SUMMARY OF THE BUDGET SPEECH FOR THE FINANCIAL YEAR 2018/19 DELIVERED BY
THE MINISTER OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN,
HONOURABLE UMMY A. MWALIMU (MP)
A. INTRODUCTION
1.
Honourable Speaker, following the report tabled by the
Chairperson of the Parliamentary Standing Committee for Social and Community
Development, which reviewed the budget of the Ministry of Health, Community
Development, Gender, Elderly and Children, I now request your Parliament to
receive and discuss the Ministry’s implementation report as well as the
Ministry’s priorities for 2018/19. I would also like to request your esteemed
House of Parliament, to accept and approve the estimated recurrent and
development expenditures for the Ministry of Health, Community Development,
Gender, Elderly and Children for 2018/19.
4.
Honourable Speaker, I would like to take this opportunity to thank Honourable
Kassim Majaliwa (MP), the Prime Minister of the United Republic of Tanzania
for his exemplary leadership that has contributed to improved government
performance and hence improved health services provided by the Ministry. I
would like to applaud him for his speech, which has provided us with a vision on how the
Government will implement its obligations in 2018/19.
6.
Honourable Speaker, I would
like to take this opportunity to extend my sincere gratitude to the
Parliamentary Standing Committee for Social
Development and Services under the adept leadership
of the Chairperson Honourable Peter Joseph Serukamba, (MP) and the Vice
Chairperson Honourable Juma Nkamia (MP) for the guidance during the preparation
of this budget. I also thank all Honourable Members of Parliament for
your advice and cooperation that aim to improve health services and social
welfare. Thank you very much. I promise that the Ministry will earnestly take your
recommendations given in the implementation of our duties to serve the Tanzanians.
B: THE
REVIEW OF BUDGET IMPLEMENTATION AND DEVELOPMENT PLAN FOR THE YEAR 2016/17
FINANCIAL YEAR
a) To coordinate implementation and monitoring of the National Plan of Action to End Violence Against Women
and Children (2017/18 - 2021/22);
b)
To strengthen accessibility of rights, development
and welfare of the child including children in conflict with the law;
c) To facilitate destitutes
elderly and most vulnerable children to acquire basic services;
d) To sensitize
community to build self-help spirit to participate in development;
e)
To educate community especially women to initiate
and join various economic groups including SACCOS and VICOBA;
f) To facilitate provision of
social welfare services in elderly homes, retention homes, Approved School and
National Children Home Kurasini; and
g) To improve teaching and learning environment in Community
Development Training and Social Welfare
Institutes.
Revenue and
Expenditure – Vote 53
15.
Honourable Speaker, in the year 2017/18, the
Ministry through Vote 53 projected to collect a total of Shs. 2,101,874,000.00 as revenue from tuition fees payable by
students enrolled in eight Community Development Training Institutes (CDTIs)
namely: Buhare, Uyole, Rungemba, Mlale, Misungwi, Ruaha, Mabughai and Monduli;
selling of tender document; and NGOs registration fees. Up to 31st
March 2018, revenue amounting to Shs.
1,775,466,155, which is equivalent to 84 percent of the projected amount,
was collected.
16.
Honourable Speaker, in the year 2017/18, a total
of Shs. 37,909,880,000 has been
approved for the Ministry (Vote 53). Out of that Shs.19, 142,252,240 were for Personnel Emolument (PE), Shs. 16,161,349,760 was for Other
Charges (OC) and Shs. 2,606,278,000
was for Development Budget. Up to 31st March 2018, a total of Shs.18, 352,527,400 equivalents to 48 percent of the budget was released
and spent. Out of that, Shs.
8,848,331,727 equivalent to 55
percent was for OC, Shs.
8,470,927,127 equivalent to 44
percent was for Personnel Emolument (PE) for the Ministry and institutions
under the Ministry; and Shs.
1,033,268,546 equivalent to 40
percent was for Development projects.
Immunization and Vaccine Development
19.
Honourable Speaker, Cervical Cancer is the leading cause of cancer thus led to high rates of
deaths among women. Data from Ocean Road Cancer Institute in 2016/17 indicate
that 32.8 percent of cancer incidence in the country is due to cervical cancer
followed by breast cancer with the incidence of 12.9 percent. I am pleased to inform you that vaccination to girls aged 9 to 14
years can prevent cervical cancer. In 2017/18, the Government started to provide HPV vaccine to prevent cervical
cancer. In 2018, the Government is immunizing HPV vaccine to all girls aged
14 due to the availability of the vaccine directly from the manufacturers. The Government
targets to reach 616,734 girls with HPV vaccination by December 2018. The
vaccination is safe and it is so far used in various African countries
including Rwanda, Uganda, South Africa, Zambia and Lesotho. Through your
Parliament, I urge parents and guardians
with children to ensure girls with recommended age for HPV vaccination are
immunized against cervical cancer.
Sanitation and Environmental Health
20. Honourable
Speaker, the Ministry has continued with the coordination of
National Campaign of Sanitation and Environmental Health which is implemented
by all councils in order to control disease outbreak particularly cholera.
Activities for sanitation and environmental health are highlighted on paragraph
22 to 24 of budget speech.
21. Honourable Speaker, the Ministry has continued with the efforts to
control Cholera outbreak in the country. From July 2017 to March 2018, there
were 4,508 cholera cases and 92 deaths were reported in Songwe, Dodoma, Ruvuma
and Mbeya. I would like to urge Leaders from all regions to ensure efforts
control of Cholera outbreak remains a permanent priority in all plans.
Reproductive, Maternal and Child Health
22. Honourable Speaker, In the efforts to strengthen Reproductive,
Maternal and Child Health, the Ministry has continued with the five years (2016
to 2020) implementation plan which aims to strengthen reproductive, maternal,
child and adolescent health. In addition, the plan aims to reduce mortality due
to maternal causes to 292 per 100,000 by 2020. In order to implement the plan,
the Ministry will focus in three main areas: family planning services,
antenatal care and obstetrics services.
23. Honourable Speaker, Family
planning services are essential in improving maternal and child health and also
to reduce deaths related to maternal causes. From July 2017 to March 2018, the
Ministry procured and distributed family planning commodities to health
facilities. Family planning services was provided to 519,817 clients
through outreach services and whereas 424,595 clients received the
services from health facilities.
24. Honourable
Speaker, the availability of health services during pregnancy
is important intervention to reduce maternal deaths since most complications
can be prevented, diagnosed and treated provided pregnant women attend
antenatal clinic and attended by skilled attendants within twelve weeks of
pregnancy. In 2017/18, the Ministry continued to ensure that antenatal services
are provided together with educating pregnant mothers the importance of
attending antenatal clinic. By March 2018, data from health facilities indicate
that 81.7 of pregnant women attended antenatal clinic at least once through the
entire gestation period. The target is to reach 70 percent of pregnant women
attending at least 4 times throughout the gestation period. I use this opportunity to emphasize to all pregnant
women to attend antenatal clinic as advised by service providers.
25. Honourable Speaker, In 2017/18, the Ministry in collaboration with
development partners has continued to sensitize and emphasize pregnant women to
deliver from health facilities. The aim is to ensure the number of women
delivering from health facilities is increasing to 68.5 percent per month by
March 2018 from 64 percent in 2015/16. I would like to emphasize that all
pregnant women countrywide to deliver from health facilities in order to reduce
maternal and child mortality and complications.
26. Honourable Speaker, reduction of under five mortality is among the
Ministry’s priorities. According to One Health Plan for Maternal and Child
Health (2016-2020), by 2020, the Government is determined to reduce
neonatal mortality to 16 from 21 per 1,000 live births, infant mortality ratio
to 25 from 45 per 1,000 live births and under five mortality ration from to 40
from 54 per 1,000 live births.
27. Honourable Speaker, the Ministry in collaboration with
stakeholders has continued to improve infrastructure at health facilities to
enable provision of Comprehensive Emergency, Obstetrics and Neonatal Care
(CEmONC) to pregnant women. The Ministry in collaboration with PO-RALG is
improving infrastructure to provide CEmONC services in 208 health facilities
(as stated in the PO-RALG budget speech). By March 2018, infrastructure
improvement was at different stage of implementation. This improvement is done
in the following areas: operating theatres, maternity wards, health laboratory
and staff houses. The number of public health facilities providing CEmONC
services will increase to 283 out 527 facilities once the infrastructure
improvement is completed,
28. Honourable Speaker, My Ministry has continued with the efforts to
control reproductive cancers including cervical cancer, breast cancer and
prostate cancer. In order to ensure availability of diagnostic and curative
services for early signs of cervical and breast cancer, the Ministry in
collaboration with stakeholders has established 100 newly established
facilities for early detection and treatment of cervical cancer in Mbeya,
Mwanza, Songwe, Geita, Dodoma, Singida, Manayara, Arusha, Tanga, Lindi, Mtwara,
Simiyu, Mara and Ruvuma.
