Institutional Characteristics and Its Effect on Public Health Service Delivery under Decentralization in Local Government Authorities in Tanzania

Hussein S. Lufunyo and William Amos Pallangyo
Additional contact information
Hussein S. Lufunyo: Tanzania Public Service College
William Amos Pallangyo: The Law School of Tanzania

Noble International Journal of Business and Management Research, 2017, vol. 1, issue 1, 31-48

Abstract: This article examines the effects of institutional characteristics on public health service delivery under decentralisation in rural Tanzania. It adopted a cross sectional design to examine institutional characteristics and its effects on health service delivery at Pangani and Urambo Local Government Authorities (LGAs). Both qualitative and quantitative approaches were employed; primary data were collected by using interviews, questionnaires, FGDs and observation. The study established that, the instructional characteristics impaired significantly the decentralisation initiatives for improved health service delivery in the rural areas in Tanzania. Institutional characteristics, legal frame work, systems and administrative structures were the main hindrance in the implementation of decentralisation for improved health services and its delivery. The institutional effects resulted to poor health service delivery infrastructures in terms of equipments availability, drugs and medicines, health workers, distance, delayed service, time management, lack of accountability and transparency. The study recommends a review of the existing framework, administrative systems, structures and processes and human resource capacity building.

Keywords: Decentralisation; Institutional Characteristics; Health Services; Local Government Authorities (search for similar items in EconPapers)
Date: 2017
References: View references in EconPapers View complete reference list from CitEc
Citations:

Downloads: (external link)
http://www.napublisher.org/pdf-files/NIJBMR-458-31-48.pdf (application/pdf)
http://www.napublisher.org/?ic=journal&journal=8&month=01-2017&issue=1&volume=1 (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:nap:nijbmr:2017:p:31-48

Access Statistics for this article

Noble International Journal of Business and Management Research is currently edited by Dr. Pratap Chandra Mandal

More articles in Noble International Journal of Business and Management Research from Noble Academic Publsiher Flat 290 B N Block Model Town, Lahore, Punjab, Pakistan.
Bibliographic data for series maintained by Managing Editor ( this e-mail address is bad, please contact ).