Assessment of public private partnership on health service delivery in Dodoma municipal and district councils in Tanzania
| dc.contributor.author | Itika, Josephat Stephen | |
| dc.date.accessioned | 2022-09-29T07:28:39Z | |
| dc.date.available | 2022-09-29T07:28:39Z | |
| dc.date.issued | 2007 | |
| dc.description | PhD- Thesis | en_US |
| dc.description.abstract | The thesis answers the question: “what is the nature, motive, model, contribution and effects of Public Private Partnerships (PPPs) on health service delivery?” The general objective of the research was to assess the effects of PPPs on public health service provision in Dodoma. The specific objectives were to explore the nature and motives of PPPs, determine PPP models, stakeholders’ contributions, and effects. The PPP continuum model and stakeholder theory are used to generate independent and dependent variables. The independent variables constitute the nature and motives of PPPs and the optional PPP models available. The dependent variables are distance travelled, service costs, service types, service time, profits and service reliability. Cross- sectional case study design is used to guide the study of thirteen PPP cases purposefully sampled. Themes, patterns, clusters and finally tables are used to present qualitative data while content, pattern matching, narratives and cross-case analysis techniques arc used for analysis. Frequencies and pie charts are used to assess stakeholders’ contributions to the partnerships. To determine the influence of PPPs on dependent variables, Analysis of Variance (ANoVA) is utilised at the level of 0.05 significance. To separate the effects of PPPs on the continuous variables, t- test is used to compare pairs of PPP cases. For categorical variables, frequency analysis applies. The findings show that: firstly, the nature and motives for PPPs were centred on the models range between simple collaborations to joint ventures. Thirdly, stakeholders’ contributions included labour, expertise, materials and cash. Fourthly, despite limitations in the initiation and management of the collaborations, the effects of PPPs were significantly positive for all stakeholders. It is recommended that, firstly, the government should establish specific regulations that can be used as guidance in initiating and managing various forms of PPPs in the health sector. Secondly, there should be one responsible unit for managing PPPs in all health projects in the country. Thirdly, there should be more resource decentralisation to the local level to support both public and private initiatives in PPP projects. | en_US |
| dc.description.sponsorship | Mzumbe University | en_US |
| dc.identifier.uri | http://www.suaire.sua.ac.tz/handle/123456789/4610 | |
| dc.language.iso | en | en_US |
| dc.subject | Public health service | en_US |
| dc.subject | Public Private Partnerships on health service delivery (PPPs) | en_US |
| dc.subject | Health service delivery | en_US |
| dc.subject | Dodoma municipal and district councils | en_US |
| dc.subject | Tanzania | en_US |
| dc.title | Assessment of public private partnership on health service delivery in Dodoma municipal and district councils in Tanzania | en_US |
| dc.type | Thesis | en_US |