The number of documents available on the P4H Network’s digital platform reflects 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).
Unlocking value: a comprehensive costing study of primary health care service delivery in Tanzania
Tanzania’s government significantly increased primary health care (PHC) spending between 2021/22 and 2022/23, raising per capita expenditure and spending per outpatient visit. Despite this progress, current PHC spending remains well below global standards and the...
Healthcare managers’ perspectives on direct health facility financing in Tanzania
Health financing reforms are crucial for improving efficiency, transparency, and service delivery in low- and middle-income countries, where health systems often operate under tight resource constraints. In Tanzania, the Direct Health Facility Financing (DHFF)...
Reducing fragmentation of primary healthcare financing for more equitable, people-centred primary healthcare
Published in BMJ Global Health, Reducing Fragmentation of Primary Healthcare Financing for More Equitable, People-Centred Primary Healthcare by Agnes Gatome-Munyua, Susan Sparkes, Gemini Mtei, Martin Sabignoso, Prastuti Soewondo, Pierre Yameogo, Kara Hanson, and...
Patient’s willingness to pay for improved community health insurance in Tanzania
This study investigates the factors influencing patients' willingness to pay (WTP) for medication and an improved Community Health Insurance Fund (iCHF) in Tanzania, conducted across various healthcare facilities. Findings indicate that most patients are willing to...
National Health Accounts for financial years 2020/21 to 2021/22
The NHA report provides a detailed analysis of Tanzania mainland's health spending from 2019/20 to 2021/22, with a focus on 2021/22. Total Health Expenditure (THE) increased by 26% from 2020, reaching TZS 6.83 trillion (USD 2.9 billion) in 2022. Government...
Tanzania allocates earmarked taxes to fund health insurance for vulnerable groups
Tanzania's newly released budget allocates special earmarked taxes to fund health insurance for vulnerable groups, including those who cannot afford to pay, pregnant women, and children under five, as part of the implementation of the Universal Health Insurance Act...
The Fifth Health Sector Strategic Plan (HSSP V)
Tanzania's early achievement of lower middle-income status reflects robust economic growth and human development, driven by focused health sector investment. The Fifth Health Sector Strategic Plan aims to enhance healthcare access, combat diseases, and ensure...
Analysing Tanzania’s health financing reforms: Insights from iCHF implementation
Assessing Tanzania's health financing reform, a new study highlights gaps in decision-making for the improved Community Health Fund (iCHF), emphasizing the need for procedural fairness and stakeholder inclusion for effective implementation.Tanzania's strides in health...
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,...