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Bank accounts for public primary health care facilities: Reflections on implementation from three districts in Tanzania

Author

Listed:
  • August Kuwawenaruwa
  • Michelle Remme
  • Gemini Mtei
  • Suzan Makawia
  • Stephen Maluka
  • Ntuli Kapologwe
  • Josephine Borghi
Abstract
Health care financing reforms are gaining popularity in a number of African countries to increase financial resources and promote financial autonomy, particularly at peripheral health care facilities. The paper explores the establishment of facility bank accounts at public primary facilities in Tanzania, with the intention of informing other countries embarking on such reform of the lessons learned from its implementation process. A case study approach was used, in which three district councils were purposively sampled. A total of 34 focus group discussions and 14 in‐depth interviews were conducted. Thematic content analysis was used during analysis. The study revealed that the main use of bank account revenue was for the purchase of drugs, medical supplies, and minor facility needs. To ensure accountability for funds, health care facilities had to submit monthly reports of expenditures incurred. District managers also undertook quality control of facility infrastructure, which had been renovated using facility resources and purchases of facility needs. Facility autonomy in the use of revenue retained in their accounts would improve the availability of drugs and service delivery. The experienced process of opening facility bank accounts, managing, and using the funds highlights the need to strengthen the capacity of staff and health‐governing committees.

Suggested Citation

  • August Kuwawenaruwa & Michelle Remme & Gemini Mtei & Suzan Makawia & Stephen Maluka & Ntuli Kapologwe & Josephine Borghi, 2019. "Bank accounts for public primary health care facilities: Reflections on implementation from three districts in Tanzania," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 860-874, January.
    • Handle: RePEc:bla:ijhplm:v:34:y:2019:i:1:p:e860-e874
    DOI: 10.1002/hpm.2702
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    References listed on IDEAS

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    1. Felix Masiye & Oliver Kaonga & Joses M Kirigia, 2016. "Does User Fee Removal Policy Provide Financial Protection from Catastrophic Health Care Payments? Evidence from Zambia," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-15, January.
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    Cited by:

    1. Albino Kalolo & Ntuli A. Kapologwe & Hendry Samky & Stephen M. Kibusi, 2022. "Acceptability of the Direct Health Facility Financing (DHFF) initiative in Tanzania: A mixed methods process evaluation of the moderating factors," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1381-1401, May.

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