A Critical Evaluation and Redevelopment of the Outcome Measures of the Tanzanian HSSP V A Critical Evaluation and Redevelopment of the Outcome Measures of the Tanzanian HSSP V Introduction The context of health system planning is characterised by formidable challenges that raise concerns about the health system’s capacity to deliver affordable

• Assessment 3: A critical evaluation of sustainability implications of HS planning INT Sem 2 2024
Assessment 3: A critical evaluation of sustainability implications of HS planning INT Sem 2 2024
THIS IS THE SUBMISSION POINT FOR ASSESSMENT 3.
• Assessment Description
Assessment Description
HEAL5005 Health System Planning Assessment 3 _ Case study
Title: Enhancing sustained HS performance and improvements in population health by measuring what matters: A Critical Evaluation and Redevelopment of the Outcome Measures of the Tanzanian HSSP V
Worth: 40%
Due: 29th November 2024 at 15:00 Hours AWST
Length: 4000 words (+/-10%)
• A Critical Evaluation and Redevelopment of the Outcome Measures of the Tanzanian HSSP V
A Critical Evaluation and Redevelopment of the Outcome Measures of the Tanzanian HSSP V
Introduction
The context of health system planning is characterised by formidable challenges that raise concerns about the health system’s capacity to deliver affordable and cost-effective outcomes sustainably in the long term. Many of the challenges point to the fact that efforts to enable the health system to achieve sustained health outcomes and performance over time ought to start with effective planning. Planning for a sustainable health system deliberately considers strategic actions to achieve long-term sustained health outcomes and improved health system performance in the long term. Governments are now incorporating sustainability implications into their health sector plans. However, the problem of most health system planning in LMICs is still stark in outcome measures that focus on the volume of services rather than the value of health services for the patients and clients. Meanwhile, notable developments about what to measure and to measure what matters are ongoing; developed countries are transforming the health systems and strategic planning by embracing value-based outcome measures, shifting from volume to value. See examples from the UK and Australia.

The fundamental purpose of the health system is to achieve good health outcomes. Measuring, reporting, and sustaining better outcomes is important for demonstrating the health system’s contribution to improving the population’s health. As the concept of value-based health care rapidly spreads worldwide, low—and middle-income nations are starting to embrace it and accelerate universal health coverage. Historically, health systems in low- and middle-income countries have taken a volume-based approach to health rather than a value-based one. The public sector has focused on coverage rates or access, and the private sector profits when it drives the quantity of expensive, hospital-based care. However, shifting to a value-based approach can lead to significant benefits, including improved health outcomes, reduced costs, and sustained improvements in the population’s health over time. Adhering to this path will create long-lasting structural flaws that increase costs without delivering desired results (value), similar to what we see in many developed economies.
• The case study: The Tanzania’s Health Sector Plan V
The case study: The Tanzania’s Health Sector Plan V
The case-study
• Tanzania’s Fifth Health Sector Strategic Plan July 2021 – June 2026 (HSSP V). Tanzania-Health-Sector-Strategic-Plan-V-17-06-2021-Final-signed.pdf. Tanzania-Health-Sector-Strategic-Plan-V-17-06-2021-Final-signed.pdf. – Alternative Formats Only read Chapters 1-3 for purposes of this assessment.
The formulation of HSSP V is part of a long tradition of formulating health sector strategic plans (HSSPs) which started in 1999. The vision of HSSP V is to have a healthy and prosperous society that contributes fully to the development of individuals and the nation. As its mission the health sector will provide sustainable health services with standards that are acceptable to all citizens without financial constraints, based on geographical and gender equity. At the outcome level, HSSP V aims at moving to universal health coverage for the population of Tanzania, to be achieved in 2030.
• The task
The task
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The task for Assessment 3
Critically evaluate and redevelop Tanzania’s Fifth Health Sector Strategic Plan 2021-2026 (HSSP V) outcome measures using the Quintuple aims framework, considering value-based healthcare and the sustainability of improvements in population health in the Tanzanian context. Submit a report through Turnitin for assessment. Your report should address the following tasks;
1. Provide a descriptive analysis of the health sector plan in Tanzania (HSSP V). Use the sustainability framework to describe the health system’s strategic vision, collaborations with a range of stakeholders, relevance and practicality of the plan, the practice of evaluations and use of evidence for planning, communication, effectiveness and efficiency, and capacity to plan and implement the plan. The sustainability framework Georgia-health-policy-center-sustainability-framework.pdf Georgia-health-policy-center-sustainability-framework.pdf – Alternative Formats
2. Based on the “Good practice for the development of robust National Health Policies and Strategic Plans (NHPSPs)- Reference: Strategizing national health in the 21st century: a handbook
Chapter 1, Pages 17 to 25 only.
9789241549745-chapter1-eng.pdf 9789241549745-chapter1-eng.pdf – Alternative Formats

