scholarly journals Operational challenges of engaging development partners in district health planning in Tanzania

2020 ◽  
Author(s):  
Kusirye B Ukio ◽  
James Charles ◽  
Axel Hoffman ◽  
Albino Kalolo
Keyword(s):  
Quantitative Data ◽  
Health Planning ◽  
Descriptive Analysis ◽  
Development Assistance ◽  
Health Financing ◽  
Health Priorities ◽  
District Health ◽  
Development Assistance For Health ◽  
Donor Coordination ◽  
The Government

Abstract Background: Development assistance for health represents an important source of health financing in many low and middle-income countries. However, there are few accounts on how priorities funded through Development assistance for health are integrated with district health priorities. This study aimed at understanding the operational challenges of engaging development partners in district health planning in Tanzania Methods: This explanatory mixed methods study was conducted in Kinondoni and Bahi districts. A structured checklist to 35 participants collected quantitative data whereas a semi-structured guide collected qualitative from 20 key informants (the council health planning team members and the development partners) to obtain information related to engagement of development partners in the planning processes and subsequent implementation of the district plan. We used descriptive analysis for quantitative data and thematic analysis for qualitative data Results: Majority (86%) of the development partners delivering aid in the studied districts were Non Governmental Organizations. We found high engagement of Development partners (DPs) (87.5%) in Bahi district and very low in Kinondoni district (37.5%). Guidance on district priorities to be included in Development partner’s plans as part of the Comprehensive Council Health Plan (CCHP) was given to 36% of the Development partners. Submission of written plans to be integrated in the District plans was done by only 56% of Development partners, with majority (77.7%) from Kinondoni district not submitting their plans. Only 8% of the submitted plans appeared in the final District plan document. Qualitative findings reported operational challenges to engagements such as differences in planning cycles between the government and donors, uncertainties in funding from the prime donors, lack of transparency, limited skills of district planning teams, technical practicalities on planning tools and processes, inadequate knowledge on planning guidelines among DPs and poor donor coordination at the district level. Conclusions: We found low engagement of Development partners in planning. To be resolved are operational challenges related to differences in planning cycles, articulations and communication of local priorities, donor coordination, and technical skills on planning and stakeholder engagement.

scholarly journals Operational Challenges of Engaging Development Partners in District Health Planning in Tanzania

2021 ◽  
Author(s):  
James Charles ◽  
Kusirye Ukio ◽  
Axel Hoffman ◽  
Albino Kalolo
Keyword(s):  
Quantitative Data ◽  
Health Planning ◽  
Descriptive Analysis ◽  
Health Financing ◽  
Health Priorities ◽  
District Health ◽  
Middle Income ◽  
Non Governmental Organizations ◽  
Donor Coordination ◽  
The Government

Abstract BackgroundDevelopment assistance for health represents an important source of health financing in many low and middle-income countries. However, there are few accounts on how priorities funded through Development assistance for health are integrated with district health priorities. This study aimed at understanding the operational challenges of engaging development partners in district health planning in Tanzania MethodsThis explanatory mixed methods study was conducted in Kinondoni and Bahi districts. A structured checklist to 35 participants collected quantitative data whereas a semi-structured guide collected qualitative from 20 key informants (the council health planning team members and the development partners) to obtain information related to engagement of development partners in the planning processes and subsequent implementation of the district plan. We used descriptive analysis for quantitative data and thematic analysis for qualitative data ResultsMajority (86%) of the development partners delivering aid in the studied districts were Non Governmental Organizations. We found high engagement of Development partners (DPs) (87.5%) in Bahi district and very low in Kinondoni district (37.5%). Guidance on district priorities to be included in Development partner’s plans as part of the Comprehensive Council Health Plan (CCHP) was given to 36% of the Development partners. Submission of written plans to be integrated in the District plans was done by only 56% of Development partners, with majority (77.7%) from Kinondoni district not submitting their plans. Only 8% of the submitted plans appeared in the final District plan document. Qualitative findings reported operational challenges to engagements such as differences in planning cycles between the government and donors, uncertainties in funding from the prime donors, lack of transparency, limited skills of district planning teams, technical practicalities on planning tools and processes, inadequate knowledge on planning guidelines among DPs and poor donor coordination at the district level. ConclusionsWe found low engagement of Development partners in planning. To be resolved are operational challenges related to differences in planning cycles, articulations and communication of local priorities, donor coordination, and technical skills on planning and stakeholder engagement.

