333
Views
3
CrossRef citations to date
0
Altmetric
Original Research

Evaluation of the Direct Health Facility Financing Program in Improving Maternal Health Services in Pangani District, Tanzania

ORCID Icon, , &
Pages 1227-1242 | Published online: 09 Dec 2021

References

  • Kuruvilla S, Bustreo F, Kuo T, et al. The Global strategy for women’s, children’s and adolescents’ health (2016–2030): a roadmap based on evidence and country experience. Bull World Health Organ. 2016;94(5):398–400. doi:10.2471/BLT.16.170431
  • World Health Organization. Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division; 2017. 104.
  • Presterl E, Diab-El Schahawi M, Lusignani LS, Paula H, Reilly JS. Reprocessing: cleansing, disinfection, sterilization. In: Basic Microbiology and Infection Control for Midwives. Springer; 2019:35–49.
  • Thapa P, Bangura AH, Nirola I, et al. The power of peers: an effectiveness evaluation of a cluster-controlled trial of group antenatal care in rural Nepal. Reprod Health. 2019;16(1):1–14. doi:10.1186/s12978-019-0820-8
  • Bauserman M, Lokangaka A, Thorsten V, et al. Risk factors for maternal death and trends in maternal mortality in low- and middle-income countries: a prospective longitudinal cohort analysis. Reprod Health. 2015;12(2):1–9. doi:10.1186/1742-4755-12-S2-S5
  • Nyamtema A, Mwakatundu N, Dominico S, et al. Introducing eHealth strategies to enhance maternal and perinatal health care in rural Tanzania. Matern Health Neonatol Perinatol. 2017;3(1):3. doi:10.1186/s40748-017-0042-4
  • Kassebaum NJ, Bertozzi-Villa A, Coggeshall MS, et al. Global, regional, and national levels and causes of maternal mortality during 1990–2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9947):980–1004. doi:10.1016/S0140-6736(14)60696-6
  • Arsenault C, Jordan K, Lee D, et al. Equity in antenatal care quality: an analysis of 91 national household surveys. Lancet Glob Health. 2018;6(11):e1186–e1195. doi:10.1016/S2214-109X(18)30389-9
  • Hanson C, Gabrysch S, Mbaruku G, et al. Access to maternal health services: geographical inequalities, United Republic of Tanzania. 2017;95:810–820. Bull World Health Organ. doi:10.2471/BLT.17.194126
  • Tunçalp Ӧ, Pena-Rosas J, Lawrie T, et al. WHO recommendations on antenatal care for a positive pregnancy experience-going beyond survival. BJOG. 2017;124(6):860–862. doi:10.1111/1471-0528.14599
  • Al-beity FA, Pembe AB. “We do what we can do to save a woman” health workers’ perceptions of health facility readiness for management of postpartum haemorrhage. Glob Health Action. 2020;13(1):1–12.
  • Mkoka DA, Mahiti GR, Kiwara A, Mwangu M, Goicolea I, Hurtig A-K. “Once the government employs you, it forgets you”: health workers’ and managers’ perspectives on factors influencing working conditions for provision of maternal health care services in a rural district of Tanzania. Hum Resour Health. 2015;13(1):77. doi:10.1186/s12960-015-0076-5
  • Macdonald D, Aston M, Murphy GT, et al. Providing postpartum care with limited resources: experiences of nurse-midwives and obstetricians in urban Tanzania. Women Birth. 2018;32:e391–e398 doi:10.1016/j.wombi.2018.07.016
  • Thomson S, Foubister T, Mossialos E. Financing Health Care in the European Union. WHO; 2009.
  • Saronga HP, Duysburgh E, Massawe S, et al. Efficiency of antenatal care and childbirth services in selected primary health care facilities in rural Tanzania: a cross-sectional study. BMC Health Serv Res. 2014;14:1–11. doi:10.1186/1472-6963-14-96
  • Shabani J, Todd G, Nswilla A. Maternal Mortality in Urban and Rural Tanzania Social Determinants and Health System Efficiency. International Growth Center; 2018.
