Detailed Mechanism Funding and Narrative

Years of mechanism: 2008 2009

Details for Mechanism ID: 1225
Country/Region: Tanzania
Year: 2009
Main Partner: IntraHealth International, Inc.
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: USAID
Total Funding: $4,791,259

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $50,000

THIS IS AN ONGOING ACTIVITY FROM FY 2008. ACTIVITIES LISTED HAVE BEEN INITIATED AND

WILL PROCEED DURING FY 2009 AS IN THE PREVIOUS YEAR. ACCOMPLISHMENTS WILL BE

REPORTED IN THE FY 2008 APR. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS

UNCHANGED FROM FY 2008. USG WILL CONTINUE TO WORK WITH INTRAHEALTH TO ENSURE

THAT ITS ACTIVITIES REINFORCE THE USG PREVENTION STRATEGY.

TITLE: System strengthening to accelerate HIV/IDS Service expansion

NEED and COMPARATIVE ADVANTAGE: In Tanzania, the health workforce, especially at district level, is

shrinking in both numbers and requisite skills. A major anxiety at this time is the relatively small number of

eligible patients on ART. The Ministry of Health and Social Welfare (MOHSW) is concerned that it cannot

meet the demands for ART with the current workforce and systems. It is clear that unless systems are

strengthened to address the acute shortfall, in human resources, it will be impossible to meet HIV/AIDS

care and treatment goals. The Capacity Project draws on the extensive experience and expertise of its

global partners and now helps over 25 countries to improve capacity for workforce policy and planning and

to strengthen systems to support workforce expansion and performance.

ACCOMPLISHMENTS: Mainland: Technical support to MOHSW to develop a HR strategic plan that offers

appropriate strategic options to respond to the HR crisis and manage scarce human resources more

effectively; creating new capacity for over 250 HR leaders so as to focus HR priorities. Zanzibar: human

resource management capacity strengthening to improve worker productivity, and to enhance HRH tracking

capacity

ACTIVITIES: Continue funding support to the AIDS Business Coalition, Tanzania (ABCT) to further

strengthen leadership capacity for HIV/AIDS awareness raising and capacity building within the private

sector and in more regions. This activity will allow ABCT to develop workplace HIV/AIDS policies and to

conduct peer counselor training among its 60 member organizations.

LINKAGES: The project works in close collaboration with NIMR. Findings from the NIMR-led HR studies

inform interventions designed and supported by the Capacity project. The Benjamin William Mkapa

Foundation and Capacity Project will maintain the partnership to ensure smooth integration of new EHP

hires in the work place. The Capacity Project will work with MSH to design and implement leadership

development and HRM strengthening programs for central and district levels. The existing partnership

between ABCT and the Capacity Project will continue to advance private sector engagement in HIV/AIDS.

The project is a member of the HCD and USAID implementing partner groups. These provide a platform for

sharing plans and achievements. All related work is implemented in close collaboration with the appropriate

central, regional, district and local government authorities. The Capacity Project will work with various

partners and stakeholders and will encourage and facilitate effective collaboration.

CHECK BOXES: Human Capacity Development: In service training, retention strategy, task shifting,

strategic information. Workplace programs: The activities seek primarily to strengthen leadership capacity,

at central and district levels, through training, to enable leaders to take appropriate and timely action to

recruit and keep valued workers. The enhanced human resource information system will be a key decision-

making tool to HR leaders. Support to ABCT will expand the reach of HIV prevention messages and

improve the uptake of HIV/AIDS treatment and care services among private sector workers and their

families.

M&E: The project will develop a comprehensive and integrated M&E plan linked to existing M&E plans for

partner institutions. A simple and practical mechanism will be established that will allow for the tracking and

reporting of progress and results from FY 2008 and FY 2009 technical assistance activities to support the

implementation of the MOHSW HR strategic plan and the Emergency Hire Program (EHP). Standardized

tools will be used to ensure data quality and data will be stored in paper and electronic format. The outputs

will provide a basis for decision making on amendments and improvements on recommendations to achieve

targets. As part of the M&E process, project results will be documented and disseminated, in addition to

lessons learned including case studies from the EHP experiences.

