Jaih Vol.22_111

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1 Tanzania Development Vision 2025Tanzania Assistance Strategy, TASPoverty Reduction Strategy Paper, PRSP Public Expenditure Review, PER Medium-term Expenditure Framework, MTEF 1994

2 NPM ODA a lost decade for development

HIV/AIDS 7 1983 8 1980 IMF SAPSAP 9 1 The Social Service Crisis of the 1990 s, Anna Tibaijuka, Ashgate, 1998, P.

3 HIV/AIDS IMF SAPSAP 9 1 The Social Service Crisis of the 1990 s, Anna Tibaijuka, Ashgate, 1998, P. 137 Budget Execution Report 2000/2001, Ministry of Tanzania, 1987 UNICEF Adjustment with a Human Face 10 SAP NPM NPM 1980 NPM NPM NPM Sen freedomentitlement social arrangement freedom social commitment 11

4 1991 NPM Vision Country Assistance Strategy CAS Tanzania Assistance Strategy TAS 13 PRSP 14 Public Sector Reform Programs Helth Sector Refrom Policy and Guidelines Tanzania Vision 2025 Helth Sector Refrom Proposal Helth Sector Basket Fund Poverty Reduction Strategic Paper (PRSP) Tanzania Assistance Strategy (TAS) Mid-term Expenditure Framework (MTEF) Public Expenditure Review (PER) National Health Policy Poverty Reduction Strategic Paper II (PRSP II) Mid-term Expenditure Framework (MTEF) National Strategic for Growth and Reduction of Poverty (NSGRP-MKUKUTA) Joint Assistance Strategy(JAS) New Public Management SWAp TAS TAS Donordriven projects Sector-wide strategy Medium-term Expenditure Framework MTEF 40% 3 Millennium Development Goals MDGs SWAp 2000 SWAp SWAp Sector Wide Approach Programmes SWAPs SWAp SWAPs NGO Public Expenditure Programme

Fund, HSBF 2 1 5 1 7 1 2000 16 56% 5 6 7 8 2003

5 151617, PRSP MDGs Medium-term Expenditure Framework MTEF SWAp SWAp 1999 Health Sector Basket Fund, HSBF % General Budget Support GBS 2004 UNFPA recurrent budget HSBF

6 80% 20% CCHP $0.5 per capita $0.15 per capita Comprehensive Council Health Plan, CCHP CCHP 9 IMCI VCT SWAp

7 11 SWAp M&E % 10% 10% poverty index 10% 5 $2.0 per capita 18 50

8 SWAp 19 SWAp ODA SWAp SWAp 2 SWAp Killer assumption SWAp National Strategy for Growth and Reduction of Poverty NSGRP MKUKUTA 20 MDGs Joint Assistance Strategy JAS Tanzania Assistance Strategy, TAS 3 TAS

9 JAS 22 General Budget Support GBS 35% GBS SWAp GBS SWAp MDGs 2015 MDGs MKUKUTA MDGs 1 The Umbrella of US Power, Noam Chomsky, Seven Stories Press, Modernity at Large, Arjun Appadurai, University of Minnesota Press, Grassroots Globalization and the Research Imagination, Arjum Appadurai, in Globalization, Arjun Appadurai (ed), Duke University Press, The Essential Wallerstein, Wallerstein, The New

10 Press, Government of the Future, PUMA Policy Brief No.9, OECD, The Social Service Crisis of the 1990 s, Anna Tibaijuka, Ashgate, Slim Disease: A New Disease in Uganda and Its Association with HTLV-III Infection, Serwadda, D. et al., Lancet, 1985 (Oct): A Plague of Paradoxes, Philip Setel, The University of Chicago Press, Tanzania and IMF, The Dynamics of Liberalization, Horace Campbell et al. Westview Press, Adjustment with a Human Face, Giovanni Cornia et al., Clarendon Press, Sen, A., Development as freedom, Knopf, NY Helleiner, Gerald et al., Report of the Group of Independent Advisers on Development Cooperation Issues between Tanzania and Its Aid Donors. Royal Danish Ministry of Foreign Affairs, Tanzania Assistance Strategy (TAS) A Mediumterm Framework for Promoting Local Ownership and Development Partnerships, Poverty Reduction Strategy Paper (PRSP), The United Republic of Tanzania, Integrating Vertical Health Programmes into Sector Wide Approaches; Experiences and Lessons., Adrienne Brown, Swiss Agency for Development and Co-operation, A Guide to Sector Wide Approaches for Health Development Concepts, Issues, and Working Arrangements, Cassels, WHO, Guidelines for European Commission Support to Sector Programmes, European Commission, Don de Savigny et al., Fixing Health Systems, IDRC, Sector Wide Approaches Accountability and CIDA, Mark Schacter, CIDA Ottawa Canada, National Strategy for Growth and Reduction of Poverty (NGGRP), Vice President s Office, United Republic of Tanzania, June Joint Assistance Strategy, United Republic of Tanzania, Joint Assistance Strategies in Tanzania, Zambia and Uganda, DANIDA, Octorber 2005.

11 Sector Wide Approach (SWAp) in the Health Sector of the Government of Tanzania: The Present and the Future Tomohiko Sugishita Chief Advisor, Tanzania-JICA Morogoro Health Project Keywords: Development Partnership, Sector Wide Approach, Health Sector Reform, Poverty Reduction Strategy Paper, Tanzania Abstract The Government of Tanzania has gropingly urged an enterprise of development partnership between the host government and funding donor agencies by promoting structural reformation and reinforcement of the government administrative functions. While Poverty Reduction Strategy Paper was accepted and implemented since November, 2000, the Government of Tanzania has spearheaded a challenge of uniformity of development modalities through sector reformations, funding integration and good governance by leading other neighboring countries. Hence, issue prioritization, budgetary integration, executive standardization were intensively discussed by the Government of Tanzania and stakeholders throughout an innovative process of development partnership. Simultaneously, Tanzania has released consecutive development plans such as "Tanzania Development Vision 2025", "Tanzania Assistance Strategy", "Poverty Reduction Strategy Paper" accompanied by the financial arrangement of "Public Expenditure Review" and Mid-term Expenditure Framework". These strategic development dispositions created an attractive environment for development partners to promote integrated financial assistant scheme. According to the Health Sector Reform in the Government of Tanzania since 1994, a practical application of development partnership has been initiated and implemented by the induction of "Health Sector Basket Fund", which was introduced by the accord of several donor partners and international agencies. This pooling fund mechanism aims to integrate current scattered budgetary systems and to promote transparency, accountability and ownership of the finance in the Health Sector. Indeed, the sector-specific Basket Fund forwarded the decentralization process of the Health Sector Reform in light of evidence-oriented health interventions at the district and community levels. In this paper, the present condition of the development partnership in the Health Sector of the Government of Tanzania is examined according to the background, adaptation, application, current considerations and future orientation of the development partnership.

ODA ODA ODA ODA ODA ODA GRIPS

ODA ODA ODA ODA ODA ODA GRIPS GRIPS Development Forum Discussion Paper No.6 ODA 2004 7 ODA ODA 2003 3 54 ODA ODA ODA ODA 2004 7 GRIPS ODA 2004 7 Discussion Paper JICA PRSP 2002 3 2004 3 GRIPS ODA ODA 1. 1 1.1 1.2 1.3 1.4 2. 1 5 2.1