An Essential Health Benefit (EHB) is a policy intervention designed to direct resources to priority areas of health service delivery to reduce disease burdens and ensure equity in health. Mainland Tanzania’s most recent benefit package – the National Essential Health Care Interventions Package-Tanzania (NEHCIP-TZ) – describes the EHB as a minimum or “limited list of public health and clinical interventions.” The package identifies where priorities are set for improved public health. This report shows the challenges of turning a policy ‘wish list’ and package into a reality of services that can be accessed across different facility levels. This report describes the evolution of mainland Tanzania’s EHB; the motivations for developing the EHBs, the methods used to develop, define and cost them; how it is being disseminated, communicated, and used; and the facilitators (and barriers) to its development, uptake or use. Findings presented in this report are from three stages of analysis: literature review, key informant perspectives and a national consultative meeting. The case study on Tanzania was implemented in a research programme of the Regional Network for Equity in Health in East and Southern Africa (EQUINET) through Ifakara Health Institute (IHI) and Training and Research Support Centre (TARSC). The programme is being implemented in association with the East Central and Southern African Health Community, supported by IDRC (Canada).
Equitable health services, Public-private mix, Resource allocation and health financing
Title of publication EQUINET discussion paper 109: A case study of the Essential Health Benefit in Tanzania mainland
Date of publication
A case study of the Essential Health Benefit in Tanzania mainland,’ EQUINET discussion paper 109, IHI, EQUINET, Tanzania
Essential health benefit; Tanzania
Equinet Publication Type