The quest for accountability of health facility governing committees implementing direct health facility financing in Tanzania: a supply-side experience
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Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
PLOS
Abstract
User committees, such as Health Facility Governing Committees, are popular platforms for
representing communities and civil society in holding service providers accountable. Fiscal
decentralization via various arrangements such as Direct Health Facility Financing is
thought to strengthen Health Facility Governing Committees in improving accountability in
carrying out the devolved tasks and mandates. The purpose of this study was to analyze the
status of accountability of Health Facility Governing Committees in Tanzania under the
Direct Health Facility Financing setting as perceived by the supply side. In 32 different health
institutions, a cross-sectional design was used to collect both qualitative and quantitative
data at one point in time. Data was collected through a closed-ended questionnaire, an in-
depth interview, and a Focus Group Discussion. Descriptive statistics, multiple logistic
regression, and theme analysis were used to analyze the data. According to the findings,
Health Facility Governing Committees’ accountability is 78%. Committees have a high level
of accountability in terms of encouraging the community to join community health funds
(91.71%), receiving medicines and medical commodities (88.57%), and providing timely
health services (84.29%). The health facility governance committee’s responsibility was
shown to be substantially connected with the health planning component (p = 0.0048) and
the financial management aspect (p = 0.0045). This study found that the fiscal decentraliza-
tion setting permits Committees to be accountable for carrying out their obligations, resulting
in improved health service delivery in developing nations.
Description
Journal Article
Keywords
Accountability, Health facility, Direct health
Citation
Kesale AM, Mahonge C, Muhanga M (2022) The quest for accountability of Health Facility Governing Committees implementing Direct Health Facility Financing in Tanzania: A supply-side experience. PLoS ONE 17(4): e0267708. https:// doi.org/10.1371/journal.pone.0267708