Dstv Dailynews  Mobile
HBF partners get kudos for adopting govt systems

HBF partners get kudos for adopting govt systems

MINISTER for Health, Community Development, Gender, Elderly and Children, Dr Dorothy Gwajima has appreciated the Health Basket Fund (HBF) partners for accepting to use government systems and processes for planning budget and expenditure tracking.

Officiating the opening of HBF’s 22nd meeting here recently, Dr Gwajima said in doing so, HBF has helped to fast-track implementation of health sector reforms at local government level, such as use of comprehensive council health plans at council level and health facilities plans at health facility level.


“This was a bold step and courageous action taken by the pioneers as they were stepping into an unknown and untested field,” she said.

Adding, “many of the other Sector Wide Approach (SWAp) partners who remained outside the basket feared that funds may be miss-spent and they would not be able to attribute success in the sector for the funds injected in the health basket”.

Despite these odds, the minister said the partners decided to put their faith in the government and the fund was launched to provide flexible funding to the government.

Established in 1999, the Health Basket Fund under the Sector Wide Approach (SWAp) was meant to provide a framework for collaboration and coordination between the government and stakeholders to support one health sector programme by increasing government ownership.

The government invited development partners participating in the SWAp process to pool resources in support of jointly developed sector plans, particularly the primary health care services.

Supporting primary health care was in line with the then Alma Ata Declaration, Now Astana Declaration which focuses efforts on Primary Health Care to ensure that everyone and everywhere is able to enjoy the highest possible attainable standard of health.

Six partners including Norway, Switzerland, Denmark, the United Kingdom, Ireland and the World Bank responded to this call and became pioneers of the Health Basket Fund.

The fund started its operations to support implementation of the Health Sector Programme of Work (POW) in 1999/2000 to 2001/2002 using government systems and procedures.

The HBF started by allocating 0.5 US dollar per capita to local government authorities and later increased to 1.0 US dollar per capita.

In a period of 22 years, the health basket contributed a total of 1.54 billion US dollars to the health sector. Most of the HBF resources are allocated to the local government level where primary health care service delivery occurs.

Dr Gwajima said the HBF has become, and has continued to be, a reliable and predictable source of funding for service delivery at the primary health care level.

This has helped to reduce the burden to the government of having separate dialogue structures, and this is a lesson to take in efforts to harmonise and align the existing separate dialogue structures for the Global Fund and GAVI with the Joint Annual Health Sector Review.

In 2015, the government started to implement the Big Results Now Health Care Initiative (BRN Health), in order to accelerate achievement of health objectives of the Tanzania Development Vision 2025.

BRN Health introduced several reforms, including financial decentralisation to health facilities by introducing the use of Health Facility Plans (HFP), Direct Health Facility Financing (DHFF) and Facility Financial Reporting System (FFARS).


DID YOU KNOW? Mangi Meli

MANGI (Chief) Meli (or Mangi Meli Kiusa ...

Author: DAILY NEWS Reporter in Dodoma

Post your comments



Recent Posts


more headlines in our related posts

latest # news