The role of health sector basket fund on improvement of health services provision: A case of Nachingwea District Council, Lindi Region

dc.contributor.authorMbago, Ngoma, T.
dc.date.accessioned2026-07-13T05:45:00Z
dc.date.issued2019
dc.descriptionA dissertation submitted in partial/ fulfillment of the requirements for award of the degree of Master in Research and Public Policy (MRPP) of Mzumbe University.
dc.description.abstractThe 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.
dc.description.sponsorshipPrivate
dc.identifier.citationAPA
dc.identifier.urihttps://scholar.mzumbe.ac.tz/handle/123456789/2183
dc.language.isoen
dc.publisherMzumbe University
dc.subjectHealth Basket Fund
dc.subjectHealth Financing Basket
dc.subjectHealth Services Provision
dc.subjectHealth care financing
dc.subjectHealth sector basket funds
dc.subjectPrimary health care
dc.subjectHealth services provision
dc.subjectHealth policy
dc.subjectHealth systems strengthening
dc.subjectHealth sector reform
dc.subjectHealth funding disbursement
dc.subjectDonor funding
dc.subjectDevelopment partners
dc.subjectPublic–private partnership in health
dc.subjectHealth facility financing
dc.subjectDistrict health management
dc.subjectCouncil Health Management Team
dc.subjectDistrict Health Officer responsibilities
dc.subjectHealth facility administration
dc.subjectHealth facility budgeting
dc.subjectHealth planning
dc.subjectComprehensive Council Health Plan
dc.subjectHealth workforce training
dc.subjectHealth worker motivation
dc.subjectHealth worker incentives
dc.subjectHuman resources for health
dc.subjectHealth service utilization
dc.subjectAccess to health care
dc.subjectEquity in health care
dc.subjectMaternal health services
dc.subjectMaternal mortality
dc.subjectChild health services
dc.subjectUnder five mortality
dc.subjectImmunization programs
dc.subjectRoutine immunization
dc.subjectMaternal
dc.subjectnewborn and child health
dc.subjectReproductive and child health coordination
dc.subjectMalaria control
dc.subjectTuberculosis control
dc.subjectHIV/AIDS services
dc.subjectIntegrated disease control
dc.subjectHealth commodities procurement
dc.subjectDrug and reagent supply
dc.subjectMedical supplies management
dc.subjectHealth logistics
dc.subjectHealth information systems
dc.subjectDistrict Health Information System (DHIS)
dc.subjectMonitoring and evaluation in health
dc.subjectHealth budgeting and accounting
dc.subjectTimeliness of fund disbursement
dc.subjectFinancial transparency in health
dc.subjectAccountability in health financing
dc.subjectExpenditure tracking
dc.subjectHealth sector performance
dc.subjectHealth indicators
dc.subjectHealth outcomes measurement
dc.subjectService delivery quality
dc.subjectHealth infrastructure
dc.subjectHealth facility maintenance
dc.subjectSupportive supervision
dc.subjectCommunity health services
dc.subjectRural health services
dc.subjectUrban health services
dc.subjectHealth service accessibility
dc.subjectHealth equity
dc.subjectVulnerable populations health
dc.subjectPoverty and health
dc.subjectHealth financing policy
dc.subjectCost sharing in health
dc.subjectUser fees policy
dc.subjectHealth insurance (community)
dc.subjectPublic health administration
dc.subjectNational health policy
dc.subjectSector wide approach (SWAp)
dc.subjectHealth sector coordination
dc.subjectPartner coordination
dc.subjectDonor conditionality
dc.subjectHealth programme planning
dc.subjectResource allocation in health
dc.subjectExpenditure allocation limits
dc.subjectBudget implementation
dc.subjectUnspent balances
dc.subjectQuarterly fund release
dc.subjectFinancial management in local government
dc.subjectLocal Government Authority health finance
dc.subjectDecentralization of health services
dc.titleThe role of health sector basket fund on improvement of health services provision: A case of Nachingwea District Council, Lindi Region
dc.typeDissertation

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