ArticleBMC health services research2013
Stakeholders' participation in planning and priority setting in the context of a decentralised health care system: the case of prevention of mother to child transmission of HIV programme in Tanzania.
Article in BMC health services research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- How to assess and prepare health systems in low- and middle-income countries for integration of services-a systematic review.Health policy and planning · 2018Pooled it
- Broadening understanding of accountability ecosystems in sexual and reproductive health and rights: A systematic review.PloS one · 2018Pooled it
- Perceptions About the Relationship Between HIV, Antiretroviral Therapy (ART), and Fecundity in Sub-Saharan Africa: Findings from a Systematic Scoping Review.AIDS and behavior · 2026Article
- Political prioritization of prevention of mother-to-child transmission of HIV and syphilis: a qualitative comparative policy analysis in Ghana, Mozambique, and Sudan.Frontiers in public health · 2026Article
- Article
- Financing immunisation in Kenya: examining bottlenecks in health sector planning and budgeting at the decentralised level.Cost effectiveness and resource allocation : C/E · 2024Article
- Political economy analysis of sub-national health sector planning and budgeting: A case study of three counties in Kenya.PLOS global public health · 2023Article
- Operational challenges of engaging development partners in district health planning in Tanzania.BMC public health · 2022Article
- Priority setting for maternal, newborn and child health in Uganda: a qualitative study evaluating actual practice.BMC health services research · 2019Article
- Who is in and who is out? A qualitative analysis of stakeholder participation in priority setting for health in three districts in Uganda.Health policy and planning · 2019Article
- Moving the Agenda on Noncommunicable Diseases: Policy Implications of Mobile Phone Surveys in Low and Middle-Income Countries.Journal of medical Internet research · 2017Article
- Setting healthcare priorities: a description and evaluation of the budgeting and planning process in county hospitals in Kenya.Health policy and planning · 2017Article
- The influence of power and actor relations on priority setting and resource allocation practices at the hospital level in Kenya: a case study.BMC health services research · 2016Article
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Abstract
backgroundIn Tanzania, decentralisation processes and reforms in the health sector aimed at improving planning and accountability in the sector. As a result, districts were given authority to undertake local planning and set priorities as well as allocate resources fairly to promote the health of a population with varied needs. Nevertheless, priority setting in the health care service has remained a challenge. The study assessed the priority setting processes in the planning of the prevention of mother to child transmission of HIV (PMTCT) programme at the district level in Tanzania.
methodsThis qualitative study was conducted in Mbarali district, south-western Tanzania. The study applied in-depth interviews and focus group discussions in the data collection. Informants included members of the Council Health Management Team, regional PMTCT managers and health facility providers.
resultsTwo plans were reported where PMTCT activities could be accommodated; the Comprehensive Council Health Plan and the Regional PMTCT Plan that was donor funded. As donors had their own globally defined priorities, it proved difficult for district and regional managers to accommodate locally defined PMTCT priorities in these plans. As a result few of these were funded. Guidelines and main priority areas of the Ministry of Health and Social Welfare (MoHSW) also impacted on the ability of the districts and regions to act, undermining the effectiveness of the decentralisation policy in the health sector.
conclusionThe challenges in the priority setting processes revealed within the PMTCT initiative indicate substantial weaknesses in implementing the Tanzania decentralisation policy. There is an urgent need to revive the strategies and aims of the decentralisation policy at all levels of the health care system with a view to improving health service delivery.
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