Health sector reform and decentralization In Tanzania

Abstract

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.