The MoH&SW, with a consortium of partners, in October 2007, developed a Proposal to Strengthen the HMIS in Tanzania. This document builds on that proposal to develop a budgeted 6‐month plan to kick‐start implementation of the Revised MTUHA in one region and at national level, to develop a replicable model that can be scaled up to other regions as additional funds become available. The overall HMIS revision process will ensure that, within a period of five years the HMIS will be functional in all 21 regions of the country, in a phased manner Six months intensive systems and database development in Mtwara region Eighteen months implementation in one region in each of the six zones Within 5 years, National rollout to every region The initial six months implementation process, described in depth in this document, will use action research and participatory development methodology that will integrate the six work packages in the HMIS document, in line with the HSSP III proposals for strengthening M&E. A number of dedicated teams will roll out the HMIS, develop a toolkit for implementation in other regions and produce a modern web based data warehouse. The project logframe aims to provide quality routine data for monitoring MDGs and the NHSSPIII by producing five outputs – HMIS revision, HMIS implementation, Capacity development, the DHIS software and action research. Terms of reference are developed for each of the HMIS teams, based on the activities in the logframe – Indicator and dataset revision, HMIS design, Database development and training team. An action‐based budget of US15millionisprovidedforthreeyearsthatenvisagesThemodelregionwillcost1,25 million for the first year, including the rollout activities, the development of training material, adaptation of software etc. The other six regions will cost 1,05million for first year; all regions will reduce to 500,000forthesecondyearand300,000 in the third year. National level costs will reduce from 700,000to500,000ayearaslocalconsultantsreplaceinternationaltechnicalassistanceandMinistrytakesoverrunningexpenses.Rolloutfortheother14regionswillneedaseparatebudgetingprocessafterthesixregions,butshouldbeintherangeof1,8millionayear(orlessifcostscanbereduced).Theactivitiesinthemodelinitiationregionwillcost1,2 million for the first year, including the rollout activities, the development of training material, adaptation of software et