By Adrienne Brown, World Health Organization
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Additional resources for Current Issues in Sector-wide Approaches for Health Development: Tanzania Case Study
It has however served to make sure that assumptions are explicit and the basis on which donors and GoT are proceeding is understood by all. The Programme of Action makes reference to Negotiation mechanisms to be applied in case of disputes or disagreements59 [and states:] "In case of disagreements or conflicts, or when violation of agreements or irregularities are observed, open dialogue and consultations 56 MoH/Partners (2000). MoH/Partners (1999b). 58 In interview. 59 MoH(1999c)p22. 57 20 Current Issues in Sector-wide Approaches for Health Development Tanzania Case Study should be the first means in resolving the problems.
It seems likely that it is not. There has been a long-term problem of underfunding for the sector such that the government currently meets approximately 29% of the financing requirement of the public health system69. This makes it unsustainable even in the medium term. Moreover, it is not clear what the cost of running it efficiently should be. 00, which takes account of investment needs to rehabilitate the extensive health network71. 34 (government, donors and private spending)72, this leaves a problematic funding gap.
IMF, Bank, all three? Others? Time frame? 4. Is the MoH involved in writing/advising on the health component of the PRSP? If not, why not? If so, how? 5. What do we know about negotiations (if any) and about conditionalities (if any) attached to HIPC Initiative II? How is the poverty focus reflected in the health policy and in the health sector expenditure framework? 36 Current Issues in Sector-wide Approaches for Health Development Annex 3 Tanzania Case Study List of key people met Organisation Government Ministry of Health Name Position Dr G.
Current Issues in Sector-wide Approaches for Health Development: Tanzania Case Study by Adrienne Brown, World Health Organization