ABSTRACT
Background: Tanzania, like many countries globally, has continuously been implementing health sector reforms with the intent of ensuring affordable health services to the population, in alignment with the shift towards Universal Health Coverage as well as improving the quality of health services, among these reforms has been the introduction of Direct Health Facility Financing (DHFF), which has limited evidence on its implementation and outcomes with respect to its intended goals. This study aimed to assess the implementation of DHFF in the Public Primary Health Facilities (PPHFs) as well as its effects on health system performance in Tanzania.
Methods: This study was conducted from January 2018 to September 2019 utilized a before and after non-controlled study design with a process evaluation embedded at midline. Both quantitative and qualitative methods were used for data collection. A structured questionnaire was used to obtain the quantitative data from exiting patients, and health care workers in 42 PPHFs. Qualitative data was collected using an interview guide through 14 in depth interviews and seven focus group discussions to health managers at council level from 14 councils in seven regions. Quantitaive data analysis was done using SPSS™ version 25 while for qualitative NVIVO QSR™ version 12 was used.
KAPOLOGWE, N (2021). Implementation Of Direct Health Facility Financing In Public Primary Health Facilities In Tanzania: Effects On Health System Performance. Afribary. Retrieved from https://afribary.com/works/implementation-of-direct-health-facility-financing-in-public-primary-health-facilities-in-tanzania-effects-on-health-system-performance
KAPOLOGWE, NTULI "Implementation Of Direct Health Facility Financing In Public Primary Health Facilities In Tanzania: Effects On Health System Performance" Afribary. Afribary, 26 Apr. 2021, https://afribary.com/works/implementation-of-direct-health-facility-financing-in-public-primary-health-facilities-in-tanzania-effects-on-health-system-performance. Accessed 07 May. 2024.
KAPOLOGWE, NTULI . "Implementation Of Direct Health Facility Financing In Public Primary Health Facilities In Tanzania: Effects On Health System Performance". Afribary, Afribary, 26 Apr. 2021. Web. 07 May. 2024. < https://afribary.com/works/implementation-of-direct-health-facility-financing-in-public-primary-health-facilities-in-tanzania-effects-on-health-system-performance >.
KAPOLOGWE, NTULI . "Implementation Of Direct Health Facility Financing In Public Primary Health Facilities In Tanzania: Effects On Health System Performance" Afribary (2021). Accessed May 07, 2024. https://afribary.com/works/implementation-of-direct-health-facility-financing-in-public-primary-health-facilities-in-tanzania-effects-on-health-system-performance