Health Systems Management (HSM)

Permanent URI for this communityhttp://192.168.30.20:4000/handle/123456789/184

Browse

Start date: 2020End date: 2024

Search Results

Now showing 1 - 4 of 4
  • No Thumbnail Available
    Item
    Attitude of community members towards the capacity of the village land councils in managing land use conflicts between farmers and pastoralists in Tanzania: A cross sectional case study analysis
    (E-palli publishers, 2024) Homera , Juma Zuberi; Mollel, Henry A.
    Village Land Councils have been established to resolve land use conflicts in rural Tanzania. The history reveals that Tanzania has been mostly affected with the endless land based conflicts between farmers and pastoralists. The presence of VLCs in rural Tanzania has brought significant changes in rural areas where farmers and pastoralists compete to utilize and possess scarce resources. However, rural dwellers have different opinions on the worthiness of the respective local organs in resolving land use conflicts between farmers and pastoralists. This study therefore intended to explore attitudes from the community members towards the capacity of the Village Land Councils in managing land use conflicts between farmers and pastoralists. Semi-structured interviews were used to collect data, where a semantic differential scale was used as the appropriate tool for exploring attitudes from the respondents, particularly: farmers and pastoralists who mostly rely on VLCs for mediation services. Vivo software 14 was used for analysing such data. The results indicated that majority of respondents (farmers and pastoralists) in Mbarali and Kilosa District Councils had positive attitude towards VLCs due to their performance in resolving land use conflicts between farmers and pastoralists. Similar response was obtained from the farmers operating in Tunduru District Council. However, some pastoralists in Tunduru District Councils had remained sceptical on the capacity of the VLCs to resolve conflicts and create conducive working environment for both conflicting parties. Their doubts relied on injustice practices such as corruption, nepotism and tribalism that were directly associated with VLC members. Based on the findings, the study suggests for more capacity building programs for enhancing the capacity of VLC members to act firmly and objectively and for the community members so that they develop a sense of responsibilities in supporting the VLCs’ operations for the
  • No Thumbnail Available
    Item
    Effectiveness of prime vendor system on availability of medicines and medical supplies in the selected public health facilities in Arusha district council
    (BMC Health Services Research, 2024) Mushi, Lawrencia; Elias, Liberatus
    Introduction The shortage of medicines and medical supplies remains to be a major issue that is facing public health facilities in Tanzania. This situation has been influenced by a lack of consistency in the supply chain, an increase in healthcare demand, a poor regulatory system, insufficient funds, and a lack of conducive infrastructure. Formerly, Government initiatives such as engagement with the Prime Vendor System (PVS) demonstrated great assistance in getting rid of this challenge. Despite the operation of PVS, a recent shortage of medicines and medical supplies has been noticed. Objectives This study aimed to assess the effectiveness of PVS on the availability of medicine and medical supplies in the selected public health facilities in Arusha District Council. Methods The study used a case study design with a mixed research approach. The study involved 77 respondents which included 25 health facility in-charges, 50 patients, 1 District Pharmacist and 1 Prime Vendor. Questionnaires, interviews, and observation methods were used to collect data. Data collected covered a period of 2021–2022. Thematic analysis was used to analyze the qualitative data whereas descriptive analysis was used to analyze the quantitative data with the help of Excel and the Statistical Package for Social Sciences (SPSS) version 28.0. Results The analysis indicates that PVS is not completely effective in supplying medicines and medical supplies due to its low capacity to conform to the orders placed by public health facilities, a lack of supply competition, and a failure to adhere to contractual terms. Furthermore, at the time of data collection, the average availability of medicines and medical supplies at the selected public health facilities was 74.8%, while 80% of the selected public health facilities reported having a scarcity of medicines and medical supplies, and 92% of the interviewed patients reported having no full access to medicines. Conclusion Despite the shortcomings associated with the operation of the PVS, the system still seems to be very important for enhancing the availability of medicines and medical supplies once its effectiveness is strengthened. This study recommends routine monitoring of PVS operations and timely interventions to reinforce adherence to the contracted terms and improve PVS effectiveness.
  • No Thumbnail Available
    Item
    Women’s career move from local to national politics: The case of Tanzania
    (Journal of Asian and African Studies, 2024) Yoon, Mi Yung; Swai, Idda Lyatonga
    This study examines women’s career movement from the highest local authorities (district and urban councils) to the national legislature in Tanzania, focusing on the latest three parliaments (2010–2025). Using both quantitative and qualitative data, we find that less than 10% of female parliamentarians in each parliament have prior councilor experience and most of them occupy quota seats. The low upward mobility of female councilors to parliament may be due to the difficulty of winning constituency seats, affected by gender stereotypes, and the availability of other pathways to parliament, such as party leadership and commissioner positions.
  • Thumbnail Image
    Item
    Factors to determine the adoption of online teaching in Tanzania’s universities during the COVID-19 pandemic
    (PLoS ONE, 2023) Mackfallen, G.Anasel; Swai, L. Idda
    Face to face mode of delivery has been a standard method of teaching courses in the majority of African Universities Tanzania included. The COVID-19 pandemic has caused the closure of all schools and universities worldwide; therefore, face-to-face teaching is no longer the only appropriate and feasible teaching method. This requires changes in the teaching method with the remarkable rise of e-learning, whereby teaching must be undertaken remotely and on digital platforms.