Two decades of Tanzanian health policy

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Two decades of Tanzanian health policy


JournalUNU-WIDER
Article typeOther
Publication date – Mar – 2022
Authors – Roosa Lambin, Milla Nyyssölä
Keywordsfinancial protection, Health insurance, health policy, Tanzania, Women
Open access – Yes
SpecialityHealth policy
World region Eastern Africa
Country: Tanzania
Language – English
Submitted to the One Surgery Index on March 31, 2022 at 1:27 am
Abstract:

Tanzania has undertaken important health sector reforms in the new millennium, and the most recent Health Sector Strategic Plan (2021–26) lays out ambitious targets to achieve universal health coverage. Yet, women in Tanzania continue to face significant barriers in accessing healthcare and the country is grappling with important gender-biased health challenges disadvantaging women. The aims of this paper are two-fold. First, we examine the evolution of Tanzania’s health policy over the past two decades (2000–21) from the perspective of enhancing financial protection for working-age women. Second, we explore policy options for genderresponsive health insurance expansion in the context of Tanzania. Methodologically, the paper draws on a scoping study of diverse literature and data and a review of evidence from other contexts with public health insurance schemes. We find that Tanzania has a fragmented health system that relies on several independent schemes introduced throughout the years, characterized by insufficient risk-pooling. Such a system provides insufficient financial protection for workingage women and female-headed households, which are financially less secure than dual-earner households. Although expanding health insurance coverage represents a viable corrective measure, future reforms must account for women’s lower financial contribution capacity to enable equitable access. Additionally, the policy design requires gender-mainstreamed investments in awarenessraising, service quality, and benefit packages

OSI Number – 21540

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