The Decentralized Health Delivery System in Tanzania: Analysis of Implementation Problems

Ten years after the introduction of decentralization policy in 1972, which involved transfer of significant powers and functions to the regions and districts, it was realized that the intended objectives of the policy were not achieved nor did the health situation significantly improved . This paper will focus on the question why the health policy objectives were not achieved. It hypothesizes that one of its instruments - decentralization of health services has not been adequately used and complemented.