The functionality variation among health facility governing committees under direct health facility financing in Tanzania.
Decentralization reforms through Direct Health Facilities Financing (DHFF) have empowered Health Facility Governing Committees (HFGCs) to participate in different governance aspects to improve service delivery at the facility level. However, there is little research on how empowered HFGCs perform in...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0000366 |
| _version_ | 1827826489315295232 |
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| author | Anosisye Mwandulusya Kesale Christopher Mahonge Mikidadi Muhanga |
| author_facet | Anosisye Mwandulusya Kesale Christopher Mahonge Mikidadi Muhanga |
| author_sort | Anosisye Mwandulusya Kesale |
| collection | DOAJ |
| description | Decentralization reforms through Direct Health Facilities Financing (DHFF) have empowered Health Facility Governing Committees (HFGCs) to participate in different governance aspects to improve service delivery at the facility level. However, there is little research on how empowered HFGCs perform in the context of the DHFF. The purpose of this study was to evaluate the functionality of HFGCs under DHFF in Tanzanian primary health care facilities that had variation of performance in 2018. To collect both qualitative and quantitative data, the study used a cross-section design. The study had a sample size of 280 respondents, who were chosen using a multistage cluster sampling technique from 32 primary health care facilities that were practicing DHFF. Data was collected via a closed-ended structured questionnaire, in-depth interviews with chairpersons of HFGCs, and Focus Group Discussions. To examine the functionality of HFGCs, researchers used descriptive and theme analysis. In the 2018-star rating assessment, the study discovered that HFGCs functioned well in both high and low-performing health facilities. When HFGCs from high-performing health facilities were compared to HFGCs from low-performing health facilities, it was discovered that HFGCs from the high-performing health facilities had comparatively high functionality. The functionality of HFGCs in Tanzania has thus been impacted by the DHFF context. |
| first_indexed | 2024-03-12T03:12:23Z |
| format | Article |
| id | doaj.art-8a0e07f04ef847a28618afdfda19a09e |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T03:12:23Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-8a0e07f04ef847a28618afdfda19a09e2023-09-03T14:21:26ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0125e000036610.1371/journal.pgph.0000366The functionality variation among health facility governing committees under direct health facility financing in Tanzania.Anosisye Mwandulusya KesaleChristopher MahongeMikidadi MuhangaDecentralization reforms through Direct Health Facilities Financing (DHFF) have empowered Health Facility Governing Committees (HFGCs) to participate in different governance aspects to improve service delivery at the facility level. However, there is little research on how empowered HFGCs perform in the context of the DHFF. The purpose of this study was to evaluate the functionality of HFGCs under DHFF in Tanzanian primary health care facilities that had variation of performance in 2018. To collect both qualitative and quantitative data, the study used a cross-section design. The study had a sample size of 280 respondents, who were chosen using a multistage cluster sampling technique from 32 primary health care facilities that were practicing DHFF. Data was collected via a closed-ended structured questionnaire, in-depth interviews with chairpersons of HFGCs, and Focus Group Discussions. To examine the functionality of HFGCs, researchers used descriptive and theme analysis. In the 2018-star rating assessment, the study discovered that HFGCs functioned well in both high and low-performing health facilities. When HFGCs from high-performing health facilities were compared to HFGCs from low-performing health facilities, it was discovered that HFGCs from the high-performing health facilities had comparatively high functionality. The functionality of HFGCs in Tanzania has thus been impacted by the DHFF context.https://doi.org/10.1371/journal.pgph.0000366 |
| spellingShingle | Anosisye Mwandulusya Kesale Christopher Mahonge Mikidadi Muhanga The functionality variation among health facility governing committees under direct health facility financing in Tanzania. PLOS Global Public Health |
| title | The functionality variation among health facility governing committees under direct health facility financing in Tanzania. |
| title_full | The functionality variation among health facility governing committees under direct health facility financing in Tanzania. |
| title_fullStr | The functionality variation among health facility governing committees under direct health facility financing in Tanzania. |
| title_full_unstemmed | The functionality variation among health facility governing committees under direct health facility financing in Tanzania. |
| title_short | The functionality variation among health facility governing committees under direct health facility financing in Tanzania. |
| title_sort | functionality variation among health facility governing committees under direct health facility financing in tanzania |
| url | https://doi.org/10.1371/journal.pgph.0000366 |
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