Minutes, DPG Health meeting 6th May 2015, UNICEF 

Present		
1.	Carol Hannon			Irish Aid		DPG H Incoming Chair
2.	Susna De			USAID			DPG H Outgoing Chair
3.	Leticia Rweyemamu		WHO			DPG H Secretariat
4.	Pascal Kanyinyi		KfW			Member
5.	Eimear McDermott		Irish Aid		Member
6.	Karen Zamboni		Irish Aid		Member
7.	Emmanuel Baingana		UNAIDS		Member
8.	Kei Umotsu			JICA			Member 
9.	Catherine Shirima		JICA			Member
10.	Rutasha Dadi			UNFPA		Member
11.	Suzanne Grimm		GIZ			Member
12.	Kristina Kloss			GIZ			Member
13.	Lisha Lala			DFID			Member
14.	Nadia Hamel			DFATD/Canada	Member
15.	Catherine Addison		DFATD HQ		Member
16.	Miriam Lutz			USAID			Member
17.	Gradeline Minja		DANIDA		Member
18.	Josh Levens			PEPFAR		Member
19.	Dr. Theopista John		WHO			Member
20.	Max Mapunda			WHO			Member
21.	Tadashi Yasuda		UNICEF		Member

AGENDA
1.	GF structure and flow of funds  
2.	Welcome and Introduction of members
3.	Adoption of the Minutes + Agenda + Matters Arising
4.	Updates on SWAp events
5.	Updates on Health Basket Fund  
6.	Critical issues from TWGs
7.	Nominations for 2015/16 Incoming Chair
8.	Update on key events/ missions
9.	AOB
10.	Next DPG-Health Meeting, 3rd June 2015 

Matters Arising:
Agenda	Action point	Responsible person/Agency	Status	
Presentation: TNCM Oversight Committee	Provide list of names of the members of the Oversight and Management Committees for DPG H website
	Josh Levens

	Done

TNCM Governance Manual	Put accurate language in the TNCM Governance Manual for DPG H membership. 	Outgoing Chair	Done
	
DPG H Representative to the TNCM	DPs to think of who will represent DPG H in the TNCM and for how long.	DPs	
	
TWG Updates: HF: MOHSW finds it difficult to get figures from DPs for NHA	Follow up with the Ministry to confirm which donors have responded to the NHA tool.

Outgoing Chair

	
Nominations for 2015/16 DPG H Incoming Chair	Send another email to members requesting interested candidates to send their expression of interest through email with a copy to everyone in the DPG H.	 DPG H Secretariat	Done	

Presentation: 
1.	TNCM Oversight Committee and GF Flow of Funds: 
The presentation was delivered by Josh Levens (GF Tanzania Liaison Officer), who started by giving a brief background of the TNCM structure and functions. The TNCM was initially providing technical and governance coordination. There were separate TWGs within TNCM for Malaria, TB and HIV that were reviewing and refining concept notes before submission. All these involved the same people, so some efficiency was later needed hence, the TWGs were eliminated. The current TNCM has two standing committees: (1) Management Committee which manages day to day communication and the secretariat of the committee, and (2) Oversight Committee which oversees grants implementation, financial issues etc.
MoF funding flow analysis: it was presented that the funding flow should be between 30-45 days. But the experience shows that the flow has been too slow. The Coordination Committee of the GF funds which is housed at the MoF needs to be strengthened to accelerate the funding flow. GF funds that go to the MoF are for non-procurement commodities budget items. The funds for commodities are deposited into the US Dollar Account of the MOHSW. When funds are deposited into the MoF, the Coordination Committee under the MoF prepares Distribution Schedule. More information is found at the DPG H website through this link: http://www.tzdpg.or.tz/dpg-website/sector-groups/cluster-2/health/top-tabs/dpg-h-meetings/2015.html
Discussion
DPs commended Josh for a precise presentation. Some members wanted to know the people who form TNCM Management and Oversight Committees. It was agreed that Josh will provide list of names for the DPG H website.  It was also asked if TACAIDS is a permanent Secretariat of the TNCM. It was responded that TACAIDS only hosts the TNCM Secretariat which will be later moved to PMO. The TNCM Executive Secretary position is advertised and will be recruited soon. The TNCM Executive Secretary is the head of the TNCM Secretariat, which also includes a finance officer, M&E officer, and 2 administrative assistants. The whole team will report directly to the PMO and the TNCM Vice-Chair, as head of the management committee and be housed outside of TACAIDS. 
Main DPG-H meeting: 
1.	Welcome and Introduction of members
The Chair welcomed all participants to the meeting, followed by a round of introductions. The successor of Kimio Abe (JICA), Kei Umotsu introduced himself to the group. 
2.	Adoption of the Minutes, Agenda and Matters Arising
Minutes of the April meeting were approved as a correct record, and agenda of this meeting was adopted. 