scholarly journals Tracking development assistance for health from China, 2007–2017

2019 ◽  
Vol 4 (5) ◽  
pp. e001513 ◽  
Author(s):  
Angela E Micah ◽  
Yingxi Zhao ◽  
Catherine S Chen ◽  
Bianca S. Zlavog ◽  
Golsum Tsakalos ◽  
...  
Keyword(s):  
International Development ◽  
Development Assistance ◽  
Health Financing ◽  
Health System Strengthening ◽  
Government Agencies ◽  
Development Assistance For Health ◽  
The World Bank ◽  
Level Of Economic Development ◽  
Current Context ◽  
International Engagement

IntroductionIn recent years, China has increased its international engagement in health. Nonetheless, the lack of data on contributions has limited efforts to examine contributions from China. Existing estimates that track development assistance for health (DAH) from China have relied primarily on one dataset. Furthermore, little is known about the disbursing agencies especially the multilaterals through which contributions are disbursed and how these are changing across time. In this study, we generated estimates of DAH from China from 2007 through 2017 and disaggregated those estimates by disbursing agency and health focus area.MethodsWe identified the major government agencies providing DAH. To estimate DAH provided by each agency, we leveraged publicly available development assistance data in government agencies’ budgets and financial accounts, as well as revenue statements from key international development agencies such as the WHO. We reported trends in DAH from China, disaggregated contributions by disbursing bilateral and multilateral agencies, and compared DAH from China with other traditional donors. We also compared these estimates with existing estimates.ResultsDAH provided by China grew dramatically, from US$323.1 million in 2007 to $652.3 million in 2017. During this period, 91.8% of DAH from China was disbursed through its bilateral agencies, including the Ministry of Commerce ($3.7 billion, 64.1%) and the National Health Commission ($917.1 million, 16.1%); the other 8.2% was disbursed through multilateral agencies including the WHO ($236.5 million, 4.1%) and the World Bank ($123.1 million, 2.2%). Relative to its level of economic development, China provided substantially more DAH than would be expected. However, relative to population size and government spending, China’s contributions are modest.ConclusionIn the current context of plateauing in the growth rate of DAH contributions, China has the potential to contribute to future global health financing, especially financing for health system strengthening.

scholarly journals India’s RMNCH+A Strategy: approach, learnings and limitations

2019 ◽  
Vol 4 (3) ◽  
pp. e001162 ◽  
Author(s):  
Gunjan Taneja ◽  
Vegamadagu Suryanarayana-Rao Sridhar ◽  
Jaya Swarup Mohanty ◽  
Anurag Joshi ◽  
Pranav Bhushan ◽  
...  
Keyword(s):  
Health Planning ◽  
Healthcare Delivery ◽  
Monitoring And Evaluation ◽  
Healthcare Services ◽  
Evaluation Framework ◽  
Public Healthcare ◽  
Healthcare Delivery System ◽  
District Health ◽  
Public Health Challenges ◽  
The Government

