Despite significant investments in Tanzania's health system over the past decade, the monitoring and evaluation architecture remains fragmented, with multiple parallel reporting systems creating duplication, data quality challenges, and delayed decision-making at all levels of the health system.
Current System Gaps
The coexistence of DHIS2, MTUHA, and programme-specific tracking systems results in inconsistent data, with facility-level staff spending an estimated 4.2 hours per week on reporting alone.
Proposed Reforms
INFOSTAT recommends a phased consolidation into a unified DHIS2-based platform with mobile-first data entry, automated validation rules, and real-time dashboards accessible to district medical officers within 24 hours of submission.
Resource Implications
Estimated implementation cost of the proposed integrated system is USD 3.8 million over three years, representing a 22% saving versus current fragmented spending.