Table 2.

Composition, functions, and roles of the health facility committees and boards in Tanzania

Composition		Functions and roles
1.	Regional Health Management Team (RHMT) consists of 8 core members: the Regional Medical Officer (chairperson), Regional Nursing Officer, Regional Laboratory Technician, Regional Health Officer, Regional Pharmacist, Regional Dental Officer, District Regional Health Secretary (secretary), and Regional Social Welfare Officer.	Technical advisors to CHMT Prepare regional annual health plans Discuss and approval health plans, budget and reports from the CHMT
2.	The Council Health Service Board (CHSB) consists of 11 members: 4 non-vote members (DMO, RHMT, Planning Officer and representative from the hospital) and 7 vote members including 4 elected community members of whom at least 2 should be female. Other 3 members are 2 representatives from private-service providers and chairperson of social services committee of the council Qualification is secondary education and above and of age 25–70 years	Identify, mobilize and solicit financial resources Ensure delivery of healthcare services Discuss and approval health plans, budgets, and reports from the CHMT Support CHMT in managing and administering health resources Promote community involvement through sensitization Liaise with other partners with similar interests.
3.	Council Health Management Team (CHMT) consists of 8 core members: the District Medical Officer (chairperson), District Nursing Officer, District Laboratory Technician, District Health Officer, District Pharmacist, District Dental Officer, District Health Secretary (secretary), and District Social Welfare Officer.	Prepare district annual health plans Ensure implementation of health activities by hospitals, health centers, dispensaries, and communities Ensure that data are used by health workers to plan and implement interventions Monitor and evaluate implementation of health activities in the district.
4.	The Hospital Governing Committee is established at the hospital and consists of 10 members: seven vote members (2 service users, 1 from health center committee, 1 DC, 1 from voluntary facility and 1 from NGO); and 3 non-vote members (medical officer in-charge, office of the DMO, and a representative from the CHSB).	Oversee management of resources at the hospital Discuss and pass proposals and budgets for the hospital and submit to the council through CHSB Discuss implementation report from hospital management team Inform communities on hospital plans and its implementation.
5.	Health Centre Committees are composed of 8 members: 6 vote members (3 service users, 1 from dispensary committee, 2 from private providers); and 2 non-vote members (head of the facility and 1 from WDC).	Discuss implementation reports prepared by the Health Centre Management Team Identify and solicit financial resources for running Health Centre Services Advice and recommend to the CHSB on human resources development in terms of recruitment, training, deployment, and motivation
6.	Dispensary Committees are composed of 8 members: 5 vote members (3 service users, 2 from private providers); and 3 non-vote members (1 from WDC, 1 from village government and 1 head of the dispensary).	Discuss and pass dispensary plans and budgets; identify and solicit funds; Assist Dispensary Management team in planning and managing community-based initiatives Ensure delivery of appropriate services

Source: From Ref. (20).