Dissertations (Masters)-MRPP-SOPAM
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Item The role of health sector basket fund on improvement of health services provision: A case of Nachingwea District Council, Lindi Region(Mzumbe University, 2019) Mbago, Ngoma, T.The study examined the implementation of Health Sector Basket Fund on improvement of health services provision in Nachingwea District Council. The study specifically, examined the trend of Health Sector Basket Fund disbursement for financial years, 2015/2016, 2016/2017 and 2017/2018, determined the activities supported by Health Sector Basket Fund implementation as planned in the Comprehensive Council Health Planning, and determined the perceived challenges of Health Sector Basket Fund implementation in the Nachingwea District Council. The study employed a single descriptive study design comprising the sample size of sixty (60) respondents including council health management team, health facilities in charges and their assistants. Moreover, simple random samplings were used as selection technique of the study. A quantitative research approach was employed in this study to collect information from the respondents easily and timely. The data collection tool used was a questionnaire which involved both closed and open ended questions. The descriptive statistics analyses were done with the aid of Statistical Package for Social Science (SPSS) version 21. The major findings of the study showed that, the trend of HSBF disbursement in three financial years 2015/16, 2016/17 and 2017/18 were Tsh. 401,727,651.87,Tsh. 503,277,000.00 and Tsh.428,394,800.00 respectively. The amounts were disbursed in two phases that is a half in every two quarters until the amount was finished and the results indicate that the council did not receive the Health Sector Basket Funds (HSBF) timely, and that the fund was sent to the council on quarterly system. That means, half of the budget needed for two quarters and another half of the amounts was received for the other last two quarters. The results also show that, the activities supported by Health Sector Basket Funds (HSBF) were implemented as planned in the Comprehensive Council Health Planning (CCHP). It also shows that, the major challenge in the implementation of Health Sector Basket Funds (HSBF) were delay in disbursement of funds and transport system. The study recommends that, the Health Sector Basket Fund (HSBF) improve the health services provision in Nachingwea Ditsrict Council. The government should insist the partners and donors who support the fund to disburse timely in order to rescue the consequences of health services provision in all councils.Item Research findings and health policy formulation in Zanzibar(Mzumbe University, 2019) Abeid, Kassim A.This study examined the use of research finding in health policy formulation in Zanzibar. The aim of this study was to see how the policy makers in the Ministry of Health use research findings as an input during the policy formulation. The general objective was to examine the use of research findings in formulation of health policy in Zanzibar. Specific objectives were: to determine how research findings have been used in the development of health policy in Zanzibar, to examine the linkage between policy makers and researchers, to identify the challenges that limited the use of research findings in formulation of health policy in Zanzibar and solutions thereof. Along this, the study adopted the qualitative approach using a case study design. 50 respondents were purposively selected as a sample size drawn from different area including Ministry of Health, Research Institutions and NGOs as sampling frame. In this study, primary and secondary data were collected through interviews and document reviews as the methods of gathering information and analysed by using content analysis technique. The findings of this study indicated that use of research findings is a fundamental input in the formulation of health policy. However, the policy makers rely on using inadequate evidence in formulating policy; this has been caused by poor coordination between policy makers and researchers which resulted to poor implementation of the policy. Such state of affairs is against evidence based policy. This substantiates the overriding views among policy makers that the connection between research and policy formulation remains to be one of the most commonly identified challenges of policy and ensures the formulation of evidence based policy that can solve problem in the country.Item Research findings and health policy formulation in Zanzibar(Mzumbe University, 2019) Abeid, Kassim A.This study examined the use of research finding in health policy formulation in Zanzibar. The aim of this study was to see how the policy makers in the Ministry of Health use research findings as an input during the policy formulation. The general objective was to examine the use of research findings in formulation of health policy in Zanzibar. Specific objectives were: to determine how research findings have been used in the development of health policy in Zanzibar, to examine the linkage between policy makers and researchers, to identify the challenges that limited the use of research findings in formulation of health policy in Zanzibar and solutions thereof. Along this, the study adopted the qualitative approach using a case study design. 50 respondents were purposively selected as a sample size drawn from different area including Ministry of Health, Research Institutions and NGOs as sampling frame. In this study, primary and secondary data were collected through interviews and document reviews as the methods of gathering information and analysed by using content analysis technique. The findings of this study indicated that use of research findings is a fundamental input in the formulation of health policy. However, the policy makers rely on using inadequate evidence in formulating policy; this has been caused by poor coordination between policy makers and researchers which resulted to poor implementation of the policy. Such state of affairs is against evidence based policy. This substantiates the overriding views among policy makers that the connection between research and policy formulation remains to be one of the most commonly identified challenges of policy and ensures the formulation of evidence based policy that can solve problem in the country.