This paper examines the formal and informal regulatory relationships that shape the Tanzanian health care system. The main focus of the paper is on the consequences of norms of organisational culture and the nature of informal regulatory relationships for inequity and exclusion

Mackintosh, Maureen

Tibandebage, Paula

English

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

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

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