MOI VISION
The vision that MOl has developed stipulates that MOH will continue to support and facilitate the further development of MOl as a role model for the development of the public preventive and curative health providing primary, secondary and tertiary care to all Tanzanians. In particular, MOl will provide equitable, accessible and affordable care in the field of Orthopaedics/Trauma and Neurosurgery and set an example for other public institutions that are currently undergoing reforms. MOl will also strengthen the referral system to support the primary health care system, training of health personnel and carrying out appropriate clinical (operational research. Through private/public mix, output-oriented global budget, self-financing concepts, etc. MOl will contribute to the development of the public service, health sector-and especially to the hospital and financial reforms further in its role as a pilot and multipliable model. Since 1999 MOl operates on the principles of the Executive Agency programme of CSD.
The support of MOl will be in accordance to the on-going government reforms, Act No. 7 of 1996, the bilateral agreement between SAOT and MOH of 1993 and 1999 and other legal acts and policies of the government of Tanzania.
MOI GOALS
OVERALL GOAL
To contribute towards the improvement of the health and well being of all Tanzanians, focusing at those most at risk and to encourage the health system to be more responsive to the needs of the people. Furthermore to contribute to the development of cost effective and self-financing schemes in setting up a system of value for money within the existing budget constraints.
SPECIFIC GOALS
To provide equitable, accessible and affordable preventive and curative care in Orthopaedics/Trauma and Neurosurgery to primary, secondary and tertiary Ievels care, strengthen the referral system in support of the primary health care system and technical clinical research. Like this, referral abroad can be reduced.
To act as a role model for efficient and effective hospital management with self-financing Private/ Public Mix concepts gearing at partial self-sustainability and operations within existing budgetary constraints.
MOI OBJECTIVES
The following are the main objectives of the further development of MOI
For each objective, expected outputs and achievements have been identified with supporting indicators and important assumptions.
STRATEGIES
In order to realize the above objectives, MOI has been established and recognized as role model for the government health sector reform in:
IMPLEMENTATION ARRANGEMENTS
According to the approved organization structure of MOI the interrelation of the functions and responsibilities are presented. As can be observed, MOH have a monitoring role that is realized through their participation in the Institute Board. For phase three of MOI a tripartite agreement has been signed between MOH, SDC and SAOT. For the successful implementation of phase three it has to be noted, MOI employees (all Cadres) will have to be empowered through capacity building.
SUMMARY AND CONCLUSION
MOI is contributing to the overall reform of the Tanzania Health Sector, the Civil Service Department and finance. In this respect, MOI is a multipliable role model for the performance of duties in the public sector and is geared directly towards implementing cultural changes in solving existing problems in a constructive way. The Tanzanian Government has accepted and recognized this concept. Managerial, financial and human resource development-concepts of MOI have become a replicable and important part of the Tanzanian hospital reform. For long-term commitments regarding maintenance, technical support as well as quality control of medical services, the government can Count on international government and non-government organizations and others for the further development of MOI.
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