For health providers like Justin Mayumba, a registered nurse employed at a health centre in rural Tanzania, working conditions have improved since the Tanzanian government rolled out a groundbreaking results-based financing (RBF) scheme to improve health outcomes in 2015. ‘This is a very good programme because it has facilitated the improvement of the infrastructure of the centre,’ Mayumba says. Operating in better-equipped facilities, doctors and health workers can deliver superior patient care.
Tanzania has reduced its child mortality rate, but the country still faces significant health and nutrition challenges. Malnutrition continues to prevent many children from growing to their full potential. In 2015, more than a third of children under 5, or 2.7 million children, were stunted. In the five years prior to the launch of this initiative, the maternal mortality rate actually increased from 454 to 556 per 100,000 live births, according to the country’s demographic survey. With two-thirds of Tanzania’s population of 55 million living in rural areas, delivering quality health and nutrition services throughout the country remains a challenge.