TANZANIA HEALTH SECTOR STRATEGIC PLAN III, 2009-2015:

MIDTERM ANALYTICAL REVIEW

Leonard E.G. Mboera, PhD, DICNational Institute for Medical ResearchDar es Salaam, TanzaniaEmail: lmboera@nimr.or.tz

National Institute for Medical Researchwww.nimr.or.tz

BackgroundThis Mid-term Analytical review is part of the Mid

Term Review (MTR) of the Health Sector Strategic Plan III (HSSP III).

The review envisages providing information that will guide further implementation of HSSP III and future design of HSSP IV.

The primary objective is to review, analyze, and document progress, challenges, and lessons learned from the first half of HSSP III (2009-2012) implementation.

National Institute for Medical Researchwww.nimr.or.tz

Background-02The mid-term analytical report will provide an in-

depth analysis and synthesis of all relevant data, including:

- health and other household surveys, - census, - health facility and disease surveillance data,- facility assessments, - administrative resources data,- policy data and research studies.

National Institute for Medical Researchwww.nimr.or.tz

National Institute for Medical Research www.nimr.or.tz

Background-03• The analysis focuses on the priority areas of

HSSP III 2009-2015 and includes:– data quality assessment, – progress against targets for key indicators– equity by key stratifiers, – comparative analyses with peer countries, – performance and efficiency analysis comparing

inputs and outputs at the regional level, and– computation of lives saved through interventions.

Background-04The analytical review also aims to meet several other goals:• Maternal, Neonatal and Child Health (MNCH): assess

progress in the implementation of the acceleration plan for MNCH, as well as inform the preparation of a Countdown event in 2013.

• Global Fund (GF) review: reviews of tuberculosis, AIDS, malaria, and health overall – to provide feedback to the GF.

• Accountability framework: To be part of the implementation of the roadmap towards better accountability for health, with special attention for women and children.

National Institute for Medical Research www.nimr.or.tz

Background 05

The results of the analytical review will be translated into:

- policy briefs- country profile and - other ways that aim to reach a large audience.

National Institute for Medical Research www.nimr.or.tz

National Institute for Medical Research www.nimr.or.tz

Inception Meeting

• A preparatory inception meeting was convened in Dar on Feb 05, 2013

• The objective was to develop a plan for the analytical and Mid-Term Review (MTR Analytical Review

• In attendance were stakeholders from MoHSW, WHO, DANIDA, Research Institutions

MethodologyThe analytical review is been carried out as:• a desk review of technical reports and• primary / aggregate data analyses including

i) population surveys ii) programme evaluation reports,

iii) policy documents and iv) research studies.

The approach focuses on analysis and synthesis of existing data sets

National Institute for Medical Research www.nimr.or.tz

National Institute for Medical Research www.nimr.or.tz

Methodology• The focus of the analyses is on progress made for the

key indicators and targets of HSSP III. • The main subject areas include:

– Communicable diseases: Tuberculosis, Malaria, HIV/AIDS including Prevention of Mother To Child Transmission, Neglected Tropical Diseases

– Reproductive, Maternal, Child and Neonatal Health, Immunisation

– Non-communicable diseases, Injuries, Disability– Disease Outbreaks– Health system: Financing, Health workforce, Infrastructure,

Policy changes, 2008-2012

Outline of the SectionsEach disease/ health system section will have the following

outline, focusing on the period 2008-2013:• Indicator and target of HSSP III: baseline, progress• Summary of achievements in the specific

programme/area• Data sources and data quality assessment• Progress analysis towards key indicators, using all

available data sources• Additional analyses to inform progress and performance

assessment:

National Institute for Medical Research www.nimr.or.tz

National Institute for Medical Research www.nimr.or.tz

Implementing agents

• National Institute for Medical Research • Ifakara Health Research Institute• African Population Health Research Centre

(Nairobi, Kenya)• World Health Organization (Geneva and Dar es

Salaam)

National Institute for Medical Research www.nimr.or.tz

Current Status (May 28, 2013)• Scooping and data collection – on going• Preliminary synthesis of some subject areas

(Communicable diseases, Non-communicable diseases, Maternal, Child and Neonatal Health, Disease outbreaks)– on going

• Specific in-depth studies (mortality and causes of death, infrastructure, equity, facility assessment policy changes, 2008-2012) – on going

National Institute for Medical Research www.nimr.or.tz

TimelineDeliverable/Activity Timeline Comment Draft of Midterm Analytical Report End of June 2013 Will have data gaps, such

as HMIS data 2012/13, new census denominators, and indepth analysis

In-depth Analysis and Capacity strengthening Workshop

August 2013 Late August, will have all data, and focus on indepth analyses

Consultative meeting with stakeholders (MTR Steering Committee/Ministry of Health and Social Welfare)

August 2013

Final analysis of Analytical Report Early September 2013

Submission of Final Report for Review End September 2013

National Institute for Medical Research www.nimr.or.tz

Deliverables

Ministry of Health and Social Welfare P.O. Box 9083, Dar es Salaam, Tanzania

Funded by: World Health Organization

September 2013

Midterm Analytical Report ____________________________ TANZANIA HEALTH SECTOR STRATEGIC PLAN III,

2009-2015

National Institute for Medical Research www.nimr.or.tz

Acknowledgements• All those who were willing to share various

report • Ministry of Health and Social Welfare for the

continuing support

Thank you for listening