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Title: :  Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council
PaperId: :  20905
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 9 Issue 3 2023
DUI:    16.0415/IJARIIE-20905
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Adam Matiko CharlesMwalimu Nyerere Memorial Academy
Africanus Calist SarwattInstitute of Rural Development Planning
Provident Jonas DimosoInstitute of Rural Development Planning

Abstract

Public Administration and Management
Decentralization by Devolution, Public Health Service Delivery, Ilala Municipal Council, Geita Town Council
The purpose of the study conducted was to examine and analyze the specific challenges associated with Decentralization by Devolution (D-by-D) in the delivery of public health services in Ilala Municipal Council (IMC) and Geita Town Council (GTC). In order to achieve this objective, the study adopted an exploratory design, which employed both quantitative and qualitative research approaches to thoroughly investigate the practicality and effectiveness of decentralization by devolution in the realm of public health service delivery. To gather the necessary data for analysis, the researchers employed a combination of stratified, simple random, and purposive sampling techniques. These methods allowed them to select a representative sample of 424 participants from six strategically chosen wards within the two councils. The data collection process encompassed the use of questionnaires, interviews, and documentary reviews, enabling the researchers to obtain a comprehensive understanding of the challenges faced in the implementation of D-by-D in public health services. The findings of the study unveiled a range of challenges encountered in the D-by-D approach to public health service delivery in both IMC and GTC. These challenges were identified and analyzed, shedding light on the specific areas where improvements and interventions were required. The study concluded that there were six major challenges that the decentralization by devolution system faced in the delivery of public health services in both IMC and GTC, thus emphasizing the significance of addressing these issues for the betterment of healthcare provision. Based on the research outcomes, the study recommended various measures to tackle the challenges identified. One prominent suggestion was the urgent need for capacity building among healthcare workers. The government, in collaboration with other key stakeholders such as the private sector and training institutions, was urged to take the lead in providing the necessary training and skills enhancement opportunities to healthcare professionals. This collaborative effort aimed to empower healthcare workers with the knowledge and expertise required to overcome the challenges associated with D-by-D in public health service delivery.

Citations

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IJARIIE Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. "Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council" International Journal Of Advance Research And Innovative Ideas In Education Volume 9 Issue 3 2023 Page 4571-4591
MLA Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. "Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council." International Journal Of Advance Research And Innovative Ideas In Education 9.3(2023) : 4571-4591.
APA Adam Matiko Charles, Africanus Calist Sarwatt, & Provident Jonas Dimoso. (2023). Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council. International Journal Of Advance Research And Innovative Ideas In Education, 9(3), 4571-4591.
Chicago Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. "Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council." International Journal Of Advance Research And Innovative Ideas In Education 9, no. 3 (2023) : 4571-4591.
Oxford Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. 'Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council', International Journal Of Advance Research And Innovative Ideas In Education, vol. 9, no. 3, 2023, p. 4571-4591. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/Challenges_For_and_Against_Decentralization_by_Devolution_in_Public_Health_Service_Delivery_in_Tanzania___A_case_of_Ilala_Municipal_Council_and_Geita_Town_Council_ijariie20905.pdf (Accessed : 19 April 2024).
Harvard Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. (2023) 'Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council', International Journal Of Advance Research And Innovative Ideas In Education, 9(3), pp. 4571-4591IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/Challenges_For_and_Against_Decentralization_by_Devolution_in_Public_Health_Service_Delivery_in_Tanzania___A_case_of_Ilala_Municipal_Council_and_Geita_Town_Council_ijariie20905.pdf (Accessed : 19 April 2024)
IEEE Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso, "Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council," International Journal Of Advance Research And Innovative Ideas In Education, vol. 9, no. 3, pp. 4571-4591, May-Jun 2023. [Online]. Available: https://ijariie.com/AdminUploadPdf/Challenges_For_and_Against_Decentralization_by_Devolution_in_Public_Health_Service_Delivery_in_Tanzania___A_case_of_Ilala_Municipal_Council_and_Geita_Town_Council_ijariie20905.pdf [Accessed : 19 April 2024].
Turabian Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. "Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 9 number 3 (19 April 2024).
Vancouver Adam Matiko Charles, Africanus Calist Sarwatt, and Provident Jonas Dimoso. Challenges For and Against Decentralization by Devolution in Public Health Service Delivery in Tanzania: A case of Ilala Municipal Council and Geita Town Council. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2023 [Cited : 19 April 2024]; 9(3) : 4571-4591. Available from: https://ijariie.com/AdminUploadPdf/Challenges_For_and_Against_Decentralization_by_Devolution_in_Public_Health_Service_Delivery_in_Tanzania___A_case_of_Ilala_Municipal_Council_and_Geita_Town_Council_ijariie20905.pdf
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