The Status of Public Health Service Delivery (PHSD) After Decentralisation in Rural Tanzania.
Journal Title: International Journal of Social Science And Human Research - Year 2018, Vol 1, Issue 01
Abstract
This article determined the status of public health service delivery under decentralisation in rural Tanzania. It adopted a combined case study design to explore health service delivery and its status in Pangani and Urambo local government authorities. the study was mainly qualitative; primary data collected by using interviews, questionnaires, FGDs and observation. Secondary data extracted from various reports and academic works related to the theme. The study established that, decentralisation had minimal effect on improving public health service delivery in rural Tanzania. The health services were found to be characterised by poor access and quality. Very few health centres, lack of equipment, drugs and medicines, low levels of competency among health workers, distance, lacked clear complaints handling mechanisms and responsiveness were found to be the major bottlenecks. Delayed service, poor time management, lack of accountability and transparency, lack of political will, poor records management and resistance to change persisted in the sampled health centres. The study recommends a review of the existing legal frame, administrative systems, structures and processes. Efforts on resourcing, Human resource capacity building and institutionalisation of health sector reforms and decentralisation are also recommended.
Authors and Affiliations
Hussein S. Lufunyo
Keywords
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