Institutional cultures and regulatory relationships in a liberalising health care system: a Tanzanian case study

Tibandebage, Paula and Mackintosh, Maureen (2002). Institutional cultures and regulatory relationships in a liberalising health care system: a Tanzanian case study. In: Heyer, Judith; Stewart, Frances and Thorp, Rosemary eds. Group Behaviour and Development: Is the Market Destroying Cooperation? Wider Studies in Development Economics. Oxford, UK: Oxford University Press, pp. 271–289.

DOI: https://doi.org/10.1093/oso/9780199256914.003.0013

Abstract

This paper draws on a study of the formal and informal regulatory relationships that shape the Tanzanian health care system. Liberalization of private for-profit health care practice in Tanzania, and the introduction of officially set fees in government health care facilities, date from the early 1990s; before that, only government facilities and those owned by religious bodies were allowed to operate. The fieldwork on which this paper is based, undertaken in 1998, provides a set of observations, from staff, patients, and household members, of one moment in an emerging mixed (public/ private/ religious and non-governmental) health care system that is still changing rapidly.

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