HIV Control
29. Honourable
Speaker, From July to December 2017, 5,164,297 individuals were tested and received results of their HIV
status. Among those tested, 145,104
equivalent to 2.8 percent were HIV
positive and ARV’s was initiated to them. According to December 2017
statistics, there were 965,081
individuals on ARV’s which is 69 percent
of 1,400,000 that are estimated to
be living with HIV in which 55,034
equivalent to 5.7 percent are
children. According to the above statistics, Tanzania is remained with 21 percent to reach the global target
of 90 percent of individuals living
with HIV to be initiated of ARV’s. The Ministry has put in place various
mechanism to ensure the target is reached.
30. Honourable
Speaker, The Ministry has continued to provide services for
Prevention of Mother to Child Transmission of HIV (PMTCT). By December 2017, a
total of 1,967,260 equivalent to 98 percent of 1,993,639 pregnant women had HIV counselling and testing. Among
those, 79,242 pregnant women
equivalent to 4 percent were HIV
positive. Among those tested positive, 79,240
pregnant mothers equivalent to 99.9
percent were initiated with ARV’s. The current status of Mother to Child
Transmission of HIV is 4.9 percent
compared to 12 percent in 2011.
Control of
Tuberculosis and Leprosy
31. Honourable
Speaker, The Ministry is continuing with efforts to control
Tuberculosis (TB) and Leprosy. From July 2017 to March 2018, the Government
procured and distributed health commodities fro Tuberculosis and Leprosy. In
order to ensure the Government improves Tuberculosis services to children, my
Ministry launched a new TB treatment
regimen for children. This new regimen is improved combined therapy
(RHZ/RH), which has good taste of fruits and it dissolve easily in water thus
no need to be broken down for correct dosage.
32. Honourable
Speaker, My Ministry has
expanded diagnostic services for TB by using gene-Xpert machines. The
machines are distributed to all district hospitals in order to increase
diagnosis of TB cases. In 2017/18, the Government in collaboration with
stakeholders procured and distributed 189 gene-Xpert machines compared to 66
machine that were in the country in 2015. These machines are distributed to all
Zonal and Regional Referral hospitals, district hospitals and in some of large
health centres. The technology in this
machine allows the results to be obtained within two hours instead of 24 hours results
from the microscope. In addition, the machines have the ability to diagnose
multiple drug resistant TB.
33. Honourable Speaker, Through the
Government commitment to collaborate with the Private Sector in fighting
against Tuberculosis particularly to increase diagnosis of TB cases from 40 to
70 by 2020, my Ministry distributed five (5) gene-Xpert machines to private
hospitals in Dar es Salaam. The hospitals that received the machines in which
each one costs TZS 38 million are Agakhan, Hubert Karuk, Regency Medical
Centre, TMJ and Hindu Mandal. The Ministry distributed the machines in these
Hospitals since they are seeing a large number of patients and also their
willingness to diagnose and treat TB cases. In addition, this partnership
aligns with the vision of our fifth phase government under the leadership of
His Excellency Dr. John Pombe Magufuli, The President Of The United Republic of
Tanzania of reaching every household with quality health services. Let me use this opportunity to congratulate
the Private Sector for their participation to fight against TB in the country.
34. Honourable Speaker, My Ministry has
continued with the effort of increasing the provision of treatment of Multi
Drug Resistant TB (MDR-TB). From July 2017 to March 2018, the Ministry
increased 41 health facilities and makes a total of 63 health facilities that
provide decentralized MDR-TB treatment services compared to only one-facility
Kibong’oto Specialized services in 2015. The regions that provide decentralized
MDR-TB include Dar es Salaam, Kagera, Geita, Mtwara, Lindi, Mbeya, Pwani,
Morogoro, Tanga, Unguja, Tabora, Kigoma, Mwanza, Arusha, Rukwa and Simiyu. In addition, the Ministry has initiated
short term MDR TB treatment regimen from twenty to nine months.
35. Honourable Speaker, in the efforts to
fight against Leprosy, the Ministry
investigated Leprosy at the community level in six regions that have high
incidence of Leprosy cases i.e. Geita (Chato), Lindi (Liwale), Mtwara
(Nanyumbu), Morogoro (Kilombero) and Tanga (Mkinga and Muheza). In the
exercise, 500 individuals were
tested whereby 54 individuals
equivalent to 10.8 percent were
diagnosed with Leprosy and were initiated treatment, and approximately 300 individuals were given preventive
treatment.
Malaria Control
36.
Honourable Speaker, Malaria has continued to be the leading cause of mortality. From
January to December 2017, statistics indicates that 5,592,844 individuals had malaria where 4,421 died from the disease. In order to reduce malaria cases, the
Ministry has continued with the implementation of various interventions to
fight against the disease. These interventions include procurement and
distribution of medicines, medical equipment and reagents in health facilities.
In order to prevent malaria transmission particularly in special groups i.e.
pregnant women and children, the Government distributed 4,726,763 long lasting insecticide nets at no cost through school
children and in antenatal and children clinics.
37.
Honourable Speaker, In the implementing the directive from President of the United
Republic of Tanzania, Hon Dr. John Pombe Magufuli of eliminating malaria by
using larvicide, the Ministry in collaboration with PO-RALG has coordinated the
distribution of 236,420 liters of
biolarvicide in all councils. The implementation of this intervention is on
different stages at council level.
Control of Neglected Tropical Diseases
38.
Honourable Speaker, Through the implementation
of various interventions mentioned from paragraph 48 to 49 of budget speech, 93
councils have succeeded to reduce transmission of filariasis and elephantiasis
thus being removed from the list of councils participating in preventive
exercise according to WHO guideline. This is a great achievement where approximate
20,446,532 are not at a risk to get transmission of those diseases.
Nutrition Services
39.
Honourable Speaker, In
the fight against malnutrition in children, my Ministry in collaboration with
nutrition stakeholders has provided vitamin A drops to children from six months
to five years together with deworming of children from one to five years. In
addition, the Ministry has continued to treat malnourished children by
increasing the number of health facilities providing malnutrition treatment,
improving infrastructure in facilities admitting malnutrition cases,
strengthening system to improve availability of food, medicines and equipment
to diagnose nutritional status and capacity building to service providers.
Health Promotion
40. Honourable
Speaker the Ministry has continued with health
promotion and sensitization to community on prevention and undertaking periodic
health checks in order to maintain good health. The Ministry through Health
Education Unit has developed communication strategy, which will enable quick
response in case of emergency or disease outbreaks. Capacity building has been
provided to Regional Health Management Teams that are bordering other
countries.
Registration of health care facilities
41.
Honourable Speaker, the Ministry continued to ensure availability of health
services through public, private and faith based owned health facilities. By
March 2018, there were a total of 7,437 health care facilities compared to
7,284 in June 2017. Further, in the period from July 2017 to March 2018, a
total of 153 private health facilities were registered.
42. Honourable Speaker, in year 2017/18, among the priorities of
the Ministry included improving and strengthening provision of specialised
services to reduce referrals abroad and cost associated with it. By March 2018,
number of patients that were referred abroad for treatment was 103 compared to
304 patients in 2016/17. This is a result of improved specialized services in
referral hospitals under the Ministry. A total of 1,090,863 patients were
attended in MNH, MOI, JKCI, ORCI, BMH, Mirembe Mental Hospital, Kibong’oto
Hospital, Mbeya Zonal Referral Hospital, KCMC and Bugando Medical Center.
Details of patients attended is shown in Attachment Number 2 of the budget
speech.
Muhimbili National Hospital (MNH)
43. Honourable Speaker, in year 2017/18, MNH renovated the
building and procured equipment for kidney transplant which started in November
2017. Five patients are planned to get renal transplant by April 2018. This has
reduced renal transplant cost from an average of TZS 100 Million abroad to TZS
20 Million when it is done in the country.
44. Honourable Speaker, the hospital has started cochlea implant
transplant in which by March 2018, six patients received the service to improve
hearing. The service is given at a cost of TZS
36 Million compared to TZS 80 to 100
Million when patients were referred abroad.
Muhimbili Orthopaedic Institute (MOI)
45. Honourable Speaker, in February 2018, the institute managed
for the first time to conduct laparoscopic spine surgery in collaboration with
Doctors from BLK, India. The surgery that was very successful aimed also to build
capacity of Doctors at MOI. Further, the institute finalized phase 3 expansion
and procurement of equipment using TZS 16.5 Billion received end of financial
year 2016/17. Implemented interventions are listed in paragraph 64 of the
speech.
Jakaya Kikwete Cardiac Institute (JKCI)
46. Honourable Speaker, the JKCI attended a total of 42,029
patients with cardiac problems. 111 patients underwent surgery of which 52 were
adults and 59 children. Further 157 patients had cardiac catheterization
surgery. The institute can now offer cardiac specialized services at 85 percent
that were initially referred abroad. This has reduced Government cost to refer
patients abroad in which by March 2018 only 12 cardiac patients were referred
compared to 43 patients in 2016/17.