a. Discuss two reasons why Tanzania’s HSSP V can be considered a good 21st-century health sector plan.
b. Discuss two reasons why Tanzania’s HSSP V cannot be considered a good 21st-century health sector plan.
3. Critically analyse the sustained improvement in population health outcomes over time for one population group. You can choose a population group for your analysis based on either the prevalence of the disease condition (i.e., the proportion of the population with TB) or age group (i.e., under-five children). In your analysis,
a. Provide a trend analysis of the change in population health outcomes from 2010 to 2024. Choose one impact indicator (i.e. disease prevalence rate or mortality rate), two outcome indicators (new infection rate, newly diagnosed, service utilisation indicator and two service level (output) indicators, i.e. number of people receiving treatment or vaccine. Trace the change in indicators from 2009/2010 to 2023/2024.
b. Discuss the extent to which the population’s health outcomes have changed over time. In your discussion, you must address the question, “Has the health of the population improved over time? Has the improvement been sustained over time? Why and why not? Some of the reasons should be related to the three HS building blocks for task 4.
4. Critically analyse the sustained improvement in health system performance over time. For this task, choose three (3) out of the six health system building blocks.
a. Choose one indicator for each of the three (3) health system building blocks of your choice to trace improvement in health system performance from 2009/2010 to 2023/2024. Provide a trend analysis of the change in health system performance from 2009/2010 to 2023/2024 using the selected indicators for each of your three (3) health system building blocks. Consider the WHO health system building block framework from module 1.
b. Discuss the extent to which health system performance has improved over time. In your discussion, you must address the question, “has the health system performance improved over time? Has the change been sustained over time? Why and why not?
5. Based on your analysis of the improvements in population health outcomes, health system performance and your knowledge about Tanzania’s health system planning context, use the framework for planning sustainable impact programs to discuss planning strategies for sustainable health outcomes and health system performance and other relevant resources – bringing-the-future-into-focus-sustainability-planning-workbook.pdf bringing-the-future-into-focus-sustainability-planning-workbook.pdf – Alternative Formats and dynamics-of-sustainability.pdf dynamics-of-sustainability.pdf – Alternative Formats , Sustainable health review, to address this task effectively,
a. Based on your understanding of the framework for the analysis, give your perspective on what is considered as planning strategies for sustainable health outcomes and health system performance
b. Discuss at least four emerging opportunities for sustained improvement in population health outcomes and health system performance in Tanzania in the light of your analysis in Tasks 3 and 4. You will find ideas in chapter 3 of the case study.
c. Considering the strategies that have already been used in Tanzania’s health sector plan to sustain improvements in population health and health system performance,
I. Discuss at least two (2) limitations and how those strategies can be improved to achieve sustained population health outcomes and health system performance.
II. Propose at least two (2) new planning strategies that the government in Tanzania could consider for achieving sustained health outcomes and health system performance in future.
6. One of the strategies for sustainability in HS planning that is lagging behind in LMICs is measuring outcomes that matter. Drawing on value based healthcare and Quintuple aim framework for outcome measures, how should the Tanzanian HS planning further enhance sustained HS performance and improvements in population health?
a. Examine the limitations of assessing HS performance by volume based outcome measures in Tanzania
b. As an example of your recomemndations, redevelop the four outcomes measures based on Quintuple aim framework of outcome measures
c. Discuss the window of opportunities that already exist to incoporate Value Based Care and Quintuple outcome measures in Tanzanian HS planning process.
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• Suggested outline for your report
Suggested outline for your report
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Your report should at least include the following information and headings/subheadings:
Cover page
• Title of the report, information about the author, to whom the report is being submitted. Be creative and use hypothetical consultancy job titles and company details.
Executive summary
• A brief introduction of Tanzania’s health system planning context, what the report is about, frameworks which will guide your analysis and the structure of the report (Approx. 500 words)
The sustainability of the Tanzanian HSSP – Tasks 1
• Descriptive analysis of the health sector plan in Tanzania (HSSP V) using the sustainability framework (Approx. 600 words).
The practice of HS planning in Tanzania– Task 2
• This section should address task 2, which is your judgement of the plan based on “Good practice for developing robust National Health Policies and Strategic Plans (NHPSPs) for the 21st century. Approx. 600 words
Trend analysis of population health outcomes and HS performance from 2010 to 2024 – Tasks 3 and 4.
• In this section, present your trend analysis on i) population health outcomes and discussion and ii) trend analysis of health system performance of three HS building blocks and discussion of your observation on progress made. Remember to support your judgment with evidence. Approx- 600 words each sub-section
Planning strategies for Sustainable HS performance and improvements in population health -Task 5
• This section should address task 5, based on your main analysis in tasks 2-4. This is a synthesis of your analysis in tasks 2-4 and your interpretation and suggestions for improvement. Approx- 800 words
Further recommendations for future considerations – Task 6
• This section should address how Tanzania can further enhance sustained HS performance and improvements in population health through planning by embracing Value baseds outcome measures. Approx. 800 words
References and submission
• Reference any sources of information which you have used to support your arguments in your review. Only the resources cited in your text should be in the reference list. Use APA 7th Edition referencing style.
• Main reference sources are provided for you to complete the assessment, but you need additional sources of information.
• You are also required to consult wider literature to strengthen your analysis and provide evidence for your arguments, judgements, and claims. Based on relevance, 12 to 15 references are expected for this assignment.
• Use learning materails primarily from Modules 11 and 12 before you start searching for additional ones.
• Follow the template from assessment 1 as an example of expected stardard for your final report.
• Appendices shoudl include an annotated bibliography and self-reflection.
• The suggested word limit for each section is an estimate, you will be marked based the quality and depth of analysis.
Submit the assignment through Turnitin on the blackboard.
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• Marking Key
Marking Key
Performance criteria 0-30% 30-50% 50-65% 65-80% 85-100% EM
Demonstrates critical analytical skills and appropriate application of relevant concepts and theories throughout the analysis.
Provides a comprehensive descriptive analysis of the Tanzanian HSSP addressing all aspects of a sustainability framework.
Makes a clear judgment about the good practice in planning for 21stcentrury health systems. For example;
. Discussed two reasons why Tanzania’s HSSP V can be considered a good 21st-century health sector plan.
a. Discuss two reasons why Tanzania’s HSSP V cannot be considered a good 21st-century health sector plan.
Limited application of theoretical concepts used.
Unsatisfactory descriptive analysis of the Tanzanian HSSP
Limited judgment about the good practice in planning for 21stcentrury health systems.

