Project profile — Strengthening Tanzania’s Primary Healthcare System for Women and Girls



Overview 

CA-3-P009439001
$75,000,000
Government of Tanzania - Ministry of Finance
2022-03-21 - 2026-06-30
Operational
Global Affairs Canada
WGM Africa

Country / region 

• Tanzania (100.00%)

Sector 

• Health, General: Health policy and administrative management (12110) (5.00%)
• Health: Health statistics and data (12196) (5.00%)
• Basic health care:
Basic health care (12220) (25.00%)
Basic health infrastructure (12230) (5.00%)
Health personnel development (12281) (10.00%)
• Reproductive health care:
Reproductive health care (13020) (30.00%)
Family planning (13030) (10.00%)
Personnel development for population and reproductive health (13081) (10.00%)

Policy marker 

• Gender equality (significant objective)
• Environmental sustainability (cross-cutting) (not targeted)
• Participatory development and good governance (not targeted)
• Trade development (not targeted)
• Biodiversity (not targeted)
• Climate change mitigation (not targeted)
• Climate Change Adaptation (not targeted)
• Urban issues (not targeted)
• Desertification (not targeted)
• Children's issues (significant objective)
• Youth Issues (significant objective)
• Disaster Risk Reduction(DRR) (not targeted)
• Indigenous Issues (not targeted)
• Disability (not targeted)
• Nutrition (significant objective)
• ICT as a tool for development (not targeted)

Description 

Through the support of the Government of Canada and other international donors, the Health Basket Fund aims to support the primary health care elements of Tanzania’s Health Sector Strategic Plan V. This project provides coordinated health system strengthening and service delivery for primary health care across Tanzania. Project activities include: (1) delivering life-saving essential primary health care services such as antenatal and postnatal care, emergency obstetric and newborn care, and family planning; (2) conducting small-scale rehabilitation of health facilities to support the provision of gender-sensitive sexual and reproductive health and rights and maternal and adolescent health services; (3) training, mentoring and supervising healthcare workers; (4) performing immunizations and preventing and treating communicable diseases such as malaria, pneumonia, diarrhea and COVID-19; and (5) supporting the strengthening health facility governance committees (including to enhance women’s participation). The Health Basket Fund provides 90% of funding directly to 5,591 public sector primary health facilities across mainland Tanzania. The project expects 71 million patient visits to take place annually at village-level health dispensaries and 48 million patient visits to take place at health centres.

Expected results 

The expected outcomes for this project include: (1) improved use of quality, gender- and adolescent-responsive primary health care services, including for sexual and reproductive health and maternal, newborn, child and adolescent health, particularly by women, adolescent girls and children; and (2) strengthened public primary health care system accountability and responsiveness to needs of the poorest and most marginalized, particularly women, adolescent girls and children.

Results achieved 

Results achieved as of June 2022 include: (1) initiated 90% of women to breastfeed within the first hour, up from 58% in 2020; (2) 96% of health facilities have continuous availability of 30 tracer items, such as medicines, vaccines, and medical devices, up from 94% in 2020; (3) increased institutional deliveries reached 97%, up from 80% in 2020; (4) 50.2% of women of reproductive age are using modern family planning, up from 42% in 2020; and (5) 94% of people living with HIV are aware of their status, up from 84% in 2020. The Government of Tanzania achieved these results through support from the Government of Canada and other international donors.

Budget and spending 


Original budget $15,125,000
Planned disbursement $15,000,000
Transactions
Country percentages by sector
Type of finance Aid grant excluding debt reorganisation
Collaboration type Bilateral
Type of aid Basket funds/pooled funding
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