SUSTAINAIBLITY: The project relies on effective partnerships with the MOHSW, district authorities, local

training institution, and NGOs to implement the described activities. The proposed implementation model

will allow the project to tap on existing strengths, mobilize, and build on local talent to leave behind

sustainable systems. As an example, the Project will team up with Zonal Training Centers (ZTC) in FY 2008

to implement planned district HRM capacity building activities. ZTC will take up lead responsibility from FY

2009 onward, and roll out the training to other districts, with minimal support from the Capacity Project.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16390

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16390 16390.08 U.S. Agency for IntraHealth 6525 1225.08 CAPACITY $50,000

International International, Inc

Development

Table 3.3.02:

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $50,000

THIS IS AN ONGOING ACTIVITY FROM FY 2008. ACTIVITIES LISTED HAVE BEEN INITIATED AND

WILL PROCEED DURING FY 2009 AS IN THE PREVIOUS YEAR. ACCOMPLISHMENTS WILL BE

REPORTED IN THE FY 2008 APR. PLEASE NOTE THAT THE ACTIVITY NARRATIVE REMAINS

UNCHANGED FROM FY 2008. USG WILL CONTINUE TO WORK WITH INTRAHEALTH TO ENSURE

THAT ITS ACTIVITIES REINFORCE THE USG PREVENTION STRATEGY.

TITLE: System strengthening to accelerate HIV/AIDS Service Expansion.

NEED and COMPARATIVE ADVANTAGE: In Tanzania, the health workforce, especially at district level, is

shrinking in both numbers and requisite skills. A major anxiety at this time is the relatively small number of

eligible patients on ART. The Ministry of Health and Social Welfare (MOHSW) has expressed concerns

regarding increasing demands for ART with the current workforce and systems. It is clear that unless

systems are strengthened to address the acute shortfall in human resources, it will be impossible to meet

HIV/AIDS care and treatment goals. The Capacity Project (CP) draws on the extensive experience and

expertise of its global partners and now helps over 25 countries to improve capacity for workforce policy and

planning and to strengthen systems to support workforce expansion and performance.

ACCOMPLISHMENTS: On the mainland, CP provides technical support to the MOHSW to develop a

human resource (HR) strategic plan that offers appropriate strategic options to respond to the HR crisis. CP

manages scarce HRs more effectively, thereby creating new capacity for over 250 HR leaders to focus HR

priorities. In Zanzibar, CP conducts HR management capacity strengthening to improve worker productivity

and to enhance HRH tracking capacity

ACTIVITIES: Continue funding support to the AIDS Business Coalition of Tanzania (ABCT) to further

strengthen leadership capacity for HIV/AIDS awareness raising and capacity building within the private

sector and in more regions. This activity will allow ABCT to develop workplace HIV/AIDS policies and to

conduct peer counselor training among its 60 member organizations.

LINKAGES: The project works in close collaboration with National Institute of Medical Research (NIMR).

Findings from the NIMR-led HR studies informed interventions designed and supported by the CP. The

Benjamin William Mkapa Foundation and CP will maintain a partnership to ensure smooth integration of

new EHP hires in the work place. The CP will work with MSH to design and implement leadership

development, and HRM strengthening programs for central and district levels. The existing partnership

between ABCT and the CP will continue to advance private sector engagement with HIV/AIDS initiatives.

The project is a member of the HCD and USAID implementing partner groups. These provide a platform for

sharing plans and achievements. All related work is implemented in close collaboration with the appropriate

central, regional, district, and local government authorities.

CHECK BOXES: Human capacity development occurs in service training, retention strategy, task shifting,

and strategic information. Activities seek primarily to strengthen leadership capacity at central and district

levels through training to enable them take appropriate and timely action to recruit and keep valued

workers. The enhanced human resource information system will be a key decision making tool to HR

leaders. Support to ABCT will expand the reach of HIV prevention messages and improve the uptake of

HIV/AIDS treatment and care services among private sector workers and their families.

