From Goatherd to Governor : The Autobiography of Edwin Mtei

From Goatherd to Governor is Edwin Mtei's autobiography. It is a story of the journey a few Africans of his generation made, from humble beginnings to heights of success and power. Mr. Mtei was the first Governor of the Bank of Tanzania and the architect of Central Banking in Tanzania, Secretary General of the East African Community and Minister of Finance in Nyerere's Government. Born in 1932 in Marangu, Moshi, he was brought up in a grass-thatched conical hut by his mother, a single parent; he attended 'bush' school at Ngaruma Lutheran Parish Church, and herded goats after lessons finished; he attended Old Moshi Middle and Tabora Secondary schools and went on to Makerere University College in 1953. He graduated from there with a Bachelor of Arts degree in Political Science, History and Geography in 1957. In his own words he states: 'I have felt it worthwhile starting right at the beginning of my life. In this way, I aim to give some idea as to what it was like growing up in my birthplace, Marangu, in the tribal and colonial environment of Tanganyika in the 1930s, 1940s and 1950s. I touch on some of the traditions and beliefs of those days and on some colonial laws that impacted on our lives and surroundings.' But as he himself states: 'The most interesting part of my story is that relating to the events when I held senior positions in Nyerere's Government, and in the public service generally.' That includes his falling out with Mwalimu Nyerere over IMF and its policies, and his resignation from his post as Minister of Finance. For the first time he tells his side of that story. In 1992 Mr. Mtei threw himself deep into the waters of multiparty politics. He founded Chama cha Demokrasia na Maendeleo (CHADEMA) - the Party for Democracy and Development - and worked tirelessly to see it grow and emerge as an important party in the opposition, despite his own failure to win the parliamentary seat for Arusha Urban in the 1995 election. Even at 77 Mr. Mtei does not mince his words. He says what he believes and says it with courage and conviction. This is history, spanning well over half a century, written by someone who was involved in and who observed closely the key events of his time. He is retired and works on his farm, Ogaden Estate, but still manages to ruffle feathers whenever he is asked to comment on the economy and politics of Tanzania and East Africa

Accelerated institutionalization of an adolescent sexual and reproductive health (ASRH) intervention in Tanzania: Findings from a mixed-methods evaluation

IntroductionFrom 2018 to 2020, Adolescents 360 (A360), aiming to increase demand for and voluntary uptake of modern contraception among adolescent girls 15–19 years, designed and scaled an intervention in Tanzania (Kuwa Mjanja) to 13 regions through project-funded expansion. In 2020, the project began to develop a strategy for its follow-on phase, focusing on program sustainability. In this process, funder priorities led to a decision to exit A360's programming in Tanzania over a 15-month exit period. A360 elected to pursue a process of expedited institutionalization of Kuwa Mjanja into government systems during this period.Materials and methodsThe institutionalization process was facilitated in 17 local government authorities in Tanzania. Quantitative and qualitative data were gathered and analyzed including time-trend analysis of routine performance data, statistical analysis of two rounds of client exit interviews, and thematic analysis of qualitative research.ResultsThe sociodemographic characteristics of adolescent girls reached under government-led implementation were comparable to those reached by A360-led implementation. Intervention productivity decreased under government-led implementation but remained consistent. Adopter method mix shifted slightly toward greater long-acting and reversible contraceptive uptake under a government-led model. Factors that enabled successful institutionalization of Kuwa Mjanja included the presence of youth-supportive policies, the establishment of school clubs which provided sexual and reproductive health education, commitment of government stakeholders, and appreciation of adolescent pregnancy as a problem. Some intervention components were important for program effectiveness but proved difficult to institutionalize, primarily because of resource constraints. Lack of adolescent sexual and reproductive health (ASRH)-focused targets and indicators disincentivized Kuwa Mjanja implementation.DiscussionThere is significant potential in operationalizing user-centered ASRH models within government structures, even in a narrow time frame. A360 saw similar performance under government-led implementation and fidelity to the unique experience that the program was designed to deliver for adolescent girls. However, beginning this process earlier presents greater opportunities, as some aspects of the institutionalization process that are critical to sustained impact, for example, shifting government policy and measurement and mobilizing government resources, require heavy coordination and long-term efforts. Programs pursuing institutionalization in a shorter time frame would benefit from setting realistic expectations. This may include prioritizing a smaller subset of program components that have the greatest impact