BEST PRACTICE-GRANTS MANAGEMENT

The TUNAJALI Care and Treatment program has been made possible by the generous support of the American people through the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) under the United States Agency for International Development (USAID). One of theprogram initiatives is to assist the Government of Tanzania (GOT) to scale up and sustain care and support services to People Living with HIV/AIDS (PLHAs). The program has been supporting the Regional and District/Council Health Management Teams (R/CHMTs) to provide quality care and treatment services to People Living with HIV/AIDs, in its regions of implementation namely Morogoro, Iringa, Singida and Dodoma. TUNAJALI "We Care" Program provides support to all the regional and District Hospitals as well as other hospitals and health centers that are owned and managed by the government, Faith Based organizations and the private sector in the aforementioned regions. The Councils and owners of the implementing facilities have signed contracts with Deloitte Consulting Limited as local implementing partners (sub grantees).

 

KEY PROGRAM SUCCESS STORIES, BEST PRACTICES AND RESULTING ACHIEVEMENTS

TUNAJALI working within the Existing Tanzania Government System:

Over the past 5 years, the TUNAJALI Care and Treatment program has been able to work smoothly within the existing Government’s financial management system with no financial miss-haps that could have led to termination of contract between the parties. The local council staff in the TUNAJALI supported districts participate fully in planning their annual activities and prioritize them as per identified local needs and in line with the program goal and objectives. Once the annual activity plans are approved, then Deloitte disburses funds  directly to the nominated bank accounts of the respective local councils on a quarterly basis for implementation. The local councils are entitled to manage and utilize the disbursed funds for the implementation of approved activities   and at the end of every quarter they are expected to submit their accountabilities for verification and approval by the TUNAJALI Grants and Finance team. Upon the approval of the submitted accountabilities, additional funds are disbursed for the subsequent quarter. The TUNAJALI team has been responsible for overseeing the local councils’ operating results and undertaking regular supportive supervision to ensure compliance with the planned activities and governing rules and regulations (USAID Financial Rules and Regulations). This practice has also been applied to the private and faith based health facilities funded by USAID through TUNAJALI.

 

Table No 1 below shows our disbursed arrangements from the start of our program to date.

 

Table No.1 Funds Disbursed Directly to Sub Grantees from 2008 to 2011

S/No.

Region

2008/09

(TZS)

2009/10

(TZS)

2010/11

(TZS)

 TOTAL

(TZS)

1

Dodoma

502,736,455.00

1,494,218,575.00

828,517,749.00

2,825,472,779.00

2

Morogoro

727,449,111.00

1,314,024,161.00

1,274,159,225.00

3,315,632,497.00

3

Singida

644,939,401.00

612,948,733.00

904,968,095.00

2,162,856,229.00

4

Iringa

501,238,800.00

914,037,680.00

840395,396.00

2,665,737,259.00

5

Njombe

278,413,491.01

631,452,706.50

814,550,685.00

1,724,416,882.51

 

Total

 

 

 

 12,694,115,646.51

 

Lessons learnt:The decision of Deloitte Consulting to directly use existing government financial systems was a wise one and augurs well for future program sustainability. The fact that funds have so far been well managed and accounted for also proves that the checks and balances agreed upon between the local councils and Deloitte were effective and worth replication elsewhere