The dependency on central government funding of decentralised health systems: experiences of the challenges and coping strategies in the Kongwa District, Tanzania

↓ Direkt till sidans innehåll
↓ Direkt till sidans sekundära innehåll (sidomenyn)

Sökning: WFRF:(Frumence Gasto) > The dependency on c...

LIBRIS Formathandbok (Information om MARC21)

Fältnamn	Indikatorer	Metadata
000		04207naa a2200421 4500
001		oai:DiVA.org:umu-86838
003		SwePub
008		140311s2014 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-868382 URI
024	7	a https://doi.org/10.1186/1472-6963-14-392 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Frumence, Gasto4 aut
245	1 0	a The dependency on central government funding of decentralised health systems :b experiences of the challenges and coping strategies in the Kongwa District, Tanzania
264		c 2014-01-25
264	1	b Springer Science and Business Media LLC,c 2014
338		a electronic2 rdacarrier
520		a Background: Decentralised health systems in Tanzania depend largely on funding from the central government to run health services. Experience has shown that central funding in a decentralised system is not an appropriate approach to ensure the effective and efficient performance of local authorities due to several limitations. One of the limitations is that funds from the central government are not disbursed on a timely basis, which in turn, leads to the serious problem of shortage of financial resources for Council Health Management Teams (CHMT). This paper examines how dependency on central government funding in Tanzania affects health activities in Kongwa district council and the strategies used by the CHMT cope with the situation.Methods: The study adopted a qualitative approach and data were collected using semi-structured interviews and focus group discussions. One district in the central region of Tanzania was strategically selected. Ten key informants involved in the management of health service delivery at the district level were interviewed and one focus group discussion was held, which consisted of members of the council health management team. The data generated were analysed for themes and patterns.Results: The results showed that late disbursement of funds interrupts the implementation of health activities in the district health system. This situation delays the implementation of some activities, while a few activities may not be implemented at all. However, based on their prior knowledge of the anticipated delays in financial disbursements, the council health management team has adopted three main strategies to cope with this situation. These include obtaining supplies and other services on credit, borrowing money from other projects in the council, and using money generated from cost sharing.Conclusion: Local government authorities (LGAs) face delays in the disbursement of funds from the central government. This has necessitated introduction of informal coping strategies to deal with the situation. National-level policy and decision makers should minimise the bureaucracy involved in allocating funds to the district health systems to reduce delays.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
653		a Decentralisation
653		a Health systems
653		a Late disbursement
653		a Central government
653		a Local authorities
653		a Tanzania
700	1	a Nyamhanga, Tumaini4 aut
700	1	a Mwangu, Mughwira4 aut
700	1	a Hurtig, Anna-Karinu Umeå universitet,Epidemiologi och global hälsa4 aut0 (Swepub:umu)anhu0001
710	2	a Umeå universitetb Epidemiologi och global hälsa4 org
773	0	t BMC Health Services Researchd : Springer Science and Business Media LLCg 14:39q 14:39x 1472-6963
856	4	u https://umu.diva-portal.org/smash/get/diva2:704912/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
856	4	u https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/1472-6963-14-39
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-86838
856	4 8	u https://doi.org/10.1186/1472-6963-14-39

Hitta via bibliotek

BMC Health Services Research (Sök värdpublikationen i LIBRIS)

Till lärosätets databas

Hitta mer i SwePub

Av författaren/redakt...: Frumence, Gasto; Nyamhanga, Tumai ...; Mwangu, Mughwira; Hurtig, Anna-Kar ...

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

Artiklar i publikationen: BMC Health Servi ...

Av lärosätet: Umeå universitet

Sök utanför SwePub

Sök vidare i:: Google; Google Book Search; Google Scholar

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

LIBRIS.kb.se