Yet important gaps remain. Too many pneumonia cases are still not correctly diagnosed at the facility level, and access in the private sector remains limited. Addressing these challenges will be critical for sustaining progress and ensuring that more children receive timely, effective treatment.

This policy brief outlines six priority actions the Ministry of Health can take to build on recent progress, strengthen pneumonia diagnosis and treatment, and sustain access to essential medicines as Tanzania works toward its 2030 child mortality goals.

For more on the collaboration between the Government of Tanzania and R4D to expand access to childhood pneumonia treatment, see the accompanying impact brief.

Additional resources:

Implementation and lessons

• Supporting Tanzania’s Ministry of Health to improve commodity availability through bottom-up quantification
• Sustainable health commodity financing: Lessons from Tanzania’s transition from donor funding

Research and analysis

• Correct diagnosis of childhood pneumonia in public facilities in Tanzania
• Increasing the role of the private sector in pediatric pneumonia treatment in Tanzania

The post Policy Brief: 6 Actions to Reduce Child Mortality from Pneumonia in Tanzania appeared first on Results for Development.

Over the past decade, Results for Development (R4D) has partnered with the Government of Tanzania and other stakeholders to help expand access to this life-saving treatment. Through a coordinated market shaping effort that addressed financing, supply planning, policy alignment, and supplier engagement, Tanzania has strengthened the systems needed to ensure Amox DT is consistently available in health facilities. These efforts also supported a transition from donor-financed procurement to sustainable domestic financing.

This impact brief highlights how government leadership and targeted market shaping interventions helped expand access to pediatric pneumonia treatment and reduce child mortality while strengthening the systems that sustain it. It also shares lessons for countries and partners working to improve access to essential medicines.

For recommendations on how to continue building on this progress, see the accompanying policy brief.

Additional resources:

Implementation and lessons

• Supporting Tanzania’s Ministry of Health to improve commodity availability through bottom-up quantification
• Sustainable health commodity financing: Lessons from Tanzania’s transition from donor funding

Research and analysis

• Correct diagnosis of childhood pneumonia in public facilities in Tanzania
• Increasing the role of the private sector in pediatric pneumonia treatment in Tanzania

The post Impact Brief: Reducing Child Mortality in Tanzania by Increasing Access to Pediatric Pneumonia Treatment appeared first on Results for Development.

Ms. Zues has extensive experience supporting ministries of health and national purchasers to design and implement strategic purchasing reforms. She has led the development of service specifications, payment mechanisms, contracting arrangements, and performance monitoring systems under Programs of Medical Guarantees, including reforms for PHC, hospital care, maternal and child health, and noncommunicable diseases. Her work includes designing risk-adjusted capitation models for PHC in Kazakhstan, Kyrgyzstan, and Uzbekistan; leading costing studies for rehabilitation, telemedicine, and TB services in Ukraine and Uzbekistan; and supporting DRG-based hospital payment reforms in Ukraine, Ghana, Vietnam, and Uzbekistan. She has also modeled annual budgets to assess financial risks for providers and purchasing agencies and advised governments on policies related to pooling, provider autonomy, and benefit design. In addition, she has strengthened ministry capacity to coordinate cross-sector reforms within sector-wide approaches (SWAp) and supported the use of costing data and National Health Accounts to inform resource allocation.

Ms. Zues brings deep expertise in TB financing and service delivery reform. She has led TB system mapping and facility-level costing; designed case-based payment models and laboratory payment approaches; and developed incentives to strengthen TB detection and treatment within PHC. She has supported the inclusion of TB services in State Medical Guarantee Programs and the design of TB contracting arrangements for national purchasers. She has also facilitated regional learning exchanges across Eastern Europe and Central Asia to build capacity in TB payment reform and contributed to multi-country assessments in Sub-Saharan Africa to address financial barriers to TB, HIV, and malaria services.

As a senior fellow at Results for Development (R4D), Ms. Zues supports the Rehab4U project, leading a national rehabilitation costing study in Ukraine to inform revisions to payment systems under the Program of Medical Guarantees (PMG) and supporting strategic purchasing dialogue with the National Health Service of Ukraine (NHSU) and development partners.

Publications:

• Estimating Resources Associated with Delivering Telemedicine Services at Facility Level in Ukraine | Local Health System Sustainability Project, 2024
• Ukraine: Review of Health Ukraine Health Financing Reform: Progress and Future Directions. 2022
• Ukraine: Review of Health Financing Reforms 2016–2019: WHO–World Bank Joint Report, 2020

The post Olga Zues appeared first on Results for Development.