| Peer-Reviewed

The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC

Received: 13 January 2023    Accepted: 4 February 2023    Published: 16 February 2023
Views:       Downloads:
Abstract

The Tanzanian government, through the Ministry of Health, in collaboration with President’s Office, Regional Administration and Local Government (PORALG) and various stakeholders, has developed several robust electronic health systems such as e-LMIS, GoTHOMIS, FFARS and DHIS2 to streamline health supply chain management processes and improve data visibility. However, the use of this data for informed decision making at all levels of the supply chain was found to be very low, which led to the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) to increase the use of data to improve the supply chain in the country, including Sikonge District Council. Following the implementation of the approach, the IMPACT team in Sikonge discovered low performance in the availability of health commodities among other monitored indicators major reason being inadequate financial resources to procure health commodities. This prompted the team to look for other innovative ways of fundraising to rescue the situation in the council. The objective of this study was therefore to assess the influence of the IMPACT approach methods employed in mobilizing financial resources to improve the availability of health commodities in Sikonge DC. Some of the methods employed by Sikonge team for such a purpose were; conducting a preliminary data-driven analysis and assessment to identify issues related to i-CHF and NHIF services, developing strategies to increase i-CHF enrolment, retention, and disbursements, working on the most common anomalies in the NHIF forms to reduce the number of rejected claims and finally clearing the MSD debt of health facilities to relieve them of the financial burden. These strategies resulted in an increase in i-CHF funds reimbursement from Tsh1.4 million in September 2020 to Tsh8 million in December 2021. NHIF funds reimbursement increased from Tsh696,170 in September 2020 to Tsh12 million in December 2021. The overall percentage of health facilities submitting NHIF claims increased from 17% to 77% over the same period. Thus, the concept of IMPACT and the employed data driven strategies, played a major role in the results achieved in Sikonge and in order to meet the alarming demand for health commodities at service delivery points, council teams should show strong commitment in using real-time data for problem identification and resolution through IMPACT team approach as a tool for continuous improvement.

Published in International Journal of Health Economics and Policy (Volume 8, Issue 1)
DOI 10.11648/j.hep.20230801.13
Page(s) 16-22
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

IMPACT Approach, i-CHF, NHIF, Supply Chain Management, Availability

References
[1] Gilbert SS, Bulula N, Yohana E, Thompson J, Beylerian E, Werner L, et al. The impact of an integrated electronic immunization registry and logistics management information system (EIR-eLMIS) on vaccine availability in three regions in Tanzania: A pre-post and time-series analysis. Vaccine [Internet]. 2020; 38 (3): 562–9. Available from: https://doi.org/10.1016/j.vaccine.2019.10.059
[2] Wasswa JH, Oundo H, Oteba MO, Komakech H, Ochola I, Mwebaze S, et al. Leveraging electronic logistics management information systems to enhance and optimize supply chain response during public health emergencies: lessons from COVID-19 response in Uganda. J Pharm Policy Pract [Internet]. 2023; 16 (1): 1–9. Available from: https://doi.org/10.1186/s40545-023-00517-4
[3] Simeo J, Silabi E, Kikwale M, Mahamudu H, Mateso C, Baraka O, et al. The Role of Impact Approach in Minimizing Wastage During TLE-TLD Transition : A Case of Geita Region. Int J Heal Econ policy. 2022; 7 (August 2020): 78–83.
[4] MOHCDGEC. IMPACT Team approach for data Management to improve health commodities supply chain in Tanzania [Internet]. First. Dodoma: Tanzania Ministry of Health; 2021. 54 p. Available from: https://www.moh.go.tz/
[5] Lamphere B, Machagge M, Adane TD. IMPACT Team Approach to Supply Chain Management. Reprod Heal supplies coaltion [Internet]. 2019; 39. Available from: https://www.rhsupplies.org/
[6] Lugada E, Komakech H, Ochola I, Mwebaze S, Olowo Oteba M, Okidi Ladwar D. Health supply chain system in Uganda: current issues, structure, performance, and implications for systems strengthening. J Pharm Policy Pract [Internet]. 2022; 15 (1): 1–11. Available from: https://doi.org/10.1186/s40545-022-00412-4
[7] Maluka SO, Bukagile G. Implementation of Community Health Fund in Tanzania: Why do some districts perform better than others? Int J Health Plann Manage. 2014; 29 (4): e368–82.
[8] Macha J, Kuwawenaruwa A, Makawia S, Mtei G, Borghi J. Determinants of community health fund membership in Tanzania: A mixed methods analysis. BMC Health Serv Res. 2014; 14 (1): 1–11.
[9] Durizzo K, Harttgen K, Tediosi F, Sahu M, Kuwawenaruwa A, Salari P, et al. Toward mandatory health insurance in low-income countries? An analysis of claims data in Tanzania. Heal Econ (United Kingdom). 2022; 31 (10): 2187–207.
[10] Kuwawenaruwa A, Tediosi F, Metta E, Obrist B, Wiedenmayer K, Msamba VS, et al. Acceptability of a prime vendor system in public healthcare facilities in Tanzania. Int J Heal Policy Manag. 2021; 10 (10).
[11] Wiedenmayer K, Mbwasi R, Mfuko W, Mpuya E, Charles J, Chilunda F, et al. Jazia prime vendor system- A public-private partnership to improve medicine availability in Tanzania: From pilot to scale. J Pharm Policy Pract. 2019 Feb 25; 12 (1).
[12] Latifah E, Kristina SA, Suryawati S, Satibi. Overview of drug availability and influencing factors in several low, lower and upper-middle countries: A systematic review. Syst Rev Pharm. 2019; 10 (1): 67–72.
[13] Briggs J, Embrey M, Maliqi B, Hedman L, Requejo J. How to assure access of essential RMNCH medicines by looking at policy and systems factors: an analysis of countdown to 2015 countries. BMC Health Serv Res. 2018; 18 (1): 1–12.
[14] Chukwu OA, Ezeanochikwa VN, Eya BE. Supply chain management of health commodities for reducing global disease burden. Res Soc Adm Pharm. 2017 Jul 1; 13 (4): 871–4.
[15] Geers E, Nghui P, Ekirapa A, Rop V, Mbuyita S, Patrick J, et al. Information Products to Drive Decision Making: How to Promote the Use of Routine Data Throughout a Health System. Meas Eval [Internet]. 2017; 72. Available from: https://www.measureevaluation.org/resources/publications/sr-17-145-en
Cite This Article
  • APA Style

