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We do not do any activity until there is an outbreak: Barriers to disease prevention and health promotion at the community level in Kongwa District, Tanzania
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health.ORCID iD: 0000-0001-7087-1467
2014 (English)In: Global health action, ISSN 1654-9880, E-ISSN 1654-9880, Vol. 7, 23878- p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Little is known about the barriers to disease prevention and health promotion at the community level--within a decentralized health system.

OBJECTIVE: This paper, therefore, presents and discusses findings on barriers (and opportunities) for instituting disease prevention and health promotion activities.

DESIGN: The study was conducted in Kongwa District, Tanzania, using an explorative case study approach. Data were collected through document reviews and in-depth interviews with key informants at district, ward, and village levels. A thematic approach was used in the analysis of the data.

RESULTS: This study has identified several barriers, namely decision-makers at the national and district levels lack the necessary political will in prioritizing prevention and health promotion; the gravity of prevention and health promotion stated in the national health policy is not reflected in the district health plans; gross underfunding of community-level disease prevention and health promotion activities; and limited community participation.

CONCLUSION: In this era, when Tanzania is burdened with both communicable and non-communicable diseases, prevention and health promotion should be at the top of the health care agenda. Despite operating in a neoliberal climate, a stronger role of the state is called for. Accordingly, the government should prioritize higher health-protecting physical, social, and economic environments. This will require a national health promotion policy that will clearly chart out how multisectoral collaboration can be put into practice.

Place, publisher, year, edition, pages
2014. Vol. 7, 23878- p.
National Category
Public Health, Global Health, Social Medicine and Epidemiology
URN: urn:nbn:se:umu:diva-91934DOI: 10.3402/gha.v7.23878PubMedID: 25084832OAI: diva2:738565
Available from: 2014-08-18 Created: 2014-08-18 Last updated: 2015-04-29Bibliographically approved

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