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Background: This report is a summary of the impact evaluation that was conducted with the goal of analyzing improvements in health facility supportive supervision (SS) practices after the adoption of the AfyaSS system, and use of the information in the system. AfyaSS system is a digital system that was developed through the collaboration between the Ministry of Health (MOH), president's office —regional administration and local government (PO-RALG), PATH and other stakeholders. The AfyaSS system aims to improve the management and use of health facility supervision data for better health service delivery in Tanzania. It also supports continuity in tracking performance and ensures that better quality data is available and used in managing supervisions.Objective: The objective of conducting this impact evaluation was to assess the improvement in supportive supervision practices after the implementation of the AfyaSS system.Method: A multi-case study approach was adopted where both qualitative and quantitative data were collected. The purpose was to get the breadth and depth of findings from a wide range of respondents. A purposive sampling method was used in recruiting participants for the assessment. The main data collection methods used to gather findings of the qualitative approach were key informant interviews (KIIs), observation, artifact analysis, and document review, while data collection for the quantitative approach consisted of online questionnaires. The baseline assessment was conducted from June 6 through August 10, 2021, where a total of 88 interviews were conducted, and 501 online survey responses were gathered. For endline, data collection was conducted from August 1 – 17, 2022 where a total of 100 KIIs were conducted, and 620 survey responses were gathered.Findings: Generally, the assessment indicated improved data use through real time access of previous supervision reports and plans. Both baseline and endline assessments showed participation of the entire team of supervisors and better coordination was noted as well, when organizing supportive supervision using AfyaSS system. Furthermore, the AfyaSS system had promoted accountability as the system requires the supervisors' and supervisees' signatures upon completion of supervision visit, and capturing start and end time of the visit, as well as GPS location where the supervision was conducted. The findings further show that the 6 councils that received training from the DUP implementation team documented more planned supervision trips (N=589), compared to those which did not receive training (N=86) from the DUP implementation team. The main challenge noted by this study was untimely supervision visits, delay, or non-delivery of feedback reports to the health facilities from supervisors.

There has been noteworthy progress in reducing maternal and child mortality in past decade. Focus needs to shift to equity and innovation gaps that need to be addressed to further improve MNCH outcomes. Under project Saksham, partners are working together to boost implementation of high-impact interventions in three Indian states- Assam, Chhattisgarh, and Odisha that have high-burden of maternal, newborn and child morbidity and mortality. We work towards improving access to quality MNCH services leveraging blend of expertise in capacity building, private providers engagement, industry leverage and community participation to harness a total market approach for maximum impact.

The New Nets Project was established with the goal of making the latest resistance breaking net technology more widely available to malaria programs throughout Africa. As well as managing the rapid deployment of new nets to partner countries and negotiating a volume guarantee to reduce prices, the New Nets Project partners oversee randomized control trials and pilots. The evidence gathered from these will be used to ascertain the impact and cost-effectiveness of the nets and support an appropriate policy recommendation from the World Health Organization. The New Nets Project is co-funded by Unitaid and The Global Fund, with complementary funding provided by the Bill & Melinda Gates Foundation and USAID. The project is led by IVCC. This slide deck shares interim findings across the epidemiology, entomology, human behavior, and durability monitoring components of the five observational studies led by PATH.

The Data Use Partnership (DUP) is a government-led initiative that is improving the national health care system through better use of health information. Under DUP, the government is working with PATH to strengthen digital health and build local capacity so that everyone—from government officials to health workers to patients—can have better access to data and make more informed decisions, leading to a healthier Tanzania. The DUP initiative is laying the foundation for digital transformation by launching new digital health systems, establishing governance bodies, and introducing policy reform.This report tells the story of the accomplishments of DUP through case studies and the profiles of DUP champions.

This year’s annual report features our annual financial overview, a list of PATH’s funders and supporters, and our accomplishments in 2021.