    Christopher Nyallu, Eddom Silabi, Mugabo M. Moses, Lynne Nuru Mshamu, Grace Mollel, et al. (2023). The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC. International Journal of Health Economics and Policy, 8(1), 16-22. https://doi.org/10.11648/j.hep.20230801.13

    Copy | Download

    ACS Style

    Christopher Nyallu; Eddom Silabi; Mugabo M. Moses; Lynne Nuru Mshamu; Grace Mollel, et al. The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC. Int. J. Health Econ. Policy 2023, 8(1), 16-22. doi: 10.11648/j.hep.20230801.13

    Copy | Download

    AMA Style

    Christopher Nyallu, Eddom Silabi, Mugabo M. Moses, Lynne Nuru Mshamu, Grace Mollel, et al. The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC. Int J Health Econ Policy. 2023;8(1):16-22. doi: 10.11648/j.hep.20230801.13

    Copy | Download

  • @article{10.11648/j.hep.20230801.13,
      author = {Christopher Nyallu and Eddom Silabi and Mugabo M. Moses and Lynne Nuru Mshamu and Grace Mollel and Rashid A. Omar and Athanas Ntaganyamba and Martha Kikwale and Ondo Baraka and Martine Peter Gogadi and John Francis Rwegayura and Bwiro Joseph and Mathew Mganga},
      title = {The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC},
      journal = {International Journal of Health Economics and Policy},
      volume = {8},
      number = {1},
      pages = {16-22},
      doi = {10.11648/j.hep.20230801.13},
      url = {https://doi.org/10.11648/j.hep.20230801.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20230801.13},
      abstract = {The Tanzanian government, through the Ministry of Health, in collaboration with President’s Office, Regional Administration and Local Government (PORALG) and various stakeholders, has developed several robust electronic health systems such as e-LMIS, GoTHOMIS, FFARS and DHIS2 to streamline health supply chain management processes and improve data visibility. However, the use of this data for informed decision making at all levels of the supply chain was found to be very low, which led to the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) to increase the use of data to improve the supply chain in the country, including Sikonge District Council. Following the implementation of the approach, the IMPACT team in Sikonge discovered low performance in the availability of health commodities among other monitored indicators major reason being inadequate financial resources to procure health commodities. This prompted the team to look for other innovative ways of fundraising to rescue the situation in the council. The objective of this study was therefore to assess the influence of the IMPACT approach methods employed in mobilizing financial resources to improve the availability of health commodities in Sikonge DC. Some of the methods employed by Sikonge team for such a purpose were; conducting a preliminary data-driven analysis and assessment to identify issues related to i-CHF and NHIF services, developing strategies to increase i-CHF enrolment, retention, and disbursements, working on the most common anomalies in the NHIF forms to reduce the number of rejected claims and finally clearing the MSD debt of health facilities to relieve them of the financial burden. These strategies resulted in an increase in i-CHF funds reimbursement from Tsh1.4 million in September 2020 to Tsh8 million in December 2021. NHIF funds reimbursement increased from Tsh696,170 in September 2020 to Tsh12 million in December 2021. The overall percentage of health facilities submitting NHIF claims increased from 17% to 77% over the same period. Thus, the concept of IMPACT and the employed data driven strategies, played a major role in the results achieved in Sikonge and in order to meet the alarming demand for health commodities at service delivery points, council teams should show strong commitment in using real-time data for problem identification and resolution through IMPACT team approach as a tool for continuous improvement.},
     year = {2023}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - The Influence of IMPACT Approach in Financial Resource Mobilization to Improve Availability of Essential Health Commodities in Sikonge DC
    AU  - Christopher Nyallu
    AU  - Eddom Silabi
    AU  - Mugabo M. Moses
    AU  - Lynne Nuru Mshamu
    AU  - Grace Mollel
    AU  - Rashid A. Omar
    AU  - Athanas Ntaganyamba
    AU  - Martha Kikwale
    AU  - Ondo Baraka
    AU  - Martine Peter Gogadi
    AU  - John Francis Rwegayura
    AU  - Bwiro Joseph
    AU  - Mathew Mganga
    Y1  - 2023/02/16
    PY  - 2023
