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ISBN 9987-9087-1-3 The United Republic of Tanzania Prime Minister’s Office Regional Administration and Local Government Morogoro Region MOROGORO HEALTH ABSTRACT 2005/2006 June 2006 Morogoro Health Project April 2001 – March 2007 The United Republic of Tanzania Prime Minister’s Office Regional Administration and Local Government Morogoro Region MOROGORO HEALTH ABSTRACT 2005/2006 Morogoro Health Abstract was produced by the collaboration of Tanzanian and Japanese experts with Financial Assistance and Technical Cooperation to Morogoro Region by Japan International Cooperation Agency (JICA). i Contents Page • Foreword ii • Statement From Morogoro Health Project Chief Advisor iii • Acknowledgement v • Abbreviations and Acronyms vi • Executive Summary viii Chapter I. Introduction 1 Chapter II. Health Mapping 4 Chapter III. Basic Abstracts 7 III.1 Human Resources Information 7 III.2 Health Facilities Information 8 III.3 Health Services Information 11 III.4 Diseases Information 18 III.5 Health Commodities Information 31 III.6 Health Management Information 33 Chapter VI. Focused Abstracts 34 Chapter V. Integrated Supportive Supervision 36 Annexes (I – IX) come after page 38 In Future Issue: Health Trends will start: • Trend of Human Resources in Morogoro Region • Trend of HF Distribution in Morogoro Region • Trend of Disease Distribution in Morogoro Region • Trend of Health Budget in Morogoro Region MHA 2005/2006 ii FOREWORD The Morogoro Regional Secretariat welcomes the Morogoro Health Abstract [MHA]. We believe that the Ministry of Health and Social Welfare will also appreciate that their concept of introducing Health Statistics Abstract has given an offspring in one of the Regions in the country. The Morogoro Health Abstract 2005/2006 is a summary of selected health statistical information available in the Region at the time of the preparation of the Abstract, that is 2006 June. This first historical issue of the Abstract has been prepared and published by the Health Sector in Morogoro Region with support of Morogoro Health Project. The Morogoro Health Project, also known as The Project for Strengthening of District Health Services in Morogoro Region, is a joint venture in Technical Cooperation between the Governments of Japan through JICA and the United Republic of Tanzania through the Prime Minister’s Office Regional Administration and Local Government and the Ministry of Health and Social Welfare. The Health Sector through the Project worked tirelessly, involving the Councils’ and Regional Heath Management Teams, the Project Experts, Resource Persons from University College of Lands and Architectural Studies (UCLAS) Dar es Salaam and from the Morogoro Regional Secretariat, to produce the Abstract of this nature. The Morogoro Health Abstract aims at enhancing use of local health data by planners and district health managers in planning, coordination, monitoring and evaluation. It acts as a reference guide to the health managers and frontline health workers in obtaining statistical information to enable them to prioritize investment alternatives and interventions. The Abstract also targets the public and the community who are willing to know the health status in their areas in order to formulate their own health preventive interventions. The Abstract will possibly motivate the health-workers and even the community to understand the significance of utilizing statistical information to improve the overall health status. In order to maintain its expected usefulness and credibility, the Abstract will be reviewed and updated annually. This will provide an up-to-date data for evaluation of health activities and planning for future direction. The Morogoro Regional Secretariat persuades and welcomes constructive criticism, comments and feedback from the users. This will enrich future publications of the Abstract. The greatest challenge which the Morogoro Councils cannot evade is to sustain the publication of this Abstract. The Abstract will be a unique and noble legacy to the future generations. Ultimately, the Abstract is likely to be a “public commodity and tool” for utilization by health and health-related stakeholders in the Region. The stakeholders may therefore feel justified to jointly contribute towards the sustainability of the Abstract, for example as a development package. The Regional Secretariat wishes to express much gratitude to the financial and technical assistance from the Governments of Japan and the United Republic of Tanzania to Morogoro Region. GODFREY S. NGALEYA REGIONAL ADMINISTRATIVE SECRETARY MOROGORO MHA 2005/2006 iii STATEMENT FROM MOROGORO HEALTH PROJECT CHIEF ADVISOR “Morogoro Health Abstract is a tool to bridge the information and communication gap towards Evidence-based District Health Management” Dear MHA readers, Health system development is a great challenge to those who are engaged in the Tanzania – Japan Morogoro Health Project. The Project focuses on the “Evidence-based Health Management” by empowering health managers, especially in the areas of information and communication, to enhance their basic and applied management skills to day-to-day activities at workplace. We believe that this challenge will turn out all for the best development in the health system and service delivery overall in a self-reliant manner. The Project identified structural problems in the conventional health information system. There are various incoherent data systems driven by different agencies. They are complicated, disorganized and ad hoc at the central and local levels. There is no regular maintenance in the system management including delegation, supervision and integration. There is lack of skills, especially management skills in the local level as well as the central level, including data collection, verification, analysis, compilation and feedback. A significant management gap exists between the information collection processing and application. This hinders the development of comprehensive data management in the health system of the local government. Furthermore, most of the current system development is undertaking the improvement of the system at the national level such as Demographic and Health Survey (DHS), Demographic Surveillance System (DSS) and other relevant data management systems suitable for the national growth monitoring, pressurized by the National Development Vision and Millennium Development Goals. However, the information system at the local level including Health Management Information System (HMIS/ MTUHA), National Sentinel Surveillance (NSS) and other relevant information systems are left behind and poorly supported. There are limitations in data availability and utilization, which disable the evidence-based health planning, coordination, monitoring and evaluation in the district level. All in all, the current health information system is neither decentralized to the local managers nor reflecting the management orientation emphasized by the Health Sector Reform. The Project currently introduced “Morogoro Health Abstract (MHA)”, a summary handbook of district and regional health information based on the current HMIS, ISSC and other relevant data sources available in Morogoro Region. It also includes health mapping products, and Health Facility Information Directory. Its production was made possible by the entire effort of HMIS Working Group supported by the Project, local institutions, Local Government and the Regional Secretariat. MHA aims to enhance local health data into optimal district health management in planning interventions, coordination, monitoring and evaluation. It is also a reference guide to the health managers and frontline health workers. It enables information integrity and prioritization that can easily be utilized by health managers as the basis of proper health management. MHA also targets the public and the community, who are willing to know their health status, formulate their own actions in health interventions and disease prevention in their territory. Consequently, the Abstract is a favorable tool to motivate the health managers, health facility staff and even community to understand the significance of health data and information and their utilization, and to bring out their strong commitment and practical actions to improve the health system and overall status. MHA 2005/2006 iv We surmise the reader of the Abstract will see the reality of the health information system by a real fact. However, there is insecurity, disparity and missing link in the context. This immaturity is our strategy to demonstrate the real situation to obtain fruitful comments and recommendations. Indeed it is for this reason we ask the readers to collaborate to improve the overall system. It is our intention to change the system accordingly to accommodate behavioral change and political implication to be obtained. In this regard, your feedback is essential to the energy of future renovation and development in the coming issues. Morogoro Health Project and its HMIS Working Group welcome your comments, ideas and experiences for the future improvement of the Morogoro Health Abstract and overall health information system in the local government. Lastly, I wish to thank Dr. M.M.Z. Massi, Regional Medical Officer, for his prominent leadership in the production of MHA. I am also grateful to members of HMIS Working Group, Dr. Ferdinand Fupi, Counterpart Advisor, and Mr. Nobuyuki Goto, Technical Advisor, both of Morogoro Health Project, for their entire efforts and dedications in this masterpiece of
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