BACKGROUND: Community participation (CP) is a key concept under 'primary health care' programmes and 'Health Sector Reform' (HSR) in many countries. However, international literature with current empirical evidence on CP in health priority setting and HSR in Tanzania is scanty. OBJECTIVES: To explore and describe community views on HSR and their participation in setting health priorities. METHODS: A multistage sampling of wards and villages was done, involving group discussions with members of households, Village Development Committees (VDCs) and Ward Development Committees (WDCs). RESULTS: Respondents at village and ward levels in both districts related HSR with a cost sharing system at public health facilities. Views on the advantages or disadvantages of HSR were mixed, most of the residents pointing out that user charges burden the poor, there is a shortage of drugs at peripheral health facilities, the performance of government health service staff and village health workers does not satisfy community needs, health insurance is promoted more than people actually benefit, VDC and WDC poorly function as compared to local community-participatory priority-setting structures. CONCLUSION: HSR may not meet the desired health needs unless more efforts are made to enhance the performance of the existing HSR structures and community knowledge and enhance trust and participation in the health sector programmes at all levels.
BACKGROUND: Community participation (CP) is a key concept under 'primary health care' programmes and 'Health Sector Reform' (HSR) in many countries. However, international literature with current empirical evidence on CP in health priority setting and HSR in Tanzania is scanty. OBJECTIVES: To explore and describe community views on HSR and their participation in setting health priorities. METHODS: A multistage sampling of wards and villages was done, involving group discussions with members of households, Village Development Committees (VDCs) and Ward Development Committees (WDCs). RESULTS: Respondents at village and ward levels in both districts related HSR with a cost sharing system at public health facilities. Views on the advantages or disadvantages of HSR were mixed, most of the residents pointing out that user charges burden the poor, there is a shortage of drugs at peripheral health facilities, the performance of government health service staff and village health workers does not satisfy community needs, health insurance is promoted more than people actually benefit, VDC and WDC poorly function as compared to local community-participatory priority-setting structures. CONCLUSION: HSR may not meet the desired health needs unless more efforts are made to enhance the performance of the existing HSR structures and community knowledge and enhance trust and participation in the health sector programmes at all levels.
Authors: Olusola Oresanya; Abimbola Phillips; Ekechi Okereke; Abraham Ahmadu; Taiwo Ibinaiye; Madeleine Marasciulo; Charlotte Ward; Olatunde Adesoro; Rilwanu Mohammed; Jamilu Nikau; Chris Osa Isokpunwu; Mohammad Ali Inname; Helen Counihan; Kevin Baker; Kolawole Maxwell; Helen Smith Journal: BMC Health Serv Res Date: 2022-07-05 Impact factor: 2.908
Authors: Safari M Kinung'hi; Fabian Mashauri; Joseph R Mwanga; Soori E Nnko; Godfrey M Kaatano; Robert Malima; Coleman Kishamawe; Stephen Magesa; Leonard E G Mboera Journal: BMC Public Health Date: 2010-07-05 Impact factor: 3.295
Authors: Godfrey Martin Mubyazi; Pascal Magnussen; Catherine Goodman; Ib Christian Bygbjerg; Andrew Yona Kitua; Oystein Evjen Olsen; Jens Byskov; Kristian Schultz Hansen; Paul Bloch Journal: Open Trop Med J Date: 2008
Authors: Godfrey M Mubyazi; Amon Exavery; Filemoni Tenu; Julius J Massaga; Jovitha Rugemalila; Hamisi M Malebo; Victor Wiketye; Emmanuel A Makundi; Joyce K Ikingura; Adiel K Mushi; Sia E Malekia; Abubakary Mziray; John W Ogondiek; Amos Kahwa; Mwanaidi M Kafuye; Mwelecele N Malecela Journal: BMC Res Notes Date: 2015-11-02