Quarterly Report January – March 2021

The Activity is guided by its main goal and three strategic objectives. The main goal of the Activity is to strengthen the delivery of quality HIV and RMCH services in high-HIV burden areas. The three strategic objectives are: 1. To develop and implement sustainable approaches to HRH recruitment, deployment, and management to support the delivery of quality HIV and RMCH services. 2. To improve the performance and productivity of HCWs in delivering HIV and RMCH services. 3. To enhance the capacity of the Government of Tanzania to manage and utilize HRH effectively. During the second quarter of Financial Year 21 (January to March 2021), the Activity focused on management efficiencies to accelerate service delivery performance through evidence-driven staff allocation, relocation, performance management, and effective collaboration with service delivery partners, Local Government Authorities (LGAs), and facilities to optimize HRH investment. The Activity achieved significant progress in the reporting period, including: * Coverage of 889 (97%) HCWs out of 921 annual allocation targets for 456 HIV service delivery facilities, 93 (93%) HCWs out of 100 annual allocation target for 39 MCH service delivery facilities in Mara and Geita. * Placement of 6 zonal MDR TB officers in Mwanza, Dodoma, Kilimanjaro, Mtwara, Dar es Salaam, and Mbeya regions. * Maintenance of an inventory of a total of 988 (95%) HCWs out of 1,035 annual targets of Activity-supported HCWs as at the end of March 2021. * Successful engagement and allocation of 18 HCWs in three health facilities of Selian, Arusha Lutheran Medical Center, and Kirurumo hospitals. * Conduct of supportive supervision, coaching, and mentorship in 117 supported health facilities in Northern & Central, Southern, and Lake zones to identify and address HRH performance and productivity gaps in delivering HIV and MCH services. The Activity also worked with its sub-grantee Mzumbe University to conduct a key HRH multisectoral national documents desk review and developed a summary of identified skills, structural, and systems gaps that were used to develop tools for qualitative data collection at national, regional, and LGA levels to inform the development of a tailored capacity-building package for central and local government leadership. The Activity enhanced timely response to continuous service delivery performance analysis, evidence-driven HCWs allocation, re-distribution, and management efficiency to optimize HRH utilization for service delivery improvement. The Activity will continue leveraging on lessons and addressing identified gaps. The Activity's progress is a significant step towards achieving its goal and strategic objectives, and it is expected to contribute to the improvement of HRH management and utilization in Tanzania, ultimately leading to better health outcomes for the population.