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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Commissioned through the Tech Community of Expertise Helpdesk, this landscape assessment examines Nigeria’s digital health and AI ecosystem, drawing on policy and program documents and interviews with stakeholders across government, development partners and the private sector. The report identifies key barriers to adoption, promising applications of AI in health care and opportunities to strengthen the foundations for responsible, sustainable digital transformation. It also outlines priority areas where technical assistance and investment could support Nigeria’s ongoing health sector reforms.

This report has been prepared by Results for Development (R4D) for the Foreign, Commonwealth & Development Office (FCDO). The views expressed in this report are those of the authors and do not necessarily reflect the views or policies of the FCDO or the UK Government.

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To address these challenges, Indonesia’s Health Development Policy Agency (BKPK) in the Ministry of Health is working with Results for Development and Gadjah Mada University to build and test a structured, two-way policy feedback mechanism. This brief shares key lessons from developing the mechanism and its first pilot phase of implementation with three provincial health offices, six district health offices, and local health policy and systems research institutions from those districts.

Early lessons suggest that policy feedback mechanisms require trust and relationship-building, clear roles, regular opportunities for joint reflection, and institutional arrangements that enable implementation evidence to influence policy decisions. Ultimately, Indonesia’s leaders hope to embed two-way feedback and learning as a routine governance practice that connects policy design with implementation and enables adaptation to local realities.

This work brings together learning from R4D’s Asia Health Policy and Systems Research Initiative and Advancing Realistic Health System Design and Planning project, both funded by the Gates Foundation.

A related blog examines the development and early implementation of this policy feedback mechanism in Indonesia. Read it here. 

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Ms. Moyo is an associate program director in the Market Shaping practice at Results for Development (R4D), where she provides strategic and technical leadership across R4D’s Tanzania market shaping portfolio. She manages the in-country team, guides the analytical and technical work underpinning R4D’s government-, donor- and partner-facing products, and represents R4D externally as the organization works to expand access to essential health and nutrition products.

Throughout her career, Ms. Moyo has contributed to initiatives that have strengthened health systems and improved access to quality, people-centered health services in Tanzania. At Ifakara Health Institute, she contributed to the Staha initiative in Tanga, which brought communities and health care workers together to address disrespect and abuse during childbirth. The intervention was associated with a 66% reduction in the odds of women experiencing disrespect and abuse. She also contributed to research published in the Bulletin of the World Health Organization that helped advance the research, policy and rights agenda around disrespect and abuse during childbirth and its effects on women’s confidence in health facilities and willingness to return for care.

Before joining R4D, Ms. Moyo was head of health and nutrition at Plan International Tanzania, where she led strategic funding identification, program design and integrated delivery across sexual and reproductive health, WASH, nutrition, maternal and child health, and noncommunicable diseases. She also represented the organization in national and international policy forums, including Tanzania’s family planning and RMNCAH+N technical working groups.

Previously, Ms. Moyo served as head of projects at Marie Stopes International, overseeing multi-donor programs focused on adolescent sexual and reproductive health, comprehensive post-abortion care and public systems strengthening. Through these programs, she helped strengthen systems to sustain and scale approaches with minimal program support and beyond the programs’ lifespans.

Ms. Moyo holds a master’s degree in health care leadership from Friends University in Wichita, Kansas, and a bachelor’s degree in political science and public administration from the University of Dar es Salaam. She speaks English and Swahili.

Publications

• Disrespectful and abusive treatment during facility delivery in Tanzania: a facility and community survey
• Community and health system intervention to reduce disrespect and abuse during childbirth in Tanga Region, Tanzania
• Hidden in plain sight: Validating theory on how health systems enable the persistence of women’s mistreatment in childbirth through a case in Tanzania
• The Staha Project: Promoting Respectful and Attentive Care in Tanzania — Presented by Wema Moyo

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