Effectiveness of Force Account on Implementation of Construction Projects in Health Sector in Tanzania: A Case of Mbeya Regional Hospita

Abstract

This study examines the effectiveness of the
force account method in implementing
construction projects within Tanzania's health
sector, specifically at Mbeya Regional Hospital
(MRH). Using a pragmatic research philosophy
and a mixed-methods approach, the study
employed a descriptive design with a sample of
144 respondents selected through stratified
random and purposive sampling. Primary data
were gathered via questionnaires and
interviews, while secondary data were collected
through document reviews. The findings
revealed strong agreement on the timely
completion of projects (mean = 3.7364), the
quality of work exceeding traditional methods
(mean = 4.4000), and more efficient resource
utilization (mean = 3.9455). The study
concludes that the force account method is
effective in enhancing project timelines, quality,
and resource efficiency in healthcare
construction. Recommendations include
training project teams, improving resource
allocation, establishing monitoring frameworks,
and engaging local communities to further
optimize the effectiveness of force account
implementation.