summary and analysis of rhmt reports 2009/2010 1 r.d. mutagwaba, regional health services...
TRANSCRIPT
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Summary and Analysis of RHMT Reports 2009/2010
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R.D. Mutagwaba,Regional Health Services Coordinator, MOHSW
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Presentation Layout• Introduction• RHMT Progress Report July 2009-June 2010• CMSS and its impact on RHMT Capacity
Development• Recommendations
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IntroductionAssessment of RHMT reports was made in order;• To see to what extent the RHMTs have
improved their capacity to coordinate health activities and get reflection on increase of RHMT performance
• To identify areas in which RHMTs will need backstopping in the process of implementation
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Introduction cont…..
• Implementation progress report focuses on ten major RHMT roles and functions.
• All 21 RHMT mainland reports were assessed.
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Progress Report July 2009-June 2010
RHMT CORE Members• Regional Medical Officer• Regional Health Secretary• Regional Health Officer• Regional Dental Officer• Regional Nursing Officer• Regional Pharmacist• Regional Laboratory Technician• Regional Social Welfare Officer
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CURRENT STATUS
Until August 2010 the Inventory of RHMT staff indicates that;
• Confirmed staff were 158= 94%• Acting were 7= 4%• Deficit 3= 2%• Total 168= 100%
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RHMT Functions• Develop and operationalise RHMT Plan from
the 5 year Strategic Plan and strategies.• Disseminate and support the translation of the
policies, strategies and guidelines of the MOHSW/PMO-RALG to CHMTs.
• Support an appropriate environment for private sector development.
• Coordinate services in the region.• Support Human Resource for Health
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RHMT FUNCTIONS
• Ensure the quality of health services at all health and Social welfare facilities.
• Facilitate emergency and disaster preparedness and response.
• Support and backstop Regional Referral Hospital.
• Instituting network system.• Conduct innovative supervision.
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Basket Fund expenditure
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RHMTs’ progress
• Most RHMTs (95%) managed to supervise the councils at least once in each quarter.
• More funds were spent by regions on SS this function (36%)
• All councils were supported during the preparation of CCHP.
• All regions conducted PHC meetings at twice once in a year.
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• There has been improved quality of supportive supervision by RHMT to CHMTs
• There has been improved working tools at regional health offices.
• All RMT members were trained on Policy Dissemination in June 2010
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RHMTs’ progress(cont…)
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CMSS: findings and impact on RHMT Capacity Development
• CMSS is an abbreviation for the Central Management Supportive Supervision
• Two visits on CMSS were conducted to thirteen regions in November 2009 and April-May 2010
• Visited regions were Mara, Kagera,Shinyanga,Tabora, Rukwa, Ruvuma, Lindi, Manyara, Kilimanjaro, Tanga, Coast, Lindi and Singida.
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Findings from CMSS
• All planned activities were implemented at the average of 98.9 %
• Regions made assessment of quarterly implementation reports. However there were delays in receiving reports from the districts.
• As a result submission of reports from RHMT to PMO –RALG was also late.
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Findings from CMSSAmong RHMT roles and functions, networking,
private sector coordination, quality assurance had a low average of implementation.
In some regions, Regional Social Welfare Officers are not fully involved in RHMT activities
Documentation of useful documents to some of the RHMT is weak.
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Areas for improvement
• Follow up on demarcation of responsibilities between RHMT and Regional Referral Hospitals.
• Follow up on required human resource to avoid dual responsibilities among the RHMT and RRHospital Management Teams
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Recommendation
• MOHSW and PMO-RALG should support the regions to take action against the CHMTs which do not submit reports at required time.
• Capacity building to RHMTs should be a continuous process.
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END
Thank you for listening!
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