Please enter verification code
Co-operation, a Solution to Health Service Provision Problems in Tanzania: Case of the Co-operated Health Care Facilities in Dodoma Region
Science Journal of Public Health
Volume 4, Issue 4, July 2016, Pages: 312-320
Received: Jun. 3, 2016; Accepted: Jun. 18, 2016; Published: Jun. 29, 2016
Views 4008      Downloads 134
Mshana Zainabu M., Department of Mathematics, Humanities and Social Sciences, National Institute of Transport, Dar es Salaam, Tanzania
Sinda Hussein S., Department of Development Studies, Kampala International University, Dar es Salaam, Tanzania
Lung’wecha Daudi M., Department of Mathematics, Humanities and Social Sciences, National Institute of Transport, Dar es Salaam, Tanzania
Article Tools
Follow on us
The co-operation between Government (GVT) and Faith-Based Organizations (FBOs) in health services provision (HSP) is vital in Tanzania. However, to benefit from such co-operation it requires adoption of the procedures that will overcome the persisting problems of health services provision. The study on the evaluationof the solution to health services provision problems in Tanzania was conducted in Dodoma region. Basically; it analysed the status, problems, reasons for problems and solution of health services provision problems in Dodoma urban and Kondoa districts by targeting GVT and FBOs co-operated health care facilities. Cross-sectional research design was used during the study. Sample size was 394. This was obtained purposively followed by simple random sampling techniques. Both descriptive and inferential statistical analyses were used to analyse the data obtained through questionnaire survey, interview, focus group discussion and participant observation. The sudy identified that the co-operation between the GVT and FBOs in health services provision is important. However, it will be achieved if and only if the moderate status of health services provision in the region will follow various procedures including; analysis of the root causes of the moderate status of health services provision, analysis of the environmental conditions facing GVT and FBOs co-operated health care facilities and, the implementation capability of the GVT and FBOs co-operated health care facilities in Dodoma urban and Kondoa districts. The study recommended that, the Government of Tanzania in co-operation with Faith-Based Organizations should ensure; strong leadership and management team, improvement of infrastructure and working facilities, good management of health plan, availability of essential drugs with reasonable costs and the availability of human resources.
Co-operation, Health Services Provision, Government, Faith-Based Organizations and Health Care Facilities
To cite this article
Mshana Zainabu M., Sinda Hussein S., Lung’wecha Daudi M., Co-operation, a Solution to Health Service Provision Problems in Tanzania: Case of the Co-operated Health Care Facilities in Dodoma Region, Science Journal of Public Health. Vol. 4, No. 4, 2016, pp. 312-320. doi: 10.11648/j.sjph.20160404.17
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Amooti-Kaguna, B and Nuwaha, F. (2000), Factors influencing choice of delivery sites in Rakai district of Uganda, Social Science and Medicine, Vol. 50, No. 23, 203-213.
Anderson, L. M. Scrimshaw, S. C. Fullilove, M. T. Fielding, J. E and Normand, J. (2003), Culturally Competent Healthcare Systems: A Systematic Review, American Journal of Preventive Medicine, Vol. 2, No 3, 657-658.
Caldoe, J. (2001), seven e-government leadership milestones. In forthcoming book, vision and revision [], site visited on 12/04/2012.
Gounder, R and Xing, Z. (2012), Impact of education and health on poverty reduction: Monetary and nonmonetary evidence from Fiji, Economic modeling, Vol. 29, No. 3, 787-794.
Grossmann-Kendall, F. Filippi, V. De Koninck, M and Kanhonou, L. (2001), Giving birth in maternity hospitals in Benin: Testimonies of women. Reproductive Health Matters, Vol. 9, No. 18, 90-98.
Kothari, C. (2005), Research Methodology: Methods and Techniques. Second Edition, New Age International Publishers, Washington DC.
Maestada O. orsvikb, G and Aakvikc, A. (2010), Overworked? On the relationship between workload and health worker performance, Journal of Health Economics, Vol. 29, No. 5, 686-698.
