Stephen Maluka
Biographic Data
| ID | 1738778 |
|---|---|
| NAME | Stephen Maluka |
| GIVEN NAMES | Stephen |
| FAMILY NAME | Maluka |
| SIGNATURE | MALUKA S |
| AFFILIATIONS | University of Dar es Salaam |
| ORCID | 0000-0002-0369-0858 |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 6 |
| AUTHOR COUNT | 13 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2010 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Do health facility governing committees improve health system performance? An ecological study of Mainland Tanzania
INTRODUCTION: Accountability is crucial for improved functionality of health systems and can be ensured through community participation in health governance. To engage the community in the governance of the local health system, health facility governing committees (HFGCs) have been implemented in several low-income and middle-income countries including Tanzania. However, the effect of HFGCs on health system performance is not well studied. The ai…
Moving out from the river banks
This paper examines the main reasons for the persisting trend of valley bottoms traditional irrigation farming despite the government’s efforts for restoration of water flows and protection of related ecosystem of Ruaha river system in Tanzania. Information for this paper was obtained through in-depth interviews, focus group discussions and observation. The findings revealed that valley bottoms traditional irrigation farming has been practised an…
Has stakeholder participation in health facility governing committees promoted social accountability? A qualitative study in Tanzania
BACKGROUND: Since the 1990s, Tanzania has actively encouraged stakeholder participation in health services through Health Facility Governing Committees (HFGCs) to promote social accountability within its broader health system reforms. While previous studies have explored the functionality of the HFGCs, this study aimed to understand whether stakeholder participation in the HFGCs contributes to promoting social accountability in the health system.…
A systems perspective on the importance of global health strategy developments for accomplishing today’s Sustainable Development Goals
A systems perspective on the importance of global health strategy developments for accomplishing today’s Sustainable Development Goals
Priority setting within health systems has not led to accountable, fair and sustainable solutions to improving population health. Providers, users and other stakeholders each have their own health and service priorities based on selected evidence, own values, expertise and preferences. Based on a historical account, this article analyses if contemporary health systems are appropriate to optimize population health within the framework of cross cut…
‘Unless you come with your partner you will be sent back home’
BACKGROUND: Male involvement in pregnancy and childbirth has been shown to improve maternal and child health. Many countries have used different strategies to promote participation of men in antenatal care services. While many strategies have been employed to promote male participation in antenatal care, few have been evaluated to provide much-needed lessons to support wider adoption. OBJECTIVE: This study aimed at describing strategies that were…
Contracting-out primary health care services in Tanzania towards UHC
Tanzania's central government needs to further develop the technical and financial capacity necessary to better support districts in establishing and financing contractual agreements with NSPs for primary health care services. Furthermore, forums for continuous dialogue between the government and contracted NSPs should be fostered in order to clarify the expectations of all parties and resolve any misunderstandings
Involving decision-makers in the research process
The past two decades have seen a growing call for researchers, policy-makers and health care providers to collaborate in efforts to bridge the gaps between research, policy and practice. However, there has been a little attention focused on documenting the challenges of dealing with decision-makers in the course of implementing a research project. This paper highlights a collaborative research project aiming to implement the accountability for re…
Promoting community participation in priority setting in district health systems
BACKGROUND: Community participation in priority setting in health systems has gained importance all over the world, particularly in resource-poor settings where governments have often failed to provide adequate public-sector services for their citizens. Incorporation of public views into priority setting is perceived as a means to restore trust, improve accountability, and secure cost-effective priorities within healthcare. However, few studies h…
Why are pro-poor exemption policies in Tanzania better implemented in some districts than in others
It is concluded from this study that management and leadership practices including personal initiatives of the key district leaders, effective supervision mechanisms, commitment of the district health management team and local government officials, as well as incentives for the health facility committees and board members are pivotal for the implementation of the pro-poor exemption policies
Challenges to fair decision-making processes in the context of health care services
Existing challenges related to individuals' influence of decision making processes in health care need to be addressed if greater participation is desired. There is a need for increased advocacy and a strengthening of responsive practices with an emphasis on the right of all individuals to participate in decision-making processes. This simultaneously implies an emphasis on assuring the distribution of information, training and education so that i…
Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania
Health care systems are faced with the challenge of resource scarcity and have insufficient resources to respond to all health problems and target groups simultaneously. Hence, priority setting is an inevitable aspect of every health system. However, priority setting is complex and difficult because the process is frequently influenced by political, institutional and managerial factors that are not considered by conventional priority-setting tool…
