PMID- 26037041
OWN - NLM
STAT- MEDLINE
DCOM- 20160126
LR  - 20220321
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 8
DP  - 2015
TI  - Factors that hinder community participation in developing and implementing 
      comprehensive council health plans in Manyoni District, Tanzania.
PG  - 26461
LID - 10.3402/gha.v8.26461 [doi]
AB  - BACKGROUND: Decentralization of public health planning is proposed to facilitate 
      public participation in health issues. Health Sector Reform in Tanzania places 
      emphasis on the participation of lower level health facilities and community in 
      health planning process. Despite availability of policies, guidelines, and 
      community representative organs, actual implementation of decentralization 
      strategies is poorly achieved. This study intended to find out factors that 
      hinder community participation in developing and implementing Comprehensive 
      Council Health Plan (CCHP). MATERIALS AND METHODS: A qualitative approach was 
      conducted in this study with key informants from Health Facility Governing 
      Committees (HFGC), Council Health Service Board (CHSB), and Council Health 
      Management Team (CHMT). Data were collected using in-depth interviews. Data 
      generated were analyzed for themes and patterns. RESULTS: Factors that hindered 
      community participation included lack of awareness on the CCHP among HFGC 
      members, poor communication and information sharing between CHMT and HFGC, 
      unstipulated roles and responsibilities of HFGC, lack of management capacity 
      among HFGC members, and lack of financial resources for implementing HFGC 
      activities. CONCLUSIONS: The identified challenges call for policy makers to 
      revisit the decentralization by devolution policy by ensuring that local 
      governance structures have adequate resources as well as autonomy to participate 
      in planning and managing CCHP in general and health facility plans in particular.
FAU - Kilewo, Emmanuel G
AU  - Kilewo EG
AD  - Regional Health Management Team (RHMT), Singida Region, Tanzania; 
      emmack55@yahoo.com.
FAU - Frumence, Gasto
AU  - Frumence G
AD  - Department of Development Studies, School of Public Health and Social Sciences, 
      Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150601
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - Awareness
MH  - Communication
MH  - Community Participation/*methods
MH  - Health Care Reform/*organization & administration
MH  - Health Planning/*organization & administration
MH  - Humans
MH  - Inservice Training
MH  - *Politics
MH  - Qualitative Research
MH  - Tanzania
PMC - PMC4452651
OTO - NOTNLM
OT  - Tanzania
OT  - community participation
OT  - health planning
EDAT- 2015/06/04 06:00
MHDA- 2016/01/27 06:00
PMCR- 2015/06/01
CRDT- 2015/06/04 06:00
PHST- 2014/10/29 00:00 [received]
PHST- 2015/04/16 00:00 [revised]
PHST- 2015/04/21 00:00 [accepted]
PHST- 2015/06/04 06:00 [entrez]
PHST- 2015/06/04 06:00 [pubmed]
PHST- 2016/01/27 06:00 [medline]
PHST- 2015/06/01 00:00 [pmc-release]
AID - 26461 [pii]
AID - 10.3402/gha.v8.26461 [doi]
PST - epublish
SO  - Glob Health Action. 2015 Jun 1;8:26461. doi: 10.3402/gha.v8.26461. eCollection 
      2015.