Advanced search
Publication Cover
Global Health Action Volume 6, 2013 - Issue 1
Submit an article Journal homepage
13,914
Views
51
CrossRef citations to date
0
Altmetric
Original Articles

Challenges to the implementation of health sector decentralization in Tanzania: experiences from Kongwa district council

Gasto FrumenceDepartment of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TanzaniaCorrespondence[email protected] [email protected]
,
Tumaini NyamhangaDepartment of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
,
Mughwira MwanguDepartment of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
&
Anna-Karin HurtigEpidemiology and Global Health, Umeå International School of Public Health, Umeå University, Umeå, Sweden
Article: 20983 | Received 27 Mar 2013, Accepted 30 Jul 2013, Published online: 29 Aug 2013

Citations (51)

Keep up to date with the latest research on this topic with citation updates for this article.

Subscribe to citation updates

Read on this site (7)

Samwel Marco Tukay, Liliane Pasape, Kassimu Tani & Fatuma Manzi. (2021) Evaluation of the Direct Health Facility Financing Program in Improving Maternal Health Services in Pangani District, Tanzania. International Journal of Women's Health 13, pages 1227-1242.
Read now
Dieudonne Diasso, Maimouna Halidou Doudou, Mohamed Cheikh Levrak, Holly Dente Sedutto & Aly Savadogo. (2021) Municipalities’ organisational capacity to support the implementation of the Multi-Sector Nutrition Plan in Burkina Faso. Global Health Action 14:1.
Read now
Tumaini Mwita Nyamhanga, Gasto Frumence & Anna-Karin Hurtig. (2021) Facilitators and barriers to effective supervision of maternal and newborn care: a qualitative study from Shinyanga region, Tanzania. Global Health Action 14:1.
Read now
Christopher Sanga, Gregory Kabadi, Emilian Karugendo, Don de Savigny, Daniel Cobos Muñoz & Tim Adair. (2020) Decentralization of birth registration to Local Government in Tanzania: the association with completeness of birth registration and certification. Global Health Action 13:1.
Read now
Tatchalerm Sudhipongpracha & Achakorn Wongpredee. (2017) Fiscal Decentralization in Comparative Perspective: Analysis of the Intergovernmental Grant Systems in Indonesia and Thailand. Journal of Comparative Policy Analysis: Research and Practice 19:3, pages 245-261.
Read now
Gasto Frumence, Tumaini Nyamhanga, Mughwira Mwangu & Anna-Karin Hurtig. (2014) Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania. Global Public Health 9:10, pages 1125-1138.
Read now
Nadra Hashim. (2014) How Knowledge, Policy Planning, and Implementation Succeed or Fail: The Jatropha Projects in Tanzania. Journal of African Business 15:3, pages 169-183.
Read now

Articles from other publishers (44)

