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23rd February, 2021

Achieving Result in GFF in Tanzania; the role of analysis and advocacy


Topic
Global Financing Facility


The participation at a regional training in January 2020 convened by AHBN with funding from PAI/GFF Hub by Health Promotion Tanzania (HDT) had provided the opportunity to analyze the Tanzania RMNCAH+N/GFF Investment Case and developed a spotlight.
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Written by Asmau Ahmad

AHBN Communication Associate

February 20, 2021

The participation at a regional training in January 2020 convened by AHBN with funding from PAI/GFF Hub by Health Promotion Tanzania (HDT) had provided the opportunity to analyze the Tanzania RMNCAH+N/GFF Investment Case and developed a spotlight.

The GFF Spotlight serves as an advocacy and accountability tool aimed at improving civil society engagement, accountability, and transparency of GFF implementation at country level. It provided information about; National Road Map for RMNCAH+N (One plan II), challenges identified by the plan, financing from IDA loan, GFF Trust Fund, Nutrition Trust Fund, USAID Trust Fund, disbursement linked indicators and timeline as well as key recommendations for actions. The Spotlight was used by HDT to advocate and sensitize stakeholders including members of the country multi stakeholders’ platform, civil society organizations, advocates, professional bodies, parliamentarians, and relevant government agencies about the GFF at country level.

It revealed the RMNCAH+N Road Map Strategic Plan (2016-2020) which serves as the RMNCAH+N/GFF Investment Case was costed at US$2.62 Billion or 55% of the Government of Tanzania Health Sector Budget for next five years. Also revealed that the Investment Case was co-financed with funding from the World Bank (IDA), the GFF Trust Fund, Nutrition Trust Fund and USAID totaling US$300 million. These investments were linked to Seven Disbursement Link Indicators which were a combination of actions, intermediate outputs, and outputs. Disbursements were tied to achieving targeted results set under each indicator each year.

From the training in January 2020 to date, HDT and Tanzania GFF CSOs Coordinating Group had used the GFF Spotlight to;

· Facilitate meetings and dialogue with relevant senior government officials, GFF Liaison and focal officers and development partners to ascertain the role of GFF in operationalizing the health financing strategies and improvements in domestic financing for health.

· Use the GFF Spotlight to sensitize civil society organizations and relevant stakeholders about GFF implementation in Tanzania especially in the 7 targeted regions.

· Use the GFF Spotlight to improve access to information and promote financial accountability for the GFF in Tanzania and facilitate meetings to ascertain adherence to specific disbursement timelines and conditions for all implementing institutions.

 

Highlights of key improvements.

  • The budgetary and financial analysis by the HDT and Tanzania GFF CSOs Coordinating Group revealed that, disbursement of funds was lagging in the GFF Trust Funded project, intended to improve maternal and child health through strengthening primary health care.
  • Deeper analysis showed that the government had not met key indicators necessary to unlock the remaining $106 million of the GFF project funds, which was holding up the release of money from the World Bank.
  • Advocacy by HDT and Tanzania GFF CSOs Coordinating Group led the government to request a no-cost extension from the World Bank and took necessary actions to meet performance indicators.
  • The HDT and Tanzania GFF CSOs Coordinating Group had strengthened relationships with the government and to plan how the remaining $106m would be used to strengthen primary health care.

Click to read the Tanzania GFF Spotlight http://africahbn.info/sites/default/files/resources/tanzania_spotlight_on_gff.pdf

The writer acknowledged the contribution of Rev. Dr. Peter Bujari (MD) Executive Director of Health Promotion Tanzania (HDT)

 

 

The participation at a regional training in January 2020 convened by AHBN with funding from PAI/GFF Hub by Health Promotion Tanzania (HDT).