TY - JOUR AU - Maluka, Stephen AU - Chitama, Dereck AU - Dungumaro, Esther AU - Masawe, Crecensia AU - Rao, Krishna AU - Shroff, Zubin PY - 2018 DA - 2018/10/05 TI - Contracting-out primary health care services in Tanzania towards UHC: how policy processes and context influence policy design and implementation JO - International Journal for Equity in Health SP - 118 VL - 17 IS - 1 AB - Governments increasingly recognize the need to engage non-state providers (NSPs) in health systems in order to move successfully towards Universal Health Coverage (UHC). One common approach to engaging NSPs is to contract-out the delivery of primary health care services. Research on contracting arrangements has typically focused on their impact on health service delivery; less is known about the actual processes underlying the development and implementation of interventions and the contextual factors that influence these. This paper reports on the design and implementation of service agreements (SAs) between local governments and NSPs for the provision of primary health care services in Tanzania. It examines the actors, policy process, context and policy content that influenced how the SAs were designed and implemented. SN - 1475-9276 UR - https://doi.org/10.1186/s12939-018-0835-8 DO - 10.1186/s12939-018-0835-8 ID - Maluka2018 ER -