Peter Binyaruka, Melisa Martinez-Alvarez, Catherine Pitt & Josephine Borghi. (2023) Assessing equity and efficiency of health financing towards universal health coverage between regions in Tanzania. Social Science & Medicine, pages 116457.
Crossref
James Tumaini Kengia, Albino Kalolo, Eric van Praag, Don de Savigny, Marcel Tanner, Japhet Killewo & Ntuli A. Kapologwe. 2023. Primary Health Care in Tanzania through a Health Systems Lens. Primary Health Care in Tanzania through a Health Systems Lens 235 257 .
Vincen Gregory Yu, Gideon Lasco, Clarissa C David & Ivyrose S Baysic. (2023) ‘Kontra-partido’: untangling oppositional local politics and healthcare devolution in the Philippines. Health Policy and Planning 38:7, pages 840-850.
Crossref
Francis August, Tumaini Mwita Nyamhanga, Deodatus Conatus Vitalis Kakoko, Nathanael Shauri Sirili & Gasto Msoffee Frumence. (2023) Facilitators for and Barriers to the Implementation of Performance Accountability Mechanisms for Quality Improvement in the Delivery of Maternal Health Services in a District Hospital in Pwani Region, Tanzania. International Journal of Environmental Research and Public Health 20:14, pages 6366.
Crossref
Azlan Abas, Kadir Arifin, Mohd Azhar Mohamed Ali & Muhammad Khairil. (2023) A systematic literature review on public participation in decision-making for local authority planning: A decade of progress and challenges. Environmental Development 46, pages 100853.
Crossref
Neema Langa. (2023) Dependency Theory: An Evaluation of the Period-Based Changes in the Utilization of Maternal Health Care and Neonatal Mortality in Tanzania Between 1991 and 2016. International Journal of Social Determinants of Health and Health Services 53:2, pages 183-194.
Crossref
Desmond Dzidzornu Otoo, Ivy Akushika Agbenu, Mary Adebi Nyamekye & Nana Nimo Appiah-Agyekum. (2023) Challenges of implementation of the preventive chemotherapy neglected tropical diseases programme in Ghana. PLOS Neglected Tropical Diseases 17:2, pages e0011116.
Crossref
Anosisye M. Kesale, Mwandu Kini Jiyenze, Leonard Katalambula, Ally Y. Kinyaga, Nathanael Sirili, James S. Ngocho, George Ruhago, Amani Kikula, Ntuli A. Kapologwe & James T. Kengia. (2022) Perceived performance of health facility governing committees in overseeing healthcare services delivery in primary health care facilities in Tanzania. The International Journal of Health Planning and Management 38:1, pages 239-251.
Crossref
Arif Setiawan, Prijono Tjiptoherijanto, Benedictus Raksaka Mahi & Khoirunurrofik Khoirunurrofik. (2022) The Impact of Local Government Capacity on Public Service Delivery: Lessons Learned from Decentralized Indonesia. Economies 10:12, pages 323.
Crossref
James C. Kiologwe, Ukio Kusirye, Axel Hoffman & Albino Kalolo. (2022) Operational challenges of engaging development partners in district health planning in Tanzania. BMC Public Health 22:1.
Crossref
Ally Rajab Mketo, Cliford J. Ringo, Said Nuhu & Chakupewa Joseph Mpambije. (2022) Enhancing community participation for environmental health improvement in rural Tanzania: Evidence from Bukombe district. Evaluation and Program Planning 94, pages 102152.
Crossref
Erick S. Kinyenje, Talhiya A. Yahya, Joseph C. Hokororo, Eliudi S. Eliakimu, Mohamed A. Mohamed, Mbwana M. Degeh, Omary A. Nassoro, Chrisogone C. German, Radenta P. Bahegwa, Yohanes S. Msigwa, Ruth R. Ngowi, Laura E. Marandu & Syabo M. Mwaisengela. (2022) Social accountability in primary health care facilities in Tanzania: Results from Star Rating Assessment. PLOS ONE 17:7, pages e0268405.
Crossref
Anosisye Mwandulusya Kesale, Christopher Paul Mahonge & Mikidadi Muhanga. (2022) The functionality of health facility governing committees and their associated factors in selected primary health facilities implementing direct health facility financing in Tanzania: A mixed‐method study. Health Science Reports 5:3.
Crossref
