Process of developing the National Health in All Policies Framework to address social determinants of health in Tanzania Mainland: lessons learned, 2018 - 2022

The Pan African Medical Journal · 18 authors, 6 centres

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Key results highlighted the critical importance of political will and coordination by the Prime Minister's Office.

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Key results highlighted the critical importance of political will and coordination by the Prime Minister's Office. Limitations included delays from the COVID-19 pandemic and staff turnover in ministries.

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public health

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ORIGINAL PAPER

PMC10395109

Process of developing the National Health in All Policies Framework to address social determinants of health in Tanzania Mainland: lessons learned, 2018 - 2022

The Pan African Medical Journal

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ABSTRACT

Abstract Introduction social determinants of health (SDH) are the non-medical factors that contribute to various infectious and non-infectious diseases in Tanzania. Studies suggest that SDH account for 30-55% of health outcomes globally. Most SDH are outside the mandate of the health sector; hence, multi-sectoral collaboration through Health in All Policies (HiAP) is critical. Health in All Policies looks at public policies across sectors that consider health implications of decisions, seek synergies, use resources and avoid harmful health impacts to improve population health and health equity. This paper demonstrates lessons learned from the process of developing National HiAP Framework in Tanzania Mainland to address SDH. It is expected that countries will be able to learn and adopt what deems fit in their context as they address SDH to improve population health. Methods different methods were used to promote multi-sectoral collaboration in addressing SDH through HiAP. They included consultations with Prime Minister’s Office (PMO) as the coordinator of Government business for their buy-in. High-level advocacy meetings of Directors of Policy and Planning and Permanent Secretaries from sectoral ministries were conducted to move forward the HiAP agenda. Capacity building was provided for sectoral Ministries to understand HiAP concept and SDH. Interministerial collaboration meetings were convened to bring sectors together to identify SDH issues and key areas for inter-sectoral collaboration and develop National HiAP Framework to address SDH. Health in All Policies Secretariat coordinates the HiAP activities. Results it has been noted that almost every sectoral ministry has a health component in its policy which contributes to the Tanzanian population’s health. In this regard, every sectoral ministry has a role to play in addressing SDH for sustainable development. Political will is key in moving forward the HiAP agenda. The role of PMO is significant to ensure inter-sectoral collaboration. Achieving the national and Sustainable Development Goals require strong collaboration among sectors and stakeholder coordination at all levels through HiAP. Conclusion implementing HiAP is a win-win situation. It enhances inter-sectoral collaboration, benefiting each sector to achieve its health-related strategic indicators and ultimately achieve national and global goals. Keywords: Health, social determinants, policy framework, multi-sectoral collaboration

CITATION EXPORT

Edward Mbanga, Catherine Joachim, Omar Ilyas et al.. Process of developing the National Health in All Policies Framework to address social determinants of health in Tanzania Mainland: lessons learned, 2018 - 2022. The Pan African Medical Journal. (2023). https://doi.org/10.11604/pamj.supp.2023.45.1.39693

AUTHORS

18 · 6 CENTRES

Edward Mbanga, Catherine Joachim, Omar Ilyas, Raynold John, Leticia Rweyemamu, Sally Mtenga, Grace Mhalu, Alphoncina Nanai, Neema Kileo, Mary Kessi, Nemes Iriya, Maximillian Mapunda, Peter Phori, Doris Kirigia, Nicole Valentine, Michaela Told, Abigail Marwa, Zabulon Yoti

1Ministry of Health, Tanzania Mainland, Dodoma, Tanzania,
2Prime Minister’s Office, Dodoma, Tanzania,
3World Health Organization, Country Office, Dar es Salaam, Tanzania,
4Ifakara Health Institute, Dar es Salaam, Tanzania,
5World Health Organization, Regional Office for Africa, Brazaville, Congo,
6World Health Organization, Headquarters, Geneva, Switzerland