Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access
During the past decade, Tanzania has experienced steady economic growth, with average annual growth rates of between 6 and 7 percent. Despite this positive trend in the economy, poverty rates have not decreased accordingly; more than one-fourth of...
| Main Authors: | , |
|---|---|
| Format: | Working Paper |
| Language: | English |
| Published: |
World Bank, Washington, DC
2018
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/820591516179637357/Universal-health-coverage-in-low-income-countries-Tanzania-s-efforts-to-overcome-barriers-to-equitable-health-service-access http://hdl.handle.net/10986/29174 |
| id |
okr-10986-29174 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-291742021-05-25T09:10:07Z Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access Wang, Huihui Rosemberg, Nicolas UNIVERSAL HEALTH COVERAGE EQUITABLE ACCESS HEALTH SERVICES COMMUNITY HEALTH USER FEES RESULTS-BASED FINANCING MORTALITY HEALTH INSURANCE UNICO UHC During the past decade, Tanzania has experienced steady economic growth, with average annual growth rates of between 6 and 7 percent. Despite this positive trend in the economy, poverty rates have not decreased accordingly; more than one-fourth of Tanzania’s 53 million inhabitants live below the poverty line and almost 10 percent live in extreme poverty. The health sector has been identified as a policy priority area in Tanzania. The main purpose of this case study is to describe Tanzania’s efforts to promote universal health coverage (UHC) inclusive of the poor, and to identify challenges and opportunities for the health system to advance on this path in a coherent and integrated fashion. Given the large number of interventions implemented in the health sector, efforts were selected based on their potential to address the challenges to the equitable access to health services, namely the poor quality of health services and the limited financial protection. The paper is organized as follows: section one gives introduction. Section two describes supply-side efforts and features the devolution of health services, the primary health care (PHC) strengthening program, and results-based financing. Section three analyzes Tanzania’s social protection program and synthesizes the country’s experience with user fees, as well as their impact on financial protection. Section four features the community health funds, Tanzania’s most explicit effort to increase financial protection in health. Section five assesses the implementation of these initiatives. Section six highlights some opportunities to include the poor and address the challenges to pro-poor UHC in Tanzania. 2018-01-18T19:23:51Z 2018-01-18T19:23:51Z 2018-01 Working Paper http://documents.worldbank.org/curated/en/820591516179637357/Universal-health-coverage-in-low-income-countries-Tanzania-s-efforts-to-overcome-barriers-to-equitable-health-service-access http://hdl.handle.net/10986/29174 English Universal Health Coverage Studies Series;No. 39 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Working Paper Africa Tanzania |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
UNIVERSAL HEALTH COVERAGE EQUITABLE ACCESS HEALTH SERVICES COMMUNITY HEALTH USER FEES RESULTS-BASED FINANCING MORTALITY HEALTH INSURANCE UNICO UHC |
| spellingShingle |
UNIVERSAL HEALTH COVERAGE EQUITABLE ACCESS HEALTH SERVICES COMMUNITY HEALTH USER FEES RESULTS-BASED FINANCING MORTALITY HEALTH INSURANCE UNICO UHC Wang, Huihui Rosemberg, Nicolas Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access |
| geographic_facet |
Africa Tanzania |
| relation |
Universal Health Coverage Studies Series;No. 39 |
| description |
During the past decade, Tanzania has
experienced steady economic growth, with average annual
growth rates of between 6 and 7 percent. Despite this
positive trend in the economy, poverty rates have not
decreased accordingly; more than one-fourth of Tanzania’s 53
million inhabitants live below the poverty line and almost
10 percent live in extreme poverty. The health sector has
been identified as a policy priority area in Tanzania. The
main purpose of this case study is to describe Tanzania’s
efforts to promote universal health coverage (UHC) inclusive
of the poor, and to identify challenges and opportunities
for the health system to advance on this path in a coherent
and integrated fashion. Given the large number of
interventions implemented in the health sector, efforts were
selected based on their potential to address the challenges
to the equitable access to health services, namely the poor
quality of health services and the limited financial
protection. The paper is organized as follows: section one
gives introduction. Section two describes supply-side
efforts and features the devolution of health services, the
primary health care (PHC) strengthening program, and
results-based financing. Section three analyzes Tanzania’s
social protection program and synthesizes the country’s
experience with user fees, as well as their impact on
financial protection. Section four features the community
health funds, Tanzania’s most explicit effort to increase
financial protection in health. Section five assesses the
implementation of these initiatives. Section six highlights
some opportunities to include the poor and address the
challenges to pro-poor UHC in Tanzania. |
| format |
Working Paper |
| author |
Wang, Huihui Rosemberg, Nicolas |
| author_facet |
Wang, Huihui Rosemberg, Nicolas |
| author_sort |
Wang, Huihui |
| title |
Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access |
| title_short |
Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access |
| title_full |
Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access |
| title_fullStr |
Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access |
| title_full_unstemmed |
Universal Health Coverage in Low-Income Countries : Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access |
| title_sort |
universal health coverage in low-income countries : tanzania’s efforts to overcome barriers to equitable health service access |
| publisher |
World Bank, Washington, DC |
| publishDate |
2018 |
| url |
http://documents.worldbank.org/curated/en/820591516179637357/Universal-health-coverage-in-low-income-countries-Tanzania-s-efforts-to-overcome-barriers-to-equitable-health-service-access http://hdl.handle.net/10986/29174 |
| _version_ |
1764468689905647616 |