MEASURE Evaluation Tanzania
Tanzania is East Africa’s most populous country, with an estimated population of 51 million people, 75 percent of whom live in rural areas. Although Tanzania’s health care system functions in an environment of limited financial and human resources, there has been significant progress towards improving health outcomes, including a decrease in HIV prevalence from 8 percent in 1996 to 5 percent, and a reduction over the last decade in under-five mortality from 147 deaths per 100,000 live births to 81 deaths per 100,000 live births.
MEASURE Evaluation Tanzania currently operates a five-year USAID Associate Award to assist the Government of Tanzania to strengthen and harmonize monitoring and evaluation (M&E) systems for health and social service programs, with a focus on most vulnerable children (MVC), HIV, and malaria. Unfortunately, health data is often disease-specific, making it difficult to synthesize and analyze data for integrated analysis. The project’s goal is to streamline data collection and triangulate the information into a more coherent package for policy and programming. Currently, MEASURE Evaluation Tanzania focuses on improving systems that monitor and evaluate health and social service programs, while enhancing local capacity to sustain and use the systems created. The project’s technical approach rests on two complementary pillars: (1) an enhanced evidence base derived from evaluation, monitoring, and focused research; and (2) widespread use of this evidence for the development of policies and guidelines, for advocacy for community health and social service programs, and for program planning, budgeting, and implementation.
MEASURE Evaluation Tanzania’s harmonization efforts work to enhance Tanzania’s government capacity to use evidence within and across administrative and functional units, including: (a) between health and social services to strengthen the continuum of care; (b) within line ministries and across government entities; and (c) among service providers, community volunteers, and local authorities. To achieve this, we develop and adapt tools for identifying critical gaps, develop training materials, facilitate training programs, provide mentorship and supervision, and institutionalize these approaches locally in both government and non-governmental structures.
MEASURE Evaluation Tanzania focuses on:
- Strengthening M&E systems in the most vulnerable children (MVC) programming through support to the government’s efforts to integrate MVC indicators into the DHIS 2 system and implement the national MVC M&E plan across the country.
- Improving data use through building the capacity of key national and subnational staff.
- Enhancing data quality by building local capacity to assess quality of data and strengthen M&E systems in existing programs.
- Expanding sources of high-quality data by conducting special studies on HIV and malaria, as well as issuing small research grants to study other topics in health and social services.
- Improving M&E capacity among professionals through a local community of practice, support for in-country training, and through partnerships with educational institutions to provide specific M&E training.
We work across the country at the national level; at the subnational level in Dar Es Salaam, Iringa, Njombe, Mwanza, Shinyanga, Mbeya, and Zanzibar; and among these stakeholders: Ministry of Health and Social Welfare (MoHSW) Mainland, Ministry of Health (MoH) Zanzibar, Departments of Social Work (DSW) in Mainland and Zanzibar, the National AIDS Control Program (NACP), and the Zanzibar AIDS Control Program (ZACP), among others.