Analytical works


Health Sector Budget Analysis: For fiscal year 2017/2018

This brief report provides a brief analysis of the Ministry of Health Community Development, Gender, Elderly and Children (MOHCDGEC) budgets of the financial years 2016/17 and budget estimates of 2017/18 considering key objectives of the ministry. Further, this brief analysis provides a general review of MOHCDGEC’s budget for the past five years. The objective of this brief is to present a summary analysis of the MOHCDGEC’s budget to health sector’s stakeholders for advocacy. This brief is being shared with members of the parliament, media houses, Public and various Health service providers


Health Sector Budget Analysis: For Fiscal Year 2015/2016

A health sector budget analysis was conducted looking at the government’s fiscal priorities and financial estimates for the fiscal year 2015/16. Information was gathered from the Ministry of Health and Social Welfare’s memorandum and the budget books volume II, III and IV. The government has allocated 8.1% of the total budget to health, which falls short of the Abuja target of 15%. With such severe funding shortages, it is unlikely that the government is able to achieve its goals in important areas such as human resources for health, HIV/AIDS and medicines and medical supplies. Sikika recommends expediting the planned introduction of mandatory health insurance, which will help to reduce the funding gap.


Uchanganuzi wa Bajeti ya Sekta ya Afya: Kwa Mwaka wa Fedha 2015/2016

Uchanganuzi wa bajeti ya sekta ya afya ulifanyika kwa kuangalia vipaumbele vya serikali kifedha na makadirio ya fedha kwa mwaka wa fedha 2015/16. Taarifa zilikusanywa kutoka katika Ripoti za Wizara ya Afya na Ustawi wa Jamii (Randama) na vitabu vya bajeti juzuu ya II, III na IV. Serikali imetenga 8.1% ya jumla ya bajeti ya afya, ambayo ni pungufu ya lengo la Abuja la 15%. Kwa upungufu huo mkubwa wa fedha, hakuna uwezekano wa serikali kufikia malengo yake katika maeneo muhimu kama vile rasilimali watu kwa ajili ya afya, VVU/UKIMWI na dawa na vifaa tiba. Sikika inapendekeza kuharakisha kuanzishwa kwa bima ya afya ya lazima kwa wote, ambayo itasaidia kupunguza pengo la fedha.

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Ilani ya Uchambuzi wa baadhi ya vyama vya Siasa (2010-2015)

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Sikika ilifanya uchambuzi wa ilani za vyama vinne vya siasa za mwaka 2010 -2015 ili kufikia malengo makuu mawili. Kwanza, kubaini ahadi za vyama vya siasa kuwafikishia wananchi huduma za afya katika maeneo manne muhimu ambayo ni utawala bora, usimamizi wa fedha na rasilimali watu - afya, dawa, vifaa tiba na huduma za UKIMWI na Virusi vya UKIMWI (VVU) kupitia ilani zao.






Sikika in the news 2014

ana1Sikika has been engaging in sharing public advocacy massages and information through print media by sharing press releases, statements and through written articles. The aim is to inform Tanzanians about health policy and governance issues, as well as urging the citizens to take action by demanding their right to quality health services.





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Unnecessary Expenditures:2009/10–2013/14

 unnecessaryTo get the chronically under- funded health system on its feet, unnecessary spending needs to be curbed by ensuring prudential costing of all budget activities.





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The MoHSW’s Budget Proposal 2013 - 2014

Screen Shot 2013 12 19 at 2.38.58 PM 220x300 In the fiscal year 2013/14, the Ministry of Health and Social Welfare plans to spend TSH 748.3 billion (bn). This is an increase of TSH 172 billion (+30%) compared to the previous fiscal year’s approved budget of THS 576 bn





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The Right to Health in Tanzania 2014

Tanzania is a country that has experienced continuous economic growth during the past years. But despite increasing tax revenues, the Government struggles to ensure availability and equal access to health facilities, essential goods and services for all of its citizens....

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Haki ya Afya Tanzania 2014

Screen Shot 2014 03 07 at 5.03.56 PM 210x300Uchambuzi wa Sikika kuhusu Rasimu ya Pili ya Katiba mpya. Waraka huu unawasilisha maoni ya Sikika juu ya vipengele vya sheria vilivyomo na visivyokuwemo kuhusiana na haki ya afya. Tunawakaribisha wadau wote kuunga mkono mchakato huu katika kushauriana na kujadili...





