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equity implications of health sector user fees in tanzania

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11. Does the PRSP identify the burden <strong>of</strong> disease among the poor?<br />

� It explicitly describes the diseases that are most commonly found among the poor<br />

� It describes the burden <strong>of</strong> disease among the population, but does not explicitly refer to<br />

the poor<br />

� It does not explicitly describe the population <strong>health</strong> status, except for an overview <strong>of</strong><br />

social/<strong>health</strong> <strong>in</strong>dicators<br />

12. Does the PRSP mention studies that have analyzed why the <strong>health</strong> system fails to serve the<br />

poor?<br />

� It explicitly does:<br />

� It implicitly does:<br />

� It mentions studies that have analyzed the constra<strong>in</strong>ts <strong>of</strong> the <strong>health</strong> system, but does not<br />

explicitly refer to the poor<br />

� It does not<br />

13.a Does the PRSP identify why the <strong>health</strong> system fails to serve the poor?<br />

� It explicitly describes why the <strong>health</strong> system fails to serve the poor:<br />

� It describes why the <strong>health</strong> system fails to serve the population, but does not explicitly<br />

refer to the poor:<br />

� It does not describe the constra<strong>in</strong>ts <strong>of</strong> the <strong>health</strong> care system<br />

13.b Does the PRSP identify what groups do not have access to <strong>health</strong> care (disabled people,<br />

HIV/AIDS clients):<br />

� It does:<br />

� It does not<br />

13.c Does the PRSP describe exist<strong>in</strong>g f<strong>in</strong>ancial barriers to <strong>health</strong> care, particularly for the poor?<br />

� It does:<br />

� It does not<br />

c.2 Health <strong>sector</strong> strategy and policies<br />

14. What are the overall objectives <strong>of</strong> the strategy and how are they subdivided <strong>in</strong>to pillars or<br />

themes?<br />

15.a Does the PRSP explicitly mention the central values underly<strong>in</strong>g the strategy?<br />

� It does:<br />

� It does not explicitly mention these values, but it is possible to identify them (implicit<br />

values):<br />

15.b Does the PRSP explicitly mention <strong>equity</strong> as a central value underly<strong>in</strong>g the strategy?<br />

� It does:<br />

� It does not, but it does explicitly mention<br />

16. Does the strategy <strong>in</strong>clude specified strategies and a detailed time-l<strong>in</strong>e? Is the strategy<br />

budgeted and what level <strong>of</strong> detail is presented?<br />

17. Is the strategy based on poverty-related <strong>health</strong> data (evidence-based)?<br />

� The strategy targets the named poorest regions<br />

� The strategy targets the named poorest and vulnerable groups<br />

� The strategy targets the burden <strong>of</strong> disease among the poor (HIV/AIDS, communicable<br />

diseases)<br />

� The strategy targets those services that are known to benefit the poor (primary <strong>health</strong><br />

care, sexual and reproductive <strong>health</strong>, child <strong>health</strong>, etc)<br />

� The strategy <strong>in</strong>cludes the <strong>health</strong> needs <strong>of</strong> (poor) women<br />

18. Does the strategy <strong>in</strong>clude (re)allocation proposals, <strong>in</strong>clud<strong>in</strong>g to the poorest regions and the<br />

<strong>health</strong> services that predom<strong>in</strong>antly benefit the poor?<br />

� It does:<br />

� It does, but without explicitly mention<strong>in</strong>g the poor:<br />

� It does not<br />

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

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