Advocating for Sector Wide Approaches (SWAps) in Tanzania
Estimation Year
1999/2000
Actual Policy Use
Though it was not officially approved and kept in draft form, the first NHA study conducted in Tanzania (1999) has caused some significant policy developments. Upon examination of the country’s sources of health funds, the government noticed that a significant portion of the health sector was financed by donors (approximately 23 percent) and that these funds were channeled ”off-the-government” budget by donors bypassing the Government and directly funding their own health programs. The Government felt that this lessened its leadership over the health sector and its direction of growth. In order to increase its stewardship and obtain some oversight as to how and where health funds were used, the government used this NHA finding to internally advocate for the revision of donor coordination mechanisms and adoption Sector Wide Approach (SWAp). The SWAp went further and encouraged most bilateral donors to channel their funds into basket funds managed by the government.
Source
Maximillian Mapunda, Ministry of Health Tanzania
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