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Public Distribution of Medicines and Medical Supplies: Challenges and Resolutions - 2013

The substantial increase in population in Tanzania calls for increase in the provision of social services including access to medicine and medical supplies at public health facilities. In addition, this increase in demand requires management and coordination of activities within the system that would ensure optimum performance leading to improved service availability. 


Fight against Malaria: Use SMS for Life System - 2013

Malaria is the number one cause of morbidity and mortality in Tanzania mainland, where 93% of the population are placed at risk of suffering from the disease About 14-18 million clinical malaria cases are reported annually contributing to over 40% of all outpatient attendances...


Mpina's Speech on Unnecessary Expenditures 2013

UFISADI uliokithiri na alichokisema mbunge wa CCM Luhaga Mpina juu ya ufisadi wa kutisha serikalini


CCM MP Luhaga Mpina’s Private Motion on Rampant Corruption in the government 2013

IN accordance with section 28(8), may I now table my private motion regarding the government’s recurrent expenditure that exceeds internal revenue that has led to the increment in the national debt. Download

MoFEA unnecessary Expenditures 2013

Moral and Ethical Dilemma During Medical Doctors’ Strike in Tanzania in 2012

In Tanzania, medical doctors undergo five-years of intensive university training, largely financed by public resources, after which they take a ‘modified’ Hippocratic oath and are awarded a Doctor of Medi- cine degree. 


Stakeholders’ Meeting in Pharmaceutics - 2012

In November 2012, Sikika invited stakeholders in pharmaceuticals’ procurement and supply system from various parts of the country, to take part in a one-day stakeholders’ meeting to brainstorm on challenges facing the procurement and distribution of medicines and medical supply systems in the public sector and to provide recommendations on how to address the identified challenges.  


Tanzanian Health Sector Budget analysis 2005/06 – 2011/12

For the past 6 years, Sikika has been analyzing the health sector budget by giving objective recommendations to the government on areas where it could make improvements and by occasionally commending it for good decisions that improve health services for the Tanzanian citizens. 



Transparency is vital for an effective and accountable government, especially at the local government level. It engenders the trust of citizens who demand services, as well as increasing the accountability of civil servants and local government officials.

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Failure to attain Abuja Declaration, Equity and Allowances in the Ministry of Health

abujaaThe Abuja Declaration and Framework of Action were signed by the African heads of states, including Tanzania, in April 2001. They aimed at managing, mitigating and reversing the health epidemics (HIV/AIDS, TB and Malaria) in Africa.





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Failure to att ain Abuja Declarati on, Equity and Allowances in the Ministry of Health, March 2012

failuire A Decade of Abuja Declarati on The Abuja Declarati on and Framework of Acti on were signed by the African heads of states, including Tanzania, in April 2001. They aimed at managing, mitigating and reversing the health epidemics (HIV/ AIDS, TB and Malaria) in Africa.





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Kiteto demands accountability on health issues 13, October 2012

A local Social Accountability Monitoring (SAM) team in Kiteto district, revealed some shocking findings affecting the welfare of Tanzanians in 16 health facilities visited recently.

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Budget Transparency and Participation at Local Government Level in Tanzania 2012

Transparency and participation in the budget process are important strategies for sustainable development. To play an active role in the realization of their basic rights, citizens need to have access to information and opportunities to hold local authorities accountable for the delivery of public services.


Medicines and Supplies Availability Survey May to August 2011

res3Medicines and medical supplies availability and accessibility are among the pre-requisite conditi on for the provision of quality health services in health facilities.












Health Sector Budget Analysis - 2010/2011

Sikika has been conducting budget analyses for the past 5 years. The purpose of these analyses is to gather as much information as possible about all public funds and resources available for the health sector.  


The Ineffectiveness of Complaints Mechanism in the Tanzanian Health Sector 2011

suggestionboxIn this policy brief, complaint is broadly - an expression of dissatisfaction about the standard of service provided by the Government in the public health facilities and therefore the effectiveness or ineffectiveness of complaint mechanism refers to ways through which citizens communicate their complaints and how complaints are being addressed to improve the services.




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The Ineffectiveness of the Tanzanian Accountability Framework - 2011

The Development Vision 2025 was formulated by the Tanzanian gov- ernment to give the nation a direction and philosophy for sustainable development of the people. Good governance and the rule of law were identi- fied as the key driving forces that are essential to improve the quality of life. This requires developing a culture in which citizens are able to hold their leaders and public servants accountable. 



