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Implementation of the national ageing policy in Tanzania: what do street level bureaucrats and clients say about access to free health services the elderly population in Morogoro Municipality?

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dc.contributor.author Malalika, Musa
dc.date.accessioned 2017-05-11T14:34:00Z
dc.date.available 2017-05-11T14:34:00Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/11192/2087
dc.description A Dissertation Submitted to the Faculty of Public Administration and Management in Fulfillment of the Requirements for the Degree of Master of Research and Public Policy (MRPP) of Mzumbe University en_US
dc.description.abstract The goal of this study was to assess the accessibility of Free Health Services by the elderly people in public health facilities account from the street-level bureaucrats and the clients in the implementation of National Ageing Policy in Morogoro Municipality. Three wards of kilakala, Bigwa and Sabasaba were selected to be the study area. The target population was elderly people public health providers and people working with elderly in the municipality. Mixed methods of research designs were used namely qualitative and quantitative methods. The researcher used interview method, questionnaires and documents reviews as the tools for data collections. Sixty three respondents were used as a sample of the study, to which male respondents were 30 and female 33 respectively. The selection of respondents was based on both purposive and random sampling techniques. In this study cross sectional study design was employed. The study findings revealed that National Ageing Policy is not well implemented in the implementation process, as there is a gap between what the policy advocates and its practices on the ground. 38% of respondents had low understanding on the concept, process and procedures when it comes to the free health services implementation. And that 59% of respondents showed their dissatisfaction on the services provided by free health services providers. Also, the findings show that 79% of respondents view that lack of Act and by-laws to support National Ageing Policy on free health services hinders their access to the health services. The study further observes that waiting time for Free Health Service affects their access to the services. 92% of them mentioned drugs shortage specifically drugs relating to age-related diseases affects negatively their access to the free health service. The researcher recommends for a government to ensure sufficient drugs are available at health facilities and are accessed by the elderly in all public health facilities. Also, special window for elderly at health facilities should be introduced and be used to reduce waiting time by the elderly when seeking the services. Local authority is advised to ensure elderly have health identity cards for easily identification and documentations when seeking the services. Moreover, health providers should work with other stakeholders to disseminate information regarding provision of free health services to the elderly people. en_US
dc.language.iso en en_US
dc.publisher Mzumbe University en_US
dc.subject Health Services-elderly people en_US
dc.subject Free Health Services en_US
dc.subject Public health facilities en_US
dc.title Implementation of the national ageing policy in Tanzania: what do street level bureaucrats and clients say about access to free health services the elderly population in Morogoro Municipality? en_US
dc.type Thesis en_US


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