Ocean Road Cancer Institute (ORCI)
47. Honourable Speaker, the Ministry continued to improve
services for cancer patients in which the institute procured new radiotherapy
equipment worthy TZS 473,363,437.50 This
has improved number of patients receiving treatment per day from 30 to 70. The
institute continue with installation of Linear Accelerator 2 and CT Simulator
that were procured at cost of TZS 9.5
Billion. Once the installation is completed it will reduce patients’
treatment waiting time from 6 to 2 weeks and improve treatment outcome. In
addition, 7 staff are in training abroad.
48. Honourable Speaker, in year 2017/18, the institute has
started private services with 4 VIP rooms and 20 private rooms. This will
improve service and increase revenue.
Benjamin Mkapa Hospital - Dodoma
49. Honourable Speaker, in improving provision of specialised
services, on 22nd March 2018, the hospital in collaboration with
TOKUSHIKAI Medical Group from Japan conducted renal transplant for the first
time to 51 years old patient. The patient is doing well and has been discharged
home. The hospital has established an ICU services. Availability of medicines
has been at 95.2 percent for the period from July 2017 to March 2018.
Mirembe Mental Health Clinic
50. Honourable Speaker, the Mirembe Mental Health Hospital and
Isanga Institute have continued to provide services to mental health patients
and availability of medicines have improved into 90 percent for essential
mental health drugs.
Kibong’oto TB Referral Hospital
51. Honourable Speaker, in year 2017/18, the hospital continued
to provide diagnostic and treatment services for Tuberculosis, Multi Drug
Resistant Tb, HIV and other infectious diseases. Further, the hospital has
trained 239 (Medical Doctors, Nurses, Laboratory Technologists and Pharmacists)
from different regions building capacity to initiate MDR-TB treatment.
Mbeya Zonal Referral Hospital
52. Honourable Speaker, the hospital has continued to improve
infrastructure for provision of specialized services as elaborated in paragraph
82 of the speech. Availability of medicines has been at 95 percent.
Bugando Medical Center (BMC)
53. Honourable Speaker, the Lake Zone Referral Hospital, Bugando
has continued to provide specialized services in 8 regions in West Lake Zone
namely Mwanza, Geita, Mara, Kagera, Simiyu, Kigoma, Shinyanga, and Tabora. In
the period from July 2017 to March 2018, the hospital conducted 72 surgeries
for patients with large intestine and stomach cancers, Nose, Ear and Throat
together with spine diseases. A total of 131 patients with cervical cancer
received radiotherapy. In addition, the hospital procured a CT Scan (128 slice)
at a cost of TZS 1.7 Billion from own source.
Northern Zone Referral Hospital (KCMC)
54. Honourable Speaker, the hospital continued to improve
provision of specialized services to people in northen regions of Kilimanjaro,
Arusha, Manyar and Tanga. A total of 1,123 cancer patients were managed in
which 47 received palliative care.
Regional Referral Hospitals
55. Honourable Speaker, the oversight and coordination of
Regional Referral hospital that were initially done by the PORALG has been
shifted the Ministry. There are 28 Regional Referral Hospitals. In the period
from July 2017 to March 2018, a total of 1,637,835 patients received treatment
in these hospitals.
56. Honourable Speaker, the Ministry has set long and short term
targets to ensure that specialised services are provided in the Regional
Referral Hospitals. These services include general surgery, Obstetrics and
Gynaecology, Paediatrics and Child Health, Internal Medicine, Dentistry and
Radiology.
Non-Communicable Diseases (NCDs)
57. Honourable Speaker, I would like to inform your esteemed
Parliament that there has been an increase in Non-Communicable Diseases in the
country. Study done by NIMR in 2012 has shown that, 26 percent of Tanzanians
have obesity, 26 percent have high levels of cholesterol, 9.1 percent have
Diabetes Mellitus and 25.9 have Blood Pressure. In addition, the study showed
that 25 percent of population participated in the study live sedentary life.
58. Honourable Speaker, the Ministry has continued with the
fight against NCD focus being prevention since Prevention is better than cure.
Let me congratulate your esteemed parliament for establishing Parliamentarians
Platform to fight against NCD in order improve their knowledge for prevention
of NCD.
59. Honourable
Speaker, The National Blood Transfusion Services (NBTS)
has continued with the collection, storage and distribution of safe blood in
health facilities. From July 2017 to March 2018, NBTS collected 233,953 bottles
of safe blood, which is 101 percent of the target. I would like to use this
forum, to thank all the individuals that donated blood. In addition, I would
like to urge all Tanzanians to donate blood frequently in order to save
patients lives particularly for pregnant women and under five children.
Availability
of Medicines, Medical Equipment and Reagents
60.
Honourable
speaker, My Ministry has
continued to ensure medicines; medical equipment and reagents are available in
health facilities. Availability of health commodities at MSD has continued to
improve and reach an average of 81 percent availability of essential health
commodities. In addition, availability of immunization health commodities is 92
percent whereas for ARVs commodities are 100 percent.
61. Honourable speaker, The Ministry in collaboration with the Ministry of Industries and Trade
called stakeholders meeting that aim to sensitize local entrepreneurs to
construct pharmaceutical industries following the directive from Honourable Dr
John Pombe Magufuli, the President of United Republic of Tanzania. A total of
430 stakeholder attended the meeting and 38 investors shoed interest to
construct industries that will produce Intravenous Infusions, syringes, and
health commodities consumables. The construction of local pharmaceutical
industries will lead to financial savings by the government from foreign
pharmaceutical procurement; In addition, this initiative will increase local
pharmaceutical production from 6 percent and reduce pharmaceutical imports from
94 percent.
62. Honourable speaker, the Ministry has continued with Star Rating assessment. From July 2017
to March 2018, the Ministry conducted a second star rating reassessment of
primary health facilities in 14 regions (Dar es Salaam, Iringa, Geita, Kagera,
Katavi, Kigoma, Mara, Mwanza, Pwani, Tanga, Tabora, Singida, Simiyu and
Shinyanga). The results of the reassessment show that, 446 facilities (4.7%)
scored zero star and 749 facilities (19.4%) scored 1-4 star compared to the
initial assessment of 2016 where 1,233 facilities (33%) of 3,713 facilities
scored 0 star and 62 facilities (2%) scored 3 and above rating. These results
show improved quality of health service delivery in primary health facilities
where majority of the population are getting their services.
67. Honourable
Speaker, the Government endeavours to ensure the targets for
Universal Health Coverage (UHC) are reached. In order to reach UHC, each
citizen is required to receive health services without financial hardship. The
target is to ensure by 2020, 70 percent of the population are enrolled in
Health Insurance Fund. Currently, 32 percent of the population is enrolled in
various Insurance Funds. I would like to request Honourable Members of
Parliament to continue to educate all citizens the importance of enrolling and
pay for health insurance in order to get health services without any financial
hardships.
68. Honourable
Speaker, the Ministry in collaboration with PO-RALG has started
the implementation of transferring funds directly to the health facilities
known as Direct Health Facility Financing (DHFF) instead of transferring funds
to LGAs. This initiative aims to improve efficiency in funds utilization and
improve effectiveness of health service coverage.
INFORMATION AND
COMMUNICATION TECHNOLOGY
69. Honourable Speaker, the Ministry continued to implement
eHealth Strategy 2013-2018. In year 2017/18, the Ministry in collaboration with
President’s Office Regional Administration and Local Government and Bill and
Melinda Gates Foundation through PATH initiated Digital Health Investment
Recommendation Roadmap. The Roadmap outlines priorities in in use of electronic
systems aiming at improving health services at all levels of service provision
and importance of data collection and
correct use of data in health sector. In addition, the Ministry have
installed electronic immunization information system in 1303 health care facilities in Arusha, Kilimanjaro, Tanga, Manyara
and Dodoma regions. A total of 3,258
health care workers have been trained on how to use the system.
IMPLEMENTATION OF DEVELOPMENT PROJECTS FUNDED
70.
Honourable Speaker, in year 2017/18, the Ministry allocated TZS 785,805,952,000 for
implementation of development projects. Out of these TZS 336,300,000,000 were
from domestic sources while TZS 449,505,952,000 were from external sources.
Projects implemented with domestic resources
71.
Honourable Speaker, the Ministry received at total of TZS 74,756,079,206.00 (domestic
resources) between July 2017 and March 2018 for implementation of development
projects highlighted in paragraph 128 of the Budget Speech.
Projects implemented with external
resources
72.
Honourable Speaker, in the period between July 2017 and
March 2018, the Ministry received TZS
403,530,227,600.94 from external resources that included cash and medical
commodities (medicines, equipment and reagents) as elaborated below:
Health Basket Fund
The
Health Basket Fund funded implementation of interventions listed in paragraph
129 of the Speech.
Result
Based Financing
73.