M&E: The project will develop a comprehensive and integrated M&E plan linked to existing M&E plans

implemented by partner institutions. A simple and practical mechanism will be established that will allow for

the tracking and reporting of progress and results from FY 2008 and FY 2009. Technical assistance

activities will support the implementation of a MOHSW HR strategic plan and the Emergency Hire Program

(EHP). Standardized tools will be used to ensure data quality and data will be stored in paper and electronic

format. The outputs will provide a basis for decision making on amendments and improvements in order to

achieve targets. As part of the M&E process, the project will document and disseminate results and lessons

learned including case studies from the EHP experiences.

SUSTAINAIBLITY: The project relies on effective partnerships with the MOHSW, district authorities, local

training institution, and NGOs, to implement activities described. The proposed implementation model will

allow the project to build on existing strengths, mobilize, and build on local talent to leave behind

sustainable systems. As an example, the project will team up with Zonal Training Centers (ZTC) in FY 2008

to implement planned district HRM capacity building activities. ZTC will take up lead responsibility from FY

2009 onward and roll out the training to other districts, with minimal support from the CP.

New/Continuing Activity: Continuing Activity

Continuing Activity: 17040

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

17040 17040.08 U.S. Agency for IntraHealth 6525 1225.08 CAPACITY $50,000

International International, Inc

Development

Table 3.3.03:

Funding for Care: Orphans and Vulnerable Children (HKID): $1,512,800

ACTIVITY HAS BEEN REVISED SIGNIFICANTLY FROM FY 2008 COP

TITLE: Scaling-up of Paraprofessional Social Workers and Integrating Them into Local Government

Systems

NEED and COMPARATIVE ADVANTAGE: Tanzania faces a crisis in its ability to provide needed services

to orphans and vulnerable children (OVC). Presently, only one third of districts have trained social workers,

and those social workers are not trained on child development or the particular needs of OVC. The needs

for people skilled in caring for the needs of OVC are particularly acute at the village level. Adequate and

qualified human resources, along with short- and long-term emergency measures to supplement the

available work force, are required to respond to the needs of OVC, and to support the effective rollout of the

National Costed Plan of Action (NCPA). The Capacity Project completed a Human Capacity Assessment in

2006. From those assessment findings, training was developed by the American International Health

Alliance (AIHA) Twinning partnership between the Tanzania Institute of Social Work (ISW) and Jane Adams

College of Social Work (JACSW) to provide basic skills for people in the community who are likely to have

interaction with OVC (e.g., community development officers) to serve as "paraprofessional social workers

(PSWs)" to address the shortage of trained professional social workers. After piloting this training, it has

become apparent that these is need to work with the Department of Social Welfare (DSW) to actually

develop a new cadre into the social welfare manpower scheme, and to ensure that the new cadre fits into

the local government structure for service delivery; i.e., to take those receiving basic paraprofessional

training and give them another level of training so that they can be employed as a low cadre of social

welfare worker. The integration of a new cadre of workers also means there is need to work with local

government to budget appropriately for this additional manpower. The knowledge gained in the 2006

Human Capacity Assessment, as well as Intrahealth Capacity Project's experience in supporting human

resources for health work at the district level, has equipped Intrahealth to expand the new cadre of

paraprofessionals for wider coverage of social services, with broader scope focused on enhanced

sustainability.

ACCOMPLISHMENTS: Intrahealth's OVC program will build upon the AIHA Twinning Partnership pilot

training done in FY 2008, where approximately 500 PSWs were trained. In addition, the consultants who

did the 2006 Human Capacity Assessment returned to frame the pilot experience into the needs at the

various levels of local government. A decision was made that the duration of training done in the pilot (five

days) is insufficient to provide quality services. An Implementation Plan has now been developed with

Intrahealth and the AIHA Twinning Partnership to have the ISW and the JACSW prepare a second level of

training of approximately three weeks in duration, to be completed after six months of supervised field work.

The Government of Tanzania (GOT) has agreed to recognize this PSW cadre after the second level of

training and has recommended they be formally certified by the GOT and integrated officially into the social

welfare work scheme. Once certified, the GOT would categorize them as "social welfare assistants."

