The many documents available on the P4H Network’s digital platform reflect the network’s scope of work. The majority of documents are primary source materials created by country nationals or resources produced by organizations working in social health protection (SHP) and/or health financing (HF).
The collection provides information on SHP and/or HF reforms and universal health coverage processes from around the world as well as topical analysis and research.
Health insurance financing and patient retention in care at diabetics and hypertension clinics in Dar es Salaam and Pwani regions, Tanzania. A cohort study
while health insurance did not significantly impact retention rates in diabetes and hypertension care in Tanzania, factors such as age, medical diagnosis, morbidity, and type of health facility attended were associated with retention in care. This study explores the...
TANZANIA: Health financing reforms on track for universal health coverage
Tanzania's health reforms using funding schemes show promise for achieving universal health coverage, aligning with goals of strategic health purchasing. This Ifakara Health Institute Study highlights need for stronger financial autonomy for some schemes.Tanzania's...
Zanzibar Health Services Fund Act 2023
Zanzibar makes accelerated efforts to attain UHC The government of Zanzibar is dedicated to ensuring that every citizen has access to affordable and high-quality healthcare, aiming to achieve universal health coverage (UHC). As part of its ongoing efforts towards UHC,...
An equity analysis on the household costs of accessing and utilising maternal and child health care services in Tanzania
One of the most cited barriers to accessing health services in most low and middle-income countries is distance to the facility, not only geographically but also financially. Direct and time costs of accessing and using health care may limit health care access, impact...
Two decades of Tanzanian health policy: examining policy developments and opportunities through a gender lens
Tanzania has undertaken important health sector reforms in the last decade with the goal of attaining universal health coverage (UHC). In the recent Health Sector Strategic Plan (2021–26), the country lays out ambitious targets to achieve UHC. Yet, women in Tanzania...
Governance factors that affect the implementation of health financing reforms in Tanzania: an exploratory study of stakeholders’ perspectives
Tanzania has been reforming health financing policies to expand health insurance coverage and achieve better access to quality healthcare for all. Recent reforms have included improved community health funds (iCHFs). Other reforms that are underway include the...
Actuarial study of the proposed single national health insurance (SNHI) scheme in Tanzania: A summary brief
In 2017, Tanzania proposed the SNHI, building on the existing national health insurance fund’s (NHIF) administrative structures to manage contributions and enrol participants. As of October 2017, NHIF, which primarily provides health insurance for the formal sector,...
Does health insurance contribute to improved utilization of health care services for the elderly in rural Tanzania? A cross-sectional study
Health care systems in developing countries such as Tanzania depend heavily on out-of-pocket payments. This mechanism contributes to inefficiency, inequity and cost, and is a barrier to patients seeking care especially the vulnerable aging population, hence impede...
Tanzania fifth health sector strategic plan (HSSPV)- 2021-2026
Tanzania endorses the goal of achieving the sustainable development goals (SDGs) and is committed to attaining universal health coverage (UHC) by 2030. The achievement of UHC as well as other SDGs with an impact on health are central in this HSSP V. The HSSP V will...
Progressive pathway to universal health coverage (UHC) in Tanzania: A call for preferential resource allocation targeting the poor
Many countries, Tanzania included, committed to the goal of achieving UHC. A key lesson from research evidence and country experience in implementation of pro-poor UHC is that public budget plays a crucial role in financing health care access for the poor. This paper...
Prospects for sustainable health financing in Tanzania: Baseline report
A high proportion of Tanzania’s total health spending comes from foreign donors and households’ out-of- pocket (OOP) spending, rather than from sustainable sources such as government tax-based revenue or health insurance. Over reliance on OOP can expose households to...
Universal health coverage (UHC) in Tanzania: Evaluating the potential of a public private partnership (PPP) in health financing system
In this paper, the author analyses how UHC is being implemented in the health financing system of Tanzania and also how PPPs are contributing towards the attainment of UHC. A cross sectional survey was conducted in the Kilimanjaro region in Tanzania to evaluate the...
Universal health coverage (UHC) in low-Income countries: Tanzania’s efforts to overcome barriers to equitable health service access
The Government of Tanzania has implemented a number of health sector reforms that promote UHC in the last two decades. This case study focuses primarily on the initiatives that foster UHC with a specific pro-poor lens. Tanzania’s efforts that can potentially benefit...
2020 Tanzania Health Sector Public Expenditure Review
UNICEF Budget Brief Zanzibar 2018
"In FY 2017/18, the health sector has been allocated TSh84.2 billion. This is a TSh33.2 billion increase on the previous year, equivalent to 65 per cent increase or 62 per cent increase accounting for inflation. Government spending on health as a percentage of the...