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By Maureen Mackintosh, Tausi Kida, Paula Tibandebag, Joyce Ikingura and Cornel Jahari Paper 3 from the Ethics, Payments and Maternal Survival project. Maternal mortality remains unacceptably high in Tanzania. While maternal health care is officially free in the public health care sector, the country’s health system remains reliant on a great deal of out-of-pocket expenditure by patients. Payments are widely thought to remain a barrier to maternal health care. This paper presents new data on payments for maternal care. The study was undertaken in four districts located in two contrasting regions of Tanzania. The findings show that payments for maternal care have become imbedded in hard-to-change working cultures within facilities. A workable alternative to replace a charging-based culture would require a clear understanding of what is currently going on, and a firmer commitment to address the underlying causes at all levels including health facility management. To read a full report please click here
By Paula Tibandebage, Maureen Mackintosh, Tausi Kida, Joyce Ikingura and Cornel Jahari Paper 4 from the Ethics, Payments and Maternal Survival project. This paper surveys women’s experiences with payments for ante-natal care and associated issues of quality in two district of Tanzania. The paper provides evidence of payments for ANC in the two rural districts. Striking differences in payments between the two districts were observed, apparently reflecting variation in charging practices in different parts of the districts. The study also explore to what extent are the variation in charges associated with better-quality care. The findings discussed in this paper suggest the need for a more concerted effort to implement effectively strategies that are already in place, and to come up with other alternative strategies that may result into better outcomes. Such strategies should not be considered in isolation, but should be part of effective strategies to improve all aspect of maternal health To read a full report please click here To request for a hard copy kindly email REPOA’s Communications Officer To visit REPOA’s library catalogue click here REPOA Resource Centre is open and free to the Public from Monday to Friday, 1000 to 1300, and 1400 to 1700. | |||||||||||||||||||||
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Hannah Mwandoloma
Communications Officer
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REPOA, undertakes and facilitates research, conducts and coordinates training, and promotes dialogue and development of policy for pro-poor growth and poverty reduction.
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