Mbago, Ngoma, T.2026-07-132019APAhttps://scholar.mzumbe.ac.tz/handle/123456789/2183A dissertation submitted in partial/ fulfillment of the requirements for award of the degree of Master in Research and Public Policy (MRPP) of Mzumbe University.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.enHealth Basket FundHealth Financing BasketHealth Services ProvisionHealth care financingHealth sector basket fundsPrimary health careHealth services provisionHealth policyHealth systems strengtheningHealth sector reformHealth funding disbursementDonor fundingDevelopment partnersPublic–private partnership in healthHealth facility financingDistrict health managementCouncil Health Management TeamDistrict Health Officer responsibilitiesHealth facility administrationHealth facility budgetingHealth planningComprehensive Council Health PlanHealth workforce trainingHealth worker motivationHealth worker incentivesHuman resources for healthHealth service utilizationAccess to health careEquity in health careMaternal health servicesMaternal mortalityChild health servicesUnder five mortalityImmunization programsRoutine immunizationMaternalnewborn and child healthReproductive and child health coordinationMalaria controlTuberculosis controlHIV/AIDS servicesIntegrated disease controlHealth commodities procurementDrug and reagent supplyMedical supplies managementHealth logisticsHealth information systemsDistrict Health Information System (DHIS)Monitoring and evaluation in healthHealth budgeting and accountingTimeliness of fund disbursementFinancial transparency in healthAccountability in health financingExpenditure trackingHealth sector performanceHealth indicatorsHealth outcomes measurementService delivery qualityHealth infrastructureHealth facility maintenanceSupportive supervisionCommunity health servicesRural health servicesUrban health servicesHealth service accessibilityHealth equityVulnerable populations healthPoverty and healthHealth financing policyCost sharing in healthUser fees policyHealth insurance (community)Public health administrationNational health policySector wide approach (SWAp)Health sector coordinationPartner coordinationDonor conditionalityHealth programme planningResource allocation in healthExpenditure allocation limitsBudget implementationUnspent balancesQuarterly fund releaseFinancial management in local governmentLocal Government Authority health financeDecentralization of health servicesDissertation