  • Kabia E, Mbau R, Oyando R, Oduor C, Bigogo G, Khagayi S. “We are called the et cetera”: experiences of the poor with health financing reforms that target them in Kenya. Int J Equity Health. 2019;2:1–14.
  • Id VV, Ahmed S, Adams AM. Factors enabling comprehensive maternal health services in the benefits package of emerging financing schemes: a cross- sectional analysis from 1990 to 2014. PLoS One. 2018;13:1–15.
  • Xu K, Evans DB, Carrin G, Aguilar-Rivera AM, Musgrove P, Evans T. Protecting households from catastrophic health spending. Health Aff. 2007;26(4):972–983. doi:10.1377/hlthaff.26.4.972
  • Kutzin J. Practice health financing for universal coverage and health system performance: concepts and implications for policy. Bull World Health Organ. 2013;91:602–611. doi:10.2471/BLT.12.113985
  • Lozano R, Fullman N, Abate D, et al. Measuring progress from 1990 to 2017 and projecting attainment to 2030 of the health-related Sustainable Development Goals for 195 countries and territories: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):2091–2138.
  • Mills A, Ataguba JE, Akazili J, et al. Equity in financing and use of health care in Ghana, South Africa, and Tanzania: implications for paths to universal coverage. Lancet. 2012;380(9837):126–133. doi:10.1016/S0140-6736(12)60357-2
  • Mtei G, Mulligan J, Palmer N, Kamuzora P, Ally M, Mills A. An assessment of the health financing system in Tanzania: implications for equity and social health insurance. 2007.
  • Barugahare J, Lie RK. Obligations of low income countries in ensuring equity in global health financing. BMC Med Ethics. 2015;16(1):1–11. doi:10.1186/s12910-015-0055-3
  • Songstad NG, Rekdal OB, Massay DA, Blystad A. Perceived unfairness in working conditions: the case of public health services in Tanzania. BMC Health Serv Res. 2011;11(1):34. doi:10.1186/1472-6963-11-34
  • Frumence G, Nyamhanga T, Mwangu M, Hurtig AK. Challenges to the implementation of health sector decentralization in Tanzania: experiences from kongwa district council. Glob Health Action. 2013;6(1). 20983. doi:10.3402/gha.v6i0.20983
  • USAID. Health Financing Profile - Tanzania. Health Policy Project; 2016:1–2.
  • Frumence G, Nyamhanga T, Mwangu M, Hurtig AK. Challenges to the implementation of health sector decentralization in Tanzania: experiences from Kongwa district council. Glob Health Action. 2013;6:9716.
  • Borghi J, Mayumana I, Mashasi I, et al. Protocol for the evaluation of a pay for performance programme in Pwani region in Tanzania: a controlled before and after study. Implement Sci. 2013;8(1):1–12. doi:10.1186/1748-5908-8-80
  • Chimhutu V, Tjomsland M, Mrisho M. Experiences of care in the context of payment for performance (P4P) in Tanzania. Glob Health. 2019;9:1–13.
  • Songstad NG, Lindkvist I, Moland KM, Chimhutu V, Blystad A. Assessing performance enhancing tools: experiences with the open performance review and appraisal system (OPRAS) and expectations towards payment for performance (P4P) in the public health sector in Tanzania. Global Health. 2012;8:1–13. doi:10.1186/1744-8603-8-1
  • Chimhutu V, Songstad NG, Tjomsland M, Mrisho M, Moland KM. The inescapable question of fairness in Pay- for-performance bonus distribution: a qualitative study of health workers ’ experiences in Tanzania. Glob Health 2016;15:1–12.
  • Janus H, Keijzer N. Big results now? Emerging lessons from results-based aid in Tanzania. SSRN Electron J. 2015. doi:10.2139/ssrn.2673227
  • Borghi J, Little R, Binyaruka P, Patouillard E, Kuwawenaruwa A. In Tanzania, the many costs of pay-for-performance leave open to debate whether the strategy is cost-effective. Health Aff. 2015;34(3):406–414. doi:10.1377/hlthaff.2014.0608
  • McIntyre D, Gilson L, Mutyambizi V. Promoting equitable health care financing in the African context: current challenges and future prospects. 2005.
