A Research Report submitted to the School of Public Administration
and Management in partial/fulfillment for the requirements of the
award of Master of Human Resource Management (Msc-HRM) degree
of Mzumbe University
This study was set to assess challenges in the provision of exemptions in the health
services delivery at Frelimo hospital in Iringa Municipality. These are challenges and
obstacles which relate to policy in health service delivery. The study was meant to
answer the following research questions; (i)To what extent is the exemption policy is
implemented in health services delivery at Frelimo hospital? (ii)What are the challenges
encountered in implementing exemption in health service delivery? (iii) How can the
challenges in the implementation of exemption policy be addressed?
The study employed Case study design to investigate on the challenges of provision of
exemption in health service delivery and its uses at Frelimo hospital as a selected
hospital from Iringa municipality. The study population include100 people, selected
from those people who benefited from the exemption packages and the health workers at
frelimo hospital.
The sampling techniques employed were judgmental sampling to medical practitioners
and accidental sampling to beneficiaries of the exemption policy. The methods and tools
of data collection the study adopted include interviews, questionnaires, documentary
review and observation.
The results show that the organization was able to implement the policy in some parts;
however, there were challenges that lead to some in effectiveness to the policy
implementation. The services provided at the hospital were inadequate although the
hospital has modern infrastructures and buildings to enable the service provision. Other
challenges observed include unclear policy and shortage of staff in clinics and ward to
enable the provision of the service to the clients. The study also observed financial
resources as scarce to enable the implementation of the policy. The pharmacy
department did not have adequate plans to ensure availability of drugs in the hospital.
The hospital staff were not motivated enough to provide the service as per the policy