Albino Kalolo, Ntuli A. Kapologwe, Hendry Samky & Stephen M. Kibusi. (2021) Acceptability of the Direct Health Facility Financing (DHFF) initiative in Tanzania: A mixed methods process evaluation of the moderating factors. The International Journal of Health Planning and Management 37:3, pages 1381-1401.
Crossref
Kate Ramsey. (2022) Systems on the edge: developing organizational theory for the persistence of mistreatment in childbirth. Health Policy and Planning 37:3, pages 400-415.
Crossref
Janeth George, Barbara Häsler, Erick V. G. Komba, Calvin Sindato, Mark Rweyemamu, Sharadhuli I. Kimera & James E. D. Mlangwa. (2021) Leveraging Sub-national Collaboration and Influence for Improving Animal Health Surveillance and Response: A Stakeholder Mapping in Tanzania. Frontiers in Veterinary Science 8.
Crossref
Ever Mkonyi, Dorkasi L. Mwakawanga, B.R. Simon Rosser, Zobeida E. Bonilla, Gift Gadiel Lukumay, Inari Mohammed, Stella E. Mushy, Lucy R. Mgopa, Michael W. Ross, Agnes F. Massae, Maria Trent & James Wadley. (2021) The management of childhood sexual abuse by midwifery, nursing and medical providers in Tanzania. Child Abuse & Neglect 121, pages 105268.
Crossref
Henry Zakumumpa, Joseph Rujumba, Woldekidan Amde, Respicius Shumbusho Damian, Everd Maniple & Freddie Ssengooba. (2021) Transitioning health workers from PEPFAR contracts to the Uganda government payroll. Health Policy and Planning 36:9, pages 1397-1407.
Crossref
Peter Binyaruka, Dina Balabanova, Martin McKee, Eleanor Hutchinson, Antonio Andreoni, Mary Ramesh, Blake Angell, Ntuli A Kapologwe & Masuma Mamdani. (2021) Supply-side factors influencing informal payment for healthcare services in Tanzania. Health Policy and Planning 36:7, pages 1036-1044.
Crossref
Theresia Falentina Resubun, Darmawansyah, Ridwan Amiruddin, Sukri Palluturi & Muhammad Syafar. (2021) Qualitative analysis of financing HIV and AIDS program in Health Office of Jayawijaya District, Papua Province. Gaceta Sanitaria 35, pages S64-S66.
Crossref
Valentina BerettaValentina Beretta. 2021. Development and Implementation of Health Technology Assessment. Development and Implementation of Health Technology Assessment 11 52 .
Harvy Joy Liwanag & Kaspar Wyss. (2020) Who should decide for local health services? A mixed methods study of preferences for decision-making in the decentralized Philippine health system. BMC Health Services Research 20:1.
Crossref
Kelsey Vaughan, Emma Clarke-Deelder, Kassimu Tani, Dafrossa Lyimo, Alex Mphuru, Fatuma Manzi, Carl Schütte & Annette Ozaltin. (2020) Immunization costs, from evidence to policy: Findings from a nationally representative costing study and policy translation effort in Tanzania. Vaccine 38:48, pages 7659-7667.
Crossref
Malale Tungu, Gasto Frumence, Mughwira Mwangu, Anna-Karin Hurtig & Lars Lindholm. (2020) Can survey data facilitate local priority setting? Experience from the Igunga and Nzega districts in Tanzania. Quality of Life Research 29:11, pages 3075-3086.
Crossref
Peter Binyaruka & Laura Anselmi. (2020) Understanding efficiency and the effect of pay-for-performance across health facilities in Tanzania. BMJ Global Health 5:5, pages e002326.
Crossref
Meredith G. Marten & Noelle Sullivan. (2020) Hospital side hustles: Funding conundrums and perverse incentives in Tanzania's publicly-funded health sector. Social Science & Medicine 244, pages 112662.
Crossref
Alessandra Fontana, Irene Falasconi, Paola Molinari, Laura Treu, Arianna Basile, Alessandro Vezzi, Stefano Campanaro & Lorenzo Morelli. (2019) Genomic Comparison of Lactobacillus helveticus Strains Highlights Probiotic Potential. Frontiers in Microbiology 10.
Crossref
Hilaire Zon, Milena Pavlova & Wim Groot. (2019) Decentralization and health resources transfer to local governments in Burkina Faso: A SWOT analysis among health care decision makers . Health Science Reports 2:6.
Crossref