  • Kapologwe NA, Kibusi SM, Borghi J, Gwajima DO, Kalolo A. Assessing health system responsiveness in primary health care facilities in Tanzania. BMC Health Serv Res. 2020;20(1):104. doi:10.1186/s12913-020-4961-9
  • Witter S, Toonen J, Meessen B, Kagubare J, Fritsche G, Vaughan K. Performance-based financing as a health system reform: mapping the key dimensions for monitoring and evaluation. BMC Health Services Res. 2013;13:1–10.
  • WHO. Health System Responsiveness. WHO; 2010.
  • Piatti-Fünfkirchen M, Schneider P. From stumbling block to enabler: the role of public financial management in health service delivery in Tanzania and Zambia. Health Syst Reform. 2018;4:336–345. doi:10.1080/23288604.2018.1513266
  • Zeng W, Shepard DS, De DIeu Rusatira J, Blaakman AP, Nsitou BM. Evaluation of results-based financing in the Republic of the Congo: a comparison group pre-post study. Health Policy Plan. 2018;33(3):392–400. doi:10.1093/heapol/czx195
  • Mwakatumbula BH. The Implementation of Direct Health Facility Financing (DHFF): prospects and challenges. 2021.
  • Baseline Report. Prospects for sustainable health financing in Tanzania; 2015. Available from: https://www.healthpolicyproject.com/pubs/788_ProspectsforSustainableHealthFinanciFINAL.pdf. Accessed November 17, 2021.
  • Alliance for Health Policy and Systems Research; Bill & Melinda Gates Foundation; WHO. Report of the Expert Consultation on Primary Care Systems Profiles & Performance (PRIMASYS); 2015. Available from: https://www.who.int/alliance-hpsr/projects/PRIMASYS_Expert_Consultation_Final_Report.pdf?ua=1. Accessed December 1, 2021.
  • Opwora A, Kabare M, Molyneux S, Goodman C. The implementation and effects of direct facility funding in Kenya’s Health Centres and Dispensaries. 2009:1–28.
  • Opwora A, Kabare M, Molyneux S, Goodman C. Direct facility funding as a response to user fee reduction: implementation and perceived impact among Kenyan health centres and dispensaries. Health Policy Plan. 2010;25(5):406–418. doi:10.1093/heapol/czq009
  • Waweru E, Opwora A, Toda M, et al. Are Health Facility Management Committees in Kenya ready to implement financial management tasks Findings from a nationally representative survey. BMC Health Serv Res. 2013;13(1):1–14. doi:10.1186/1472-6963-13-404
  • Kapologwe NA. Direct Health Facility Financing (DHFF) in Tanzania. 2018.
  • NIMR. Evidence-Informed Policy Making in the United Republic of Tanzania: Setting REACH-Policy Initiative Priorities for Evidence-Informed Policy Making in the United Republic of Tanzania: Setting REACH-Policy Initiative Priorities for 2008–2010. Report; 2010.
  • Kapologwe NA, Meara JG, Kengia JT, Sonda Y, Gwajima D. Development and upgrading of public primary healthcare facilities with essential surgical services infrastructure: a strategy towards achieving universal health coverage in Tanzania. BMC Health SRes. 2020;2:1–14.
  • Boex J, Fuller L, Malik A. Decentralized local health services in Tanzania. Urban Instuition; 2015. Available from: https://www.urban.org/sites/default/files/publication/51206/2000215-Decentralized-Local-Health-Services-in-Tanzania.pdf. Accessed November 17, 2021.
  • Boex J, Fuller L, Malik A. Decentralized Local Health Services in Tanzania. Urban Instituion; 2015.
