Community views on health sector reform and their participation in health priority setting: case of Lushoto and Muheza districts, Tanzania
Mubyazi, Godfrey M; Mushi, Adiel; Kamugisha, Mathias; Massaga, Julius; Mdira, Kassembe Y; Segeja, Method; Njunwa, Kato J.
J. publ. Hlth
; 29(2): 147-156, Jun. 2007. ilus
Artículo
en Inglés
| CidSaúde (cidades saludables) | ID: cid-56587
Background:
Community particpation (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 Tazania 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 Committiees (VDCs) and Ward Development Committiees (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 and 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. (AU)
Biblioteca responsable:
BR67.1
Ubicación: BR67.1
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