Public-private partnership supported health facilities and progress towards attainment of universal health coverage in Kilimanjaro, Tanzania
Loading...
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Rwanda Journal of Medicine and Health Sciences
Abstract
Background
Public-Private-Partnership-supported health facilities have been operational in
Tanzania, and specifically, in Kilimanjaro since 1990s. This study provides a snapshot
of the contribution of PPP-supported health facilities’ operations towards attainment
of Universal Health Coverage (UHC) in Kilimanjaro region.
Methods
Adopting a cross-sectional research design, samples of 384 households and 30 health
facilities were selected through a multi-stage and purposive sampling approaches,
respectively. Questionnaires and key informant interviews (KIIs) were administered
(June 2020 - February 2021). Using IBM-SPSS v.23, chi-square was used to
compare PPP-supported and government health facilities’ service delivery quality and
affordability. Content analysis was done on KIIs.
Results
With PPP-support unweighted mean index score for service availability (SA) was
46.59% and 29.14% without PPP-supported health facilities. With PPP-support, the
GSR index score was 87% while it was 82% without PPP-support. This implies, with
PPP-support, progress towards UHC attainment can be accelerated. There was no
significant association between accessing services in PPP-supported or government
health facilities by perceived service delivery quality and service affordability.
Conclusion
PPP-supported and government health facilities co-existence is essential at hastening
the progress towards UHC in the study area. The government should strengthen policies
and regulations to promote more PPPs in improving health facilities’ operations.
Description
Journal Article
Keywords
Public-Private Partnership, Health facilities, Universal health coverage, Services affordability & delivery quality, Services availability & readiness