Public-private partnership and health service delivery in Tanzania: A case study of Arusha Lutheran Medical Center (ALMC), Arusha

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College of Humanities and Social Sciences
The study focused on Public-private partnership and health service delivery in Tanzania: A case study of Arusha Lutheran Medical Center (ALMC), Arusha. The study objectives were; to assess the role played by public private partnership on health service delivery, to establish the challenges encountered in administering Public-Private Sector Partnership in Arusha and to determine the efficiency of health service delivery in Arusha Local Government. A cross-sectional survey was used in the course of the study. Both qualitative and quantitative data was gathered in order to establish the relationship between Public-private partnership and health service delivery. The study targeted the 133 respondents from Arusha Lutheran Medical Center ALMC) and other Local government stakeholders. These included top authorities of ALMC, medical staff of ALMC, District health officers, officials from Ministry of Health, Arusha and other local peasants. Purposive sampling was also used to select only respondents for the researcher to attain the purpose of the study. Data was collected from primary and secondary sources using questionnaires and interviews. The data was presented in tabular form, pie charts and bar graphs with frequencies and percentages. The study concluded that infrastructure created through PPP can improve the quality and quantity of basic infrastructure such as the provision of water and its treatment, energy supply and transportation. In addition the process can be widely applied to a variety of public services such as hospitals, schools, prisons and government accommodation. There should be macro-prudential review such that the totality of a government’s PPP obligations, including contingent liabilities and ripple effects through public lenders, are visible. This should be carried out by the ministry of finance (or similar), as is done with traditional public borrowing and debt limits. At the level of the ministry of health, current year spending and long term liabilities for PPP contracts should also be included in the total health programme spending limits. PPPs should be on the public balance sheet and accounts, except for those variants with a very substantial risk transfer (probably including demand risk).
A research dissertation submitted to the Faculty of Humanities and Social Sciences in partial fulfillment of the requirements for the award of Bachelor’s Degree in Public Administration of Kampala International University
Public-private partnership (PPP), Health service delivery, Arusha Lutheran Medical Center (ALMC), Arusha, Tanzania