Theoretical concepts used but not explained or critiqued.
Satisfactory descriptive analysis of the Tanzanian HSSP. No examples or analysis lacks depth.
Clear judgment about the good practice in planning for 21stcentrury health systems. Explanations are not satisfactory.
Relevant application of theoretical concepts clearly with variations in explanations and critiquing.
Satisfactory descriptive analysis of the Tanzanian HSSP with variations in depth of analysis and use of examples.
Clear judgment about the good practice in planning for 21st century health systems. Explanations are satisfactory. Theoretical concepts explained and used appropriately but not critiqued.
Satisfactory descriptive analysis of the Tanzanian HSSP with variations in depth of analysis and with clear examples.
Clear judgment about the good practice in planning for 21st century health systems. Explanations are satisfactory.
Comprehensiveness, quality and depth of analysis could be improved Theoretical concepts and conceptual frameworks explained, critiqued with exceptional application throughout the analysis.
Satisfactory descriptive analysis of the Tanzanian HSSP with meticulous attention to depth of analysis and examples used.
Clear judgment about the good practice in planning for 21st century health systems. Explanations are satisfactory.
Meticulous attention to quality and depth of analysis. 15
Critical analysis of sustained improvements in population health outcomes and sustained HS performance over time. For a satisfactory answer, students must demonstrate the following;
• Ability to track one impact indicator and two outcome indicators related to population health such as disease prevalence rate or mortality rate by population groups through a trend analysis over time.
• Ability to explain observations made in in the trend analysis in relation to HS Performance
• Ability to track HS performance of three building blocks through a trend analysis of one indicator for each selected building block and discuss the observations.
• Presenta tend analysis table or graph with explanation Not on track or did not address the task for the assessment adequately.