Honourable Speaker, from July 2017 to March 2018, the Ministry
in collaboration with PORALG renovated a total of 1,325 public owned health facilities in Shinyanga, Mwanza, Coast,
Tabora, Simiyu, Kigoma, Kagera and Geita regions. In addition, a total of TZS 3,425,162,919 was disbursed to
Regional and Council Health Management Teams for service provision incentive
payment at both levels.
Improving CEmONC services
74.
Honourable Speaker, one of the government priorities in the
financial year 2017/18 is reducing maternal and neonatal mortality. The
Government in collaboration with development partners have started infrastructure
improvement plan to enable selected health centres to provide comprehensive
emergency maternal, obstetric and neonatal care services. A total of 208 health
centers will benefit using TZS 40,000,000,000.00 from World Bank, TZS
19,500,000,000.00 from Denmark. Funds were disbursed to district councils for
implementation and the Ministry and PORALG are providing oversight. In
addition, the Ministry in collaboration with PORALG is finalizing a list of
additional 21 health centres that will be renovated using Health Basket Fund
funds.
Global Fund to fight AIDS, TB and Malaria
75. Honourable Speaker, from July 2017 to March 2018, the
Ministry received from the Global Fund TZS 303,238,541,795.37 that includes
cash and medical commodities for the fight against AIDS, Tuberculosis and
Malaria.
Medical Stores Department (MSD)
76. Honourable
Speaker, in
financial year 2017/18, the MSD continued to implement he government directive
to procure directly from the manufacturers using Framework Agreement. Total of
110 manufacturers have contracts with the MSD, out of which 10 are local
manufacturers. This arrangement has resulted into price reduction of 109
medicines by 40 percent. Further, the MSD has continued to improve its
distribution in order to ensure constant availability of medicines at health
care facilities by 100 percent. Through the GFATM support, a total of 181
fleets have been procured and His Excellence Dr John Pombe Magufuli, the
President of the United Republic of Tanzania inaugurated on 26th
March 2018.
National Health Insurance Fund (NHIF)
77. Honourable
Speaker, the
NHIF continued to implement different strategies in order to increase members.
As a result of implementing the strategies from July 2017 to March 2018, the
Fund have managed to enrol 167,791 new members from both public and private
sectors that is 97 percent of the target. The beneficiaries have therefore
increased from 3,491,400 members in 2016/17 to 3,619,697 members in March 2018,
which is seven percent of all Tanzanians. This shows that, members have
increased at an average of 10 percent and beneficiaries have increased by 7
percent over a period of five years.
78. Honourable Speaker,
the Ministry in collaboration with PORALG and NHIF have continued to implement
Community Health Fund (CHF). In the period from July 2017 to March 2018, new
family enrolled into CHF was 66,026 and this making up a total of 2,096,692
families compared to 2,030,666 families that were recruited in year 2016/17.
Further, beneficiaries have increased from 12,183,996 in 2016/17 to 12,580,149
beneficiaries in March 2018, which makes up a total of 25 percent of all
Tanzanians.
79. Honourable Speaker,
in the period from July 2017 to March 2018, a total of 199,954 pregnant women and 20,998
children were enrolled in NHIF through Tumaini
la Mama Initiative. This makes a total of 875,375 women who have benefited
from 2012 in Mbeya, Tanga, Lindi, Mtwara and Songwe regions. In addition,
paragraph 141 to 144 of the Speech describes other NHIF achievement during this
financial year.
Tanzania Food and Drug Authority (TFDA)
80. Honourable Speaker,
the Ministry through TFDA is implementing a new five years strategic plan
(2017/18 – 2021/22). The TFDA processed applications for registration of new
product manufacturers/processors and outcome of the audit and inspection is
shown in paragraph 146 and 147 of the budget speech. Further, the TFDA
continued with community education through radio, television, newspapers and
social media.
81. Honourable Speaker,
in year 2017/18, electronic registration system have been developed and in
operation. This has reduced registration-processing time. In addition, the TFDA
have successful put the information on registered products in the web site
hence accessible through www.tfda.go.tz/portal/registered-products.
82. Honourable
Speaker, in
year 2017/18, the institution that was Government Chemist Laboratory Agency was
changed to be Government Chemist Laboratory Authority through Act. No. 8
(2016). In order to improve its performance, the Authority has signed three
contracts to procure laboratory equipment worthy TZS 1.4 Billion that are
expected to be delivered before June 2018. In addition, renovation of the DNA
laboratory at Headquarters in Dar es Salaam has started and completion is
expected by June 2018.
Tanzania
Food and Nutrition Centre (TFNC)
83.
Honourable Speaker, the TFNC continued to implement its mandate to improve provision of
nutrition services in the country. In implementing the Government target to
reduce infant mortality, the TFNC coordinated Vitamin A Mass Drug
Administration to children aged 6 to 59 months together with drugs for
intestinal helminths for children aged 12 to 59 months. Emphasis this time
around was to regions that have not reached WHO proposed target of 90 percent.
National Institute for Medical Research (NIMR)
84.
Honourable Speaker, the Ministry through NIMR continued to
conduct research. These include researches on HIV Vaccines trial, alternative
medicines, mother and child health, malaria and Tuberculosis. Outcomes of these
researches have helped in planning interventions for these diseases. Further,
NIMR in collaboration with stakeholders have conducted an assessment on
availability of safe water and clean environment in health facilities where
delivery services are provided. Results of the study showed that, 19 percent of
health facilities use unsafe water sources; 46.5 percent of the tested water
had various bacteria; 42 percent of labour wards had no facility for hand
washing and 10 percent had poor toilets which increase chances for contacting
infection.
85.
Honourable Speaker, the Ministry is planning to work on the findings of the researches
with aim of improving preventive services in collaboration with PORALG in order
to ensure that local government authorities set aside budget to implement the
reported weaknesses.
IMPLEMENTATION
OF RESPONSIBILITIES UNDER COMMUNITY DEVELOPMENT
Women Empowerment
86. Honourable
Speaker, the Ministry in collaboration
with the President’s Office – Regional Administration and Local Government
Authorities (PO-RALG) has continued to coordinate implementation of the
interventions under the Women Development Fund (WDF). In the year 2017/18, the
Ministry continued to advocate and mobilize Local Government Authorities to
ensure allocation of five percent of their revenues from own internal sources
to WDF. From July 2017 to February
2018, a total of 170
out of 185 LGAs contributed Shs. 7.3 billion to the WDF compared to Shs. 8.9 billion for the 2016/17
allocations. The amount of funds contributed to the Women Development Fund in
the year 2017/18 is equivalent to 26 percent of the planned total
contributions of Shs. 28.3 billion
in the corresponding year. In addition, the allocation benefited a total of 4,365 Women Groups with 39,449 women entrepreneurs through soft loans. I believe that by
the end of June 2018 the contributions by LGAs to the WDF will increase to meet
the target. I therefore, call upon District Executive Directors from all LGAs
to contribute to the WDF as planned.
87. Honourable Speaker, The
Ministry in collaboration with Mtwara District Councils has empowered four
women’s groups with 20 members on entrepreneurship skills and business
management, record keeping, savings and repayment of loans. A total of Shs. 69 million from Ministry’s WDF was
given directly to the women groups in Mtwara Region. The loans provided enabled
them to construct two dams and to fence them for the purpose of fish farming,
increase the areas for horticulture from four acres to eight acres and increase
infrastructures/building for poultry farming.
88. Honourable Speaker, during the year
2017/18, the Ministry in collaboration with PO-RALG coordinated sensitization
of women to start and join income generating groups (SACCOS na VICOBA) during pretesting of the implementation of
the Sensitization Guideline for Women to Establish and Enrol in Economic Groups
at Rombo District Council in Kilimanjaro and Mvomero District Council in
Morogoro Regions. As a result of the sensitization, a total of 88 groups with a
total of 1,807 (Female 1,517 and Male 1,807) were established. These groups have facilitated members
to contribute and increase the capital to a total of Shs. 50 million and enabled them to invest in various business and
income generating activities including farming and livestock keeping.
89. Honourable Speaker, in the year 2017/18, the Ministry launched and
coordinated implementation of the programme of Mentoring Groups. This programme
aims at helping inexperienced women entrepreneurs by linking them with the
experienced and beneficiaries of WDF and women’s economic groups which are
performing well so that they can learn. The programme is being implemented in
six Regions in Pwani, Kigoma, Songwe,
Katavi, Rukwa and Mbeya. For the period of July 2017 to March 2018, a total of 30 Women entrepreneurship were linked
to 25 groups which are performing
well in these regions. Furthermore, through this programme, a total of 1,131 women has been trained in
entrepreneurship and products improvement and linked with TFDA, TBS and SIDO
for the purposes of getting assistance and advice on management of their
business and products.
90.