    N1  - https://doi.org/10.11648/j.hep.20230801.13
    DO  - 10.11648/j.hep.20230801.13
    T2  - International Journal of Health Economics and Policy
    JF  - International Journal of Health Economics and Policy
    JO  - International Journal of Health Economics and Policy
    SP  - 16
    EP  - 22
    PB  - Science Publishing Group
    SN  - 2578-9309
    UR  - https://doi.org/10.11648/j.hep.20230801.13
    AB  - The Tanzanian government, through the Ministry of Health, in collaboration with President’s Office, Regional Administration and Local Government (PORALG) and various stakeholders, has developed several robust electronic health systems such as e-LMIS, GoTHOMIS, FFARS and DHIS2 to streamline health supply chain management processes and improve data visibility. However, the use of this data for informed decision making at all levels of the supply chain was found to be very low, which led to the introduction of IMPACT (Information Mobilized for Performance Analysis and Continuous Transformation) to increase the use of data to improve the supply chain in the country, including Sikonge District Council. Following the implementation of the approach, the IMPACT team in Sikonge discovered low performance in the availability of health commodities among other monitored indicators major reason being inadequate financial resources to procure health commodities. This prompted the team to look for other innovative ways of fundraising to rescue the situation in the council. The objective of this study was therefore to assess the influence of the IMPACT approach methods employed in mobilizing financial resources to improve the availability of health commodities in Sikonge DC. Some of the methods employed by Sikonge team for such a purpose were; conducting a preliminary data-driven analysis and assessment to identify issues related to i-CHF and NHIF services, developing strategies to increase i-CHF enrolment, retention, and disbursements, working on the most common anomalies in the NHIF forms to reduce the number of rejected claims and finally clearing the MSD debt of health facilities to relieve them of the financial burden. These strategies resulted in an increase in i-CHF funds reimbursement from Tsh1.4 million in September 2020 to Tsh8 million in December 2021. NHIF funds reimbursement increased from Tsh696,170 in September 2020 to Tsh12 million in December 2021. The overall percentage of health facilities submitting NHIF claims increased from 17% to 77% over the same period. Thus, the concept of IMPACT and the employed data driven strategies, played a major role in the results achieved in Sikonge and in order to meet the alarming demand for health commodities at service delivery points, council teams should show strong commitment in using real-time data for problem identification and resolution through IMPACT team approach as a tool for continuous improvement.
    VL  - 8
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Council Health Management Team, Sikonge District Council, Tabora, Tanzania

  • Capacity Building and Data Use, United States Agency for International Development, Global Health Supply Chain-Technical Assistance-Tanzania, Dar es Salaam, Tanzania

  • Council Health Management Team, Sikonge District Council, Tabora, Tanzania

  • Pharmaceutical Services Unit, Ministry of Health, Dodoma, Tanzania

  • Council Health Management Team, Sikonge District Council, Tabora, Tanzania

  • Health Commodities & Diagnostics Services Unit, President’s Office, Regional Administration and Local Government, Dodoma, Tanzania

  • Capacity Building and Data Use, United States Agency for International Development, Global Health Supply Chain-Technical Assistance-Tanzania, Dar es Salaam, Tanzania

  • Pharmaceutical Services Unit, Ministry of Health, Dodoma, Tanzania

  • Capacity Building and Data Use, United States Agency for International Development, Global Health Supply Chain-Technical Assistance-Tanzania, Dar es Salaam, Tanzania

  • Regional Health Management Team, Regional Administrative Office, Tabora, Tanzania

  • Capacity Building and Data Use, United States Agency for International Development, Global Health Supply Chain-Technical Assistance-Tanzania, Dar es Salaam, Tanzania

  • Capacity Building and Data Use, United States Agency for International Development, Global Health Supply Chain-Technical Assistance-Tanzania, Dar es Salaam, Tanzania

  • Health Commodities & Diagnostics Services Unit, President’s Office, Regional Administration and Local Government, Dodoma, Tanzania

  • Sections