3.	Updates on SWAp events: 

Progress on HSSP IV 
The meeting was informed that MOHSW organized a couple of meetings which looked at the prioritization of the HSSP IV and the fiscal space. There is a significant gap on the fiscal space, therefore some of the elements were reduced or reprioritized. The HSSP IV was then presented to the senior management of the Ministry, but we have not received any feedback so far. The Steering Committee meeting is expected in late May which will endorse the Plan. It was recommended that there is a need to meet with MoF to see if the elements of the fiscal space are viable and to advise them to look at other alternatives of funding the HSSP IV for example, duty tax. It was reported that the CHW program will cost a lot of money therefore the MOHSW did not include it in the costing. It was suggested that this should be followed up on because CHWs are not fully time employed, so they could have reduced the costs to at least 50% or less. It was also reported that the MOHSW will make extra budget request for commodities.
4.	Updates on HBF and ASC
(i)	HBF:
Basket partners are still working on MoU, they will meet with MOHSW next week. They will also discuss with MOHSW about their (MOHSW) request to disburse commodities funds direct to the Ministry instead of MSD. 
(ii)	ASC:
No real updates. The next ASC meeting is expected to be convened at the end of this May.
5.	Critical issues from TWG 
RMNCH:
Stakeholders worked on the prioritization of the One plan II. UNFPA is now collecting comments from DPs on the mentioned Plan.
Pharmaceutical:
DPs were asked to visit eLMIS database to get updates on availability of drugs. It was agreed that WHO will make a presentation in the next DPG H meeting on the subject matter. 
PPP:
There are on-going consultancies on PPP, DANIDA will recruit a consultant to find out ways of supporting PPP resource centre.
Districts and Regions:
There are great improvements in districts and regions in terms of planning capacity.
HRH:
DPs had an opportunity to comment and feedback the MOHSW on the Task Shifting Guideline. It was noted that the guideline looked at all cadres but without mentioning who will do what.
Health Financing:
-The Health Financing Strategy has been approved by the Inter-Ministerial Committee, it is now in the process of Cabinet approval.
-The NHA report has been shared by the MOHSW but it is not well detailed as it is used to be. The report awaits for senior management approval.
-It was noted that the MOHSW finds it difficult to get figures from DPs for NHA. Susna will follow up with the ministry to confirm which donors have responded. Mr. Mapunda will share the NHA report.
-There was a CHF meeting which involved a lot of stakeholders from upcountry. The major issue that was discussed in that meeting was the matching funds where district officials complained that they do not get the funds.
TNCM Governance Manual: 
The TNCM is currently revising its Governance Manual. The Manual was circulated to both DPG H/AIDS for comments, unfortunately two DPs commented. The meeting was told that the main comments should be on the language of the Manual. It was discussed that the DPG H membership to the TNCM is one year while the DPG AIDS is three years, this is due to the duration of the chairmanship under the Troika; therefore it is up to the DPG H to decide whether they want the membership to remain one year or to extend, and propose the language that should go in. It was advised that for the government and DPs constituencies, it is really up to them to decide the duration of the membership. The language that was proposed included ‘maximum flexibility for membership’. It was agreed that Susna De will assist in putting the required language. The meeting was informed that the new TNCM Governance Manual will oversee a new seat for key populations, if there are any objections to that DPs should communicate.
It was proposed that DPs should insist that there should be a link between DPG AIDS TWG under TNCM and Health SWAp to share updates. It was also commented that TNCM members are very high ranking officials, so DPs miss the opportunity of sharing their thoughts as health group because TNCM does not discuss procurement issues only but also policy issues. It was suggested that members should think of who will represent DPG H in the TNCM and for how long. It was proposed that DPG Health and DPG AIDS should find a way of coming together to avoid duplication. For example, in advance of TNCM meetings, DPG H and DPG AIDS can meet together to discuss issues that they would like to communicate to the TNCM. It was also suggested that DPG H can invite officials from MoF and MOHSW to the meeting to explain how they link GF and SWAp structure.
It was informed that Michelle Roland (DPG AIDS Lead) wrote an email and gave updates on the DPG AIDS. Also, as the CDC Country Director, she requested for an opportunity to update DPG-Health on the Global Health Security Agenda and USG Tanzania’s evolving role.  
6.	Nominations for 2015/16 DPG H Incoming Chair
The meeting was informed that Carol Hannon will be the Chair beginning 1st of July 2015, and Dr. Sudha Sharma will be the Outgoing Chair. The Chair emailed DPG H few days ago to request members to send their expression of interest. The meeting requested the Secretariat to send another email to ask interested candidates to send their expression of interest through email with a copy to everyone in the DPG H by a deadline of two weeks from today. It was agreed that if there will be more than one candidate, members will have to elect the Incoming Chair.
7.	Upcoming events
•	A celebration of all CIDA contributions in MNCH in June 4th. Invitations will be issued next week.
•	UN is in process of developing UNDAP II. Within this framework, agencies are developing their country cooperation strategy, WHO is doing so, UNICEF will do the same and will inform partners.
•	Program Evaluation of GIZ work where there will be consultative meetings from 15th May – 3rd June 2015.
•	PPP Conference in Kigali, Rwanda from 17th – 19th May 2015.
•	World Health Assembly in the 3rd week of May 2015.
•	GIZ will support the country to participate in Sanitation Conference in Dakar to be held on 28th May 2015.
•	JICA will start a new project ‘Strengthening Management of Regional Referral Systems’. Experts will come at the end of next week. JICA requested to welcome their experts to present in the DPG H meeting. 
8.	Next meeting: Wednesday, June 3rd 2015 at UNICEF at 12:00pm. It was suggested that the meeting can be postponed to one more week later. The Chair will send a request when need arise.