The effect of fertility on female labour force participation in Tanzania.

Country's economic growth depends among other factors on the extent to which labour particularly female labour force participates on economic growth enhancing activities. Being the largest contributor in economic activities particularly agriculture in developing countries (over 50%), their participation enables economies to grow in response to higher labour inputs injected. As an outcome, as countries develop; women's capabilities typically improve as well, whereas social constraints weaken, which enables females to participate on work outside the home. However, the existing literature on this topic is scant and has mixed results. This study sought to analyse female fertility rate and its influence on provision of labour in Tanzania using females aged 15-49 years from the Tanzania Demographic and Health Survey 2015-2016. The study used instrumental variable-probit and a two-stage residual inclusion as methods of analysis. Results showed that, an increase in female's fertility rate reduces participation of females in provision of market labour by about 1.1-13%. Similarly, household size, education, contraceptive use, self-employment of their husbands and residing in rural areas was associated with increased participation while female's age exhibited an inverted U-shaped relationship with female participation. The results imply that, to foster a more sustainable female participation in labour force, family planning, educating females as well as fostering self-employment and improving rural infrastructures is inevitable.

Equity in the public social healthcare protection in Tanzania: does it matter on household healthcare financing?

Efforts to promote equity in healthcare involve implementing policies and programs that address the root causes of healthcare disparities and promote equal access to care. One such program is the public social healthcare protection schemes. However, like many other developing countries, Tanzania has low health insurance coverage, hindering its efforts to achieve universal health coverage. This study examines the role of equity in public social healthcare protection and its effects on household healthcare financing in Tanzania. The study used secondary data collected from the National Bureau of Statistics' National Panel Survey 2020/21 and stratified households based on their place of residence (rural vs. urban). Moreover, the logit regression model, ordered logit, and the endogenous switching regression model were used to provide counterfactual estimates without selection bias and endogeneity problems. The results showed greater variations in social health protection across rural and urban households, increasing disparities in health outcomes between these areas. Rural residents are the most vulnerable groups. Furthermore, education, income, and direct healthcare costs significantly influence equity in healthcare financing and the ability of households to benefit from public social healthcare protection schemes. To achieve equity in healthcare in rural and urban areas, developing countries need to increase investment in health sector by reducing the cost of healthcare, which will significantly reduce household healthcare financing. Furthermore, the study recommends that social health protection is an essential strategy for improving fair access to quality healthcare by removing differences across households and promoting equality in utilizing healthcare services.

Analysis on the equity differential on household healthcare financing in developing countries: empirical evidence from Tanzania, East Africa.

BACKGROUND: Achieving equity in healthcare services has been a global priority. According to the literature, a slew of initiatives aimed at increasing household equity in healthcare financing have exacerbated the problem, making it hard for most developing countries to understand the real cause of the problem. METHOD: The non-experimental research design has been used to explore the Tanzania Panel Survey (NPS) data 2019/2020, to investigate equity differential in household healthcare financing in Tanzania by the use of conventional instrumental variable methods of Two-stage and Three-stage least square methods RESULTS: Despite the global agenda of universal health coverage, this paper reveals that 86 percent of Tanzania lacks health insurance with a high degree of inequitable distribution of health facilities as 71.54 percent of the population is in rural areas, yet these areas have poor health systems compared to urban ones. These disparities increase pressure on household healthcare financing and widen the inequity and equality gaps simultaneously. Additionally, a household's income, education, health care waivers, out-of-pocket expenditure, and user fees have been found to have a significant impact on household equity in healthcare financing. CONCLUSION: To reverse the situation and increase equity in household healthcare financing in most developing countries, this paper suggests that an adequate pooling system should be used to allow more people to be covered by medical prepayment programs, and the donor-funded programs in developing countries should focus on health sector infrastructure development and not the capacity building.