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Health Services Contracting in Tanzania: Nyakahanga District Designated Hospital

last updated Sep 27, 2011

Overview

Implementing organization: 
Nyakahanga District Designated Hospital
Legal Status: 
Public-private partnership
Year Launched: 
1992
Stage: 
Existing/expansion stage

Funding

Primary Source of Funding: 
Government
Funders: 
Ministry of Health
Summary: 

The Nyakahanga hospital is the only hospital in the district and has operated as a referral center since 1972. In 1992, a contract was signed between the Diocese of Karagwe and the Ministry of Health.

Key program components: 

Nyakahanga District Designated Hospital (NDDH) belongs to the Evangelical Lutheran Church of Tanzania (ELCT) and is located in the North West of the country (Lake Victoria) in the Kagera region, in the district of Karagwe, near the small town of Kajanga. The Kagera region is special in Tanzania because faith-based health facilities are in the majority there: 10 out of 13 hospitals (2005) belong to the church.

The Nyakahanga hospital is the only hospital in the district and has operated as a referral center since 1972. In 1992, a contract was signed between the Diocese of Karagwe and the Ministry of Health. A model contract was signed without amendments or revisions.

All private not for profit health formations that register with the MOH are in principle marked on the national health map. Within this group, hospitals benefit from direct state support. We distinguish the different cases:

  • The “Voluntary Agencies” (VAs) is the category under which all accredited faith-based hospitals a priori fall. These VAs have only potentially been involved in the contracting process since 2007 and the creation of service agreements. The latter define a series of operating criteria linked to state benefits dependent on achieving fixed objectives or performance indicators. If there are no service agreements, the VAs are only entitled to limited support from the Basket Fund managed by the local government.
  • The District Designated Hospital (DDH) are VAs officially designated (by contract) by the MOH as district referral facilities. DDHs benefit simultaneously from 1) a Block Grant of the Ministry of Health and 2) a part of the local Basket Fund.
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