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Christian Social Services Commission CHF Best Practices Workshop 31st Jan

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Established as an ecumenical body in 1992 for facilitating delivery of ... of social services through partnerships, lobbying and advocacy in a manner that ... – PowerPoint PPT presentation

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Title: Christian Social Services Commission CHF Best Practices Workshop 31st Jan


1
Christian Social Services CommissionCHF Best
Practices Workshop 31st Jan 2nd February
2007The Place of CSSC in Services contracting
FBOs
  • PLACID NGILIULE
  • Planning and Coordination Officer

2
Background of CSSC
  • Established as an ecumenical body in 1992 for
    facilitating delivery of social services. This
    was an outcome of the 1991 historical conference
    of Bishop and other Leaders of the Catholic and
    Protestant Churches

3
Background of CSSC
  • The conference was prompted by prevailing social
    economic crisis during the 1980 s through caused
    mainly by break of EAC (1977), Uganda was
    (1979/80) Oil crisis 1979/80 collapse of coffee
    boom 1977/1978 drought, and the outbreak of
    HIV/AIDS.
  • The conference saw the urgent need for more
    cooperation in provision of Health and Education
    services among churches and in turn with the
    government.

4
CSSC Vision
  • An enlightened and well educated community that
    is enjoying quality life and if free from
    diseases of poverty.

5
CSSC Mission Statement
  • CSSC strives to support delivery of social
    services through partnerships, lobbying and
    advocacy in a manner that will ensure
    transparency, quality, equity availability and
    accessibility with Compassion and Love of Christ.

6
CSSC Main Objectives
  • CSSC was established to meet the following
    objectives
  • (i) To contribute to the physical, mental and
    spiritual development of the Tanzania people
    through facilitating the provision of quality
    social services to all the people regardless of
    colour, race and creed.
  • (ii) To foster promotion, improvement and
    expansion of education, health and other social
    services all over Tanzania.

7
CSSC Main Roles
  • Policy Advocacy/ Lobbing work for conducive
    polices pro poor policies
  • Capacity Building
  • CSSC operates through a network of over 80
    diocese, over 600 health facilities, about 200
    secondary schools spread all over the country.

8
Financing the FBOs Health Sector in Tanzania
  • Cost sharing as (i) User fees since 1930s
    through Out of pocket payment cash and carry
    system (ii) Prepayment insurance scheme. Cost
    sharing accounts for 10 50 of recurrent
    costs depending on economic profile of the
    catchments area, quality of service, quality of
    facility leadership/management and staff.
  • Government subsidies bed and staff grants
    staff secondment and vertical programme funding
    e.g. TB and Leprosy, Maternal and Child Health
    (MCH) expanded program of immunization services
    HIV/AIDS account for 29-81 percent of cost in
    most hospitals.
  • Donations through bilateral arrangement with
    traditional partners externally and locally. In
    some FBOs facilities donations account for
    anything up to 45 percent of overall hospital
    income.
  • Income generation activities such as agricultural
    related activities, tailoring, grain milling etc.
  • Missionaries and volunteers help to lower costs
    of facilities

9
Issues and Challenges
  • Inadequate capacity by communities to pay user
    fee charges due to high poverty levels.
  • Inadequate government subsidies to hospitals.
  • Inadequate remuneration package to health
    personnel hence exodous of staff in search of
    green pastures elsewhere.
  • Support from traditional partners steadily
    decreasing and becoming more and more
    unpredictable.
  • Flows in the implementation of government
    exemption policy (poor patients, elderly patients
    60-65 and above, HIV/AIDS patients, patient with
    chronic condition, TB, diabetes, cancer, heart
    diseases and others, Children under 5 years,
    Pregnant women)

10
Issues and Challenges
  • Some implication an example of Bunda DDH 60 -75
    percent of all outpatient are children under 5
    years, 30-40 percent of hospital beds are
    occupied by HIV/AIDS patients.
  • Debt problems Mvumi hospital reported an
    average debt owned to the hospital by patients of
    over T.Shs. 3.6 million each year between 2002
    2005.
  • Some estimate that about 60-80 of patients are
    exempted.
  • Inadequate management systems
  • Availability of reliable costing data to make
    informed decisions
  • Inadequate data base to clearly define CHF
    situation in FBO facilities

11
CSSC has a strategic role to play in the
contracting Process for CHFs
  • CHF is crucial source of funding/financing
    quality health care
  • Advocating for streamlining and improving the
    implementation of the existing financing
    frameworks especially the Community Health Funds
    given its immense potential to reach the poor
    majority of Tanzanians.
  • Advocating for improvement in the quality of
    health care delivery to FBO facilities.
  • Scale up and sustain capacity building in the key
    management functions including Human Resource
    Management ,Financial Management and Planning
    etc.
  • Advocate FBO facilities and Religious leaders to
    support micro-financing initiatives for community
    empowerment
  • Facilitate capacity building in income generating
    skills/entrepreneurship skills for running a
    small business improved agricultural projects and
    link them with financial agencies for small
    loans and support with seed money for income
    generating activities.

12
CSSC has a strategic role to play in the
contracting Process for CHFs
  • Conduct operational research to identify
    bottleneck and look for solutions
  • Advocate church leaders and FBO facilities to
    scale up sensitization campaigns to communities
    regarding the benefit of CHF and try to create a
    sense of community ownership of the scheme.
  • Fac12ilitate capacity building for FBO facilities
    staff in CHF procedures including processing
    required documentation and data.
  • Advocate Church FBO and religious leaders to
    clearly understand and appreciate the concept and
    benefits of CHF including the matching
    contributions from WB and practice according to
    government policy.

13
  • Thank you for your attention
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