Quantifying the Relationships Between Health Sector Strategic Planning Practices and Health Sector Results in Tanzania: A Cross-Sectional Study

IF 2.1 Q2 MEDICINE, GENERAL & INTERNAL

Health Science Reports Pub Date : 2025-04-10 DOI:10.1002/hsr2.70637

Mwandu Kini Jiyenze, Henry Mollel, Charles Tundui

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Abstract

Background and Aim

There is still limited evidence on the relationships between strategic planning practices and strategic results in the health sector. The study aimed to examine and quantify these relationships in Tanzania.

Methods

A cross-sectional study involving 290 council health managers from 23 councils was conducted. We used a questionnaire to collect data on health sector strategic planning practices and health sector results related to health sector strategic plan IV (HSSP). We analyze the data using descriptive methods analysis, factor analysis, and multiple regression analysis.

Results

Our findings showed separately that HSSP formulation practices had a positive, weak, and significant relationship with perceived health sector results; HSSP implementation practices had a positive, moderate, and significant relationship with perceived health sector results; HSSP monitoring and evaluation had a positive, strong, and significant relation with perceived health sector results. Furthermore, jointly, all the practices of HSSP formulation, implementation, and monitoring and evaluation were positively related to perceived strategic health sector results, and findings indicated that only HSSP implementation and monitoring and evaluation practices were significantly and positively related to the health sector results.

Conclusions

Our study provides additional evidence to the ongoing debate on the relationships between strategic planning practices and strategic results in the health sector and the public sector. Overall, our evidence suggests that only the HSSP implementation and HSSP monitoring and evaluation practices are significantly and positively related to strategic health sector results. We recommend that the council health managers continue to engage in the implementation, monitoring, and evaluation practices to enhance their chances of achieving the strategic results set out in the health sector strategic plans. We encourage future studies using longitudinal study design, objective and in other settings.

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