LEADER 04812oam 22006615 450 001 9910824335903321 005 20240401210318.0 010 $a1-4648-0042-1 024 7 $a10.1596/978-1-4648-0040-5 035 $a(CKB)2670000000427719 035 $a(SSID)ssj0001000536 035 $a(PQKBManifestationID)12422585 035 $a(PQKBTitleCode)TC0001000536 035 $a(PQKBWorkID)10951386 035 $a(PQKB)11105850 035 $a(Au-PeEL)EBL1463588 035 $a(CaPaEBR)ebr10765870 035 $a(CaONFJC)MIL546825 035 $a(OCoLC)860626210 035 $a(DNLM)101609847 035 $a(US-djbf)17793345 035 $a(MiAaPQ)EBC1463588 035 $a(EXLCZ)992670000000427719 100 $a20130606d2013 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $2rdacontent 182 $2rdamedia 183 $2rdacarrier 200 10$aPrivate health sector assessment in Tanzania /$fJames White, Barbara O'Hanlon, Grace Chee, Emmanuel Malangalila, Adeline Kimambo, Jorge Coarasa, Sean Callahan, Ilana Ron Levey, and Kim McKeon 205 $a1st ed. 210 1$aWashington, DC :$cThe World Bank,$d[2013] 215 $a1 online resource (pages cm) 225 1 $aWorld Bank studies 300 $aBibliographic Level Mode of Issuance: Monograph 311 $a1-4648-0040-5 320 $aIncludes bibliographical references. 327 $aIntroduction and methodology -- The private health sector within the Tanzanian health system -- Policy and enabling environment to mobilize the private sector in health -- Service delivery in the private health sector -- Private sector human resources for health -- Access to essential pharmaceutical and medical commodities -- The role of health financing in enabling a sustainable private health sector -- Strategic priorities for increased private sector engagement in health. 330 $aMainland Tanzania exemplifies the developing world’s struggle to achieve middle-income status while confronting widespread poverty and substantial health challenges. Tanzania’s struggle with HIV/AIDS, reproductive and child health, malaria, and tuberculosis are characterized by both positive recent trends and persistent challenges. A high disease burden coupled with finite public sector resources has led the government of Tanzania to increasingly seek innovative tools to protect the health and wellbeing of its citizens. Previous reform efforts have included decentralizing decisionmaking authority to local governments to improve the responsiveness of public sector programs and partnering with faith-based health facilities to expand the government’s reach into rural areas. In recent years, the government has increasingly tried to leverage the private health sector’s capacity to strengthen the Tanzanian health system—first by removing the ban on private practice in 1991 and then by emphasizing PPPs in its national health policies and strategic plans. In response, the private health sector has grown and organized into several umbrella organizations, such as the Christian Social Services Commission (CSSC), the Association of Private Health Facilities in Tanzania (APHFTA), and the National Muslim Council of Tanzania (BAKWATA).Together, the public and private sectors have laid the policy groundwork for improved collaboration. Engaging the private sector beyond dialogue and operationalizing PPPs has proven more difficult due to lingering distrust and a lack of communication between the sectors at lower levels.Currently, the private health sector is actively involved in the delivery of key health services, especially related to family planning, child health, and malaria. However, there are numerous private health sector providers and other actors that the 330 8 $aTanzanian government can better leverage to relieve the burden on public sector resources and produce better health outcomes for all Tanzanians. This assessment makes several recommendations to eliminate current obstacles, especially around the areas of the policy and governance, health financing, service delivery, pharmaceutical procurement, and human resources for health. 410 0$aWorld Bank e-Library. 410 0$aWorld Bank studies. 606 $aMedical care$zTanzania 606 $aMedical care$xNeeds assessment$zTanzania 606 $aMedical policy$zTanzania 615 0$aMedical care 615 0$aMedical care$xNeeds assessment 615 0$aMedical policy 676 $a362.109678 700 $aWhite$b James$f1980-$01700287 701 $aWhite$b James$f1980-$01700287 712 02$aWorld Bank. 801 0$bDNLM/DLC 801 1$bDLC 906 $aBOOK 912 $a9910824335903321 996 $aPrivate health sector assessment in Tanzania$94083181 997 $aUNINA