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PUBLIC PRIVATE PARTNERSHIP

(PPP)

EXPECTED RESULTSACHIEVEMENTS

CHALLENGES

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COMPONENT OBJECTIVE

Public Private Partnership: (Phase1-2) The cooperation of private and public health

services, with particular attention to faith-based service providers is institutionalized and supported by the national policy.

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ACHIEVEMENTS-NATIONAL LEVEL A National Guideline for Establishment and Operationalisation of

CHSB, FGCs, CHPT developed (03) The National District Health Planning Guidelines defines the

CHPT PPP composition in developing CCHPs. A National PPP Steering Committee established ,TOR in Place

(06/07) and Quarterly meetings supported 2009-2015 HSSP- PPP strategy (6)elaborated by the NPPPSC. A Contractual arrangement tool btw. Government and Service

providers (Service Agreement) endorsed by MOHSW and PMORALG (Dec.07)

Costing for Service Agreement elaborated with CSSC (08)

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Achievements-Back-up level Zonal CSSC-Policy Forums (Southern, Lake and Northern)

Supported to operationalise the National Policies ,HSR,NDHPG, SA

¾ Regional PPP Steering Commitees established and Functional Dodoma (CBHI) supported to elaborate the HSR (CHSB, FGCs,

CHF ) Advocacy on SA jointly conducted by CSSC, APHFTA, TGPSH in

5 regions Organisation of Professional Associations (Constitutional

arrangement ) supported

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Achievements-Operational level Council Health Service Boards (CHSBs) and Facility

Governing Commitees established in all programme Districts.

PPP Council Health Planning Teams in place SA Advocacy conducted in all four regions TPHA Annual Conference 2008 used to bring Service

Agreement Advocacy beyond the TGPSH districts. Service Agreement Operationalised in five districts with

FBOs/Private service providers (3Tanga 1Lindi,1Killy )

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Lushoto-Bumbuli ELCTHosp- 030308

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Handeni-Kwamkono ACT Hosp-090708

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Korogwe-St.Rafael ACT Hosp -100708

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Challenges HRH crisis by number and capacity HRH shift from FBO to Public . FBO/Private

survival and contribution threatened Turn-over rate of Government leadership PPP demands change of mindset Service Agreement implementation is a policy

change SA demands a Costing exercise

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Discussion questions

Define 3 synergies between DHQM and PPP

How can TGPSH foster these synergies