umu.sePublikasjoner
Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Challenges to the implementation of health sector decentralization in Tanzania: experiences from Kongwa district council
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.ORCID-id: 0000-0001-7087-1467
2013 (engelsk)Inngår i: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 6, s. 20983-Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: During the 1990s, the government of Tanzania introduced the decentralization by devolution (D by D) approach involving the transfer of functions, power and authority from the centre to the local government authorities (LGAs) to improve the delivery of public goods and services, including health services. Objective: This article examines and documents the experiences facing the implementation of decentralization of health services from the perspective of national and district officials. Design: The study adopted a qualitative approach, and data were collected using semi-structured interviews and were analysed for themes and patterns. Results: The results showed several benefits of decentralization, including increased autonomy in local resource mobilization and utilization, an enhanced bottom-up planning approach, increased health workers' accountability and reduction of bureaucratic procedures in decision making. The findings also revealed several challenges which hinder the effective functioning of decentralization. These include inadequate funding, untimely disbursement of funds from the central government, insufficient and unqualified personnel, lack of community participation in planning and political interference. Conclusion: The article concludes that the central government needs to adhere to the principles that established the local authorities and grant more autonomy to them, offer special incentives to staff working in the rural areas and create the capacity for local key actors to participate effectively in the planning process.

sted, utgiver, år, opplag, sider
Co-Action Publishing , 2013. Vol. 6, s. 20983-
Emneord [en]
challenges, decentralization, health services, Tanzania
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-80770DOI: 10.3402/gha.v6i0.20983ISI: 000323706400001OAI: oai:DiVA.org:umu-80770DiVA, id: diva2:653512
Tilgjengelig fra: 2013-10-04 Laget: 2013-09-25 Sist oppdatert: 2018-06-08bibliografisk kontrollert

Open Access i DiVA

fulltext(297 kB)187 nedlastinger
Filinformasjon
Fil FULLTEXT01.pdfFilstørrelse 297 kBChecksum SHA-512
b461f81c1b7f0b5a950a69d46d1872b7b49d2cda68229f0b0b393c6a31463e0c6c406ae7649b9d3e9554de783c0596f50033334ba22fa0e70c5ac4e010f6ce49
Type fulltextMimetype application/pdf

Andre lenker

Forlagets fulltekst

Personposter BETA

Hurtig, Anna-Karin

Søk i DiVA

Av forfatter/redaktør
Hurtig, Anna-Karin
Av organisasjonen
I samme tidsskrift
Global Health Action

Søk utenfor DiVA

GoogleGoogle Scholar
Totalt: 187 nedlastinger
Antall nedlastinger er summen av alle nedlastinger av alle fulltekster. Det kan for eksempel være tidligere versjoner som er ikke lenger tilgjengelige

doi
urn-nbn

Altmetric

doi
urn-nbn
Totalt: 180 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf