Community Participation in the Decentralized Health and Water Services Delivery in Tanzania

Marijani, Ramadhani

doi:10.4236/jwarp.2017.96043

Cited by 8 publications

(13 citation statements)

References 19 publications

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“…The professional bodies at national level are the one responsible to investigate such incidences. This is an example of the many potential causes of HFGCs not performing well in Tanzania [ 48 , 52 ].The voices from Scholars argue the country to implement the true D-by-D to improve the efficiency of HFGCs [ 48 , 53 ].…”

Section: Discussionmentioning

confidence: 99%

Social accountability in primary health care facilities in Tanzania: Results from Star Rating Assessment

et al. 2022

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Background Star Rating Assessment (SRA) was initiated in 2015 in Tanzania aiming at improving the quality of services provided in Primary Healthcare (PHC) facilities. Social accountability (SA) is among the 12 assessment areas of SRA tools. We aimed to assess the SA performance and its predictors among PHC facilities in Tanzania based on findings of a nationwide reassessment conducted in 2017/18. Methods We used the SRA database with results of 2017/2018 to perform a cross-sectional secondary data analysis on SA dataset. We used proportions to determine the performance of the following five SA indicators: functional committees/boards, display of information on available resources, addressing local concerns, health workers’ engagement with local community, and involvement of community in facility planning process. A facility needed four indicators to be qualified as socially accountable. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were used to determine facilities characteristics associated with SA, namely location (urban or rural), ownership (private or public) and level of service (hospital, health centre or dispensary). Results We included a total of 3,032 PHC facilities of which majority were dispensaries (86.4%), public-owned (76.3%), and located in rural areas (76.0%). On average, 30.4% of the facilities were socially accountable; 72.0% engaged with local communities; and 65.5% involved communities in facility planning process. Nevertheless, as few as 22.5% had functional Health Committees/Boards. A facility was likely to be socially-accountable if public-owned [AOR 5.92; CI: 4.48–7.82, p = 0.001], based in urban areas [AOR 1.25; 95% CI: 1.01–1.53, p = 0.038] or operates at a level higher than Dispensaries (Health centre or Hospital levels) Conclusion Most of the Tanzanian PHC facilities are not socially accountable and therefore much effort in improving the situation should be done. The efforts should target the lower-level facilities, private-owned and rural-based PHC facilities. Regional authorities must capacitate facility committees/boards and ensure guidelines on SA are followed.

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Section: Discussionmentioning

confidence: 99%

Social accountability in primary health care facilities in Tanzania: Results from Star Rating Assessment

et al. 2022

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“…Decentralization policy is part of vigorous initiatives and reforms to support LGAs to improve delivery of social services including education (Aycrigg, 2013;Marijani, 2017).…”

Section: East African Journal Of Education and Social Sciencesmentioning

confidence: 99%

Accountability of Education and Secondary School Performance in Tandahimba and Mtwara Districts, Tanzania

Nnunduma

2022

EAJESS

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This study sought to establish level of accountability of education actors in relation to current status of education delivery and its resultant academic performance of secondary schools in Tandahimba and Mtwara Districts, Tanzania. The study was underpinned by Principal-Agency Theory and Public Choice Theory and it employed the cross-sectional explanatory design through questionnaire as source of data from 229 respondents who were sampled from the population of 563 education administrators. Furthermore, seven district level officers were purposively selected for in-depth interview while 10 teachers and 10 parents were conveniently selected to participate in the focus group discussion. Quantitative data was analysed using descriptive statistics whilst qualitative data was analysed using content analysis. The quantitative findings indicate that education actors were accountable in their roles. However, the qualitative findings revealed that heads of schools and school management teams were not accountable for involvement of parents in school management; some heads of schools were burdens to schools since they did not have managerial skills, experience and knowledge. The findings are in line with the theoretical thinking of public choice theory, which proposes that lower accountability of education actors compromises delivery of quality education in secondary schools. Based on the findings, this study recommends that the local government should enhance the accountability of head of schools and school management teams by involving community and parents in the management of schools. Moreover, heads of schools have to be trained after being appointed so as to impart them with managerial knowledge and skills so as to regulate their performance and eventually their accountability.

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“…These legally set procedures are seen to be enhancing the management of contracts between government and the private sectors. Evidences from Marijani (2017) show that local government in collaboration with faith-based organisation are efficiently and effectively managing health and water services in Ulanga district. Marijani reports that decentralization has enhanced the public-community partnership in Ulanga district council where the communities are participating in different modalities such as passive, active, consultative, active specific and interactive participation in decision making, implementation and evaluation of government programs in health and water services.…”

Section: Efficiency and Effectiveness In The Management Of Public-private Partnershipmentioning

confidence: 99%

Decentralization in Tanzania: Perceptible Efficiency and Effectiveness in Management of Community Health Care, Free Basic Education and Public Private Partnership

Mkoma¹,

Rwekaza²

2021

HOLISTICA – Journal of Business and Public Administration

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Decentralization has been a means to enhance efficiency and effectiveness in the management of local government affairs. Tanzania has undergone a reform through decentralization by devolution (D by D) and shifted relative power to lower levels of government known as local government authorities. The purpose is to improve the management of local government affair including the management of community health, free basic education and the management of contracts through public-private partnership. The objective of this paper is to review and analyse on how D by D has enhanced efficiency and effectiveness in the management of local government affairs in Tanzania. Data were collected through reviewing different documents including published journal articles, unpublished Master and PhD thesis/dissertations, government reports and online materials. Efficiency and effectiveness in the management of local government affairs are enhanced by D by D as there are improvements in the management of the community health fund as the number of households enrolled is consecutively increasing in the past five years from 543,328 in 2012/2013 to 2,251,055 in 2017/2018giving a total of 13,506,330 beneficiaries out of the total population. In the management of free fee basic education, head masters, mistress and head teachers in Singida and Ruangwa districts are successful in overcoming the challenges of free fee basic education while there is improved community participation in the management of management of contracted services in Ulanga district council. This paper recommends for reviewing and analysing how D by D has enhanced management of waste collection, the use of Government electronic Payment Gateway (GePG) in revenue collection and the efficiency and effectiveness of Tanzania Rural and Urban Roads Agency (TARURA).

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Community Participation in the Decentralized Health and Water Services Delivery in Tanzania

Cited by 8 publications

References 19 publications

Social accountability in primary health care facilities in Tanzania: Results from Star Rating Assessment

Social accountability in primary health care facilities in Tanzania: Results from Star Rating Assessment

Accountability of Education and Secondary School Performance in Tandahimba and Mtwara Districts, Tanzania

Decentralization in Tanzania: Perceptible Efficiency and Effectiveness in Management of Community Health Care, Free Basic Education and Public Private Partnership

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