ACTIVITIES: Using lessons learned and best practices from the pilot program undertaken by the AIHA

partnership, as well as the recently developed Implementation Plan, Intrahealth will continue to expand the

PSW cadre. Using FY 2008 funds, Intrahealth has begun training in eight districts, applying the first level

five-day training curriculum, and using trainers prepared through the AIHA Twinning program between the

JACSW and the ISW. Once trained at this basic level, the individuals will be considered Paraprofessional

Social Worker Trainees (PSWTs). Intrahealth will ensure that these PSWTs are integrated into their

communities to provide for the basic needs of OVC. Intrahealth will also train supervisors, using a

curriculum developed by JACSW and the ISW, to oversee the work of the PSWT for approximately six

months. After that PSWT probationary period is completed satisfactorily, Intrahealth will provide the second

level of training that will qualify the PSWT to become a PSW. Once the formal certification process is

completed by the DSW, this cadre will be formally designated as social welfare assistants.

The Intrahealth OVC program will also explore opportunities to provide follow-on training opportunities for

supervisors in the initial eight districts (both District Social Welfare Officers and Ward Field Supervisors) to

ensure continuing professional development as supervisors and managers of PSWTs. M&E of the program

will be revised to look at quality improvement of service delivery, based on impact after the second round of

training, and how well the supervision itself supported PSWTs to become capable ward PSWs.

Intrahealth will work with the DSW to support the adaptation and integration of the PSW cadre in the formal

social welfare work scheme. This will include the formal certification of PSWs as social welfare assistants

to be employed by the Ministry of Health and Social Welfare (MOHSW). To ensure continuity of recruitment

of PSWTs to the social welfare assistant level, Intrahealth will use the existing M&E data to develop an

action agenda aimed at replicating success factors in ten new districts throughout Tanzania. This will

ensure continuity of the trainings to a feeder system of welfare assistants.

In addition, in collaboration with the Prime Minister's Office for Regional and Local Government

(PMORALG), Intrahealth will ensure the mainstreaming of social welfare assistants into the local

government structure. Intrahealth will develop capacity building tools to strengthen the skills of local

government for more effective management of social welfare staff (particularly on recruitment, retention,

and performance) and those providing supportive supervision. This will involve strengthening the planning

function of local government to identify needs for staffing and meet those needs through effective

approaches to recruitment and retention. It will also mean developing clear roles, responsibilities, and

performance expectations for those who are engaged (whether as trainees, as social welfare assistants, or

social welfare officers) to work with children at the community level. To facilitate this work at the local level,

Intrahealth will work with the DSW and the AIHA Twinning partnership on the development of job

descriptions that are in line with the enhanced paraprofessional social worker and social worker curricula.

To assure quality of services provided to OVC and to enhance the profession, Intrahealth will also work with

these groups to strengthen the professional code of conduct of social workers in Tanzania. Intrahealth, in

collaboration with its technical partners, will continue to work with the DSW and the PMORALG to ensure

that the staffing up and enhancement of social welfare staff is seamless.

Activity Narrative: Intrahealth will train 1,000 PSWTs and 150 supervisors under the FY 2009 plan. A key component of this

activity will be to ensure PSWTs are well trained, and that they are nurtured through effective supervision to

maximize those who are accepted for the second level of training to become PSWs.

LINKAGES: This activity will link to the Tanzanian NCPA and with the entire USG-funded OVC

Implementing Partner Group (IPG). Intrahealth will continue to collaborate with the MOHSW, PMORALG,

the ISW, AIHA, and Family Health International as well as its own technical partners who will support the

local government level work. Likewise, Intrahealth will continue to contribute to and use the work of the

OVC IPG and the Quality Improvement Sub-Taskforce in the development of standards for

paraprofessionals providing OVC care. Most importantly, this activity will be linked to the work of the Most

Vulnerable Children's Committees (MVCCs) at the local level.

