Browsing Bergen Open Research Archive by Author "Songstad, Nils Gunnar"
Now showing items 1-8 of 8
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Accountable priority setting for trust in health systems - the need for research into a new approach for strengthening sustainable health action in developing countries
Byskov, Jens; Bloch, Paul; Blystad, Astrid; Hurtig, Anna-Karin; Fylkesnes, Knut; Kamuzora, Peter; Kombe, Yeri; Kvåle, Gunnar; Marchal, Bruno; Martin, Douglas K.; Michelo, Charles Cheembo; Ndawi, Benedict; Ngulube, Thabale J.; Nyamongo, Isaac; Olsen, Øystein Evjen; Onyango-Ouma, Washington; Sandøy, Ingvild Fossgard; Shayo, Elizabeth H.; Silwamba, Gavin; Songstad, Nils Gunnar; Tuba, Mary (Peer reviewed; Journal article, 2009-10-24)Abstract Despite multiple efforts to strengthen health systems in low and middle income countries, intended sustainable improvements in health outcomes have not been shown. To date most priority setting initiatives in ... -
Assessing performance enhancing tools: experiences with the open performance review and appraisal system (OPRAS) and expectations towards payment for performance (P4P) in the public health sector in Tanzania
Songstad, Nils Gunnar; Lindkvist, Ida; Moland, Karen Marie; Chimhutu, Victor; Blystad, Astrid (Peer reviewed; Journal article, 2012-09-10)Background Health workers’ motivation is a key determinant of the quality of health services, and poor motivation has been found to be an obstacle to service delivery in many low-income countries. In order to increase the ... -
The decentralisation-centralisation dilemma: recruitment and distribution of health workers in remote districts of Tanzania
Munga, Michael Aloyce; Songstad, Nils Gunnar; Blystad, Astrid; Mæstad, Ottar (Peer reviewed; Journal article, 2009-04-30)Background: The implementation of decentralisation reforms in the health sector of Tanzania started in the 1980s. These reforms were intended to relinquish substantial powers and resources to districts to improve the ... -
Health worker motivation in a low-income context. The case of rural health services in Tanzania
Songstad, Nils Gunnar (Doctoral thesis, 2012-10-05)Background: The optimism from the early post-colonial period in sub-Saharan Africa, with the effort to provide good health services was in many countries challenged by severe economic problems a few decades later. The focus ... -
The inescapable question of fairness in Pay-for-performance bonus distribution: A qualitative study of health workers' experiences in Tanzania
Chimhutu, Victor; Songstad, Nils Gunnar; Tjomsland, Marit; Mrisho, Mwifadhi; Moland, Karen Marie (Peer reviewed; Journal article, 2016-11-25)Background: During the last decade there has been a growing concern about the lack of results in the health sectors of many low income countries. Progress has been particularly slow in maternal- and child health. Prompted ... -
Introducing payment for performance in the health sector of Tanzania- the policy process
Chimhutu, Victor; Tjomsland, Marit; Songstad, Nils Gunnar; Mrisho, Mwifadhi; Moland, Karen Marie (Peer reviewed; Journal article, 2015-09-02)Background: Prompted by the need to achieve progress in health outcomes, payment for performance (P4P) schemes are becoming popular policy options in the health systems in many low income countries. This paper describes ... -
Perceived unfairness in working conditions: the case of public health services in Tanzania
Songstad, Nils Gunnar; Rekdal, Ole Bjørn; Massay, Deodatus Amadeus; Blystad, Astrid (Peer reviewed; Journal article, 2011-02-12)Background: The focus on the determinants of the quality of health services in low-income countries is increasing. Health workers’ motivation has emerged as a topic of substantial interest in this context. The main objective ... -
Why do health workers in rural Tanzania prefer public sector employment?
Songstad, Nils Gunnar; Moland, Karen Marie; Massay, Deodatus Amadeus; Blystad, Astrid (Peer reviewed; Journal article, 2012-04-05)Background: Severe shortages of qualified health workers and geographical imbalances in the workforce in many low-income countries require the national health sector management to closely monitor and address issues related ...