Introducing payment for performance in the health sector of Tanzania- the policy process

Globalization and Health
Victor ChimhutuKaren Marie Moland

Abstract

Prompted by the need to achieve progress in health outcomes, payment for performance (P4P) schemes are becoming popular policy options in the health systems in many low income countries. This paper describes the policy process behind the introduction of a payment for performance scheme in the health sector of Tanzania illuminating in particular the interests of and roles played by the Government of Norway, the Government of Tanzania and the other development partners. The study employed a qualitative research design using in-depth interviews (IDIs), observations and document reviews. Thirteen IDIs with key-informants representing the views of ten donor agencies and government departments influential in the process of introducing the P4P scheme in Tanzania were conducted in Dar es Salaam, Tanzania and Oslo, Norway. Data was collected on the main trends and thematic priorities in development aid policy, countries and actors perceived to be proponents and opponents to the P4P scheme, and P4P agenda setting in Tanzania. The initial introduction of P4P in the health sector of Tanzania was controversial. The actors involved including the bilateral donors in the Health Basket Fund, the World Bank, the Tanzanian Government and high lev...Continue Reading

References

May 16, 2001·Social Science & Medicine·J S Benson
Mar 9, 2006·Human Resources for Health·Rachel N ManongiIb Christian Bygbjerg
Sep 26, 2006·Lancet·Jens Stoltenberg
Apr 15, 2008·Lancet·Jens Stoltenberg
Sep 30, 2008·Lancet·Jan Peter BalkenendeRobert Zoellick
Feb 10, 2009·Health Policy and Planning·Cynthia Eldridge, Natasha Palmer
Nov 26, 2009·Tropical Medicine & International Health : TM & IH·Andreas KalkEva Grabosch
Feb 25, 2011·Bulletin of the World Health Organization·Bruno MeessenClaude Sekabaraga
Nov 19, 2011·BMC Health Services Research·Catherine KahabukaSven Gudmund Hinderaker
Aug 28, 2012·Social Science & Medicine·Priscilla Magrath, Mark Nichter
Mar 8, 2013·The New England Journal of Medicine·Julio Frenk, Suerie Moon
May 20, 2014·Bulletin of the World Health Organization·Patrick LydonJean-Marie Okwo-Bele
Oct 19, 2014·BMC Health Services Research·Elysia LarsonMargaret E Kruk

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Citations

Aug 3, 2017·Globalization and Health·Isidore SieleunouValery Ridde
Oct 28, 2019·BMJ Global Health·Joël Arthur Kiendrébéogo, Bruno Meessen
Jun 22, 2019·Journal of Advanced Nursing·Catriona KennedyMary Casey
Oct 18, 2019·Globalization and Health·Victor ChimhutuMwifadhi Mrisho
Jul 25, 2019·Global Health Research and Policy·Sophie WitterMaria Paola Bertone
Feb 4, 2021·Journal of Health Organization and Management·Mathieu SeppeyValéry Ridde
Mar 23, 2021·Global Health Research and Policy·Ahmad Shah SalehiJosephine Borghi

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Software Mentioned

Norad
NVivo

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