  • Gilson L, Sen PD, Mohammed S, Mujinja P. Local government decentralization and the health sector in Tanzania. Health Policy Plan. 1994;9:14. doi:10.1093/heapol/9.1.14
  • Piatti-Fünfkirchen M, Ally M. Tanzania health sector public expenditure review 2020. 2020.
  • World Health Organization. Primary Health Care Systems (Primasys). World Health Organization; 2017.
  • Wiedenmayer K, Mbwasi R, Mfuko W, et al. Jazia prime vendor system- a public-private partnership to improve medicine availability in Tanzania: from pilot to scale. J Pharm Policy Pract. 2019;4:1–10.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–357. doi:10.1093/intqhc/mzm042
  • Bonde AH, Stjernqvist NW, Sabinsky MS, Maindal HT. Process evaluation of implementation fidelity in a Danish health-promoting school intervention. BMC Public Health. 2018;18(1):1–10. doi:10.1186/s12889-018-6289-5
  • Carroll C, Patterson M, Wood S, Booth A, Rick J, Balain S. A conceptual framework for implementation fidelity. Implement Sci. 2007;2(1):1–9. doi:10.1186/1748-5908-2-40
  • Breitenstein SM, Gross D, Garvey CA, Hill C, Fogg L, Resnick B. Implementation fidelity in community-based interventions. Res Nurs Health. 2010;33(2):164–173. doi:10.1002/nur.20373
  • Cissell WB. Process evaluation for public health interventions and research. Health Educ Res. 2004;19(6):739. doi:10.1093/her/cyg084
  • Ranson MK, Hanson K, Oliveira‐Cruz V, Mills A. Constraints to expanding access to health interventions: an empirical analysis and country typology. J Int Dev J Dev Stud Assoc. 2003;15(1):15–39.
  • McLoughlin V, Leatherman S. Quality or financing: what drives design of the health care system? Qual Saf Health Care. 2003;12(2):136–142. doi:10.1136/qhc.12.2.136
  • Tiruneh GT, Zemichael NF, Betemariam WA, Karim AM. Effectiveness of participatory community solutions strategy on improving household and provider health care behaviors and practices: a mixed-method evaluation. Hurley EA, editor. PLoS One. 2020;15(2):e0228137. doi:10.1371/journal.pone.0228137
  • Macha J, Borghi J. Health facility committees: are they working? IHI. 2011;7(7):1–4.
  • Hamal M, De Cock Buning T, De Brouwere V, Bardají A, Dieleman M. How does social accountability contribute to better maternal health outcomes? A qualitative study on perceived changes with government and civil society actors in Gujarat, India. BMC Health Serv Res. 2018;18(1):1–15. doi:10.1186/s12913-018-3453-7
  • Bintabara D, Ernest A, Mpondo B. Health facility service availability and readiness to provide basic emergency obstetric and newborn care in a low-resource setting: evidence from a Tanzania National Survey. BMJ Open. 2019;9(2):1–10. doi:10.1136/bmjopen-2017-020608
  • Wang H, Juma MA, Rosemberg N, Ulisubisya MM. Progressive pathway to universal health coverage in Tanzania: a call for preferential resource allocation targeting the poor. Health Syst Reform. 2018;4(4):279–283. doi:10.1080/23288604.2018.1513268
  • Piatti-fünfkirchen M, Lindelow M, Yoo K, Piatti-fünfkirchen M, Lindelow M, Yoo K. What are governments spending on health in East and Southern Africa ? Health Syst Reform. 2018;4(4):284–299. doi:10.1080/23288604.2018.1510287
  • Moucheraud C, Owen H, Singh NS, et al. Countdown to 2015 country case studies: what have we learned about processes and progress towards MDGs 4 and 5? BMC Public Health. 2016;16(Suppl 2). doi:10.1186/s12889-016-3401-6
  • Moyo M, Simson R, Jacob A, De MF. Attaining Middle Income Status - Tanzania: Growth and Structural Transformation Required to Reach Middle Income Status by 2025. International Growth Centre, London School of Economics and Political Science; 2012:44.