%0 Journal Article
%T Functionality of Primary Health Facilities Management Teams: Learning from 2017/2018¡¯s Tanzania Star Rating Assessment
%A Syabo M. Mwaisengela
%A Joseph C. Hokororo
%A Chrisogone J. German
%A Erick S. Kinyenje
%A Radenta P. Bahegwa
%A Talhiya A. Yahya
%A Mohamed A. Mohamed
%A Omary A. Nassoro
%A Ruth R. Ngowi
%A Yohannes S. Msigwa
%A Mbwana M. Degeh
%A Laura E. Marandu
%A Bush N. Lugoba
%A Edwin C. Mkwama
%A Lilian D. Lyakurwa
%A Alpha E. Cholobi
%A Michael Habtu
%A Eliudi S. Eliakimu
%J Journal of Service Science and Management
%P 94-109
%@ 1940-9907
%D 2023
%I Scientific Research Publishing
%R 10.4236/jssm.2023.162007
%X <strong>Background:</strong><span style=\"font-family:;\" \"=\"\"> Having a proper health system management with
skilled health <span>managers has been shown to be
an important foundation for a high-quality</span> <span>health system. Primary Health Care (PHC) is important in ensuring </span></span><span style=\"font-family:;\" \"=\"\">the </span><span style=\"font-family:;\" \"=\"\">achievement
of</span><span style=\"font-family:;\" \"=\"\"> universal health
coverage. To achieve this objective, it is important to strengthen </span><span style=\"font-family:;\" \"=\"\">the </span><span style=\"font-family:;\" \"=\"\">management of PHC facilities. This study aims
at ascertaining the functionality of Health Facility Management Teams (HFMTs)
in PHC facilities in the context of Star Rating Assessment (SRA) in Tanzania. <b>Methods:</b> <span>This is a quantitative
secondary data analysis using the SRA re-assessment</span> <span>data collected in the fiscal year 2017/18. HFMTs
functionality was measured </span>by </span><span><span style=\"font-family:;\" \"=\"\">the</span></span><span><span style=\"font-family:;\" \"=\"\"> desirable
performance of four indicators</span></span><span><span style=\"font-family:;\" \"=\"\">,</span></span><span><span style=\"font-family:;\" \"=\"\"> namely availability of the HFMTs,</span></span><span><span style=\"font-family:;\" \"=\"\"> <span>formal
appointment of HFMTs, regular meeting of HMT and quarterly</span> meetings
conducted. The proportions were compared by using proportion Z and chi</span></span><span><span style=\"font-family:;\" \"=\"\">-</span></span><span><span style=\"font-family:;\" \"=\"\">square tests. </span></span><span></span><b><span style=\"font-family:;\" \"=\"\">Results: </span></b><span style=\"font-family:;\" \"=\"\">This
study involved 5933 PHC facilities, </span><span style=\"font-family:;\" \"=\"\">the </span><span style=\"font-family:;\" \"=\"\">major<span>ity of which
were dispensaries (87.6%), rural located (78.3%) and public</span> owned (77.2%).
On average, 23.3% of HFMTs were functional. Among health facilities located in urban
areas, 27.7% (95% C</span><span style=\"font-family:;\" \"=\"\">.</span><span style=\"font-family:;\" \"=\"\">I = 25.3% </span><span style=\"font-family:;\" \"=\"\">-</span><span style=\"font-family:;\" \"=\"\"> 30.2%)
had functional HFMTs which </span><span style=\"font-family:;\" \"=\"\">is</span><span style=\"font-family:;\" \"=\"\"> significantly higher </span><span style=\"font-family:;\" \"=\"\">than</span><span style=\"font-family:;\" \"=\"\"> rural located
%K Primary Health Care
%K Star Rating Assessment
%K Universal Health Coverage
%K Health Facility Management Teams
%K Health System Management
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=124486