Participation of Health Facility Governing Committees in Budget and Plan Review and Approval at Lower Health Facility: Experiences from Kigoma Region Tanzania

Authors

  • Elias Mseti Faculty of Arts and Social Sciences, The Open University of Tanzania
  • Abakuki Stefano Kapesa School of Public Administration and Management, Mzumbe University, Tanzania

DOI:

https://doi.org/10.25273/she.v4i2.17666

Keywords:

Health Facility Governing Committees, Budget and Plan Review, Approval Process, Lower Health Facility, Kigoma Region Tanzania

Abstract

For the purpose of involving communities in primary healthcare, health facility governing committees (HFGCs) were created. This study focused on meeting frequency, feedback techniques, and difficulties to better understand how HFGCs evaluate and approve plans and budgets. A cross-sectional survey was done with 75 HFGC members from 9 sites. The majority of HFGCs (82.6%) met quarterly to improve the delivery of health services, according to descriptive analysis performed using SPSS 20. Common means of getting comments were notice boards (49.4%), village assembly (94.7%), and unofficial gatherings (69.3%). Misunderstandings (78.7%), power dynamics (61.4%), a lack of financing (81.4%), political interference (60%) and knowledge deficits were among the difficulties. Planning and budgeting were enhanced by effective HFGCs with frequent meetings and feedback systems, which in turn improved healthcare delivery

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Published

2023-05-31

Issue

Vol. 4 No. 2 (2023)

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