2014 : Development/dissemination of RMSS to Council Health Management Teams (RMSS-C) and to Regional Referral Hospital Management Teams (RMSS-H).
12
RHMT conducted RMSS to all CHMT
RHMT as well as CHMT generally satisfied with the RMSS tools
(follow up and survey in 2013 - 2014)
RMSS to RRHMT
RMSS-H was disseminated from Oct 2013 and the status will be reviewed through Q3 and Q4 Reports
2012/13 2013/14Q1 Q2 Q3 Q4 Q1 Q2
RHMT covered all LGA
43% 43% 71% 86% 52% 62%
w/Report 38% 43% 67% 81% 52% 62%
Achievement of RMSS
13
Materials
Functions of Regional Health Management System
RHMT Annual Planning and Reporting Guideline
RMSS Manual (RMSS-C, RMSS-H)
Training Modules on Regional Health Management
Booklet “Good Practices on RHMT Performances”
14
Compilation of 16 cases by RHMTRHMT PerformanceRHMT Support to the Regional Referral HospitalRHMT Support to the CHMTRHMT Support to Health Service Delivery
Other Achievements
Contribution to clarification of CHOP format & processes (cooperation w/ Hospital Reform Team)
Promotion of working relationship between RHMT and RRHMT
Networking/peer learning among the 25 RHMT
15
III. Way Forward
16
Way ForwardFurther capacity strengthening at the regional levelNetwork of 25 RHMT / Promotion of peer learningUtilisation of Good Practice Strengthening RHMT Training InitiativesFurther strengthening of management capacity at
RHMT / RRHMT.
Further ChallengeLinking the capacity of RHMT to the service.Further organisational capacity strengthening of
RRHMT.
17
Thank you for your attention!
18