ehealth digital library

Digital library of
the Tanzania
health
community

'We Do Not do any Activity Until there is an Outbreak': Barriers to Disease Prevention and Health Promotion at the Community level in Kongwa District, Tanzania.

Nyamhanga, T., Frumence, G., Mwangu, M. and Hurtig, A.-K. (2014) 'We Do Not do any Activity Until there is an Outbreak': Barriers to Disease Prevention and Health Promotion at the Community level in Kongwa District, Tanzania. Global health action, 7. p. 23878. ISSN 1654-9880

[img]
Preview
PDF
Tumaini_Nyamhanga.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (481kB)

Abstract

Little is known about the barriers to disease prevention and health promotion at the community level--within a decentralized health system. This paper, therefore, presents and discusses findings on barriers (and opportunities) for instituting disease prevention and health promotion activities. The study was conducted in Kongwa District, Tanzania, using an explorative case study approach. Data were collected through document reviews and in-depth interviews with key informants at district, ward, and village levels. A thematic approach was used in the analysis of the data. This study has identified several barriers, namely decision-makers at the national and district levels lack the necessary political will in prioritizing prevention and health promotion; the gravity of prevention and health promotion stated in the national health policy is not reflected in the district health plans; gross underfunding of community-level disease prevention and health promotion activities; and limited community participation. In this era, when Tanzania is burdened with both communicable and non-communicable diseases, prevention and health promotion should be at the top of the health care agenda. Despite operating in a neoliberal climate, a stronger role of the state is called for. Accordingly, the government should prioritize higher health-protecting physical, social, and economic environments. This will require a national health promotion policy that will clearly chart out how multisectoral collaboration can be put into practice.

Item Type: Article
Keywords: Kongwa, Dodoma, prevention, Health promotion, Tanzania
Subjects: Health Systems > Community Health
Divisions: Muhimbili University of Health and Allied Sciences (MUHAS)
Depositing User: Mr Joseph Madata
Date Deposited: 21 Aug 2014 06:35
Last Modified: 21 Aug 2014 06:35
URI: http://ihi.eprints.org/id/eprint/2770

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics