Healt Financing TWG UPDATE December, 2015

Healt Financing TWG UPDATE December, 2015

Last HFTWG met in December 7th

Health Financing Strategy up-dates:

The ISC met for the last time in relation to the Health Financing Strategy process December 4th. They approved from their side the HFS, given that the MOHCDGSC makes the last requested changes:
Developing further some strong but simple costing scenarios on revenue for health
Revise the MBP scenarios

These two tasks should be completed internally by the HF unit of the Ministry and presented to the ISC chair/ PS MOH for final approval.

The Ministry plans to subsequently hold a stakeholder meeting in DSM for all MDAs to share the final HFS.

In the meantime, the Ministry is going to initiate a legal review of the proposed SNHI legislation with assistance of WHO. Once this review has been completed the cabinet paper for the SNHI legislation will be reviewed, adapted and submitted.

General HF TWG up-dates:

JAHSR Policy Meeting recommendations for HF as per draft aide memoire:

Focus on the need for approval of the Health Financing Strategy, advocacy for increased resources for the sector, and improved public financial management. Agreed actions reflect those identified in the roadmap for HFS implementation.

MOHSW will undertake a legislative review prior to development and submission of the SNHI Act for approval by Parliamentby June 2016
MOHSW will spearhead and advocate for the passing of the Single National Health Insurance legislation by Cabinet by end 2016
MOHSW, NHIF, and partners will harmonize different CHF/TIKA approaches by end 2016 towards a single design, in terms of: improved health insurance membership, enrolment, and financial data management; increased focus on enrolment of the poor; and introduction of a clear purchaser-provider split.
MOHSW and partners will make an evidence-based case for an increase in domestic financing in the FY2016/17 budget cycle, to progress towards a target of US$ 54 per capita, linked to impact of HSSP IV interventions and the need to subsidize the poor
MOHCDGSC and PORALG will establish simple planning, budgeting and financial reporting mechanisms for health facilities by end 2016
MOHCDGSC will lead the establishment of a cross-ministerial PFM TWG with a view to improving the efficient use of available financial resources by end June 2016.

CHF implementer’s meeting: NHIF suggested to call for the next meeting end of January 2016 to be held in Dodoma.
NHA and PER:
PER 12/13 – final version completed, the TWG requested for its circulation
PER 13/14 under internal review currently, soon to be circulated
PER 14/15 data for this coming out now
WHO will in future support the NHA and PER processes

TZ Results Based Financing:

Regarding the planned RBF process and impact evaluations, it was reported that IHI has shared the protocol of what they did when implementing P4P in Pwani. The evaluation team/ IHI needs to share the evaluation protocol as soon as possible with the MOH and partners, however work on the protocol is still in progress – especially on updating the Indicators.
The baseline for the RBF impact evaluation will be undertaken in Mwanza in mid-late January. The evaluation team will conduct training of enumerators during the 3rd and 4th week of January. Data collection will start around 1 February. (3 weeks needed in for survey in RBF intervention area and 3 weeks in RBF control area. Total: 6-7 weeks). After this activity RBF will start roll-out also in Mwanza region.
As regards the process assessment of Kishapu District, comments were collected from the Impact Evaluation team on the related Terms of Reference, build them into the document and circulated this back to the Ministry. The RBF coordinator will review the last draft of the Process Assessment and endorse a final version as soon as possible. The process assessment will not conflict, but align with the impact evaluation.
Meanwhile from January, RBF will be rolled out throughout the whole Shinyanga Region. Currently the RBF team is conducting training for two groups in all districts, i.e. service providers, and leaders and committees.

AOB

NHIF: was requested by the TWG to present on their informal sector health insurance coverage option, Vikoa, as was recently presented to the Policy Forum. It was also suggested that NSSF should present on their informal sector health insurance, NSSF Hiari. The need for all implementers to align with the HFS was emphasized.

Next envisaged HF TWG Tuesday week of 11thJanuary2016

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