Fiscal Year I1 Annual Report: October 1, 2020–September 30, 2021

The program is led by Abt Associates and implemented in partnership with several organizations, including IMA World Health, the Local Government Training Institute, and the University of Dar es Salaam. The Activity covers the period from July 31, 2020, through July 30, 2025. The program focuses on three main results: Improved Evidence-based, Inclusive Planning and Management at Local Levels; Strengthened Local Governance to Promote Citizen Engagement and Social Accountability; and Increased Efficiency in the Collection and Use of Financial Resources. To achieve these results, the program implements various interventions, including the use of PlanRep, a planning and budgeting tool, and the extension of this tool to village and mtaa levels. The program also supports the implementation of the Government of Tanzania's Health Management Information System (GOTHOMIS) and the integration of national and local government planning and financial management systems. In addition, the program aims to strengthen local governance by realigning roles and relationships of local government, health facility, school, and village/mtaa governance structures in joint oversight and planning. The program also enables local government, village/mtaa, and facility to share information with citizens and strengthens citizen and private sector engagement in planning and budgeting processes. Furthermore, the program introduces a single national health insurance (SNHI) and develops and implements new payment systems in other sectors, such as education and agriculture. The program also focuses on strengthening local government, facility, and village/mtaa planning and financial management (PFM) systems. This includes improving facility DFF management, strengthening the financial forecasting and accounting reporting system (FFARS) in health facilities and schools, and extending it to villages/mtaa. The program also aims to improve financial reports, data analysis, and resource tracking, and incorporates these into undergraduate and graduate curricula. The PS3+ Activity has made significant progress in achieving its results. For example, the program has strengthened the use of PlanRep, extended it to village and mtaa levels, and supported the implementation of GOTHOMIS. The program has also introduced a single national health insurance (SNHI) and developed and implemented new payment systems in other sectors. Additionally, the program has improved facility DFF management, strengthened the FFARS in health facilities and schools, and extended it to villages/mtaa. The program has also made significant progress in strengthening local governance. For example, the program has realigned roles and relationships of local government, health facility, school, and village/mtaa governance structures in joint oversight and planning. The program has also enabled local government, village/mtaa, and facility to share information with citizens and strengthened citizen and private sector engagement in planning and budgeting processes. Overall, the PS3+ Activity has made significant progress in achieving its results and has contributed to the strengthening of public sector systems in Tanzania. The program's interventions have improved the planning and budgeting capacity of local governments, strengthened local governance, and increased efficiency in the collection and use of financial resources.