M&E: This activity will support the implementation of the NCPA by providing quality care for OVC through

trained PSWTs. Using the M&E indicators developed in the pilot and working with the pilot database (which

interfaces in data exchange with the national Data Management System), Intrahealth will continue to build

this repository of data to ensure the continual improvement of subsequent district rollouts. Intrahealth and

partners will leverage data being maintained at the local level through the MVCCs, ensuring that information

about caregivers trained and available for supporting OVC needs at the local level feeds not only into the

national system, but is also available to MVCCs at the local level for planning, decision making, and

monitoring as part of Intrahealth's district government strengthening support.

SUSTAINABLITY: The MOHSW has agreed to integrate the unofficial PSW cadre into the formal social

welfare work scheme. The PSW will be regarded as social welfare assistant at ward level. In the current

social welfare system, the social welfare officers are placed only at the district level, and these social

welfare assistants will provide for a type of task shifting to relieve those few social welfare officers who

serve entire districts. Intrahealth will continue to sensitize and strengthen the existing district council

structure's ability to understand, plan for, and advocate for the deployment of the local social welfare

function. By becoming an institutionalized part of the GOT's local governance scope and annual planning

process, the program is far more likely to be sustainable.

New/Continuing Activity: Continuing Activity

Continuing Activity: 16427

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

16427 16427.08 U.S. Agency for IntraHealth 6525 1225.08 CAPACITY $1,400,000

International International, Inc

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $1,400,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.13:

Funding for Health Systems Strengthening (OHSS): $3,178,459

ACTIVITY HAS BEEN MODIFIED IN THE FOLLOWING WAYS:

The district level work initiated in FY 2008 to ensure that the council (district) health management teams are

equipped to address problems with productivity, recruitment, and retention has been very well received by

central and district-level stakeholders. Over 40 of 133 districts now have new capacity to take actions so as

to increase staffing fill rates and worker output, and to retain valued health workers, using simple systems,

tools, and interventions (e.g., job descriptions, improved working environment, increased opportunities for

continuing education, etc.). This component of the Capacity program will be scaled up dramatically to 60

additional districts. In addition, the recently developed partnership with Aga Khan Foundation that has

opened up the way for nurses in rural districts to upgrade in place to registered status through distance-

based learning will be scaled up significantly. This is a major contribution to strengthening staff at remote

facilities, as it provides the opportunity for lower level nursing cadres to realize their ambition for career

advancement without having to leave their workplace for long periods of time.

Also, by the end of FY 2009, Capacity will have initiated implementation of a Ministry of Health and Social

Welfare (MOHSW) performance management system at both district and central levels. Lastly, Capacity

will initiate work with ministries beyond the MOHSW who are critical to remedying the key bottlenecks and

barriers to hiring, focusing particularly on the issue of the number of health workers to be hired, salary

levels, management of health worker performance, and incentives for individual and facility performance.

This will include advocacy for civil service reform, if necessary.

*END ACTIVITY MODIFICATION*

TITLE: System Strengthening to Accelerate HIV/IDS Service Expansion

NEED and COMPARATIVE ADVANTAGE: Tanzania suffers from a dramatic shortfall of skilled health

workers, with nearly 60% of positions vacant. The situation is particularly serious in rural districts, where a

combination of factors leaves huge gaps in staffing. The Ministry of Health and Social Welfare (MOHSW) is

concerned that it cannot meet the demands for ART, with the current workforce and weak recruitment and

retention, as well as management and information systems. Unless systems are strengthened to address

the acute shortfall in human resources, it will be impossible to meet Government of Tanzania and

Emergency Plan HIV/AIDS care and treatment goals. The Capacity Project draws on the extensive

experience and expertise of its global partners and now helps over 25 countries to improve capacity for

workforce policy and planning and to strengthen systems to support workforce expansion and performance.

