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Understanding the implication of direct health facility financing on health commodities availability in Tanzania

The Government of Tanzania (GoT) has in the last decade made progress in strengthening the health system financing with progress towards Universal Health Coverage (UHC). The major reforms includes development of the health financing strategy, reforming the Community Health Fund (CHF) and introductio...

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Autores principales: Ruhago, George M., John, Michael B., Ngalesoni, Frida N., Msasi, Daudi, Kapologwe, Ntuli, Kengia, James T., Bukundi, Elias, Ndakidemi, Regina, Tukai, Mavere A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10166559/
https://www.ncbi.nlm.nih.gov/pubmed/37155608
http://dx.doi.org/10.1371/journal.pgph.0001867
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author Ruhago, George M.
John, Michael B.
Ngalesoni, Frida N.
Msasi, Daudi
Kapologwe, Ntuli
Kengia, James T.
Bukundi, Elias
Ndakidemi, Regina
Tukai, Mavere A.
author_facet Ruhago, George M.
John, Michael B.
Ngalesoni, Frida N.
Msasi, Daudi
Kapologwe, Ntuli
Kengia, James T.
Bukundi, Elias
Ndakidemi, Regina
Tukai, Mavere A.
author_sort Ruhago, George M.
collection PubMed
description The Government of Tanzania (GoT) has in the last decade made progress in strengthening the health system financing with progress towards Universal Health Coverage (UHC). The major reforms includes development of the health financing strategy, reforming the Community Health Fund (CHF) and introduction of the Direct Health Facility Financing (DHFF). DHFF was introduced in all district councils in the 2017/18 financial year. One of the anticipated goals of DHFF is to improve availability of health commodities. The objective of this study is to assess the effect of DHFF in improving the availability of health commodities in primary health care facilities. This study employed cross sectional study design, using quantitative techniques to analyze data related to expenditures and availability of health commodities at the primary health care facilities in Tanzania mainland. Secondary data was extracted from Electronic Logistics Management Information System (eLMIS) and Facility Financial Accounting and Reporting System (FFARS). Descriptive analysis was used to summarize the data using Microsoft Excel (2021) and inferential analysis was done using Stata SE 16.1. There has been an increase in allocation of funds for health commodities over the past three years. The Health Basket Funds (HBFs) accounted for an average of 50% of all health commodities expenditures. The complimentary funds (user fees and insurance) contributed about 20%, which is less than the 50% required by the cost sharing guideline. There is potentiality in DHFF improving visibility and tracking of health commodities funding. Implementation of DHFF has increased the amount of funding for health commodities at health facilities. The visibility and tracking of health commodity funding has improved. There is a scope of increasing health commodity funds at health facilities since the expenditures on health commodities is lower than what is indicated in the cost sharing collection and use guideline.
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spelling pubmed-101665592023-05-09 Understanding the implication of direct health facility financing on health commodities availability in Tanzania Ruhago, George M. John, Michael B. Ngalesoni, Frida N. Msasi, Daudi Kapologwe, Ntuli Kengia, James T. Bukundi, Elias Ndakidemi, Regina Tukai, Mavere A. PLOS Glob Public Health Research Article The Government of Tanzania (GoT) has in the last decade made progress in strengthening the health system financing with progress towards Universal Health Coverage (UHC). The major reforms includes development of the health financing strategy, reforming the Community Health Fund (CHF) and introduction of the Direct Health Facility Financing (DHFF). DHFF was introduced in all district councils in the 2017/18 financial year. One of the anticipated goals of DHFF is to improve availability of health commodities. The objective of this study is to assess the effect of DHFF in improving the availability of health commodities in primary health care facilities. This study employed cross sectional study design, using quantitative techniques to analyze data related to expenditures and availability of health commodities at the primary health care facilities in Tanzania mainland. Secondary data was extracted from Electronic Logistics Management Information System (eLMIS) and Facility Financial Accounting and Reporting System (FFARS). Descriptive analysis was used to summarize the data using Microsoft Excel (2021) and inferential analysis was done using Stata SE 16.1. There has been an increase in allocation of funds for health commodities over the past three years. The Health Basket Funds (HBFs) accounted for an average of 50% of all health commodities expenditures. The complimentary funds (user fees and insurance) contributed about 20%, which is less than the 50% required by the cost sharing guideline. There is potentiality in DHFF improving visibility and tracking of health commodities funding. Implementation of DHFF has increased the amount of funding for health commodities at health facilities. The visibility and tracking of health commodity funding has improved. There is a scope of increasing health commodity funds at health facilities since the expenditures on health commodities is lower than what is indicated in the cost sharing collection and use guideline. Public Library of Science 2023-05-08 /pmc/articles/PMC10166559/ /pubmed/37155608 http://dx.doi.org/10.1371/journal.pgph.0001867 Text en © 2023 Ruhago et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ruhago, George M.
John, Michael B.
Ngalesoni, Frida N.
Msasi, Daudi
Kapologwe, Ntuli
Kengia, James T.
Bukundi, Elias
Ndakidemi, Regina
Tukai, Mavere A.
Understanding the implication of direct health facility financing on health commodities availability in Tanzania
title Understanding the implication of direct health facility financing on health commodities availability in Tanzania
title_full Understanding the implication of direct health facility financing on health commodities availability in Tanzania
title_fullStr Understanding the implication of direct health facility financing on health commodities availability in Tanzania
title_full_unstemmed Understanding the implication of direct health facility financing on health commodities availability in Tanzania
title_short Understanding the implication of direct health facility financing on health commodities availability in Tanzania
title_sort understanding the implication of direct health facility financing on health commodities availability in tanzania
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10166559/
https://www.ncbi.nlm.nih.gov/pubmed/37155608
http://dx.doi.org/10.1371/journal.pgph.0001867
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