Building on the gains of the National Health Mission, India’s Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A) Strategy, launched in 2013, was a milestone in the country’s health planning. The strategy recognised the interdependence of RMNCH+A Interventions across the life stages and adopted a comprehensive approach to address inequitable distribution of healthcare services for the vulnerable population groups and in poor-performing geographies of the country. Based on innovative approaches and management reforms, like selection of poor-performing districts, prioritisation of high-impact RMNCH+A healthcare interventions, engagement of development partners and institutionalising a concurrent monitoring system the strategy strived to improve efficiency and effectiveness within the public healthcare delivery system of the country. 184 High Priority Districts were identified across the country on a defined set of indicators for implementation of critical RMNCH+A Interventions and a dedicated institutional framework comprising National and State RMNCH+A Units and District Level Monitors supported by the development partners was established to provide technical support to the state and district health departments. Health facilities based on case load and available services across the High Priority Districts were prioritised for strengthening and were monitored by an RMNCH+A Supportive Supervision mechanism to track progress and generate evidence to facilitate actions for strengthening ongoing interventions. The strategy helped develop an integrated systems-based approach to address public health challenges through a comprehensive framework, defined priorities and robust partnerships with the partner agencies. However, lack of a robust monitoring and evaluation framework and sub-optimal focus on social determinants of health possibly limited its overall impact and ability to sustain improvements. Guided by the learnings and limitations, the Government of India has now designed the ‘Aspirational Districts Program’ to holistically address health challenges in poor-performing districts within the overall sociocultural domain to ensure inclusive and sustained improvements.

The relationship between development assistance for health and public health financing in 134 countries between 2000 and 2015

2021 ◽  
Author(s):  
Bryan N Patenaude
Keyword(s):  
Public Health ◽  
Health Outcomes ◽  
Development Assistance ◽  
Health Sector ◽  
Health Spending ◽  
Health Financing ◽  
World Health ◽  
Public Financing ◽  
Development Assistance For Health ◽  
The Relationship

Abstract This paper utilizes causal time-series and panel techniques to examine the relationship between development assistance for health (DAH) and domestic health spending, both public and private, in 134 countries between 2000 and 2015. Data on 237 656 donor transactions from the Institute for Health Metrics and Evaluation’s DAH and Health Expenditure datasets are merged with economic, demographic and health data from the World Bank Databank and World Health Organization’s Global Health Observatory. Arellano–Bond system GMM estimation is used to assess the effect of changes in DAH on domestic health spending and health outcomes. Analyses are conducted for the entire health sector and separately for HIV, TB and malaria financing. Results show that DAH had no significant impact on overall domestic public health investment. For HIV-specific investments, a $1 increase in on-budget DAH was associated with a $0.12 increase in government spending for HIV. For the private sector, $1 in DAH is associated with a $0.60 and $0.03 increase in prepaid private spending overall and for malaria, with no significant impact on HIV spending. Results demonstrate that a 1% increase in public financing reduced under-5 mortality by 0.025%, while a 1% increase in DAH had no significant effect on reducing under-5 mortality. The relationships between DAH and public health financing suggest that malaria and HIV-specific crowding-in effects are offset by crowding-out effects in other unobserved health sectors. The results also suggest policies that crowd-in public financing will likely have larger impacts on health outcomes than DAH investments that do not crowd-in public spending.

scholarly journals Following the Government Playbook? Channeling Development Assistance for Health through Country Systems

10.1596/36525 ◽  
2021 ◽  
Author(s):  
Moritz Piatti-Funfkirchen ◽  
Ali Hashim ◽  
Sarah Alkenbrack ◽  
Srinivas Gurazada
Keyword(s):  
Development Assistance ◽  
Development Assistance For Health ◽  
The Government

scholarly journals Epidemiology and Health Planning

2021 ◽  
pp. 178-198
Author(s):  
J Patrick Vaughan ◽  
Cesar Victora ◽  
A Mushtaque R Chowdhury
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
High Risk ◽  
Systems Approach ◽  
Health Planning ◽  
Risk Groups ◽  
Health Priorities ◽  
Local Health ◽  
District Health ◽  
High Quality

This chapter focuses on how local health teams can use epidemiology to help plan for health priorities and identify high-risk groups and to tackle inequalities. Using a systems approach epidemiology can help to strengthen primary health care and improve the delivery of district health services and programmes. These need to be delivered so people have high levels of access to high-quality services and programmes that also achieve high levels of population coverage.

scholarly journals Evolution and patterns of global health financing 1995–2014: development assistance for health, and government, prepaid private, and out-of-pocket health spending in 184 countries