Honourable
Speaker, the Ministry in
collaboration with different stakeholders; SIDO, EOTF and NEEC continued to
facilitate involvement of women in International Trade Fair. In the year 2017/18, a total of 1,183 Women Entrepreneurs from 26 Regions of Tanzania
were enabled to participate in National Trade Fair (Nane nane), the
participants managed to learn different skills for improving their products and
obtain experience on market from other participants.
91.
Honourable
Speaker, the Ministry through
Tanzania Women’s Bank continued to provide financial services including soft
loans with low interest rate and training in entrepreneurship especially to
women in 7 Regions namely; Dar es Salaam, Mwanza, Dodoma, Iringa, Ruvuma, Njombe na Mbeya. In the year 2017/18, 6,237 Entrepreneurs (Female 5,097 and Male
1,140) have been given loan compared to 6,267 Entrepreneurs (Female 4,596 and Male 1,671) in the year 2016/17. These efforts enabled 87,063 Entrepreneurs (Female 71,744 and
Male 15,319) to get loan from year 2010. In addiction, in the year 2017/18,
the bank issued loans amounting to Shs.
10.1 billion compared to Shs. billion 13.3 in the year
2016. The total amount of loan issued by
the Bank since 2010 to March, 2018 amounts to Shs. 131.9 billion.
92.
Honourable
Speaker, the Women’s Bank
opened 244 credit centres for provision of soft
loans and training to Women Entrepreneurs in Dar es Salaam (115), Mwanza (46),
Dodoma (27), Mbeya (5), Iringa (9), Ruvuma (24) and Njombe (18) Regions in the year 2017/18 as compared to 88 credit centres opened in 2016/17 equivalent to 177 Percent increase. The Tanzania Women’s Bank also
sensitized the communities on the importance of income saving through by
opening savings bank accounts. In the
year 2017/18, a total of 10,415 (Female
7,811 and Male 2,604) were opened and by the end of March, 2018 accounts
were opened in two branches of Tanzania Women’s Bank (Mkwepu and Mjasiriamali Branches) from year 2009. In these two
branches, 65,419 accounts were women
accounts equivalent to 74 Percent, 20,961 accounts were for men and 2,017
accounts were for Companies.
93.
Honourable
Speaker, Gender
based violence is still a challenge in the country. According to the Police
Crime Report of 2017, incidents of gender-based violence were 41,416 in year 2017
compared to 31,996 incidents in year 2016.
In order to solve this problem the Ministry has been coordinating the
implementation of National Plan of Action to end Violence Against Women and
Children (2017/18 – 2021/22). The goal of this plan is to reduce the incidence
of gender based violence in Tanzania by 50 percent in the year 2022. In the
year 2017/18, the Ministry in collaboration with stakeholders has trained Women
and Children Protection Committees in the Regions and Local Government on how
to deal with Violence against Women and Children. In addition, a total of 52
Coordinators of women and children protection committee from Regional
Secretariats have been trained to coordinate interventions on Gender Based Violence.
Also Women and Children Committees from 19 Local Government Authorities of
Kasulu (W), Kasulu (TC), Kibondo, Kakonko, Kibaha, Ludewa, Kaliua,
Wanging’ombe, Rungwe, Kyela, Mbeya (DC), Kiteto, Mkuranga, Busega, Busenga,
Dodoma (M), Uyui, Tabora (M) and Rufiji have been trained on protection of
violence against women and children.
Community Development
94.
Honourable
Speaker, The Ministry
has continued encouraging communities to participate in development activities
in their localities and getting them involved in development projects through
labour contribution and use of locally available resources. In a period between
July 2017 to March 2018, Ministry has conducted substantial sensitizations in
11 regions; Iringa, Dodoma, Mwanza, Pwani, Kigoma, Katavi, Rukwa, Songwe,
Mbeya, Kagera and Shinyanga. Through that; construction of Mondo Health Centre,
in Misungwi District (Mwanza) has been accomplished; construction of water dam Maghangu Mpwapwa (Dodoma) has been done; construction of Ufyambe
Dispensary (Iringa); construction of Secondary School and Health Centre –
Uvinza (Kigoma); construction of Secondary School and Health Centre – Mpanda
(Katavi); construction of Health Centre –
Sumbawanga (Rukwa); construction of Health Centre – Mbozi (Songwe);
construction of Secondary School – Mbeya Municipal (Mbeya) has been completed;
cash contribution and facilities by local community for staff house
construction responsible for Elderly Resident House (Kagera); launching of One
Stop Centre for GBV and Child Abuse Kahama District (Shinyanga); construction
of classrooms Chambasi Village, Kisarawe (Pwani). All these projects cost a
total of 229,127,100 Tanzanian
Shillings, out of which 112,341,250 Tanzanian Shillings equivalent to 49.03
percent is in kind community contribution and save part of the money that could
initially be used for the projects. In addition, it has brought a sense of project
ownership among community members and ensures sustainability.
95.
Honourable
Speaker, In
the year 2017/18, 175 community
development experts from 26 regional secretariats and 184 from Local
Authorities were capacitated on how to motivate communities to participate in
country industrialization initiatives, implementation of National Plan of
Action to End Violence Against Women and Children (2017/18 - 2021/22) and on women economic
empowerment particularly on production of agriculture, livestock and fisheries
products that will then produce raw materials to feed micro and small
industries in their respective areas.
96.
Honourable
Speaker, Ministry
has continued supervising and coordinating production of Community Development experts in its 8 Community Development
Training Institutes (CDTIs) namely; Buhare, Mlale, Misungwi, Rungemba,
Mabughai, Ruaha, Uyole and Monduli. These institutes are offering Community
Development training in Certificate and Diploma levels. In 2017/18, a total of 1,588 students (984 females and 604 males) were admitted compared to 3,248 students
(1,987 females and 1,261 males) admitted in 2016/17. Moreover, in 2017/18, a
total of 3,320 students (1,947
females and 1,373 males) graduated
in all 8 CDTIs compared to 3,694
graduands (2,228 females and 1,466 males) in 2016/17.
97.
Honourable
Speaker, Ministry has
reviewed curriculum for community development training to produce competent
graduates to meet the existing labour market demand as well as the evolving
science and technology. The reviewed curriculum will be used in 6 CDTIs of
Buhare, Ruaha, Uyole, Mlale, Monduli and Rungemba. On the other hand,
curriculum on Community Development and Civil Engineering was reviewed in
2016/17.
Non-Governmental
Organizations
98.
Honourable
Speaker, the Ministry have continued
to coordinate Non Governmental Organizations through creation of enabling
environment for NGOs to operate effectively and efficiently in bringing
sustainable national development. From July 2017 to March 2018 a total of 192 NGO’s were registered. Out of the
21 NGOs were registered at International level, 162 National levels and 9
District level. This made up a total number of 8,211 NGO’s registered from 2005 to March 2018. These NGOs have
contributed towards improving social services delivery in sectors of Health,
Education, Water, Environment, Agriculture, Human rights, Good Governance,
Gender Development, Livestock and Fisheries, Wildlife and Energy.
99.
Honourable
Speaker, in ensuring that NGOs
operates in accordance to laws, rules and regulations of the country, the
Ministry conducted verification exercise
of NGOs whereby 4,868 NGOs were
verified. However, during the process the Ministry identified 513 NGOs that were registered under
other legislations and incorporated them under the NGOs Act No. 24, 2002. The
exercise has strengthened coordination of NGOs in the areas of transparency,
information sharing and accountability.
Child Rights and Development
100. Honourable Speaker, Violence against children is still a major problem in the
country. According to the Crime and Traffic Incidents Statistics Report of
2017, the incidents of child abuse were 13,457 compared to 10,551 incidents in
2016, which is equivalent to an increase of 28 percent. We believe that the
increase is due to the ongoing Parenting Education to families, which has been
provided by the Government. The training has raised awareness to community to
understand the importance of reporting incident of violence in the relevant
authority. In addressing the problem, the Ministry in collaboration with
stakeholders has continued to implement the National Plan of Action to End
Violence Against Women and Children (2017/18 - 2021/22). In 2017/18, the activities
implemented included to provide education on the impact of cultural and
cultural practices such as Female Genital Mutilation, teenage pregnancy and
early marriages in various group in communities. A total of 13,020 community
members were provide education on the effects of harmful traditional practices;
whereby 8,546 students, 476 teachers, 56 traditional leaders, 64 religious
leaders, 38 “ngariba”, 168 bodaboda drivers, 3,600 parents/guardians and 72
community and local authority from Shinyanga, Mara, Tabora, Lindi, Dodoma,
Tanga, Dar es Salaam and Katavi.
101. Honourable Speaker, The Ministry in collaboration with the stakeholders has
continued to provide care for victims of child abuse through the Child Help
Line. In 2017/18, a total number of 18,464 calls were received about violence
against children. Out of which 1,072 (female 621 and Male 451) children calls
concerns were facilitated through access to different services (food, school
supplies, legal services and health) compared to 441 children (female 325 and
Male 96) who received the services in 2016/17 which is equivalent to an
increase of 143 percent.
