Wajibika directly contributes to PEPFAR IIs emphasis on developing country ownership and capacity for implementing HIV/AIDS programs in Tanzania. It strengthens local government leadership as envisaged in the PF Goal 3 (Leadership) and enhanced local systems and organizations as articulated in GHI IR2 (Systems Strengthening). Although the activity currently operates only in 27 districts in four regions, it has demonstrated a successful model that can scale-up to other areas of the country. The activity is strengthening core functions of local government authorities (LGAs), namely planning, procurement, accounting and auditing and LGA health sector planning and implementation. Preliminary mid-term results show that the activity has led to effective optimization of resources and improved programmatic and fiscal accountability at the LGA level.

At the core of the model is the use of mentors in each district who guide capacity building at the LGAs. Discussions are underway with the MOHSW and PMO-RALG as to how this model can use mentor coordinators at zonal levelsversus at the more numerous regional levelsto make the model more cost effective and affordable for the governments full adoption of the model without continued PEPFAR support.

This activity currently operates only in 27 districts in four regions, but since its implementation two years ago, it already has demonstrated a successful model that can scale-up to other areas of the country. Wajibika is strengthening core functions of local government authorities (LGAs), namely planning, procurement, accounting and auditing and provides specific LGA health sector planning and implementation technical assistance. Preliminary mid-term results show that the activity has led to effective optimization of resources and improved programmatic and fiscal accountability at the LGA level.

This activity provides technical assistance to local government authorities (LGAs) for developing their Comprehensive Council Health Plans (CCHPs), which entails gathering needs and planning data at the village and facility levels through participatory planning methods. This includes evaluating data pertaining to needs related to the care of PLWHA and incorporating this into LGA-wide plans and budgets. The plans take into account all types of HIV care and support services, location/s of service delivery sites (facility, community, home based) and target audience/s (adolescents, adults, women, MARPs, others). These plans also consider linkages between program sites with other HIV care, treatment and prevention sites within the LGA, and linkages to regional level support for PLWHA. The regional level monitors and evaluates implementation of the LGA CCHPs, and this provides valuable information for the subsequent annual planning cycle.

The URTs decentralization by devolution policy places the burden of raising and utilizing resources squarely on local government authorities (LGAs). Unfortunately, most LGAs do not have the financial and general management systems in place nor the human resource capacity to fulfill this mandate. This activity directly addresses these weaknesses. Wajibika is strengthening core functions of local government authorities (LGAs), namely planning, procurement, accounting and auditing and provides specific LGA health sector planning and implementation technical assistance. Preliminary mid-term results show that the activity has led to effective optimization of resources and improved programmatic and fiscal accountability at the LGA level. This activity currently operates only in 27 districts in four regions, but since its implementation two years ago, it already has demonstrated a successful model that can scale-up to other areas of the country.

COP 2012 funds will :- support continuation of improved planning and governance through strengthened programmatic and ficsal accountability- ensure that PMO-RALG and MOHSW support decentralized management, effective optimization of resources from various sources, financing linked to performance, and the critical needs for stronger management controls, and- develp a plan for PMO-RALG to expand interventions to other districts to ensure that priority programs ( i.e. HIV/AIDS, PMTCT, MCH, OVC) are implemented in an integrated and accountable ways.

While the focus has been addressing core LGA fiscal functions and addressing health sector planning and implementation, the spillover effects to other sectors is occurring. For example, other LGA departments are adopting the participatory approach used by the MOHSW in developing the LGA CCHPs. This has increased interest on the part of the PMO-RALG in the Wajibika project, and thus has secured important political support and anticipated increased financial support in the future.

This activity currently operates only in 27 districts in four regions, but since its implementation two years ago, it already has demonstrated a successful model that can scale-up to other areas of the country. Wajibika is strengthening core functions of local government authorities (LGAs), namely planning, procurement, accounting and auditing and provides specific LGA health sector planning and implementation technical assistance. Preliminary mid-term results show that the activity has led to effective optimization of resources and improved programmatic and fiscal accountability at the LGA level.

This activity provides technical assistance to local government authorities (LGAs) for developing their Comprehensive Council Health Plans (CCHPs), which entails gathering needs and planning data at the village and facility levels through participatory planning methods. This detailed plan sets forth MTCT targets as well as strategies for achieving these targets, including a timetable for periodically measuring progress. Consideration is given to planning for activities that promote demand creation such as community mobilization, male involvement, and couples CT services in order to increase PMTCT uptake. Increasing attention is being given to the integration of MTCT with routine maternal child health/reproductive health services, adult and pediatric treatment services, and broader prevention programs. The regional level monitors and evaluates implementation of the LGA CCHPs, and this provides valuable information for the subsequent annual planning cycle.

This activity currently operates only in 27 districts in four regions, but since its implementation two years ago, it already has demonstrated a successful model that can scale-up to other areas of the country. Wajibika is strengthening core functions of local government authorities (LGAs), namely planning, procurement, accounting and auditing and provides specific LGA health sector planning and implementation technical assistance. Preliminary mid-term results show that the activity has led to effective optimization of resources and improved programmatic and fiscal accountability at the LGA level.

This activity provides technical assistance to local government authorities (LGAs) for developing their Comprehensive Council Health Plans (CCHPs), which entails gathering needs and planning data at the village and facility levels through participatory planning methods. This is a detailed plan that will provide data pertaining to the enrolment and retention of patients initiated on ART, management of opportunistic infections, laboratory services, community-adherence activities and other performance data. The regional level monitors and evaluates implementation of the LGA CCHPs, and this provides valuable information for the subsequent annual planning cycle.