Role of Health Governance Committees in Promoting Free Public Services in Zanzibar: A Case Study of Rahaleo Health Centre
Keywords:
Health Governance, Health Centre Committee, Rahaleo & ZanzibarAbstract
The paper examined the role of Health Centre Governance Committees in Promoting Free Public Services in Zanzibar using the case study of Rahaleo Health Centre in Zanzibar. The paper employed 30 participants including committee members, health administrators and providers. It used a case study research design with a qualitative approach to explore the breadth and experiences on the topic. Purposive and convenient sampling procedures were adopted to realise the results whereby interview was the primary method for gathering data. The findings revealed that there are four legal frequencies for health committee meetings. The health centre committee`s primary function is to advise the government about health matters, and health committee members are very aware of the roles of promoting free public service. The Committee has achieved many outcomes, including overcoming health challenges, policy preparation, and availability of free health services. It was concluded that the health committee of Rahaleo Health Center has four schedules of meetings to make various successful health matters’ decisions. The study recommended that the government should prepare enough budgets for the health sector to support free health services to the citizens.
References
World Health Organization, Performance of the health system: World Health Report. London: OHE, 2015
World Bank. (2012). Personal and public healthcare: An Evaluation of World Bank Support, 1990-2012.Washington, DC: World Bank, 2012
P. Feachem, N, Jorb, and V. Kittler, “Implementing electronic medical record systems in developing countries”, Informatics in Primary Care, 14(1), 83–95, 2017
D. Kaufmann, & A. Kraay, “Governance Indicators: Where Are We, Where Should We Be Going?” The World Bank Research Observer, 23, (1) 1 -30, 2018.
N. Wailt, and V. Gilson, Assessment of Governance in Health Sector. Second edition. Prof Melbourne; DW Thorpe, 2015.
D. Fattore, and B. Tediosi, “A Research Agenda for Personal Health records (PHR)”. “Journal of the American Medical Informatics Association”, 2017.
G. Saved off, Approaches to assess overall governance within the health system, Oxford: Heinemann Education publishers, 2019.
De Savigny and K. Adam, Functioning of Health System. Fourth Edition, New York: Glencoe / McGraw – Hill, 1996. 44, 2020.
M. Islam, ed., Health Systems Assessment Approach: A How-To Manual: Management Sciences for Health, Arlington, VA, 2017.
H. Connor, O. Tran and D. Luoma, “Governance and Health: Strengthening health information systems in developing countries in the wake of globalisation”, African Health Sciences, 4(3), 195–199, 2010.
World Health Organization, Health System Toolkit: Performance of the health system: World Health Report. London: OHE, 2010.
R. Lewis and V. Pettersson, Indicators of Health System: Washington, DC; Commission on preservation and access, 2016.
V. Pettersson, Assessment of Healthcare Framework and Referral Service, Cambodia: Topmost Pub, 2021.
World Health Organization, Correlation between resource availability and level of healthcare: Bull World Health Organ, 2014.
World Bank, Reasons for poor performance of healthcare system in Africa, Zimbabwe: World Bank, 2010.
V. Gilson, Allocation of health resource in African countries. Senegal: Journal of Healthcare, 2012.
D. Gish, Overcoming obstacles to improve health. Background Paper for the World Bank, September 15th, 2014.
World Bank, Primary healthcare strategies: Participation of Stakeholders in production of healthcare. Paris: World Bank, 2017.
A. Macrae, E. Araujo, C. Cashin, J. Harris, N. Ikegami, and M.R.Reich, Universal health coverage for inclusive and sustainable development: Washington DC: World Bank, 2019.
G.Hearst and R. Blas Nudge: Improving Decisions about Health, Wealth, and Happiness, London: Penguin, 2020.
N. Yach, "Moving Towards Universal Health Coverage: Health Insurance Reforms in Nine Developing Countries in Africa and Asia." Lancet 380 (9845): 933–43, 2017.
D. Tanner and O. Patrick, "Getting the Poor to Enroll in Health Insurance: Evidence from a Field Experiment in Ghana." Unpublished, 2014.
O. Mogedal and A. Steen, Long-Run Consequences of Health Insurance Promotion when Mandates are not Enforceable: Evidence from a Field Experiment. Ghana: Unpublished, 2019.
K. Jonsson, Tanzania Public Expenditure Review: Health and Education. Financial Tracking Study, Government of Tanzania, Dar es Salaam, 2010.
World Health Organization, "International Statistical Classification of Diseases and Related Health Problems 10th Revision Version, ”2018.
Ministry of Health and Social Welfare, Diagnosis and treatment of malaria: Orientation Guide for District Trainers. Malaria Control Series 10, National Malaria Control Programme, Dar es Salaam, Tanzania, 2014.
Ministry of Health and Social Welfare Tanzania, Decentralization of Health Sector, Ministry of Health and Social Welfare Tanzania, Dar es Salaam, Tanzania, 2012.
P. Lugalla, Economic reforms and health conditions of the urban poor in Tanzania, Afr Study Q;2:19–37, 2014.
F.Burgha, `Healthcare Stakeholders`, International Journal of Health Services, vol. 26, pp. 419–44, 2015.
S. Zwi, Health System Assessment 2017. Bethesda, MD: Health Systems 20/20 project, Abt Associates Inc, 2017.
M. Vaughan, & J.P. Ruger, “Global Health Governance at a Crossroads”, Global Health Governance, 3, (2) 1 -37, 2013.
E. Greene, “Health information systems in developing countries: Human Service Delivery Theory”, The Journal of the Royal Society for the Promotion of Health, 119 (3), 180–184, 2011.
C.R. Kothari, Research Methodology-Methods& Techniques, (2nd ed), New Delhi, New Age International, 2004.
C.R. Kothari, Research Population -Methods & Techniques, (2nd ed). New Delhi, New Age International, 2018.
C.K. Kothari, Research Methodology- Sample Size and Techniques, (2nd ed). New Delhi, New Age International, 2019.
Mugenda, “Sample Size, Research Methods”: International Journal of Scientific & Technology Research, 2013.
C.R. Kothari, Research Methodology- Primary and Secondary data, (2nd ed), New Delhi, New Age International
P. James, Data Collection Methods: Design and methods. London: Sage Publications, 2009.
G. Mellenbergh, Data collection Instruments. London: Sage Publications, 2018.
N. Babbie, Research Validity and Reliability, London: HMSO, 2010.
H.C. William, Role of medical Committees in Hospital. Ghana: Journal of African Economies.
V.O. Jackson, Formulation of Health Committees and Responsibilities, Switzerland: Swiss Tropical Institute, 2011.
G. Ambois, Significance of Public Services for People. Poland: Government research, 2018.
H. Bana and U. Gboyeaga, Support of Government in Community Services, South Africa: Longman Group Limited, 2014.
F. David, Implementation of free public service, Africa: A comparative analysis, 2017.
A.N. Dawson, Challenges facing the implementation of Health Services. Wiley Interscience, Burkina Faso, 2002.
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