Tanzania - Basic Health Services Project

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The objective of the Basic Health Services Project for Tanzania is to improve the geographic accessibility and use of basic health services by financing health service delivery and encouraging effective and efficient management of health services at the local level. There are three components to the project. The first component of the project is support to local government service delivery. This component will finance annual per capita grants to Local Government Authorities (LGAs) of approximately $0.30 per person per year to support service delivery at the district level, as well as funding medical supplies, medicines, vaccines and contraceptive commodities which will be procured centrally and used at the district level. The second component of the project is capacity building in local governments. This component will provides funding through the capacity building grant mechanism to improve the capacity of local governments to manage their health services, and will finance technical assistance, training and systems strengthening interventions, with a focus on improved public financial management (PFM), monitoring and evaluation (M&E), facility management, human resources management, procurement and governance and accountability mechanisms (including social accountability). The third component of the project is central programs to support local service delivery. This component will provides funding for central level interventions including training, central level PFM and M&E initiatives, technical assistance for development of central level initiatives, management guidance through the Prime Minister's Office - Regional Administration and Local Government (PMO-RALG) and the Regional Health Management Teams (RHMTs), initiatives to support the performance management process at the central and regional levels, and strengthening of central level oversight structures.