Mamdani, M and Bangser, M. (2004), Poor people’s experiences of health services in Tanzania: A literature review, Reproductive health matters, Vol. 12, No. 20, 138-153.
Massawe, N. M. (2002), Organizational Development Manual, TANGO, Tanzania.
Matsuokaa, S. (2010), “Perceived barriers to utilization of maternal health services in rural Cambodia” Cambodia.
Moran A. C. (2007), Patterns of maternal care seeking behaviors in rural Bangladesh, Tropical Medicine and International Health, Vol. 12, No. 7, 823-832.
Mshana, Z. M, Zilihona, I. J. E, Gesase, A. P, Sinda, H. S, Nsimba, S. E. D, (2013). Health Services Delivery and the Increase of Poverty in Tanzania: The Invisible Factor, World Research Journal of Public Health and Epidemiology Vol. 1, No. 1, 2013, PP: 01-12 Available online at
Mshana, Z. M, Nsimba, S. E. D and Gesase, A. P (2014). Factors Affecting Health Service Provision in Tanzania: Case of Public Primary Health Care Facilities in Dodoma Region, International Research Journal of Natural and Applied Sciences(IRJNAS), Volume-1, Issue-7 (ISSN: (2349-4077)
Mshana, Z. M, Zilihona, I. E., Canute, H. B, (2015). Forgotten Roles of Health Services Provision in Poor Tanzania: Case of Faith Based Organizations’ Health Care Facilities in Dodoma Region. Science Journal of Public Health, Vol. 3, No. 2, pp. 210-215.
Mwaikambo, E. (2010), Improving maternal, newborn and child health in Tanzania: From science to action, A presentation on Paediatrics and Child Health at Hubert Kairuki Memorial University on 5th February, 2010.
Nassoro, M (2008) “Dodoma Regional Annual Plan 2010-201”, Dodoma General Hospital. Dodoma, Tanzania.
National Bureau of Statistics (NBS), (2002), Household budget of 2001, Dar es Salaam, Tanzania.
National Bureau of Statistics (NBS)(2009), Dodoma Regional Socio-Economic Profile: Ministry of Planning, Economy and Empowerment, 2nd Edition, Dar es Salaam [], site visited on 01/09/2010.
Nsimba, S. E. D, Massele, A. Y, Erikson, J. Gustaffson, L. Tomson, G and Warsame, M. Y. (2002), Case management of malaria in under - fives at primary health care facilities in a Tanzanian district, Tropical medicine and International health, Vol. 7, 201-209.
OECD. (2003), Checklist for e- Government leaders [], site visited on 10/04/2012.
Olenguruma, O (2012) Challenges facing the ministry of health and social welfare in Tanzania, ISSN 0850-7573, No.04420.
Pallas, W. S. Curry, L. Bashyal, C. Berman, P and Bradley, E. H. (2010), improving health services delivery organizational performance in health system: taxonomy of strategy area and conceptual framework for strategy selection, International Health, Vol. 4, No. 1, 20-29.
Polycarp, R, L. (2001), Sprituality and faith in health care delivery, Health center management, Vol. 38, No. 22, 54-66.
Rutzen, D. B. (2001), Symposium: NGO-Government Partnerships in Central and Eastern Europe and the former Soviet Union, The international Journal of Not-for Profit Law, Vol. 3, No. 4, 26-29.
Sachs, J. (2005), The End of Poverty, The Penguin Press, New York.
WHO. (2007), Towards Primary Health Care: Reviewing partnership with Faith-Based Communities and services, WHO, Geneva.
Wuensch, K. L. (2008), Binary logistic regression with Statistical Package for SocialScience, [], sitevisited on 14/2/2009.
Douglas, B. (2003), The reliability and validity of willingness to pay measure formaternity services in Vietnam, The International Journal of Not-for-ProfitLaw, Vol. 3, No. 4, 47-61.
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186