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Int J Health Policy Manag. 2019;8(2): 90-100. doi: 10.15171/ijhpm.2018.97
PMID: 30980622        PMCID: PMC6462210

Original Article

Decentralisation and Health Services Delivery in 4 Districts in Tanzania: How and Why Does the Use of Decision Space Vary Across Districts?

Ramadhani Kigume 1, , Stephen Maluka 2 *

Cited by CrossRef:


1- Mucheru D, Harley J, Genda E, Gilmore B, Kesale A, McAuliffe E, Mpinga A, Narcis C, Mollel H. The gender stereotype landscape in Tanzania: A national study with healthcare leaders. SSM - Health Systems. 2025;4:100047 [Crossref]
2- Lamloum D, Campus G. A Descriptive Review of the Healthcare System and the Provision of Oral Healthcare in the Republic of Sudan. International Dental Journal. 2024;74(5):930 [Crossref]
3- Bustreo F, Mshinda H, Hinton R, Hausmann-Muela S, Tanner M. Commentary: Primary health care in Tanzania – Leading the way through innovation. EClinicalMedicine. 2019;13:12 [Crossref]
4- Fonn S, Ray S, Couper I, Ezeh A, Omigbodun A, Morhason-Bello I, Ng’wena G, Oyungu E, Muchiri L, Tumwine J, Ibingira C, Conco D, Blaauw D. Acceptability and feasibility of inter-related activities to improve agency among African district health managers: A four-country study. Global Public Health. 2022;17(7):1267 [Crossref]
5- Sarin E, Bisht N, Mohanty J, Chandra Joshi N, Kumar A, Dey S, Kumar H. Putting the local back into planning‐experiences and perceptions of state and district health functionaries of seven aspirational districts in India on an innovative planning capacity building approach. Health Planning & Management. 2021;36(6):2248 [Crossref]
6- Carlitz R, Yamanis T, Mollel H. Coping with Denialism: How Street-Level Bureaucrats Adapted and Responded to COVID-19 in Tanzania. 2021;46(6):989 [Crossref]
7- Erixy Naluso S, Isaac Kanyangale M. Decentralisation of the Health System Derailed by Organisational Inertia in Machinga, Malawi. Int J Health Policy Manag. 2024;13:7956 [Crossref]
8- Tungu M, Sirili N, Anaeli A, Frumence G, Thapa K. Community health systems and priority setting for elderly healthcare services in rural Tanzania: Experience from Nzega and Igunga districts. PLoS ONE. 2025;20(4):e0321482 [Crossref]
9- Francetic I, Tediosi F, Kuwawenaruwa A. A network analysis of patient referrals in two district health systems in Tanzania. 2021;36(2):162 [Crossref]
10- Kessy A. Decentralization and administrative discretion in Tanzania: An analysis of administrative discretion on human resources, finance and service delivery. Social Sciences & Humanities Open. 2023;8(1):100684 [Crossref]
11- Tungu M, Sirili N, Frumence G, Kagaigai A, Anaeli A, Mwangu M, Kiwara A, Gile P. Health care prioritization process for the elderly in rural Tanzania under decentralized system: Prospects and challenges. PLoS ONE. 2024;19(6):e0304243 [Crossref]
12- Jiyenze M, Sirili N, Ngocho J, Kikula A, Chikoti B, Kapologwe N, Kengia J. Strengthening health management, leadership, and governance capacities: What are the actual training needs in Tanzania?. Health Science Reports. 2023;6(3) [Crossref]
13- Francetic I, Fink G, Tediosi F. Impact of social accountability monitoring on health facility performance: Evidence from Tanzania. Health Economics. 2021;30(4):766 [Crossref]
14- Massele A, Rogers A, Gabriel D, Mayanda A, Magoma S, Cook A, Chigome A, Lorenzetti G, Meyer J, Moore C, Godman B, Minzi O. A Narrative Review of Recent Antibiotic Prescribing Practices in Ambulatory Care in Tanzania: Findings and Implications. Medicina. 2023;59(12):2195 [Crossref]