102. Honourable Speaker, The Ministry has continued to take action to prevent child abuse
by building the capacity of 1,192 caregivers of victims to violence on how to
handle cases of children who has experienced violence. The service providers
include: Regional Police Investigators, Regional Police, Military Police
Officers, Community Development Officers, Social Welfare Officers and members
of child protection teams from 15 Councils in 7 regions.
103. Honourable Speaker, Girls have been experiencing various obstacles in achieving
their goals including: teenage pregnancy and early marriages. According to the
Maternal and Child Health Survey and Tanzania Malaria Indicators of 2015/16,
teenage pregnancy is 27 percent. The leading regions are Katavi (45%), Tabora
(43%), Dodoma (39%), Morogoro (39%) and Mara (37%). In dealing with child
marriages and teenage pregnancies, the Ministry has launched a campaign to end
teenage Pregnancy in primary and secondary schools “Mimi msichana najitambua Elimu
ndio Mpango Mzima”: The campaign was launched during the commemoration
of International Day of the Girl Child which was done in Tarime - Mara on
11/10/2017. The campaign aims at promoting awareness to girls in primary and
secondary schools to focus on their education, self-awareness and reporting of
any violations of their rights. In addition, 13,284 community members, (8,546)
students, (476) teachers, (110) religious leaders, 90 traditional and
influential leaders, (38) ngariba, (261) bodaboda drivers, (3,600)
parents/guardians and (113) community and local authority leaders from
Shinyanga, Tabora, Lindi, Dodoma, Dar es Salaam, Tanga, Mara and Katavi were
given education about the effects of pregnancy and childhood.
104. Honourable Speaker, in ensuring
that children participate fully in their development issue, in 2017/18 the
Ministry has continued to facilitate child participation in junior councils and
girls' clubs that aimed at preventing teenage pregnancies and increase their
participation in the development agenda. The total of 13 children's councils
and 600 clubs in primary and secondary schools have been established for the
period from July 2017 to March 2018, with a total of 1,669 councils and 2,000
clubs.
The Early
Childhood, Care and Development Services
105.
Honourable
Speaker, the Ministry
continued to support and coordinated the provision of Early Childhood, Care and
Development Services in the country for the year 2017/18 to children under 5 years in the Day Care Centres for both public
and private owned. From July, 2017 to March, 2018 a total of 139 were
registered and issued with licences as compared to 270 Day Care Centres
registered and issued with licences in the year 2016/17. This makes a total of
1,046 Day Care Centres which have been registered in the country. Furthermore,
a total of 6,075 children (girls 4,018 and boys 2,057) were registered in Day
Care Centres in the year 2016/17 as compared to 4,450 children (girls 3,097 and
boys 1,353) in the year 2015/16.
106.
Honourable
Speaker, in order to
ensure that the care givers provide required care and support to children
registered in these day care centres, the Ministry trained a total 600 care
givers from Municipalities of Ubungo, Temeke, Ilala and Kigamboni. Care givers
were trained on early childhood care and development and the establishment and
management of day care centres. In addition, the Ministry directed the owners
of the Day Care Centres to recruit and deploy qualified care givers as per the
government guidelines and directives. Up to March, 2018, a total of 1,882 care
givers were deployed as compared to 1,652 care givers who were deployed in the
year 2016/17 equivalent to an increase of 14 percent.
107.
Honourable
Speaker, in the year
2017/18, the Ministry continued to produce experts on early childhood care and
development through Kisangara Training Institute of Social Welfare. A total of 83 students were enrolled for certificate course of Early Childhood
Care and Development (58 females and 25 males) compared to 56 students (females
39 and 17 males) who were enrolled during the year 2016/17. In additional, a
total of 52 students (35 females and 17 males) graduated in the year 2017/18
compared to 8 female graduates in the year 2016/17.
Child Welfare
Services
108.
Honourable
Speaker, in the year
2017/18 the Ministry in collaboration with Civil Society Organizations (CSOs)
continued to ensure that the Most Vulnerable Children access their basic care,
support and protection services. A total of
6,132 Most Vulnerable Children (2,972 girls and 3,160 boys) received basic
care, support and protection services from 157 children’s homes owned by both
government and private owned children’s homes compared to 4,515 Most Vulnerable
Children (2519 girls and 1,996 boys) in the year 2016/17. Out of the Most
Vulnerable Children cared for in these homes, a total of 78 children (43 girls
and 35 boys) are cared for in the National Children Home Kurasini. Furthermore,
for the period of July, 2017 to March, 2018, a total of 14 licences were issued
compared to 50 licences which were issued for the same period in the year
2016/17, this makes a total of 157 registered children’s homes in the country,
including one national owned children home. The rest of these children’s homes
are privately owned. I would like to take this opportunity to call upon all
children’s home managers who have not registered their homes to do so
immediately in their respective councils.
109.
Honourable
Speaker, in the year
2017/18, the Ministry in collaboration with the Railway Children Africa (RCA)
conducted assessment of the children living and working in streets in 12
councils namely Ilala, Kinondoni,
Temeke, Kigamboni, Ubungo, Arusha, Iringa, Mbeya City, Mbeya DC, Dodoma DC,
Nyamagana MC na Ilemela MC. A total number of 6,393 (1,528 girls and 4,865
boys) working and living on the streets were identified from December 2017 to
January, 2018. Out of identified children, a total of 1,385 children (410 girls
and 975 boys) were living and working in the streets during the night time. The
Ministry is currently implementing the strategy (Community Based Rehabilitation
Programme) to ensure that children living and working in the street are reunified with their families. Out of
identified children, a total of 952 children (83 girls and 869 boys)
have been reunified with their families.
110. Honourable Speaker, The Ministry continued to
ensure that children who are in conflict with the law, access basic rights
including; legal services and education in five retention homes of Mbeya, Moshi, Tanga,
Arusha and Dar es Salaam. In 2017/18, a total of 291 children in conflict
with the law (13 females and 278 males)
were facilitated with basic services such as food, shelter, clothes, medical
services and education including legal services compared to 255 children (18 females and Me males)
in 2016/17 equivalent to an increase of
14 percent. In addition, the Ministry in collaboration with Roman Catholic
Church Arch Diocese of Dar es Salaam improved the
infrustructure at Dar es Salaam retention home by drilling the borehore well
together with instalation of water tank with capacity of 10,000 litres.
111. Honourable Speaker, the Ministry in
collaboration with the Ministry of Constitution and Legal Affairs has diverted
a total of 126 children (24 female and 102males) from the formal criminal system by rehabilitating
their behaviour and reunifying them with their families compared with 72 children (8 female and 64 males) diverted
in 2016/17 equivalent to an increase of 67
percent. Likewise, in 2017/18, the Ministry continued to provide basic
needs (food, shelter,
clothes and medical services) including rehabilitation of behaviour, education and training to 35 male
children who committed criminal
offences residing at Irambo Approved School in Mbeya compared to 72 children in 2016/17. In 2017, Irambo
Approved School ranked number one in National Standard VII Mock Examination at
Mbeya DC and all children passed the Standard VII National Examination.
112.
Honourable Speaker, In 2017/18, the Ministry in
collaboration with PORALG continued to ensure that children are cared at the
family level according to the Law of the Child Act No. 21 of 2009 by providing
foster care and adoption services. The Ministry
facilitated the foster care services to 44 children (24 females and 20 males) compared to 54 children (21 female and 33 male) in 2016/17. Moreover, 17 children (8 males and 9 females) were adopted in 2017/18
compared to 21 children (11 female and
10 male) in 2016/17.
113. Honourable Speaker, the
Ministry continued to recruit Fit Persons in order to provide care, support and
protection to most vulnerable children.
This effort enabled the identification of 187 Fit Persons in 19
councils by 2017/18. Up to March,
2018, a total of 243 has been cared by Fit Persons in 19 councils
which are; Magu DC, Kasulu DC, Kasulu TC, Musoma DC, Iringa MC, Iringa DC,
Mufindi DC, Njombe DC, Makete DC, Mbeya
Jiji, Mbeya DC, Mbarali DC, Hai DC, Temeke DC, Arusha DC, Kakonko DC, Kibondo
DC, Misenyi DC na Chunya DC. Fit Persons
are selected by community members within the community to care for Most
Vulnerable Children.
Elderly Welfare
Services
114. Honourable Speaker, the Ministry continued to coordinate accessibility
of basic services to destitutes elderly. In 2017/18, total of 517 destitutes elderly (Ke 250 na Me 267) cared in 17 government
elderly homes provided with basic services such as - food, shelter, clothes
and medical services compared to 465 destitutes
elderly (221 female and 244 male) in 2016/17 equivalent to an increase of 11
percent. In addition, the Ministry continued to improve environment for
provision of social welfare services at 17 gonernment owned erlderly by
constructing the dormitory with the capacity to accommodate 20
destitutes elderly (10 female and 10
males) at Kolandoto elderly home and facilitate of 10 tri-motor cycle, kitchen utensils and first aid kits in all 17
elderly homes.