ACCOMPLISHMENTS: Mainland: The Capacity Project provided technical support to the MOHSW to

develop a Human Resource (HR) strategic plan that offers an array of critical strategic interventions to

respond to the HR crisis and manage scarce human resources more effectively. In addition, Capacity

trained over 250 national and district HR leaders in management and leadership so that they are prepared

to meet the challenges posed by a decentralized HR system, as part of their support to the recently initiated

Tanzanian Emergency Hiring Plan (EHP). Capacity developed key assessments to set the stage for

essential remedies in the recruitment system that have been intractable for years. In Zanzibar, Capacity

has supported the MOHSW to strengthen the HR Management Information Systems (HRMIS) and assess

worker productivity, followed by specific interventions to improve worker productivity, and to enhance HR

tracking capacity. Also, Capacity developed a strategic plan for the autonomy of the only tertiary care

hospital in Zanzibar.

ACTIVITIES: 1. Ensure that systems are in place to manage and use Human Resources for Health

information effectively for decision making. This will involve the completion of a functional data system for

mainland Tanzania, linked at central, regional, and district levels. 1a) Play a leadership role to coordinate

HRMIS partners' efforts to ensure integration of component systems and plan for phase piloting and

implementation down to the district level; 1b) expand infrastructure through hardware procurement; 1c) train

at least 150 managers in the use of the system and the information generated from the system for data

driven decision making.

2. Strengthen the ability of the Department of HR at the MOHSW to lead the implementation of the full HR

strategy, which crosses many departments, and, indeed, several Ministries (Prime Minister's Office for

Regional and Local Government, Ministry of Finance, Ministry of Higher Education, Civil Service

Commission, etc.). This requires the development of strong leadership skills and ability to orchestrate the

myriad of interventions to streamline the recruitment, hiring and deployment process and contribute to

retaining skilled health workers. It also requires overhauled policies and practices to support improvements

to the system. 2a) Over the course of the year, Capacity will work with the relevant parts of the Ministry to

address the particular bottlenecks that presently preclude a streamlined system. 2b) Assist in developing

practical recruitment and retention strategies to attract and keep qualified candidates, more so to improve

the shortage situation and worker imbalance in disadvantaged areas. 2c) assist MOHSW to strengthen the

ability of the key department (Department of HR, Department of Administration and Personnel) to work

effectively together to achieve the goals of the HR strategy. This includes additional teambuilding,

secondment of staff, and other interventions to improve morale and performance, 2d) scale up the use of

Open Performance Review and Appraisal System (OPRAS) at all levels, potentially linking performance to

incentives; 2e) work with National Institute of Medical Research (NIMR) to identify and test practical

retention interventions.

3. Work with NIMR to identify and test innovative productive improvement interventions, also incorporating

lessons learned in the experience in Zanzibar. Recent findings by NIMR show a loss of 40% in productivity

in mainland. Productivity improvement strategies are necessary to at least capitalize on the staff that is

available, and this intervention will contribute to step up HIV/AIDS service outputs. 3a) pilot task shifting to

demonstrate the potential of an expanded workforce, and pursue policy change that will permit task shifting

on a broad scale, adding appropriate cadres of support health workers to extend highly skilled health worker

efforts (e.g., use competencies as the basis to re-define the cadre specific job descriptions, and shift tasks

from higher to lower cadres); 3b) Complete ongoing productivity interventions for Zanzibar, evaluate and

disseminate the findings and work with MOHSW to develop scale up plans and accelerate productivity

improvement work on the mainland.

4. A critical part of the EHP is the repair and clarification of the many steps in recruitment and retention,

including at the district level. To support the EHP, which will be working in about 40 districts by the end of

Activity Narrative: FY 2008, Capacity will work with district health management teams to strengthen capacity in HR

management, and provide grants to develop innovative recruitment and retention interventions. Many of

these interventions will improve the workplace climate, worker morale (such as clear expectations and job

descriptions, effective supervision, and participatory and feedback approaches). In addition, interventions

can include things such as internet access for distance-based learning or other improved communications,

opportunities for continuing education or upward mobility. A toolkit will used to allow districts to select

interventions that are appropriate for their needs. The program should reach 40 EHP districts and 200 HR

leaders by 2009 This is to ensure that districts take appropriate and timely steps to fill vacant positions and

retain valued staff. In partnership with MSH, Capacity will 4a) Establish and support HR working groups at

district level; 4b) Apply and improve the HR Management toolkit, build capacity for district HR leaders in

HRM and support action plans. 4c) Support HRH action forums at district level for cross sharing of

experiences and to further improve HRH practices. The Project will coordinate with Pharm Access which is

developing service level agreements with DHMT for more coordinated support to districts. 4d) To ensure

fiscal accountability, Capacity will help the districts set up financial controls and reporting systems, and

Capacity will undertake on-the-ground assessments to ensure fiscal accountability.

