Publication:
Universal Health Coverage in Low-Income Countries: Tanzania’s Efforts to Overcome Barriers to Equitable Health Service Access

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dc.contributor.authorRosemberg, Nicolas
dc.contributor.authorWang, Huihui
dc.date.accessioned2018-01-18T19:23:51Z
dc.date.available2018-01-18T19:23:51Z
dc.date.issued2018-01
dc.description.abstractDuring the past decade, Tanzania has experienced steady economic growth, with average annual growth rates of between 6 and 7 percent. Despite this positive trend in the economy, poverty rates have not decreased accordingly; more than one-fourth of Tanzania’s 53 million inhabitants live below the poverty line and almost 10 percent live in extreme poverty. The health sector has been identified as a policy priority area in Tanzania. The main purpose of this case study is to describe Tanzania’s efforts to promote universal health coverage (UHC) inclusive of the poor, and to identify challenges and opportunities for the health system to advance on this path in a coherent and integrated fashion. Given the large number of interventions implemented in the health sector, efforts were selected based on their potential to address the challenges to the equitable access to health services, namely the poor quality of health services and the limited financial protection. The paper is organized as follows: section one gives introduction. Section two describes supply-side efforts and features the devolution of health services, the primary health care (PHC) strengthening program, and results-based financing. Section three analyzes Tanzania’s social protection program and synthesizes the country’s experience with user fees, as well as their impact on financial protection. Section four features the community health funds, Tanzania’s most explicit effort to increase financial protection in health. Section five assesses the implementation of these initiatives. Section six highlights some opportunities to include the poor and address the challenges to pro-poor UHC in Tanzania.en
dc.identifierhttp://documents.worldbank.org/curated/en/820591516179637357/Universal-health-coverage-in-low-income-countries-Tanzania-s-efforts-to-overcome-barriers-to-equitable-health-service-access
dc.identifier.doi10.1596/29174
dc.identifier.urihttps://hdl.handle.net/10986/29174
dc.languageEnglish
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesUniversal Health Coverage Studies Series;No. 39
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo
dc.subjectUNIVERSAL HEALTH COVERAGE
dc.subjectEQUITABLE ACCESS
dc.subjectHEALTH SERVICES
dc.subjectCOMMUNITY HEALTH
dc.subjectUSER FEES
dc.subjectRESULTS-BASED FINANCING
dc.subjectMORTALITY
dc.subjectHEALTH INSURANCE
dc.subjectUNICO
dc.subjectUHC
dc.titleUniversal Health Coverage in Low-Income Countriesen
dc.title.subtitleTanzania’s Efforts to Overcome Barriers to Equitable Health Service Accessen
dc.typeWorking Paperen
dc.typeDocument de travailfr
dc.typeDocumento de trabajoes
dspace.entity.typePublication
okr.crossref.titleUniversal Health Coverage in Low-Income Countries
okr.date.disclosure2018-01-17
okr.doctypePublications & Research
okr.doctypePublications & Research::Working Paper
okr.docurlhttp://documents.worldbank.org/curated/en/820591516179637357/Universal-health-coverage-in-low-income-countries-Tanzania-s-efforts-to-overcome-barriers-to-equitable-health-service-access
okr.guid820591516179637357
okr.identifier.doi10.1596/29174
okr.identifier.doihttps://doi.org/10.1596/29174
okr.identifier.externaldocumentum090224b08555c96c_1_0
okr.identifier.internaldocumentum29512799
okr.identifier.report122815
okr.importedtrueen
okr.language.supporteden
okr.pdfurlhttp://documents.worldbank.org/curated/en/820591516179637357/pdf/122815-WP-RDC-Tanzania-pages-fixed-PUBLIC.pdfen
okr.region.administrativeAfrica
okr.region.countryTanzania
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Insurance
okr.topicHealth, Nutrition and Population::Health Service Management and Delivery
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.topicIndustry::Health Care Services Industry
okr.unitHNP ECA Region (GHN03)
relation.isAuthorOfPublication601b45de-9e7b-5045-bfef-0689612779d8
relation.isAuthorOfPublication.latestForDiscovery601b45de-9e7b-5045-bfef-0689612779d8
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