August Kuwawenaruwa, Michelle Remme, Gemini Mtei, Suzan Makawia, Stephen Maluka, Ntuli Kapologwe & Josephine Borghi. (2018) Bank accounts for public primary health care facilities: Reflections on implementation from three districts in Tanzania. The International Journal of Health Planning and Management 34:1.
Crossref
Cristiane Reis Soares Medeiros & Pedro Cavalcante. (2018) A implementação do programa de saúde específico para a população em situação de rua - Consultório na rua: barreiras e facilitadores. Saúde e Sociedade 27:3, pages 754-768.
Crossref
Rosalind McCollum, Sally Theobald, Lilian Otiso, Tim Martineau, Robinson Karuga, Edwine Barasa, Sassy Molyneux & Miriam Taegtmeyer. (2018) Priority setting for health in the context of devolution in Kenya: implications for health equity and community-based primary care. Health Policy and Planning 33:6, pages 729-742.
Crossref
Tsegahun Manyazewal & Mokgadi C Matlakala. (2018) Implementing health care reform: implications for performance of public hospitals in central Ethiopia. Journal of Global Health 8:1.
Crossref
Ramadhani Kigume, Stephen Maluka & Peter Kamuzora. (2018) Decentralisation and health services delivery in Tanzania: Analysis of decision space in planning, allocation, and use of financial resources. The International Journal of Health Planning and Management 33:2.
Crossref
Maria Paola Bertone. (2018) Le défi de la fidélisation des personnels de santé dans les zones rurales : analyse des stratégies mises en œuvre dans sept pays d’Afrique francophone. Santé Publique HS:HS, pages 33-43.
Crossref
Benjamin Tsofa, Catherine Goodman, Lucy Gilson & Sassy Molyneux. (2017) Devolution and its effects on health workforce and commodities management – early implementation experiences in Kilifi County, Kenya. International Journal for Equity in Health 16:1.
Crossref
August Kuwawenaruwa, Josephine Borghi, Michelle Remme & Gemini Mtei. (2017) An assessment of equity in the distribution of non-financial health care inputs across public primary health care facilities in Tanzania. International Journal for Equity in Health 16:1.
Crossref
Seye Abimbola, Joel Negin, Alexandra L Martiniuk & Stephen Jan. (2017) Institutional analysis of health system governance. Health Policy and Planning 32:9, pages 1337-1344.
Crossref
Hilaire Zon, Milena Pavlova, Koiné Maxime Drabo & Wim Groot. (2017) Municipal health services provision by local governments: a systematic review of experiences in decentralized Sub-Saharan African countries. Health Policy and Planning 32:9, pages 1327-1336.
Crossref
Tamlyn Eslie Roman, Susan Cleary & Diane McIntyre. (2017) Exploring the Functioning of Decision Space: A Review of the Available Health Systems Literature. International Journal of Health Policy and Management 6:7, pages 365-376.
Crossref
Ramadhani Marijani. (2017) Community Participation in the Decentralized Health and Water Services Delivery in Tanzania. Journal of Water Resource and Protection 09:06, pages 637-655.
Crossref
Peter Binyaruka & Josephine Borghi. (2017) Improving quality of care through payment for performance: examining effects on the availability and stock-out of essential medical commodities in Tanzania. Tropical Medicine & International Health 22:1, pages 92-102.
Crossref
Bhuputra Panda, Sanjay P. Zodpey & Harshad P. Thakur. (2016) Local self governance in health - a study of it’s functioning in Odisha, India. BMC Health Services Research 16:S6.
Crossref
Daniel Kweku Baah Inkoom & Adwoa Yeboah Gyapong. 2016. Governing Urban Africa. Governing Urban Africa 99 124 .
Gasto Frumence, Tumaini Nyamhanga, Mughwira Mwangu & Anna-Karin Hurtig. (2014) The dependency on central government funding of decentralised health systems: experiences of the challenges and coping strategies in the Kongwa District, Tanzania. BMC Health Services Research 14:1.
Crossref

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.