5. Approximately 40% of health services are provided through the private sector (both for profit and not-for-

profit).

Capacity will work with both these sectors to ensure they have strong systems in place for HR

management and have interventions that also address recruitment and retention. This will ensure that the

work in the public sector will not distort the worker environment in both components of the private sector.

5a) Team up with Aga Khan Foundation to expand access to their creative distance-based learning Diploma

in Nursing programme, which gives enrolled nurses a unique opportunity to upgrade their knowledge and

skills and become Registered Nurses, without leaving the workplace for extended periods; 5b) Work with

NIMR to assess productivity and retention gaps in the "not for profit" sector and give focused attention for

productivity and retention improvement in the sector.

6. Provide funding support to the AIDS Business Coalition of Tanzania (ABCT) and the newly formed AIDS

Business Coalition of Zanzibar (ABCZ) to catalyze their leadership in the response to HIV/AIDS, for

example, promote corporate social responsibility for funding HIV/AIDS activities, workplace awareness

raising, and to cascade their approach to reach more private sector entities in more regions.

LINKAGES: The project works in close collaboration with NIMR, Management Sciences for Health, I-Tech,

PharmAccess, the Touch Foundation, the Aga Khan Foundation, the MOHSW, and other policy and

systems strengthening partners. These provide a platform for sharing plans and achievements. All related

work is implemented in close collaboration with the appropriate central, regional, district and local

government authorities.

CHECK BOXES: Human Capacity Development inherently includes in-service training, retention strategies,

workplace programs task shifting, and strategic information. The enhanced human resource information

system will be a key decision making tool to HR leaders. Support to ABCT will expand the reach of HIV

prevention messages and improve the uptake of HIV/AIDS treatment and care services among private

sector workers and their families.

M&E: The project will develop a robust M and E plan so that the HR MIS, component system, and all

interventions can be closely monitored and adapted during pilot phases. Standardized tools will be

developed by NIMR to monitor and evaluate the specific interventions for the EHP so that effective

interventions are identified for national scale up.

SUSTAINAIBLITY: The project relies on effective partnerships with the MOHSW, district authorities, local

training institution and NGOs, to implement activities described. The proposed implementation model will

allow the project to tap on existing strengths, mobilize and build on local talent so as to leave behind

sustainable systems.

New/Continuing Activity: Continuing Activity

Continuing Activity: 13497

Continued Associated Activity Information

Activity Activity ID USG Agency Prime Partner Mechanism Mechanism ID Mechanism Planned Funds

System ID System ID

13497 3462.08 U.S. Agency for IntraHealth 6525 1225.08 CAPACITY $2,260,000

International International, Inc

Development

7729 3462.07 U.S. Agency for IntraHealth 4545 1225.07 CAPACITY $2,100,000

International International, Inc

Development

3462 3462.06 U.S. Agency for IntraHealth 2866 1225.06 CAPACITY $840,000

International International, Inc

Development

Emphasis Areas

Human Capacity Development

Estimated amount of funding that is planned for Human Capacity Development $1,300,000

Public Health Evaluation

Food and Nutrition: Policy, Tools, and Service Delivery

Food and Nutrition: Commodities

Economic Strengthening

Education

Water

Table 3.3.18:

Subpartners Total: $0
National Institute for Medical Research - Tanzania: NA
AIDS Business Coalition - Tanzania: NA
Walio Katika Mapambano na AIDS Tanzania: NA
Cross Cutting Budget Categories and Known Amounts Total: $2,700,000
Human Resources for Health $1,400,000
Human Resources for Health $1,300,000