Tanzania is currently implementing a local government reform aimed at improving public service delivery. An important component of the reform is to increase the fiscal autonomy of local authorities. This policy is encouraged and partly initiated by the donor community. The purpose of this article is to explore to what extent we can expect that increased fiscal autonomy will improve the efficiency and responsiveness of the public sector. The paper concludes that it is unrealistic to expect that the present administration in many local authorities in Tanzania has adequate capacity and the required integrity to manage increased fiscal autonomy. In fact, there is a real danger that, in the absence of substantial restructuring of the current tax system combined with capacity building and improved integrity, increased autonomy will increase mismanagement and corruption.
Towards harmonised financing of frontline health service providers in Tanzania
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Direct Financing of Health Facilities. Experiences from financing reforms in Tanzania.
Ottar Mæstad, Jo Borghi, Farida Hassan, Eskindir Shumbullo Loha, John Maiba, Iddy Mayumana, Vincent Somville, Sarah Tobin, Peter Binyaruka
Direct health facility financing in Tanzania. Process evaluation. Phone Survey #3
Peter Binyaruka, Ottar Mæstad, Vincent Somville