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equity implications of health sector user fees in tanzania

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ANNEX 4 TOOL FOR ANALYSIS OF POVERTY REDUCTION<br />

STRATEGY DOCUMENTS<br />

CHECKLIST FOR THE ANALYSIS OF THE TANZANIA PRSP<br />

a. General<br />

1. What are the key policies and <strong>sector</strong>s <strong>in</strong> the PRSP?<br />

2. What are the central values? Does the PRSP explicitly mention (and def<strong>in</strong>e) <strong>equity</strong>? Does the<br />

PRSP explicitly mention the poor?<br />

b. What is the role/attention for <strong>health</strong> and the <strong>health</strong> <strong>sector</strong>?<br />

3. How frequently does the PRSP refer to ‘<strong>health</strong>’ and <strong>health</strong> related issues?<br />

It mentions ‘<strong>health</strong>’ … times<br />

4. In the context <strong>of</strong> poverty reduction, does the PRSP explicitly assign a particular role or<br />

function to <strong>health</strong>?<br />

� It does:<br />

� It does not<br />

b. To what extent does the PRSP def<strong>in</strong>e poverty (evidence-based <strong>health</strong> policy mak<strong>in</strong>g)?<br />

5. Does the PRSP def<strong>in</strong>e poverty?<br />

� It does:<br />

� It does not<br />

6. Does the PRSP mention studies that have measured the scope, depth and distribution <strong>of</strong><br />

poverty (e.g. Liv<strong>in</strong>g Standard Measurement Surveys, household surveys, liv<strong>in</strong>g conditions<br />

surveys, Qualitative Poverty Assessments, Participatory Poverty Assessments?)<br />

� It does:<br />

� It does not<br />

7. Does the PRSP identify the poor (particular groups <strong>of</strong> people)?<br />

� It does:<br />

� It identifies societal poverty averages only<br />

� It does not<br />

8. Does the PRSP identify the poorest geographical regions?<br />

� It explicitly does<br />

� It addresses the regional distribution <strong>of</strong> poverty, but does not specifically identify the<br />

poorest regions<br />

� It does not<br />

9. Is gender identified as a social dimension <strong>of</strong> poverty?<br />

� It is<br />

� It is not<br />

c.1 To what extent does the PRSP address <strong>health</strong> from a pro-poor perspective (<strong>health</strong>specific<br />

analysis: evidence-based <strong>health</strong> policy mak<strong>in</strong>g)<br />

10. Does the PRSP mention studies that have measured the burden <strong>of</strong> disease among the poor<br />

(e.g. Demographic and Health surveys)?<br />

� It does:<br />

� It mentions studies that have measured the burden <strong>of</strong> disease among the population, but<br />

does not explicitly refer to the poor<br />

� It does not<br />

Equity Implications <strong>of</strong> Health Sector User Fees <strong>in</strong> Tanzania XV

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