The role of health sector basket fund on improvement of health services provision: A case of Nachingwea District Council, Lindi Region
Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Mzumbe University
Abstract
The study examined the implementation of Health Sector Basket Fund on improvement of health services provision in Nachingwea District Council. The study specifically, examined the trend of Health Sector Basket Fund disbursement for financial years, 2015/2016, 2016/2017 and 2017/2018, determined the activities supported by Health Sector Basket Fund implementation as planned in the Comprehensive Council Health Planning, and determined the perceived challenges of Health Sector Basket Fund implementation in the Nachingwea District Council. The study employed a single descriptive study design comprising the sample size of sixty (60) respondents including council health management team, health facilities in charges and their assistants. Moreover, simple random samplings were used as selection technique of the study. A quantitative research approach was employed in this study to collect information from the respondents easily and timely. The data collection tool used was a questionnaire which involved both closed and open ended questions. The descriptive statistics analyses were done with the aid of Statistical Package for Social Science (SPSS) version 21. The major findings of the study showed that, the trend of HSBF disbursement in three financial years 2015/16, 2016/17 and 2017/18 were Tsh. 401,727,651.87,Tsh. 503,277,000.00 and Tsh.428,394,800.00 respectively. The amounts were disbursed in two phases that is a half in every two quarters until the amount was finished and the results indicate that the council did not receive the Health Sector Basket Funds (HSBF) timely, and that the fund was sent to the council on quarterly system. That means, half of the budget needed for two quarters and another half of the amounts was received for the other last two quarters. The results also show that, the activities supported by Health Sector Basket Funds (HSBF) were implemented as planned in the Comprehensive Council Health Planning (CCHP). It also shows that, the major challenge in the implementation of Health Sector Basket Funds (HSBF) were delay in disbursement of funds and transport system. The study recommends that, the Health Sector Basket Fund (HSBF) improve the health services provision in Nachingwea Ditsrict Council. The government should insist the partners and donors who support the fund to disburse timely in order to rescue the consequences of health services provision in all councils.
Description
A dissertation submitted in partial/ fulfillment of the requirements for award of the degree of Master in Research and Public Policy (MRPP) of Mzumbe University.
Keywords
Health Basket Fund, Health Financing Basket, Health Services Provision, Health care financing, Health sector basket funds, Primary health care, Health services provision, Health policy, Health systems strengthening, Health sector reform, Health funding disbursement, Donor funding, Development partners, Public–private partnership in health, Health facility financing, District health management, Council Health Management Team, District Health Officer responsibilities, Health facility administration, Health facility budgeting, Health planning, Comprehensive Council Health Plan, Health workforce training, Health worker motivation, Health worker incentives, Human resources for health, Health service utilization, Access to health care, Equity in health care, Maternal health services, Maternal mortality, Child health services, Under five mortality, Immunization programs, Routine immunization, Maternal, newborn and child health, Reproductive and child health coordination, Malaria control, Tuberculosis control, HIV/AIDS services, Integrated disease control, Health commodities procurement, Drug and reagent supply, Medical supplies management, Health logistics, Health information systems, District Health Information System (DHIS), Monitoring and evaluation in health, Health budgeting and accounting, Timeliness of fund disbursement, Financial transparency in health, Accountability in health financing, Expenditure tracking, Health sector performance, Health indicators, Health outcomes measurement, Service delivery quality, Health infrastructure, Health facility maintenance, Supportive supervision, Community health services, Rural health services, Urban health services, Health service accessibility, Health equity, Vulnerable populations health, Poverty and health, Health financing policy, Cost sharing in health, User fees policy, Health insurance (community), Public health administration, National health policy, Sector wide approach (SWAp), Health sector coordination, Partner coordination, Donor conditionality, Health programme planning, Resource allocation in health, Expenditure allocation limits, Budget implementation, Unspent balances, Quarterly fund release, Financial management in local government, Local Government Authority health finance, Decentralization of health services
Citation
APA