HPSS Tanzania, Phase III - Health Promotion and System Strengthening Project Exit Phase III

In the exit phase, the project undergoes a change of role from a facilitation role to the role of providing technical assistance to the Government of Tanzania (GoT) with the intent of mainstreaming HPSS interventions into existing government processes. Phases 1 and 2 concentrated on developing innovative solutions for health insurance for the rural and informal sector, improved medicine supply management systems and enhanced health technology management (HTM) methodologies, as well as community-oriented health promotion. In phase 3, the project will concentrate on supporting the GoT in the consolidation and rollout of the key products so far developed by the HPSS project. The project design will evolve from a project mode of working in 3 regions to a technical assistance program supporting the GoT at national level so that GoT institutions and structures can undergo the needed organizational development to sustainably implement these interventions beyond the project timeframe.

In the exit phase, the development, discussion and dissemination of evidence is of crucial importance for the successful completion of the project. A Tanzania based “Research Advisory Committee” (RAC) will be established with members representing major stakeholders (e.g. MoHCDGEC, PORALG, NHIF) and academia in the outlined activity areas of the project in phase 3.

The project goal for phase 3 is:

The health system of Tanzania is strengthened in respect to iCHF health insurance, Jazia PVS medicines management, health technology management, and community participatory health promotion.

Kalolo A, Gautier L, Radermacher R, Srivastava S, Meshack M, De Allegri M. Factors influencing variation in implementation outcomes of the redesigned community health fund in the Dodoma region of Tanzania: a mixed-methods study. BMC Public Health. 2021;21:1. DOI: 10.1186/s12889-020-10013-y

Schuetze L, Srivastava S, Missenye A.M, Rwezaula E.J, Stoermer M, De Allegri M. Factors affecting the successful implementation of a digital intervention for health financing in a low-resource setting at scale: semistructured interview study with health care workers and management staff. J Med Internet Res. 2023;25:e38818. DOI: 10.2196/38818

Schuetze L, Srivastava S, Kuunibe N, Rwezaula E.J, Missenye A, Stoermer M, De Allegri M. What factors explain low adoption of digital technologies for health financing in an insurance setting? Novel evidence from a quantitative panel study on IMIS in Tanzania. Int J Health Policy Manag. 2023;12:6896. DOI: 10.34172/ijhpm.2023.6896

Tough H, Abdallah A.K, Zemp E, Molesworth K. Gender dynamics of community-led total sanitation interventions in Mpwapwa district, Tanzania. Glob Public Health. 2023;18(1):2053733. DOI: 10.1080/17441692.2022.2053733

Bohle L.F, Abdallah A.K, Galli F, Canavan R, Molesworth K. Knowledge, attitudes and practices towards malaria diagnostics among healthcare providers and healthcare-seekers in Kondoa district, Tanzania: a multi-methodological situation analysis. Malar J. 2022;21:224. DOI: 10.1186/s12936-022-04244-0

Wiedenmayer K, Mbwasi R, Mfuko W, Mpuya E, Charles J, Chilunda F, Mbepera D, Kapologwe N. Jazia prime vendor system - a public-private partnership to improve medicine availability in Tanzania: from pilot to scale. J Pharm Policy Pract. 2019;12:4. DOI: 10.1186/s40545-019-0163-4

Kuwawenaruwa A, Wyss K, Wiedenmayer K, Metta E, Tediosi F. The effects of medicines availability and stock-outs on household's utilization of healthcare services in Dodoma region, Tanzania. Health Policy Plan. 2020;35(3):323-333. DOI: 10.1093/heapol/czz173

Wiedenmayer K, Msamba V.-S, Chilunda F, Kiologwe J.C, Seni J. Impact of hand hygiene intervention: a comparative study in health care facilities in Dodoma region, Tanzania using WHO methodology. Antimicrob Resist Infect Control. 2020;9(1):80. DOI: 10.1186/s13756-020-00743-4

Kuwawenaruwa A, Tediosi F, Obrist B, Metta E, Chiluda F, Wiedenmayer K, Wyss K. The role of accountability in the performance of Jazia prime vendor system in Tanzania. J Pharm Policy Pract. 2020;13:25. DOI: 10.1186/s40545-020-00220-8