Decentralized health care priority-setting in Tanzania
Decentralized health care priority-setting in Tanzania
Strengthening fairness, transparency and accountability in health care priority setting at district level in Tanzania
Health care systems are faced with the challenge of resource scarcity and have insufficient resources to respond to all health problems and target groups simultaneously. Hence, priority setting is an inevitable aspect of every health system. However, priority setting is complex and difficult because the process is frequently influenced by political, institutional and managerial factors that are not considered by conventional priority-setting tool…
Challenges to fair decision-making processes in the context of health care services
Existing challenges related to individuals' influence of decision making processes in health care need to be addressed if greater participation is desired. There is a need for increased advocacy and a strengthening of responsive practices with an emphasis on the right of all individuals to participate in decision-making processes. This simultaneously implies an emphasis on assuring the distribution of information, training and education so that i…
Promoting community participation in priority setting in district health systems
BACKGROUND: Community participation in priority setting in health systems has gained importance all over the world, particularly in resource-poor settings where governments have often failed to provide adequate public-sector services for their citizens. Incorporation of public views into priority setting is perceived as a means to restore trust, improve accountability, and secure cost-effective priorities within healthcare. However, few studies h…
Why are pro-poor exemption policies in Tanzania better implemented in some districts than in others
It is concluded from this study that management and leadership practices including personal initiatives of the key district leaders, effective supervision mechanisms, commitment of the district health management team and local government officials, as well as incentives for the health facility committees and board members are pivotal for the implementation of the pro-poor exemption policies
Involving decision-makers in the research process
The past two decades have seen a growing call for researchers, policy-makers and health care providers to collaborate in efforts to bridge the gaps between research, policy and practice. However, there has been a little attention focused on documenting the challenges of dealing with decision-makers in the course of implementing a research project. This paper highlights a collaborative research project aiming to implement the accountability for re…
‘Unless you come with your partner you will be sent back home’
BACKGROUND: Male involvement in pregnancy and childbirth has been shown to improve maternal and child health. Many countries have used different strategies to promote participation of men in antenatal care services. While many strategies have been employed to promote male participation in antenatal care, few have been evaluated to provide much-needed lessons to support wider adoption. OBJECTIVE: This study aimed at describing strategies that were…
Contracting-out primary health care services in Tanzania towards UHC
Tanzania's central government needs to further develop the technical and financial capacity necessary to better support districts in establishing and financing contractual agreements with NSPs for primary health care services. Furthermore, forums for continuous dialogue between the government and contracted NSPs should be fostered in order to clarify the expectations of all parties and resolve any misunderstandings
A systems perspective on the importance of global health strategy developments for accomplishing today’s Sustainable Development Goals
A systems perspective on the importance of global health strategy developments for accomplishing today’s Sustainable Development Goals
Priority setting within health systems has not led to accountable, fair and sustainable solutions to improving population health. Providers, users and other stakeholders each have their own health and service priorities based on selected evidence, own values, expertise and preferences. Based on a historical account, this article analyses if contemporary health systems are appropriate to optimize population health within the framework of cross cut…
Has stakeholder participation in health facility governing committees promoted social accountability? A qualitative study in Tanzania
BACKGROUND: Since the 1990s, Tanzania has actively encouraged stakeholder participation in health services through Health Facility Governing Committees (HFGCs) to promote social accountability within its broader health system reforms. While previous studies have explored the functionality of the HFGCs, this study aimed to understand whether stakeholder participation in the HFGCs contributes to promoting social accountability in the health system.…
Do health facility governing committees improve health system performance? An ecological study of Mainland Tanzania
INTRODUCTION: Accountability is crucial for improved functionality of health systems and can be ensured through community participation in health governance. To engage the community in the governance of the local health system, health facility governing committees (HFGCs) have been implemented in several low-income and middle-income countries including Tanzania. However, the effect of HFGCs on health system performance is not well studied. The ai…
Moving out from the river banks
This paper examines the main reasons for the persisting trend of valley bottoms traditional irrigation farming despite the government’s efforts for restoration of water flows and protection of related ecosystem of Ruaha river system in Tanzania. Information for this paper was obtained through in-depth interviews, focus group discussions and observation. The findings revealed that valley bottoms traditional irrigation farming has been practised an…
Political science (12 works) · Business (10 works) · Health care (10 works) · Global Maternal and Child Health (9 works) · Medicine (9 works) · Nursing (7 works) · Public relations (7 works) · Tanzania (7 works) · Accountability (6 works) · Economic growth (6 works)