Do health programs matter for health outcomes? An assessment of Tanzania's 2007--2017 Primary health service program

Do health programs matter for health outcomes? An assessment of Tanzania's 2007--2017 Primary health service program | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 27 January 2025 V1 Latest version Share on Do health programs matter for health outcomes? An assessment of Tanzania's 2007--2017 Primary health service program Author : John Geofrey Massito 0000-0002-5533-4054 [email protected] Authors Info & Affiliations https://doi.org/10.22541/au.173798710.06967315/v1 187 views 110 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract The complexity of the health sector in terms of underfunding and human resource shortages called for the establishment of several programs. One of the crucial programs established was the Primary Health Services Development Program (2007–2017), aimed at strengthening the accessibility of quality primary health services in all Tanzanian regions at the district level. The main objective of the study is to measure the impact of the Primary Health Services Development Program (PHSDP) on maternal and child health. Using Tanzania National Panel Surveys (waves 1 and 3), the study employed descriptive statistics as well as the difference-in-difference method in the analysis. Results indicated that the program’s implementation increased the likelihood of pregnant women delivering their children in a health facility and being attended by skilled personnel during giving birth by 43% and 53%, respectively, compared to if the program was not implemented. Moreover, the probability of a child’s health improvement increases by 82% when mothers use a bed net during pregnancy and after birth. The study also finds that it takes time for the impact of the program to be realized because, at the initial stage of the program’s implementation, people hesitate to attend health facilities due to misinformation in the health market and cultural beliefs about the new health information. We recommend that it is essential to analyze the quality of care in these facilities and whether the increase is uniformly distributed across different regions and socio-economic groups. Moreover, there is a need for sustained efforts in training healthcare workers and increasing community awareness about the benefits of skilled birth attendance. Supplementary Material File (manuscript massito-khalid.edited.docx) Download 62.86 KB Information & Authors Information Version history V1 Version 1 27 January 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords child health impact assessment maternal health Authors Affiliations John Geofrey Massito 0000-0002-5533-4054 [email protected] The University of Dodoma View all articles by this author Metrics & Citations Metrics Article Usage 187 views 110 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation John Geofrey Massito. Do health programs matter for health outcomes? An assessment of Tanzania's 2007--2017 Primary health service program. Authorea . 27 January 2025. DOI: https://doi.org/10.22541/au.173798710.06967315/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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