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Public-private partnership supported health facilities and progress towards attainment of universal health coverage in Kilimanjaro, Tanzania

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dc.creator Kanti, Kimario
dc.creator Kayunze, Kim
dc.creator Muhanga, Mikidadi
dc.date 2022-10-18T07:33:38Z
dc.date 2022-10-18T07:33:38Z
dc.date 2022
dc.date.accessioned 2022-10-25T08:53:34Z
dc.date.available 2022-10-25T08:53:34Z
dc.identifier http://www.suaire.sua.ac.tz/handle/123456789/4695
dc.identifier.uri http://hdl.handle.net/123456789/93874
dc.description Journal Article
dc.description Background Public-Private-Partnership-supported health facilities have been operational in Tanzania, and specifically, in Kilimanjaro since 1990s. This study provides a snapshot of the contribution of PPP-supported health facilities’ operations towards attainment of Universal Health Coverage (UHC) in Kilimanjaro region. Methods Adopting a cross-sectional research design, samples of 384 households and 30 health facilities were selected through a multi-stage and purposive sampling approaches, respectively. Questionnaires and key informant interviews (KIIs) were administered (June 2020 - February 2021). Using IBM-SPSS v.23, chi-square was used to compare PPP-supported and government health facilities’ service delivery quality and affordability. Content analysis was done on KIIs. Results With PPP-support unweighted mean index score for service availability (SA) was 46.59% and 29.14% without PPP-supported health facilities. With PPP-support, the GSR index score was 87% while it was 82% without PPP-support. This implies, with PPP-support, progress towards UHC attainment can be accelerated. There was no significant association between accessing services in PPP-supported or government health facilities by perceived service delivery quality and service affordability. Conclusion PPP-supported and government health facilities co-existence is essential at hastening the progress towards UHC in the study area. The government should strengthen policies and regulations to promote more PPPs in improving health facilities’ operations.
dc.format application/pdf
dc.language en
dc.publisher Rwanda Journal of Medicine and Health Sciences
dc.subject Public-Private Partnership
dc.subject Health facilities
dc.subject Universal health coverage
dc.subject Services affordability & delivery quality
dc.subject Services availability & readiness
dc.title Public-private partnership supported health facilities and progress towards attainment of universal health coverage in Kilimanjaro, Tanzania
dc.type Article


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