Kuwawenaruwa A, Wyss K, Wiedenmayer K, Tediosi F. Cost and cost drivers associated with setting-up a prime vendor system to complement the national medicines supply chain in Tanzania. BMJ Glob Health. 2020;5(9):e002681. DOI: 10.1136/bmjgh-2020-002681

Wiedenmayer K, Ombaka E, Kabudi B, Canavan R, Rajkumar S, Chilunda F, Sungi S, Stoermer M. Adherence to standard treatment guidelines among prescribers in primary healthcare facilities in the Dodoma region of Tanzania. BMC Health Serv Res. 2021;21:272. DOI: 10.1186/s12913-021-06257-y

Kuwawenaruwa A, Tediosi F, Metta E, Obrist B, Wiedenmayer K, Msamba V.S, Wyss K. Acceptability of a prime vendor system in public healthcare facilities in Tanzania. Int J Health Policy Manag. 2021;10(10):625-637. DOI: 10.34172/ijhpm.2020.90

Mbwasi R, Mbepera D, Mfuko W, Makanzo J, Kikwale M, Canavan R, Stoermer M, Wiedenmayer K. Assessing public-private procurement practices for medical commodities in Dar es Salaam: a situation analysis. BMC Health Serv Res. 2022;22:1523. DOI: 10.1186/s12913-022-08923-1

Kapologwe N.A, Kagaruki G.B, Kalolo A, Ally M, Shao A, Meshack M, Stoermer M, Briët A, Wiedenmayer K, Hoffmann A. Barriers and facilitators to enrollment and re-enrollment into the community health funds/Tiba Kwa Kadi (CHF/TIKA) in Tanzania: a cross-sectional inquiry on the effects of socio-demographic factors and social marketing strategies. BMC Health Serv Res. 2017;17:308. DOI: 10.1186/s12913-017-2250-z

Kalolo A, Radermacher R, Stoermer M, Meshack M, De Allegri M. Factors affecting adoption, implementation fidelity, and sustainability of the redesigned community health fund in Tanzania: a mixed methods protocol for process evaluation in the Dodoma region. Glob Health Action. 2015;8:29648. DOI: 10.3402/gha.v8.29648

Francetic I, Tediosi F, Salari P, de Savigny D. Going operational with health systems governance: supervision and incentives to health workers for increased quality of care in Tanzania. Health Policy Plan. 2019;34(Suppl. 2):ii77-ii92. DOI: 10.1093/heapol/czz104

Francetic I, Fink G, Tediosi F. Impact of social accountability monitoring on health facility performance: evidence from Tanzania. Health Econ. 2021;30(4):766-785. DOI: 10.1002/hec.4219

Kalolo A, Gautier L, Radermacher R, Stoermer M, Jahn A, Meshack M, De Allegri M. Implementation of the redesigned community health fund in the Dodoma region of Tanzania: a qualitative study of views from rural communities. Int J Health Plann Manage. 2018;33(1):121-135. DOI: 10.1002/hpm.2403

Stoermer M, Radermacher R, Vanderhyden M. Transforming community health funds in Tanzania into viable social health insurance schemes: the challenges ahead. Bulletin Medicus Mundi. 2011(120):22-28

Wiedenmayer K, Mbwasi R.O.J, Mfuko W.C. Complementing public-sector medicine supply through a public-private partnership in Tanzania: Jazia - a prime vendor system for Dodoma Region public health facilities. Medford: Management Sciences for Health (MSH), 2018

Wiedenmayer K.A, Kapologwe N, Charles J, Chilunda F, Mapunjo S. The reality of task shifting in medicines management - a case study from Tanzania. J Pharm Policy Pract. 2015;8:13. DOI: 10.1186/s40545-015-0032-8

Kapologwe N, Mori A.T, Chilunda F, Meshack M, Kalolo A, Wiedenmayer K. Reforming supportive supervision of medicines management with an audit tool in primary health care facilities: a case study of Bahi districht, Tanzania. Int J Pharm. 2014;4(4):108-114

Jähnke R.W.O, Häfele-Abah C, Bonsmann C, Lange P, Silly I, Rabien D, Wiedenmayer K.A, Hauk C, Muzafarova N, Waning B, Heide l. Beispiele der pharmazeutischen Entwicklungszusammenarbeit. Pharmakon. 2018;6(5):398

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