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International Journal Of Engineering, Business And Management(IJEBM)

Factors Affecting Consumer Health Care Services Delivery in Private Health Facilities: A Case of Kamanga Medics Hospital- Mwanza

Salome Reuben Charles , Dr. N. Viswanadham

International Journal of Engineering, Business And Management(IJEBM), Vol-6,Issue-2, March - April 2022, Pages 155-164 , 10.22161/ijebm.6.2.13

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Article Info: Received: 28 Mar 2022; Received in revised form: 15 Apr 2022; Accepted: 20 Apr 2022; Available online: 28 Apr 2022


Background: In 2007, the government of the republic of Tanzania has launched the Primary Health care services development programme as one of the renewed efforts to effectively engage the healthy sector in poverty reduction strategies. The study was dealing with evaluation on the factors that affects health services delivery to private hospital facilities Method: Data was collected from 169 patients who are customers of KMH and two sampling techniques were used, namely purposive sampling and random sampling. The study use questionnaire and interviews together with documentary review together information concerning the study objective. Quantities data were analyzed through SPPS data were coded ruined to observe to which percent the variables were significant or not significant towards research objectives. Results: The study finding that there are factors that are challenges towards delivering health services to patients including absence of good communication, customer care, shortage number of health professionals and most of patients are not attended on time, however on other hand study discover that there factors pull health services delivery including presence of social media, good infrastructures that support patients from far and presence of NHIF services to KMH. Recommendations: This study recommends that Private Public Partnership should be more emphasized and applied in health sector for the aim of improving health survives delivery to patients. Conclusion: The study concludes that although much has been done over many years to restructure the health care system and to improve the quality of care being rendered to patients, the literature reveals that a lot of people in Mwanza city still suffer from getting quality health services from health facilities including hospitals which are owned by private institutions.

consumer, health care, service delivery, health facilities

[1] Abid Hussain, Muhammad Safdar Sial, Sardar Muhammad Usman, Jinsoo Hwang, Yushi Jiang, and Awaisra Shafiq (2019), What Factors Affect Patient Satisfaction in Public Sector Hospitals: Evidence from an Emerging Economy Available from https://res.mdpi.com/d_attachment/ijerph/ijerph-16-00994/article_deploy/ijerph-16-00994.pdf
[2] Al-Doghaither, A., Abdelrhman, B., Saeed, A. and Magzoub, M.E. (2003), Factors Influencing Patient Choice of Hospitals in Riyadh, Saudi Arabia, The Journal of The Royal Society for the Promotion of Health.
[3] Bazie,G. W., &Adimassie, M. T. (2017). Modern health services utilization and associated factors in North East Ethiopia. 1–10
[4] Bryman, A. (2001), Social Research Method. Collage Los Angel Centre
[5] Chomi, E. N., Mujinja, P. G. M., Enemark, U., Hansen, K., & Kiwara, A. D. (2014). Health care seeking behaviour and utilisation in a multiple health insurance system : does insurance affiliation matter ? International Journal for Equity in Health, 13(1), 1–11. https://doi.org/10.1186/1475-9276-13-25
[6] Dickson, N. (1997). Theory of professional caring. ACM, pp 10: 23 – 28
[7] Hoffman, A. (2019). Barriers and facilitators to enrollment and re-enrollment into the community health funds / Tiba KwaKadi (CHF/TIKA) in Tanzania : a cross-sectional inquiry on the effects of socio-demographic factors and social marketing strategies. 1–9.https://doi.org/10.1186/s12913-017-2250-z
[8] Kalaja R, Myshketa R, Scalera F (2016). Service Quality Assessment in Health Care Sector: The Case of Durres Public Hospital’, Procedia- Social and Behavioral Sciences. The Author(s): 557–565.
[9] Kalolo, A., Radermacher, R., Stoermer, M., Meshack, M., &Allegri, M. De. (2018). Factors affecting adoption, implementation fidelity, and sustainability of the Redesigned Community Health Fund in Tanzania: a mixed methods protocol for process evaluation in the Dodoma region. 1, 1–12.
[10] Kapologwe, N. A., Kagaruki, G. B., Kalolo, A., Ally, M., Shao, A., Meshack, M (2019), Health services delivery in public and private health facilities
[11] Kim, Y. E., & Lee, J. W. (2018). Relationship between corporate image and customer loyalty in mobile communications service markets. African Journal of Business Management, 4(18), 4035–4041.
[12] Kothari C.R (2004).Research Methodology: New Age International Publisher.Newdelhi,India.
[13] Lankarani KB, et al. (2016). Satisfaction Rate Regarding Health-care Services and Its Determinant Factors in SouthWest of Iran: A Population-based Study. International journal of preventive medicine, 7: 122.
[14] Laurence Alpay et all (2020), Current Challenge in Consumer Health Informatics: Bridging the Gap between Access to Information and Information Understanding, United State of America (USA), Available at https://www.researchgate.net/profile/Laurence-Alpay/publication/43343375_Current_Challenge_in_Consumer_Health_Informatics_Bridging_the_Gap_between_Access_to_Information_and_Information_Understanding/links/0deec52b02b9f3d113000000/Current-Challenge-in-Consumer-Health-Informatics-Bridging-the-Gap-between-Access-to-Information-and-Information-Understanding.pdf?origin=publication_detail
[15] Ministry of Health and Social Welfare (MOHSW), (2016), National Health Policy. Dar es Salaam
[16] MOHSW (2007) Health Sector Annual Review Documentation [2007-2009]. Ministry of Health and Social Welfare, Dar es Salaam, Tanzania
[17] Mpambije, C. J. (2017). Decentralization of Health Systems and the Fate of Community Health Fund in Tanzania : Critical Review of High and Low Performing Districts. 5(2), 136–144. https://doi.org/10.11648/j.sjph.20170502.21
[18] Mwita JI (2000), Performance management model: A systemsbased approach to public service quality. International Journal of Public Sector Management 13 (1): 19-37
[19] Oe, D., Adeniran, A., & Tm, A. (2018).Patients’ satisfaction with the quality of services accessed under the National Health Insurance Scheme at a Tertiary Health Facility in FCT Abuja, Nigeria. Journal of Community Medicine and Primary Health Care, 30(2), 90–97
[20] Parasuraman A, Berry LL and Zeithaml VA (1991) Understanding Customer Expectations of Service. Sloan Management Review 32 (3): 39-48.
[21] Shi, Y. Prentice, C., & He, W. (2014). Linking service quality, customer satisfaction and loyalty in casinos, doesmembership matter? International Journal of Hospitality Management, 40, 81–91. https://doi.org/10.1016/j.ijhm.2014.03.013
[22] WHO (2018). Quality of care: a process for making strategic choices in health systems. WHO Press, France
[23] Winnie T. Maphumulo and Busisiwe R. Bhengu (2019) Challenges of Quality Improvement In The Healthcare Of South Africa Post-Apartheid: A Critical Review. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6556866/