The functionality variation among health facility governing committees under direct health facility financing in Tanzania
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Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS
Abstract
Decentralization reforms through Direct Health Facilities Financing (DHFF) have empow-
ered 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 facili-
ties 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 respon-
dents, 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.
Description
Journal Article
Keywords
Health facility, Committees, Governing committees
Citation
Kesale AM, Mahonge C, Muhanga M (2022) The functionality variation among health facility governing committees under direct health facility financing in Tanzania. PLOS Glob Public Health 2(5): e0000366. https://doi.org/10.1371/ journal.pgph.0000366