For example….. On track and demonstrates good attempt in addressing tasks for the assessment
Significant variations in completeness of assessment tasks and comprehensives of the analysis.

You needed to…… Has reasonably addressed all the tasks.

Depth and quality of analysis could be improved.
You needed to…… Has addressed all the tasks with meticulous details to the analysis.
Some attempt to demonstrate imagination and creativity

You needed to…… Has exceptionally addressed all the tasks with meticulous attention to the analysis 15
Problem solving and critical thinking in addressing sustainability implications of the Tanzanian HSSP. For a satisfactory answer, students must demonstrate the following.
• Own understanding of the planning strategies for sustained health outcomes and health system performance
• Discuss emerging opportunities for sustained improvement in population health outcomes and HS performance in Tanzania based on the trend analysis in Tasks 3 and 4
• Discuss limitations of sustainability strategies being used in Tanzanian HS planning
• Propose new sustainability planning strategies Significant variations in completeness of assessment tasks and comprehensives of the analysis. On track and demonstrates good attempt in addressing tasks for the assessment
Significant variations in completeness of assessment tasks and comprehensives of the analysis.
You needed to…… Has addressed the purpose of the assignment coherently.
Depth and quality of analysis could be improved.

You needed to…… Has addressed the purpose of the assignment coherently and with some attempt to demonstrate imagination.

You needed to…… Has addressed the purpose of the assignment comprehensively and imaginatively in an academic manner.

You needed to…… 25
Critical skills in analysing new development in health system planning
• Drawing on value-based healthcare and Quintuple aim framework for outcome measures, students must discuss how the Tanzanian HS planning further enhance sustained HS performance and improvement in population health by
a. Examining the limitations of assessing HS performance by volume-based outcome measures in Tanzania
b. Re-developing four outcomes measures (from the trend analysis) based on Quintuple aim framework of outcome measures
c. Discussing the window of opportunities that already exist to incorporate Value Based Care and Quintuple outcome measures in Tanzania HS planning process. Not on track or did not address the task for the assessment adequately. Has not addressed all the tasks.
Significant variations in completeness and comprehensives.

You needed to…… Has reasonably addressed all the tasks.

You needed to…… Has addressed all the tasks with meticulous details to the analysis

You needed to…… Has exceptionally addressed all the tasks with meticulous attention to the analysis.

