This report summarises the findings, assessment and recommendations of the Mid Term Review (MTR) of Tanzania’s Third Health Sector Strategic Plan (HSSP III) for the period July 2009–June 2015. The HSSP III covers both the health sector and social welfare sector. In addition to this main report, there are nine specific technical reports, on District and Hospital Services, Maternal Neonatal and Child Health (MNCH), Social Welfare Services, Human Resources for Health (HRH), Monitoring and Evaluation (M&E), Pharmaceutical Supplies, Capital Development, Health Care Financing and Governance. There also are three Field Trip Reports of the MTR.\ud
In the context of the MTR the Government of Tanzania’s Ministry of Health and Social Welfare (MOHSW) and partners produced a Mid Term Analytical Review (MTR-AR 2013) with extensive analysis of available health sector information. The MOHSW and partners also commissioned as part of the MTR an independent Community Perspectives Study to provide an unbiased community input to the MTR, also referenced within this report.\ud
The MTR assessed the overall coherence and implementation of HSSP III with the specific aim of informing the development of HSSP IV. A team of 12 national and international consultants carried out the review. They took stock of achievements with special attention to the implementation of the Mpango wa Maendeleo wa Afya ya Msingi (MMAM) and MNCH Services. They also reviewed implementation of financing and the Sector-Wide Approach (SWAp).\ud
The MTR Steering Committee provided overarching guidance to the review process and Technical Working Groups (TWGs) worked closely with the consultants. The global Health Finance and Governance Project, led by Abt Associates Inc., managed the review