Do health facility governing committees improve health system performance? An ecological study of Mainland Tanzania.

ABSTRACT:

Introduction

Accountability is crucial for improved functionality of health systems and can be ensured through community participation in health governance. To engage the community in the governance of the local health system, health facility governing committees (HFGCs) have been implemented in several low-income and middle-income countries including Tanzania. However, the effect of HFGCs on health system performance is not well studied. The aim of this study was to investigate the relationship between the functionality of the HFGCs and health system performance in 180 districts of mainland Tanzania, and to assess whether this relationship varies between dispensaries, health centres and hospitals.

Methods

We conducted an ecological study in which the studied outcome was hea

SUBMITTER: von Essen F 

PROVIDER: S-EPMC12314808 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature