World Health & Population

World Health & Population March 2005 : 0-0.doi:10.12927/whp.2005.17648

Health Sector Reform And Decentralization In Tanzania: The Case Of The Expanded Programme On Immunization At District Level

Innocent A. J. Semali, Don De Savigny and Marcel Tanner


What was the immediate stakeholders' response to decentralization of Expanded Program on Immunization at district level in Tanzania? Analysis of quantitative and qualitative data from a range of stakeholders was done. The immediate response included reduced cooperation, delayed financial disbursement, reduced supervisions and low EPI coverage (52.8 percent). It was concluded that there was a need to increase awareness of decentralization and management capacity at district level to facilitate positive alignment of the stakeholders.

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