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Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

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Page 1: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Summary and Analysis of RHMT Reports 2009/2010

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R.D. Mutagwaba,Regional Health Services Coordinator, MOHSW

Page 2: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Presentation Layout• Introduction• RHMT Progress Report July 2009-June 2010• CMSS and its impact on RHMT Capacity

Development• Recommendations

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Page 3: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

IntroductionAssessment of RHMT reports was made in order;• To see to what extent the RHMTs have

improved their capacity to coordinate health activities and get reflection on increase of RHMT performance

• To identify areas in which RHMTs will need backstopping in the process of implementation

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Page 4: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Introduction cont…..

• Implementation progress report focuses on ten major RHMT roles and functions.

• All 21 RHMT mainland reports were assessed.

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Page 5: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Progress Report July 2009-June 2010

RHMT CORE Members• Regional Medical Officer• Regional Health Secretary• Regional Health Officer• Regional Dental Officer• Regional Nursing Officer• Regional Pharmacist• Regional Laboratory Technician• Regional Social Welfare Officer

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Page 6: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

CURRENT STATUS

Until August 2010 the Inventory of RHMT staff indicates that;

• Confirmed staff were 158= 94%• Acting were 7= 4%• Deficit 3= 2%• Total 168= 100%

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Page 7: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

RHMT Functions• Develop and operationalise RHMT Plan from

the 5 year Strategic Plan and strategies.• Disseminate and support the translation of the

policies, strategies and guidelines of the MOHSW/PMO-RALG to CHMTs.

• Support an appropriate environment for private sector development.

• Coordinate services in the region.• Support Human Resource for Health

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Page 8: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

RHMT FUNCTIONS

• Ensure the quality of health services at all health and Social welfare facilities.

• Facilitate emergency and disaster preparedness and response.

• Support and backstop Regional Referral Hospital.

• Instituting network system.• Conduct innovative supervision.

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Page 9: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

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Page 10: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Basket   Fund expenditure

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Page 11: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

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Page 12: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

RHMTs’ progress

• Most RHMTs (95%) managed to supervise the councils at least once in each quarter.

• More funds were spent by regions on SS this function (36%)

• All councils were supported during the preparation of CCHP.

• All regions conducted PHC meetings at twice once in a year.

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Page 13: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

• There has been improved quality of supportive supervision by RHMT to CHMTs

• There has been improved working tools at regional health offices.

• All RMT members were trained on Policy Dissemination in June 2010

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RHMTs’ progress(cont…)

Page 14: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

CMSS: findings and impact on RHMT Capacity Development

• CMSS is an abbreviation for the Central Management Supportive Supervision

• Two visits on CMSS were conducted to thirteen regions in November 2009 and April-May 2010

• Visited regions were Mara, Kagera,Shinyanga,Tabora, Rukwa, Ruvuma, Lindi, Manyara, Kilimanjaro, Tanga, Coast, Lindi and Singida.

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Page 15: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Findings from CMSS

• All planned activities were implemented at the average of 98.9 %

• Regions made assessment of quarterly implementation reports. However there were delays in receiving reports from the districts.

• As a result submission of reports from RHMT to PMO –RALG was also late.

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Page 16: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Findings from CMSSAmong RHMT roles and functions, networking,

private sector coordination, quality assurance had a low average of implementation.

In some regions, Regional Social Welfare Officers are not fully involved in RHMT activities

Documentation of useful documents to some of the RHMT is weak.

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Page 17: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Areas for improvement

• Follow up on demarcation of responsibilities between RHMT and Regional Referral Hospitals.

• Follow up on required human resource to avoid dual responsibilities among the RHMT and RRHospital Management Teams

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Page 18: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

Recommendation

• MOHSW and PMO-RALG should support the regions to take action against the CHMTs which do not submit reports at required time.

• Capacity building to RHMTs should be a continuous process.

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Page 19: Summary and Analysis of RHMT Reports 2009/2010 1 R.D. Mutagwaba, Regional Health Services Coordinator, MOHSW

END

Thank you for listening!

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