Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region
A dissertation submitted in partial fulfilment of requirements for the award of Masters of Science in Health Monitoring and Evaluation of Mzumbe University.
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| Formato: | Thesis |
| Idioma: | inglês |
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Mzumbe University
2026
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| Acesso em linha: | https://scholar.mzumbe.ac.tz/handle/123456789/1951 |
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| _version_ | 1872791447588044800 |
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| author | Ngwale, Tedson J. |
| author_facet | Ngwale, Tedson J. |
| author_sort | Ngwale, Tedson J. |
| collection | DSpace |
| description | A dissertation submitted in partial fulfilment of requirements for the award of Masters of Science in Health Monitoring and Evaluation of Mzumbe University. |
| format | Thesis |
| id | ir-:123456789-1951 |
| institution | Mzumbe University |
| language | English |
| publishDate | 2026 |
| publisher | Mzumbe University |
| record_format | dspace |
| spelling | ir-:123456789-19512026-07-15T11:52:02Z Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region Ngwale, Tedson J. Maternal health Maternal health services Result based finacing program Logic model A dissertation submitted in partial fulfilment of requirements for the award of Masters of Science in Health Monitoring and Evaluation of Mzumbe University. Shinyanga region is one among the regions of Tanzania mainland with high maternal mortality rate (MMR). In 2015, it was reported to have 60 MMR and ranked number one due to unsatisfactory health condition and poverty index. Result Based Financing (RBF) was introduced in Tanzania particularly in the regions with high burden of diseases with the aim of achieving Universal Health Coverage goal and to offset the long-term health sector challenges. RBF was implemented in Shinyanga from 2015. It was initially implemented in 157 health facilities where in Kishapu District Council (DC) is implemented to 55. Since the implementation of RBF in Shinyanga, there are limited studies conducted to evaluate its progress. Thus, the study aimed to conduct a process evaluation study on improvement made by RBF program on maternal health services in Kishapu District Council. Specifically, the study ascertain the extent to which maternal health have been improved at health facilities due to RBF implementation; to examine whether maternal health services delivery and support functions consistent with RBF system; also, to examine healthcare provider’s perceptions on bonus payment for RBF implementation towards improving maternal health services. The study employed a descriptive cross- sectional design with a mixed method approach. A semi-structured questionnaire was used to collect data from randomly selected 147 respondents from all 55 health facilities. Quantitative data was analysed by the use of SPSS V. 25.0 and descriptively presented by tables, figures, and measure of central tendency. Qualitative data was analysed with the help of ATLAS ti version 8.2.4 programs for content analysis. The results reveal that, (82.3%) of the health professionals provided appropriate healthcare to women with delay in labour as per national health guidelines, (80.3%) provided routine postnatal care to mothers and their new-borns, whereas all interviewed health professional (100%) provided care to women and new-borns as per standard precautions for preventing hospital-acquired infections. Nevertheless, (81.65%) of health professionals did not carry out an exit interview with their clients to gather important information about the quality of maternal health services. Private 2026-04-13T11:11:51Z 2019 Thesis APA https://scholar.mzumbe.ac.tz/handle/123456789/1951 en application/pdf Mzumbe University |
| spellingShingle | Maternal health Maternal health services Result based finacing program Logic model Ngwale, Tedson J. Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region |
| title | Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region |
| title_full | Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region |
| title_fullStr | Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region |
| title_full_unstemmed | Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region |
| title_short | Process evaluation of result based financing program on improving maternal health in Kishapu District Council, Shinyanga Region |
| title_sort | process evaluation of result based financing program on improving maternal health in kishapu district council shinyanga region |
| topic | Maternal health Maternal health services Result based finacing program Logic model |
| url | https://scholar.mzumbe.ac.tz/handle/123456789/1951 |
| work_keys_str_mv | AT ngwaletedsonj processevaluationofresultbasedfinancingprogramonimprovingmaternalhealthinkishapudistrictcouncilshinyangaregion |