Background: Having a proper health system management with
skilled health managers has been shown to be
an important foundation for a high-qualityhealth system. Primary Health Care (PHC) is important in ensuring the achievement
of universal health
coverage. To achieve this objective, it is important to strengthen the 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. Methods:This is a quantitative
secondary data analysis using the SRA re-assessmentdata collected in the fiscal year 2017/18. HFMTs
functionality was measured by the desirable
performance of four indicators, namely availability of the HFMTs,formal
appointment of HFMTs, regular meeting of HMT and quarterly meetings
conducted. The proportions were compared by using proportion Z and chi-square tests. Results: This
study involved 5933 PHC facilities, the majority of which
were dispensaries (87.6%), rural located (78.3%) and public owned (77.2%).
On average, 23.3% of HFMTs were functional. Among health facilities located in urban
areas, 27.7% (95% C.I = 25.3% - 30.2%)
had functional HFMTs which is significantly higher than rural located
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