115. Honourable Speaker, the
Ministry in collaboration with PO-RALG has facilitated 506,943 elderly (female 220,312 and male
286,631) to acquire health identity cards for free medical services for the
period of July, 2017 to March, 2018 compared to 74,590 elderly who acquired
health identity cards in 2016/17. This effort makes a total of 581,533 elderly
(female 254,793 and male 326,740) who acquired health identity cards which is
35 percent of 1,657,206 elderly identified in all Councils. Provision of health
identity cards for free medical a service is a transitional stage towards
acquire National Health Insurance Cards which will facilitate smooth
accessibility of free Health services. In addition, during the commemoration of
the International World Elderly Day held in Dodoma on 01/10/2017 whereby a
total of 320 elderly undergone medical check up and advice.
Marriage Disputes
Reconciliation and Maintenance to Children
116.
Honourable Speaker, in the year 2017/18 the Ministry through Marriage Reconciliation Board
which is under the Commissioner for Social
Welfare and Social Welfare Offices at the council levels has continued to
provide reconciliation and counselling services to families. For the period of
July, 2017 to March, 2018, a total of 13,382 marriage disputes were received
and reconciliated in various councils and under the Commissioner Marriage
Reconciliation Board compared to 8,454 marriage disputes in the year 2016/17.
Out of marriage cases received, 11,326 cases equivalent to 85 percent were
reconciliated, 1,397 equivalent to 10 percent were sent to court and 659 cases
equivalent to 5 percent are still in progress.
117. Honourable Speaker, in
ensuring that children receive basic services from their parents, the Ministry
continued to work on maintenance cases reported in the country. For the period
of July, 2017 to March, 2018, a total of 11,815 maintenance cases were
received. Out of received cases, a total of 4,965 maintenance cases were
children in matrimonial and 5,708 were affiliation cases. In addition, out of
maintenance cases received, 10,673 cases were closed and 1,142 cases were
referred to court compared to 12,406 cases closed in 2016/17 (matrimonial cases
6,557, affiliation cases 4,133 and 1,716 cases refereed to court).
NATIONAL AND INTERNATIONAL COOPERATION
118. Honourable
Speaker, the
Ministry in
collaboration with PO-RALG and sectoral stakeholders will continue to
commemorate various National and International Community and Social Welfare
Services for the aim of sensitizing and convey message to the public. Some of
those days are; Women, Children, Family, Elderly and Girl Child Days
IMPLEMENTATION
OF RESPONSIBILITIES OF INSTITUTIONS UNDER COMMUNITY DEVELOPMENT
Tengeru
Institute of Community Development
119. Honourable Speaker, in 2017/18, Tengeru Institute of Community
Development registered a total of 1,169
students equivalent to 86 per cent
increase compared to 628 students
registered in 2016/17. Out of registered students, 486 were enrolled at Certificate level, 83 Diploma and 600 Bachelor Degree. Likewise, 684 students graduated in 2017/18 compared
to 609 students graduated in 2016/17
which is 12 per cent increase.
120.
Honourable Speaker, Institute has conducted
three major researches; Baseline Survey in Kikwe Village – Arumeru
District, Vulnerability of Children in Informal Sector – Arumeru District
(Children working on Public Markets) and Challenges Confronting Community
Development Officers in Local Government Authorities. Findings of these researches will improve
trainings on community development as well as implementation of community development
activities in Local Government Authorities (LGAs).
Institute
of Social Welfare – Kijitonyama
121.
Honourable Speaker, the Institute of Social Welfare – Kijitonyama continued to offer social
welfare training at certificate, diploma, bachelor’s degree, postgraduate
diploma and master’s degree. In the year 2017/18, a total of 1,185 students
(female 811 and male 374) were enrolled in different courses. Out of students
enrolled, 421 students were enrolled at certificate level, 409 students at
diploma level, 315 students at degree level, 28 students at postgraduate
diploma level and 12 students at master’s degree level. In addition, a total of
1122 students (female 722 and male 400) graduated in the year 2016/17 in
various levels and courses compared to 1,172 students (female 789 and male 383)
graduated in the year 2015/16 with an increase of 4.2 percent.
C: THE MINISTRY’S PRIORITIES IN YEAR
2018/19
122. 117. Honourable Speaker, in year 2018/19, the Ministry through
Vote 52 (Health Department) has set the following priorities in order to
improve health care services in the country;
i.
To strengthen immunization services for children to maintain
the high coverage in order to prevent children from diseases that can be
prevented with vaccination.
ii.
To strengthen preventive services for diseases that
are prevented through adhering to cleanliness regulations including clean
environment such as diarrhoeal diseases.
iii.
To strengthen preventive services against
non-communicable diseases such as Cardiac diseases, Diabetes Mellitus and
cancers through raising public awareness to prevent themselves from risk
behaviour and build a habit to exercise regularly.
iv.
To strengthen maternal and child health services in
the country in order to reduce maternal and neonatal mortality through
renovation of neonatal care units in seven Regional Referral Hospital and
postnatal wards and ICU in five RRH in the regions with highest maternal
mortality.
v.
To reduce HIV/AIDS, TB and Malaria new infections.
vi.
To improve availability of safe blood including
construction of satellite blood banks.
vii.
To improve availability of medicines, equipment and
reagents in all public health facilities in the country.
viii.
To strengthen availability of specialized services in
RRH, Zonal Referral Hospitals and National Special Hospital.
ix.
To improve quality of services provided in the public
health facilities.
x.
To improve health training institutions infrastructure
in Nursing Training Institutions of Nachingwe, Kibondo, Kagemu, Kondoa, Same
and Kiomboi; Clinical Officers Training Institutions of Tanga, Mpwapwa and
Ngudu; Assistant Medical Officer Training Institutions of Kibaha and Tanga;
Singida Laboratory Training Institution.
xi.
To improve Informationa communication Technology in
order to improve availability of data in health sector.
xii.
To strengthen health financing system and increase
coverage of pre-payment schemes towards universal health coverage-UHC.
123. Honourable Speaker, to implement the highlighted priorities
in Vote 52 for year 2018/19, the interventions are listed in paragraph 199 to
205 of the budget speech. However, I would like to mention high priority
interventions below:
i.
Procure
and distribute children vaccines andHPV vaccines for girls between 9 and 14
years in which TZS 30 Billion is
allocated.
ii.
Scale
up TB case identification countrywide. A total of TZS 5 Billion is allocated.
iii.
Renovate
and construct neonatal care units in seven RRH of Dar es Salaam, Katavi, Geita,
Rukwa, Kilimanjaro, Iringa and Kigoma. A total of TZS 900 Million is allocated for this activity.
iv.
To
expand maternity ward and establish ICU in RRH in five regions of Mbeya,
Shinyanga, Morogoro, Coast and Kigoma, TZS
1 Billion will be used.
v.
To
improve availability of safe blood through construction of Satellite Blood
Banks in 12 regions of Manyara, Katavi, Rukwa, Ruvuma, Njombe, Tanga, Arusha,
Coast, Singida, Songwe, Geita and Simiyu in which TZS 4.3 Billion is allocated.
vi.
To
procure and distribute Sulphadoxine+Pyrimethamine anti malaria for pregnant
women and all other lifesaving medicines for pregnant women. A total of TZS 8.5 Billion is allocated.
vii.
To
procure and distribute beds, mattresses, bed sheets and delivery beds in which TZS 4.9 is allocated.
viii.
To
improve medicines, equipment and reagents availability. A total of TZS 270 Billion is set aside.
ix.
To
continue with renal transplant services at Muhimbili National Hospital and
Benjamin Mkapa Hospital.
x.
To
continue with cochlear transplant services at MNH.
xi.
To
procure and install modern cancer diagnostic and treatment equipment at Ocean
Road Cancer Institute in which TZS 14.5
Billion is allocated.
xii.
To
continue with construction of bunkers and procurement of radiotherapy equipment
for Mbeya Zonal Referral Hospital.
xiii.
To
procure and distribute 27 ambulances in order to improve referral system in the
country.
xiv.
To
renovate RRH in which a total of TZS 20
Billion is allocated.
xv.
To
continue with construction of RRH in regions with no RRH namely Simiyu, Katavi,
Songwe, Mara and Njombe in which TZS 10 Billion is allocated.
xvi.
To
renovate health training institutions and a total of TZS 8 Billion is allocated.
MINISTRY’S PRIORITIES FOR THE
YEAR 2018/19 -
VOTE 53
124.
Honourable Speaker, In the year 2018/19,
Ministry through vote 53 will implement the following priorities:
(i)
Improve gender equality and women empowerment;
(ii)
Strengthen accessibility to the social welfare
services and rights to elderly and children;
(iii)
Facilitate implementation of the National Plan
of Action to end Violence Against Women and Children in order to reduce it by
50%.