This briefing paper examines whether financial auditing by the CAG has improved the financial management of public institutions by using the audit reports for the Ministry of Health and Social Welfare (MoHSW) from the years 1999 to 2010 as a case example. We use these reports to assess how the ministry has been responding to the recommendations that have been made by the Controller and Auditor General. We also present a summary of the questioned expenditures for each year under review.

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Abstract of budget for health sector - 2009/2010

Sekta ya afya ni moja kati ya sekta kuu muhimu nchini ambayo huchangia kwa kiasi kikubwa katika maendeleo ya jamii, kwani taifa isiyokuwa na nguvu kazi yenye afya bora haliwezi kuendelea.

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Rasimu ya upembuzi wa bajeti ya sekta ya afya - 2009/2010

Baadhi ya viashiria vya makisio ya hali ya uchumi na malengo ya kisera kwa
mwaka 2009/10-2011/12 (BG) yanalenga kufikia pato halisi la taifa kwa asilimia 7.0 katka mwaka 2009, 7.3% katika mwaka 2010 na 7.5% katika mwaka 2012.

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Abstract of budget analysis for HIV/AIDS - 2009-2010

Kwa kupitia nyaraka mbalimbali zilizoandaliwa na serikali, uchambuzi huu
unalenga kuangalia mgawanyo wa fedha za UKIMWI kwa mwaka 2009/2010 ili kuwataarifu wadau mbalimbali kuhusu mwelekeo wa taifa katika juhudu zake za kupambana na suala mtambuka la UKIMWI

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Abstract of the Assessment of Effectiveness of Oversight bodies - 2010

The report considered the assessment of the responsiveness of the Ministry of
Health and Social Welfare (MoHSW) to oversight bodies such as the Controller and Auditor General (CAG), and the Parliamentary Standing Committee on Social Services. It considered the oversight role of National Assembly itself more

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Health Newspaper analysis Jan -Nov 2010

Since 2008 Sikika has been doing analysis on the health governance news reported in the local newspapers. The aim of this activity is to assess the viability of the media houses to report on issues relating to social accountability.

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Statistics on Unnecessary Expenditures Sept 2010

Allowances, Seminars, Vehicles and Travel April 2010

abScreen Shot 2013 12 19 at 3.02.35 PM 210x300The efficient and effective allocation and use of public resources is a prerequisite to good governance. Good allocation of resources can lead to better delivery of services, while misallocation of resources ultimately leads to poor provision of services.





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Who's Taking Care of Our Health? March 2010

acScreen Shot 2013 12 19 at 3.06.50 PM 211x300To achieve equitable health services for all, citizens depend on their public representatives and public bodies. Members of Parliament (MPs) and the Controller and Auditor General (CAG) have a key role in ensuring that public funds are used to deliver public services equitably and efficiently.





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Upembuzi wa bajeti ya sekta ya afya-2008/2009

Bajeti ya sekta ya afya inachangiwa na fedha kutoka ndani na nje ya nchi. Hapa vipo vyanzo vya ndani (mapato kutokana na kodi, gawio kwa hisa za serikali katika mashirika na makampuni, faini, faida za riba nk) na fedha za nje kupitia katika msaada kwenye bajeti (GBS)

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CCHP Review report - 2008/2009

The government of the United Republic of Tanzania has been continuously applying Sector Wide Approach (SWAp) in its process of health sector reform. Much decentralization of health services has taken place, with substantial delegation of responsibilities for service delivery to local government authorities, that is, Decentralization by Devolution (D by D)...


Health Newspaper analysis July-Sept 2009

In a three-month period of July to September 2009, a total of 510 health-related articles from the major daily and weekly newspapers (Mwananchi, Mtanzania, Tanzania Daima, Daily News, Habari Leo, The Citizen, This Day, The Guardian, Sunday citizen, Sunday news, Kulikoni, Nipashe and Raia Mwema) were cut and analysed.

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Abstract of CCHP Review report -2008/2009

Health Newspaper analysis - April - June 2009

In a three-month period of April 1st to June 30th 2009, a total number of 572 health related articles from the major daily and weekly newspapers (Mwananchi, Mtanzania,Tanzania Daima, Daily News, Habari Leo, The Citizen, This Day, The Guardian,Sunday citizen, Kulikoni, Nipashe and Raia Mwema) were cut and documented.

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