The Lancet ◽  
2017 ◽  
Vol 389 (10083) ◽  
pp. 1981-2004 ◽  
Author(s):  
Joseph Dieleman ◽  
Madeline Campbell ◽  
Abigail Chapin ◽  
Erika Eldrenkamp ◽  
Victoria Y Fan ◽  
...  
Keyword(s):  
Global Health ◽  
Development Assistance ◽  
Health Spending ◽  
Health Financing ◽  
Development Assistance For Health

scholarly journals Analisis Pembiayaan Kesehatan Bersumber Pemerintah di Kota Serang Tahun 2014 – 2016

2017 ◽  
Vol 6 (3) ◽  
pp. 138 ◽  
Author(s):  
Estherlina Sitorus ◽  
Atik Nurwahyuni
Keyword(s):  
Health System ◽  
Health Sector ◽  
Health Financing ◽  
City Government ◽  
Health System Strengthening ◽  
District Health ◽  
Budget Planning ◽  
Health System Governance ◽  
The Government ◽  
Selection Of

ABSTRACTBackground:This study aims to obtain information about health financing based on sources and utilization of funds derived from the government in Serang City year 2014-2016, as well as commitment from the local government of Serang City towards health financing by using approach District Health Account (DHA. The results showed that the total budget for health financing funded by the government in Serang City from 2014-2016 has increased in 2014 amounting to Rp 61,759,128,963, in year 2015 it was amounting to Rp 77,302,110,763 and in year 2016 of Rp 88,278,652,111. The proportion of APBD Serang City in the Year 2014 was 6.02%, Year 2015 was 6.99% and Year 2016 was 7.79%. This shows the commitment of Serang City government to funding the health sector. From the perspective of Health financing by function, the largest percentage is health system governance functions and for curative services. From the perspective of the program, many is allocated for health system strengthening program 59,55% -67,43%. While from the perspective of budget, most is allocated for the operational expense (83.68% -93.57%). With limited resources while increasing health needs, it will require the efficient use of existing resources as well as the selection of effective health program activities, and the need to make health budgeting policy as the basis or reference of health budget planning in Serang City. Keywords: Health Financing, DHA, Health Expenditure ABSTRAKPenelitian ini bertujuan untuk memperoleh informasi tentang pembiayaan kesehatan berdasarkan sumber dan pemanfaatan dana yang berasal dari pemerintah di Kota Serang Tahun 2014- 2016, serta komitmen dari pemerintah Daerah Kota Serang terhadap pembiayaan kesehatannya dengan menggunakan pendekatan District Health Account (DHA). Hasil penelitian menunjukan bahwa total anggaran untuk pembiayaan kesehatan bersumber pemerintah di Kota Serang dari Tahun 2014-2016 mengalami peningkatan yaitu pada Tahun 2014 sebesar Rp 61.759.128.963, Tahun 2015 sebesar Rp 77.302.110.763dan Tahun 2016 sebesar Rp 88.278.652.111. Jika dilihat dari persentase APBD Kota Serang pada Tahun 2014 sebesar 6,02%, Tahun 2015 sebesar 6,99% dan Tahun 2016 sebesar 7,79%. Hal ini menunjukan komitmen pemerintah Kota Serang terhadap pendanaan sektor kesehatannya. Pembiayaan kesehatan berdasarkan fungsi, persentase terbesar untuk fungsi tata kelola sistem kesehatan dan untuk pelayanankuratif. Berdasarkan program, banyak terealisasi untuk program penguatan Sistem kesehatan 59,55%-67,43%, berdasarkan mata anggaran, paling besar untuk belanja operasional (83,68%- 93,57%). Dengan sumber daya yang terbatas sedangkan kebutuhan kesehatan yang terus meningkat, maka diperlukan efisensi penggunaan sumber daya yang ada serta pemilihan program kegiatan kesehatan yang efektif, serta perlunya dibuat kebijakan penganggaran kesehatan sebagai dasar atau acuan perencanaan anggaran kesehatan di Kota Serang. Kata Kunci: Pembiayaan Kesehatan, DHA, Belanja Kesehatan

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