Mr. Kangamila is a senior program officer at Results for Development (R4D), where he leads the public financial management workstream in Tanzania, advancing reforms in health budgeting, budget execution, equitable resource allocation, financial accountability and sustainable primary health care financing.

Throughout his career, Mr. Kangamila has overseen a USAID-funded health systems portfolio exceeding $130 million, supporting program performance, governance and compliance. His work has strengthened pharmaceutical supply chains, private sector engagement and collaboration between government and nongovernmental health providers.

Before joining R4D, Mr. Kangamila was a senior private sector engagement adviser at JSI, where he led initiatives to strengthen pharmaceutical systems, improve stakeholder coordination and advance integration across GoTHOMIS, eLMIS, PlanRep and FFARS. He contributed to faith-based organization mapping, public-private engagement and alignment of digital systems with health planning and financial management. His experience in policy dialogue, health financing, governance and capacity building has given him a strong understanding of Tanzania’s health system and decentralized governance structures.

Mr. Kangamila holds a Master of Science in project management from the Open University of Tanzania and a Bachelor of Science in social protection from the Institute of Finance Management. He also studied global public health and social justice at the master’s level at Brunel University London and completed training in human resources for health at Harvard T.H. Chan School of Public Health. He is fluent in English and Kiswahili.

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This series of four impact briefs shares what changed, how R4D contributed, and what it will take to sustain progress. Each brief focuses on one area of reform and draws on government, funder, and partner perspectives.

Brief 1: Laying the Foundation

How NHIA developed its first strategic plan, institutionalized annual operational planning, and invested in leadership capacity to carry health insurance reform from strategy into implementation.

Brief 2: From Plans to Resourced Activities and Health Outcomes

How Planning and Budgeting Committees at the federal level and in Kaduna, Kano, and Lagos strengthened the link between health sector priorities and public resources.

Brief 3: Strategic Purchasing Into Practice

How a revised benefit package, sharper targeting of vulnerable populations, and stronger guidelines turned strategic purchasing from principle into practice under Nigeria’s Basic Health Care Provision Fund.

Brief 4: Turning Data Into Decisions

How stronger oversight and better data strengthened accountability and elevated health insurance coverage as a national priority.

About the evaluation

The briefs draw on a retrospective evaluation of R4D’s 2022–2025 technical assistance, conducted using the Outcome Harvesting methodology. The evaluation team reviewed 11 project documents and conducted 15 key informant interviews with government, funders, partners, and R4D staff. All outcomes were validated with key stakeholders in Abuja on 22 July 2026. The full evaluation report sets out the methodology and complete findings.

The following R4D project team members led and supported the implementation of this work: Felix Obi, Josh Elaigwu, Stanley Ezenwa, John Njoku, Esther Agbon, Roli Akpolo and Feyikemi Adeniyi.

The following R4D Learning and Results team members led the evaluation and wrote the report: Katie Bowman, Leah Ewald and Maria Jose Pastor.

The post Strengthening Nigeria’s health financing system: Impact briefs from an evaluation of R4D’s technical assistance to Nigeria’s federal health financing reforms appeared first on Results for Development.

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

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