The importance of the private sector for Tanzania’s health system is widely acknowledged. Around 27% of the country’s health care services are delivered by private (predominantly faith-based organizations) health service providers. Opportunities for cooperation with the private health sector are lacking thus leading to an inefficient health service delivery.
TGPSH provides technical advisory and advocacy services in key policy areas to government bodies, regional administrations and non-state actors at national and regional level. TGPSH supports the operationalisation of contractual arrangements for complementary provision of health services by public and private facilities, particularly supported the development and implementation of "Service Agreements" which defines between two/or more partners (council/private health providers) health services provided against payment in return. Other activities include e.g. promotion of group enrollment into national social security funds, HIV&AIDS workplace programmes as well as strengthening managerial capacities of private health service providers.
The National PPP Policy, PPP Act and Regulations, in 2010 a functional PPP desk at the MoHSW and a sector-wide Technical Working Groups for PPP were established.
In the programme regions PPP Steering Teams have been established using existing national governing structures for PPP dialogue and advocacy.
Together with other partners TGPSH supported the establishment of an independently operating Competence Centre for PPP in Health which is serving as a platform for facilitating partnership dialogue, networking and exchange of resources and innovative ideas on a national and regional scale.
Improved access to quality health services of tea farmers and their families through the development partnership projects on social protection: Since August 2010, 40,8% of the tea farmers in the community and 100% of the Mponde factory workers have joined the CHF. To date, Mponde Health Post has offered services to 6337 clients i.e. workers from the factory and their families, as well as community members from surrounding villages.
Peer Educators (78) have been trained and (14) IEC & VCT campaigns in the surrounding communities were conducted in which 9822 villagers participated. Out of those, 8413(86%) got tested for HIV.The newly developed company Workplace Policy guarantees weekly peer education sessions and free access to condoms in the tea factory.
19 private health service providers have signed a Service Agreement with respective council authorities with TGPSH’s technical and financial support. TGPSH is analyzing the shortcomings faced by involved stakeholders at various institutional levels in order to draw from these observations viable solutions for improvement.
TGPSH supports the development of financing strategies and mechanism which are crucial factors in this process.
