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The decentralisation-centralisation dilemma: recruitment and distribution of health workers in remote districts of Tanzania

Overview of attention for article published in BMC Public Health, April 2009
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Title
The decentralisation-centralisation dilemma: recruitment and distribution of health workers in remote districts of Tanzania
Published in
BMC Public Health, April 2009
DOI 10.1186/1472-698x-9-9
Pubmed ID
Authors

Michael A Munga, Nils Gunnar Songstad, Astrid Blystad, Ottar Mæstad

Abstract

The implementation of decentralisation reforms in the health sector of Tanzania started in the 1980s. These reforms were intended to relinquish substantial powers and resources to districts to improve the development of the health sector. Little is known about the impact of decentralisation on recruitment and distribution of health workers at the district level. Reported difficulties in recruiting health workers to remote districts led the Government of Tanzania to partly re-instate central recruitment of health workers in 2006. The effects of this policy change are not yet documented. This study highlights the experiences and challenges associated with decentralisation and the partial re-centralisation in relation to the recruitment and distribution of health workers.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 152 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Tanzania, United Republic of 1 <1%
Netherlands 1 <1%
Indonesia 1 <1%
Pakistan 1 <1%
Brazil 1 <1%
Unknown 147 97%

Demographic breakdown

Readers by professional status Count As %
Student > Master 37 24%
Student > Ph. D. Student 25 16%
Researcher 19 13%
Student > Postgraduate 15 10%
Student > Doctoral Student 9 6%
Other 27 18%
Unknown 20 13%
Readers by discipline Count As %
Medicine and Dentistry 50 33%
Social Sciences 34 22%
Business, Management and Accounting 12 8%
Nursing and Health Professions 10 7%
Environmental Science 5 3%
Other 17 11%
Unknown 24 16%