In Tanzania, health facility governing committees (HFGCs) were introduced at all levels of the health system as a mechanism for improving accountability between health care providers and communities. The aim of this study was to examine the pre-conditions for the effective functioning of the committees, both in terms of representing community voice and in improving health worker performance and resource mobilisation in relation to the Community Health Fund, a voluntary health insurance scheme over which the committees have some responsibility. The role of interpersonal and institutional trust among and between health facility governing committee members and other groups/committee in the community were also considered in the effective operation of health facility governing committees.
Macha, J.; Mushi, H. P.; Borghi, J. Examining the links between accountability, trust and performance in health service delivery in Tanzania. (2011) 67 pp.