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Research Article
Intervening to address constraints through health sector reforms in Tanzania: some gains and the unfinished business
Article first published online: 7 JAN 2003
DOI: 10.1002/jid.969
Copyright © 2003 John Wiley & Sons, Ltd.
Issue
1099-1328/asset/cover.gif?v=1&s=fd413a4d60b54785477481c87152296ee1c95e79 "Journal of International Development")
Journal of International Development
Special Issue: Expanding Access to Health Interventions in Low and Middle-Income Countries: Constraints and Opportunities for Scaling-Up
Volume 15, Issue 1, pages 115–131, January 2003
Additional Information
How to Cite
Munishi, G. K. (2003), Intervening to address constraints through health sector reforms in Tanzania: some gains and the unfinished business. J. Int. Dev., 15: 115–131. doi: 10.1002/jid.969
Publication History
- Issue published online: 7 JAN 2003
- Article first published online: 7 JAN 2003
- Abstract
- References
- Cited By
Abstract
This paper describes two projects designed to address health sector constraints. The Community Health Fund attempts to create a community-owned and community-managed prepayment scheme. Although membership growth has been disappointing, substantial funds have been mobilized and the scheme replicated in nine additional districts. The Dar Urban Health Project aimed to improve various dimensions of health service quality, and provides a model which can be replicated elsewhere. The two cases concentrated largely on relaxing constraints related to the availability of inputs, while leaving unresolved macro-level general infrastructural and policy-related constraints. This omission partly explains the limited gains in relaxing constraints at the input level. Copyright © 2003 John Wiley & Sons, Ltd.