Do institutions matter? Examination of institutions for implementing policies for HIV prevention in Tanzania

Thumbnail Image
Journal Title
Journal ISSN
Volume Title
University of Dar es Salaam
HIV and AIDS have been catastrophic for decades forcing massive response from governments across the world. This work researched on the institutions for implementing policies for HIV prevention in Tanzania. It was designed to explain why HIV prevention services are producing contrasting results across regions in Tanzania. Specifically, three sampled cases were used for the purposes of this study: low HIV prevalence case (Dodoma region), high HIV Prevalence case (Njombe region) and high to low to “reversing” HIV prevalence case (Kagera region). The study employed institutionalism as a frame for analysis. Moreover the study relied largely on qualitative methods for data collection and analysis. The findings of the study show that the performance of the institutions with regards to the implementation of policy for HIV prevention is poor mainly owing to weak institutional configuration and linkage both vertically and horizontally causing major inconsistencies, gaps and omissions. Furthermore, the enforcement of institutions is constrained by growing clashes between the formal and formal rules on one hand and between formal and informal rules on the other hand leading to unfavourable conditions which in turn affects people’s acceptance attitude towards HIV prevention services. In addition to that, performance of the institutions is constrained by limited capacity indicated by shortages of human, financial and infrastructural resources. The study recommends harmonization of institutions for implementation of policy for HIV prevention.This will remove omissions, inconsistencies and gaps that have left some groups vulnerable to HIV. Furthermore, the government should ensure that there is adequate distribution and sustainability of resources for HIV prevention services, which consider specific demands of respective target populations.
Available in print form, East Africana Collection, Dr. Wilbert Chagula Library, Class mark (THS EAF RA643.86.T34K37)
HIV infections, Tanzania, Government policy, Prevention
Kassimu, H. (2016) Do institutions matter? Examination of institutions for implementing policies for HIV prevention in Tanzania,Doctoral dissertation, University of Dar es Salaam, Dar es Salaam.