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• W4288743061 abstract "Abstract Today’s challenges such as automation, climate change, ageing populations, pandemics and deployment of artificial intelligence, have unpredictable and unintended consequences at both global and individual levels. Similarly, complex systems have become the norm rather than the exception. In this environment, “reactive” approaches to policy-making have increasingly proven ineffective. We need, therefore, to invest in anticipation policy for sustainable development. Formulating sustainable policies in developing states has been a challenge. This paper builds on Sociological Institutionalism in its attempt to discern the role of institutions in policy-making in Tanzania. The study used archival data from the Ministry of Health, Community Development, Gender, the Elderly and Children ( MHCDGEC ) with the National Health Policy of 2007 as the case study guided by Boomerang, Earthquake, Stalactite, and Tortoise ( BEST ) scheme for studying patterns of institutional change. The findings indicate that the policy-making process in Tanzania failed to domesticate some regional guidelines such as the African Agenda 2063, especially goal number three (3). However, pragmatically, the policy has registered stead increase in health facilities and improved services while politically the policy is viewed as a success as one of the pledges made in the ruling party’s manifesto that is being implemented in Tanzania. This paper concludes that Tanzania still embraces the pattern; and that it is the fidelity to the erstwhile policy-making style, which is centralized, hierarchical and managerial-a typical coercive isomorphism. Policy-making is still dominated by the central government while excluding other stakeholders such as communities. To improve policy-making in Tanzania, the paper recommends enhancement of the space for grassroots participation, domestication of regional and global policy agenda and imposition of a limitation upon the power of the elite." @default.
• W4288743061 created "2022-07-30" @default.
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• W4288743061 date "2022-06-28" @default.
• W4288743061 modified "2023-09-28" @default.
• W4288743061 title "Policy-Making in Tanzania: A Critical Analysis of Emerging Trends and Challenges in the Context of Health Policy" @default.
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• W4288743061 doi "https://doi.org/10.1163/1821889x-12340068" @default.
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