You needed to…… 20
Demonstrates skills in critical synthesis and appropriate use of relevant documents as evidence to support arguments.
The work is properly referenced using the 7th APA Edition, and references are presented in a bibliography table with an in-depth description of how those resources have been used throughout the assessment.
No or very limited synthesis and significant deficiencies in appropriate use of relevant literature as evidence to support arguments. No or limited reflection on resources used as presented in bibliography table. No or incomplete annotated bibliography. The resources were irrelevant to the analysis or discussion A good attempt in synthesizing relevant literature and minor deficiencies in appropriate use as evidence to support arguments.
Some variations in completeness of the annotated bibliography.
Completeness and relevance of listed resources to the analysis or discussion Critical synthesis and appropriate use of relevant literature as evidence to support arguments.
Complete annotated bibliography.
The listed resources were relevant to the analysis or discussion Critical synthesis and appropriate use of relevant literature as evidence to support arguments.
Complete annotated bibliography and its comprehensive.
The listed resources were relevant to the analysis or discussion.
Critical synthesis and appropriate use of relevant literature as evidence to support arguments.
Complete annotated bibliography and its comprehensive.
The listed resources were relevant to the analysis or discussion.
15

Consistency in completeness and realistic self- reflection demonstrates high level standard of personal learning goals and performance.

Presents a completed checklist and self-reflection on completion of tasks of the assessment and expected performance.
Presents a completed checklist and self-reflection on completion of tasks of the assessment and expected performance. Significant variations in completeness and realistic self- reflection.
Presents a completed checklist and self-reflection on completion of tasks of the assessment and expected performance.

Consistency in completeness and realistic self- reflection could be improved.
Presents a completed checklist and self-reflection on completion of tasks of the assessment and expected performance.
Consistency in completeness and realistic self- reflection demonstrated clear understanding of the expected performance.

Presents a completed checklist and self-reflection on completion of tasks of the assessment and expected performance.
Consistency in completeness and realistic self- reflection demonstrates high level standard of personal learning goals and performance
Presents a completed checklist and self-reflection on completion of tasks of the assessment and expected performance.
Consistency in completeness and realistic self- reflection demonstrates high level standard of personal learning goals and performance.
10
Total marks 100
Weight 40
Written feedback

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Upload Your Assessment
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• Late Assessments
Late Assessments
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Note: Due dates will be strictly adhered to.
0. Assignments submitted after the due date will be penalised by ten percent per calendar day. XXXXXX marks will be deducted from the marked value for every day that the assignment is late.
1. Assignments more than seven calendar days late will be not be marked and will be assigned a value of zero (0).
2. Failure to submit this assignment will result in a Fail–Incomplete (F-IN) grade being awarded for the unit regardless of the aggregated grade from other assignments.
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• Application for Assessment Extension
Application for Assessment Extension
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Note: Assessment extensions will be granted only in cases of urgent need, and only where formally documented requests are made to Public Health Teaching Support, in advance of the assessment being due.
Students are expected to lodge an assignment extension request form and supporting documentation to Public Health Teaching Support at least 2 days before the due date of the assessment. In exceptional circumstances, a request may be accepted up to 5 working days after the due date of the assessment. Such requests will only be accepted where the student is able to provide the Public Health Teaching Support with a satisfactory explanation of why he or she was not able to submit the application for extension by the due date of the assessment.
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How to apply for an extension:
0. Access the Application for Assessment Extension quick form in OASIS. Quick forms are administration forms that pre-populate with your current recorded personal and course information to save you time. Quick Forms are available from the my studies tab in OASIS. Alternatively you can access this form and fill in the necessary details.
1. Fill in all sections of the Assignment Extension Request Form and save it on your computer/USB.
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3. Submit both the Assignment Extension Request Form and your supporting documentation by attaching it to an email to Public Health Teaching Support with your name and student ID in the subject field.
4. Please allow up to 3 working days from submission of your application for notification of the outcome.