Effects of implementing a health sector strategic plan: Evidence from Tanzania

Abstract

Objective: This study assessed the effects of implementing the Health Sector Strategic Plan IV (HSSPIV) in Tanzania mainland.

Design and setting: We conducted mixed methods research using a convergent mixed methods design. Data were collected from 23 councils on the effects of implementing the HSSPIV by administering the questionnaire, document review, and semi-structured interviews. Data were analysed using factor, descriptive, and thematic analyses. Participants: The study involved a quantitative sample of 290 and a qualitative sample of 15 council health managers.

Results: Findings suggest that implementing the HSSPIV generally generated the intended health sector results at the council level: improved actors’ alignment with the health sector priorities; improved health services coverages; and increased availability of some resources (specifically medicines). On the other hand, implementing the plan had limited benefits on the availability of human resources.

Conclusion: Our research has added useful insights into the effects of implementing the HSSPIV. Overall, our evidence suggests that implementing the HSSPIV generally led to the intended strategic health results. Future research should assess the effects of implementing health sector strategic plans using all councils and more health services indicators before and after implementing the plan.