(iv)
Improve teaching and learning environment at
Tengeru Institute of Community Development and Institute of Social Welfare –
Kijitonyama;
(v)
Improve buildings and infrastructure in Elderly
Homes, National Children Home - Kurasini, Retention Homes and Approved School -
Irambo;
(vi)
Enable friendly environment for NGOs to
contribute in national development initiatives; and
(vii) Sensitize
community to build self-help spirit to participate in development.
125. Honourable
Speaker, In
order to implement the priorities for the year 2018/19, the Ministry will
implement the following activities:
Promoting Gender Equality and Women Empowerment
126. Honourable Speaker,
the
Ministry will continue to implement various interventions in promoting gender
equality and women empowerment by undertaking the following activities:
(i) To coordinate
sensitization of women to initiate and join various economic groups including
SACCOS and VICOBA and link them with loans opportunities;
(ii) To mainstream gender issues in the Policy, Plans and Sectoral Strategies;
and
(iii) To eliminate gender based violence especially against women by
implementing the National Plan of Action to end Violence Against Women and Children
(2017/2018 – 2021/22).
Community Development
127. Honourable
Speaker, in implementation of the priorities for 2018/19, the
Ministry will do the following:
(i) Continue to
revive community self-esteem and morale on participating in implementation of
development projects in their localities;
(ii) Evaluate
Community Development Policy of 1996; and
(iii) Improve learning
and teaching environment in Community Development Institutes.
Non-Government
Organizations
128.
Honourable Speaker, The Ministry will continue to
enhance enabling environment for NGOs effective participation in contributing
towards social welfare and national development through implementing the
following:
i.
Register Non-Governmental Organizations;
ii.
Monitor implementation of NGOs undertakings to
ensure their contribution towards development and to comply with NGOs Act,
No.24, 2002; and
iii.
Evaluate performance of the NGOs Policy of
2001.
Child Rights
and Development
129.
Honourable Speaker, during the year
2018/19, the Ministry will continue implementing various measures/interventions
to ensure that children obtain their rights by implementing the following:
(i)
Assessing the implementation of
the Child Development Policy of 2008;
(ii)
Strengthening the status of the
child's basic rights; Assessing the implementation of the 2008 Child
Development Policy;
(iii)
Promote awareness of the
community in protecting child rights, welfare of the development; with
(iv)
Continuing to implement the
National Plan of Action to End violence Against Women and Children in 2017/18 -
2021/22.
Social Welfare Services
130. Honourable Speaker, in the year
2018/19 the Ministry in collaboration with partners will continue to implement
the following:
(i) To facilitate
rehabilitation of infrastructures at Mwanzage, Bukumbi and Misufini elderly
homes;
(ii) To complete
construction of Mtwara Retention Home and rehabilitate Mbeya and Arusha
Retention Homes;
(iii) To strengthen
child protection services;
(iv) To facilitate
the accessibility of early childhood care and development services;
(v) To provide basic
services to most vulnerable children and children in conflict with the law;
(vi) To register
homes for most vulnerable children
(vii)To improve the
accessibility of rights and services to the destitute elderly.
Human Resource
for Community and Social Welfare Sector
131. Honourable
Speaker, the Ministry will continue to oversee provision of
community development and social welfare training at eight Community
Development Training Institutes (CDTIs), Kisangara Institute of Social Welfare,
Tengeru Institute of Community Development and Institute of Social Welfare –
Kijitonyama. In the year 2018/19, the Ministry will implement the following
activities:
(i)
To enroll 6,848 students.
Of whom 3,653 students will be
enrolled at eight CDTIs, 50 students
at Kisangara Institute of Social Welfare, 1,200
students at Tengeru Institute of Community Development and 1,945 students at Institute of Social
Welfare – Kijitonyama;
(ii) To facilitate
provision of on-job training to lecturers and tutors at Master’s and PhD
levels;
(iii) To improve
infrastructures at Mlale, Misungwi and Uyole CDTIs; and
(iv)
To employ tutors and lecturers at CDTIs, Kisangara
Institute of Social Welfare, Tengeru Institute of Community Development and
Institute of Social Welfare – Kijitonyama.
ACKNOWLEDGEMENTS
132. Honourable Speaker, I would like to take this opportunity to
express my appreciation to Denmark, Canada, Ireland, Switzerland and South
Korea together with UNICEF and World Bank for their contribution to the Health
Basket Fund which has contributed largely in improving health services in the
country. In addition, special thanks should go to WHO, GAVI and GFATM for their
huge contribution in implementation of the health sector strategic plan.
Further, I would like to thank China, Cuba, Spain, India, Italy, Japan, United
States of America, Egypt, Sweden, United Kingdom, Germany and France that have
continued to support the health sector through various modalities.
133. Honourable
Speaker, I would like to also thank all other International
organizations for the support and collaboration to improve the health sector.
They are all listed in paragraph 214 to 216 of the budget speech.
134. Honourable
Speaker, in my current role as a Minister, I have received
great support from the management and employees of the Ministry of Health,
Community Development, Gender, Elderly and Children. I would to thank
Honourable Dr Faustine Ndungulile (MP),
Deputy Minister of Health, Community Development, Gender, Elderly and Children
for his collaboration in implementation of my responsibilities as a Minister. I
also thank Dr Mpoki M. Ulisubisya,
Permanent Secretary (Health) and Ms
Sihaba Nkinga, Permanent Secretary (Community Development, Gender, Elderly
and Children) for their contribution while executing my duties. In addition, I
would like to thank Prof. Muhammad
Bakari Kambi, the Chief Medical Officer, Commissioners, Directors and Head
of Sections in the Ministry. My gratitude also goes to the Director of
Muhimbili National Hospital, Prof. Lawrence Museru, Director of Muhimbili
Orthopaedic Institute (MOI), Dr. Respicious Boniface Rwezimula; Directors of
Jakaya Kikwete Heart Institute, Prof. Mohamed Janabi; Directors of Ocean Road
Cancer Institute, Dr Julius Mwaiselage; Directors of Benjamin Mkapa Hospital,
Dr Alphonce Chandika; Directors of Kibong’oto Special Hospital, Dr Riziki
Kisonga; Directors of Mirembe Mental Health Hospital, Dr Erasmus Mndeme; Directors
of Mbeya Zonal Referral Hospital, Dr Godlove Mbwanji; Directors of KCMC Zonal
Referral Hospital, Dr Gilead Masenga. Directors of the Institutions under my
Ministry, Regional and District Medical Officers, Medical Officers In charge in
Hospitals, Health Centres and Dispensaries, Principals of Health Training
Institutions which are under the Ministry and all the employees under the
Ministry and Faith Based Organizations, Voluntary Organizations and Private
Sector. I thank all other sectors that we collaborate with in providing health,
community development and social welfare to all citizens for their
collaboration. I urge them to continue focusing on the principals of quality
services and work diligently for the benefit of our nation.
135. Honourable
Speaker, may I now express my sincere gratitude to my family
for their love, patience and encouragement that have enabled me to implement my
duties of serving the nation. I also take this opportunity to thank the people
of Tanga region for their cooperation and commitment in developing our region.
I would like to assure you that I will continue to serve you diligently in
order to accelerate development in our region.
THE FUND REQUEST FOR THE
IMPLEMENTATION OF PLANNED ACTIVITIES FOR THE YEAR 2017/18
Vote 52- Health
Revenue
136. Honourable
Speaker, for the year 2018/19, the Ministry has estimated to
collect revenue amounting to TZS 240,042,508,157.00.
From this amount the institutions under
the Ministry will collect TZS 220,267,010,057.00 while TZS 19,775,498,100.00
will be collected from the Ministry’s Headquarters.
Recurrent Expenditure
137. Honourable
Speaker, for the year 2018/19, the Ministry estimates to use TZS 304,473,476,000.00 for recurrent
expenditure. From this amount, TZS
88,465,756,000.00 will be used for Other Charges expenditure whereas TZS 216,007,720,000.00 will be used for
Personnel Emolument expenditure.
Development Projects
138. Honourable
Speaker, for the year 2018/19, the Ministry estimates to use TZS 561,759,999,000.00 for the
Development Projects. From this amount, the domestic source is TZS 184,956,999,000.00 whereas from
external source is TZS 376,800,000,000.00.
The Total Budget estimates for
2018/19 in vote 52 is TZS 866,233,475,000.00
139. Honourable
Speaker, the total
Budget that is requested for the Ministry for 2018/19, is TZS
898,374,124,000.00
140. Honourable Speaker, The
Ministry budget speech is also available at the Ministry of Health, Community
Development, Gender, Elderly and Children Websites www.moh.go.tz and www.mcdgc.go.tz
141. Honourable
Speaker, I beg to
Submit.
0 on: "SUMMARY OF THE BUDGET SPEECH FOR THE FINANCIAL YEAR 2018/19 DELIVERED BY THE MINISTER OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN, HONOURABLE UMMY A. MWALIMU (MP) "