The Health Sector Strategic Plan III (HSSP III) is under development and the scoring ... Improve data quality analyses a
COUNTRY ACCOUNTABILITY FRAMEWORK: Assesment/Scorecard* Civil registration & vital statistics systems Assessment Plan Coordinating Mechanism Commitment
Situation Analysis
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For the civil registration and vital statistics system (CRVS) there is a national plan, national commitment, and coordination mechanisms. A community registry is available, but there is very limited quality control.
UNITED REPUBLIC OF TANZANIA ZANZIBAR Possible actions 1. Improve hospital reporting, improve use of ICD-10 for causes of death 2. Strengthen community reporting of birth and death through community workers, test new approaches, and use verbal autopsy approaches
Hospital reporting Community reporting Vital statistics Local studies
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Monitoring of results National M&E Plan M&E Coordination Health Surveys Facility data (HMIS) Data sharing Analytical capacity Equity MNCH indicators
Situation Analysis
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The Health Sector Strategic Plan III (HSSP III) is under development and the scoring reflects the current HSSP II. There is good monitoring and evaluation (M&E) coordination, but other sectors need to be involved. Analytical capacity is limited. Data quality analyses are done, but are limited.
Possible actions 1. Develop strong M&E component of HSSP III 2. Enhance analytical capacity 3. Improve data quality analyses and data verification
* Please note this is a draft that will be finalised and validated through a national accountability workshop involving a broader stakeholder group
COUNTRY ACCOUNTABILITY FRAMEWORK: Assesment/Scorecard* Maternal death surveillance & response Notification Capacity to review and act Hospitals / facilities Quality of care Community reporting & feedback
Situation Analysis
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Review of the system
UNITED REPUBLIC OF TANZANIA ZANZIBAR Possible actions
There is no national policy requiring notification of all maternal deaths, but reporting is done in all facilities. Facilities are not using the ICD 10 system in reporting maternal deaths. Deaths are reported to Shehia within 24 hours. There is a need to establish a system to transmit the information from districts to HQ. Zanzibar does conduct verbal autopsies for facility based deaths.
0 Innovation and eHealth Policy Infrastructure Services Standards Governance
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Protection
Situation Analysis
Possible actions
eHealth activities are on-going with strategies and plans in early stages of development. With respect to infrastructure, all major hospitals and DHMTs are connected to electronic communication channels and some programs use mobile reporting from lower levels. eHealth services include a health information system (HIS) that is web-based and District Health Management Teams (DHMT) are connected to the system. The system is not yet electronic at the facility level. There is limited data sharing as there are problems with human resources (HR). Standards for eHealth services and applications are not available, but discussions have started on DHIS and iHRS. With respect to governance, iHRS has small component on eHealth, but not a formal committee. There is no protection policy document specifically for health data.
1. Develop national eHealth strategy (and policy) with country leadership and broad buy in 2. Enhance interoperability through eHealth services, supported by one policy 3. Develop/strengthen a system of coordination of standards to ensure interoperability 4. Develop and support a strong effective coordination mechanism 5. Make investments in the area of data protection
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* Please note this is a draft that will be finalised and validated through a national accountability workshop involving a broader stakeholder group
COUNTRY ACCOUNTABILITY FRAMEWORK: Assesment/Scorecard* Monitoring of resources National health accounts Compact and coordination Production capacities
Situation Analysis
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Data use
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There is a plan to start national health accounts (NHA) in Zanzibar in 2012. For the last 6 years, PERs have been performed annually. There is a MoU for basked fund and JAST. There is no coordination committee as a NHA has not yet been done in Zanzibar.
Accountability processes Annual reviews Synthesis informs reviews From review to planning
Situation Analysis
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UNITED REPUBLIC OF TANZANIA ZANZIBAR Possible actions 1. Support needed in the start up phase of NHA 2. Resources from NGOs and emerging donors not reported 3. Training only done in mainland and not in Zanzibar - needed on the financial part and IT part, development of IT infrastructure needed to support the NHA
Possible actions 1. Enhance involvement of civil society, including women's organizations 2. Strengthen the use of the M&E plan in the reviews (and strengthen the plan see monitoring of results) 3. Develop "Compacts", increase partner buy-in, ensure review results are used 4. Strengthen the capacity to prepare analytical reports prior to the reviews 5. Develop/strengthen mechanism to compile all policy/qualitative information to inform annual reviews
Compacts or equivalent
2 Advocacy & outreach Parliament active in RMNCH Active RMNCH civil society RMNCH progress report/review Media role
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National Countdown meeting
Situation Analysis
Possible actions
Parliament is not active on reproductive, maternal, newborn, and child health (RMNCH) issues. Some coalitions exists, but none on RMNCH specifically and coalitions are not coordinated. Consultations of the coalitions are needed. There is a RMNCH progress report, but it is not disseminated widely. The data source for the joint annual health sector review (JAHSR) and RMNCH programme review are the same and the RMNCH programme review does happen, but is not linked to the JAHSR. There is very limited involvement of the media.
1. Parliamentarians are informed/encouraged to engage in RMNCH accountability, especially on financing 2. Establish/support/strengthen coalition of civil society 3. Effective dissemination of RMNCH report, ensure that findings feed into the health sector reviews 4. Work with the media to strengthen their capacity to report on these issues
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Needs to be developed/done Needs a lot of strengthening Needs some strengthening Already present/no action needed
* Please note this is a draft that will be finalised and validated through a national accountability workshop involving a broader stakeholder group
