Where are the Doctors? – Tracking Study of Medical Doctors

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

Screen Shot 2015-10-23 at 10.25.37 AMSikika 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.



Screen Shot 2015-05-29 at 12.22.21 PMThis is the report of a study which was commissioned by Sikika, a civil society organization which works to improve policy and governance of the health sector in Tanzania. It builds on the first petty corruption study commissioned by the same organization (then Youth Action Volunteers – YAV) with the same consultants.

Thus, most of the text in the sections that follow has been borrowed from the report on the earlier study (Sikika 2010).

 Read more


Screen Shot 2015-05-28 at 2.22.53 PM

Hii ni ripoti ya utafiti ambao uliagizwa na Sikika, asasi ya kiraia ambayo inafanya kazi ya kuboresha sera na usimamizi wa sekta ya afya nchini Tanzania. Utafiti huu ni mwendelezo wa utafiti wa mwanzo wa rushwa ndogondogo uliokuwa umeagizwa na asasi hii (wakati huo ikijulikana kama Youth Action Volunteers – YAV) kufanywa na washauri walewale. Hivyo, matini nyingi katika sehemu zinazofuata zimechukuliwa kutoka ripoti ya utafiti wa kwanza (Sikika 2010).

Read more


Screen Shot 2015-05-28 at 12.52.04 PMKuwapo kwa tabia zisizozingatia maadili miongoni mwa watumishi wa afya kunazuia upatikanaji wa huduma bora za afya kwa wananchi kwani husababisha mvurugano wa uhusiano na maelewano kati ya wafanyakazi wa afya na watumia huduma za afya. Kukosekana kwa uhusiano mzuri kati ya pande hizi mbili (watoa huduma na watumia huduma), ni mojawapo ya sababu inayopelekea watumia huduma kutoridhika na huduma.

 Read more

Upatikanaji na Ufanisi wa Mifumo ya Utoaji Malalamiko Katika Vituo vya Huduma za Afya vya Umma

Screen Shot 2015-05-28 at 12.52.40 PM

Utafiti huu ulifanyika kuangalia uwepo na ufanisi wa mifumo ya kutolea malalamiko katika vituo vya huduma za afya vya umma nchini Tanzania… Wahojiwa katika utafiti huu walikuwa ni watumia huduma katika vituo vya huduma vilivyochaguliwa katika wilaya sita ambazo ni; Temeke, Ilala na Kinondoni katika mkoa wa Dar es Salaam, Kibaha vijijini katika mkoa wa Pwani pamoja na Mpwapwa na Kondoa katika mkoa wa Dodoma… Hizi ni wilaya ambazo Sikika inafanya kazi…


Fight against Malaria: Use SMS for Life System

Screen Shot 2014-04-03 at 11.45.30 AM


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…


Read more…

Where are the Doctors? Tracking Medical Doctors in Tanzania

Screen Shot 2014-03-10 at 11.17.25 AM


Tanzania, one of the developing countries, is overwhelmed by shortages of skilled health workers; indeed, it is one of the 57 countries known as ‘HRH-crisis countries’…



Read more…

Health Care Providers’ views on HIV and AIDS Service in Tanzania

Screen Shot 2014-03-07 at 10.44.37 AM


The HIV & AIDS sector is of undeniable importance to service users especially the PLHIV. HIV & AIDS services can be found in district hospitals, health centers and most dispensaries across Tanzania…



Read more…

Citizens’ views of HIV & AIDS Services in Tanzania

Screen Shot 2014-03-07 at 10.44.24 AM


Optimum health care services include participation of service users in service improvement process. Doctors, nurses and other health workers  have…



Read more…

Global Fund Grants: Reporting Gaps in Tanzania: June 2013

Screen Shot 2014-01-08 at 4.22.33 PM



SIKIKA chose to investigate the information found in this report due to its interest in helping to ensure that Global Fund resources are utilized with minimal waste in order to reduce the impact of…

Read more…

Availability of Effective Complaints Mechanism in Public Health Facilities


Screen Shot 2013-11-18 at 9.09.42 AM

The availability of an effective complaints mechanism in the health system is an essential factor in the provision of quality health services.This mechanism offers an opportunity for service users to provide feedback on the quality of the service they receive and other information that is useful in enhancing service provision.

Download file

Leta Mabadiliko Boresha Huduma za afya – Mwongozo wa Mwananchi

Screen Shot 2013-12-11 at 11.32.32 AM


Ili kuishi maisha marefu na ya furaha, kila mtu anahitaji kupata huduma bora za afya. Kwa bahati mbaya, Tanzania ni nchi masikini na mfumo wake wa huduma za afya unakabiliwa na uhaba wa fedha ambao husababisha vikwazo kama vile; mazingira magumu ya kufanyia kazi na utendaji usio na tija.

Download file

Multi-Sectoral Aids Committees in Tanzania, The Gateway to Citizens’ Participation?


Citizens’ participation in decision-making processes for planning, budgeting and implementation of HIV&AIDS activities is crucial in fighting the HIV & AIDS pandemic.

In evolvement of citizens in identifying problems, setting priorities and defining context-based solutions of local relevance is of crucial importance as far as HIV & AIDS response is concerned.

Download file 

Report on Availability of Essential Medicines, Medical Supplies and Bed Capacity in Hospitals in Tanzania Mainland: March 2013

Report on Availability of Essential Medicines,

Most diseases, especially infectious diseases, are either preventable or treatable with a relatively small amount of medicines available.

In Tanzania essential medicines, medical supplies and equipment are poorly available in most of the public health facilities, leading to unnecessary suffering and even deaths of innocent citizens.


Download file

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

The oath maintains the original principles developed by the father of Western Medi- cine, Hippocrates including ‘serving the highest inter- ests of the patients, thus expressing the guiding principle through which patient-centered medical services are provided by physicians.

Download file

Mini Survey on Access to CT Scan Diagnostic Services in Tanzania, July 2012

The use of modern radiographic diagnostic technologies has continued to increase in many countries. Although in many countries, especially in developing countries, conventional radiography is still a dominant diagnostic tool in comparison with other imaging techniques such as CT Scan ( Muhogora et al, 2012), the need for CT Scan services has increased significantly.

Download file

Medicines and Medical Supplies Availability Report – October 2011

HealtScreen Shot 2013-10-10 at 4.01.12 PMh service delivery at the district and facility levels has been greatly affected by the persistently poor availability of essential medicines and medical supplies, an example here is the lack of absorbent gauze for a period of a about three to six month prior to and during a survey conducted by Sikika between May 10 to May 20, 2011.


Download file

Human Resources for health in Tanzania



The availability of qualified human resources plays a vital role in the provision of quality health services. The prevailing human resources for health (HRH) crisis results from the growing demand for health services along with an inadequate supply from our training institutions as well as inadequate management of the available human resources.


Download file

Do Audit Reports Effect Financial Discipline, Integrity and Accountability? – August 2011


Proper financial management and accountability over public funds is a central component of good governance.

Public funds are intended to be used effectively and efficiently to ensure that citizens are receiving the quality services for which public funds have been allocated.


Download file

The Ineffectiveness of the Tanzanian Accountability Framework – July 2011

The Ineffectiveness


Accountability is a cornerstone of good governance and a prerequisite for sustainable development.

We define ‘accountability’ as the responsible use of power to make decisions on behalf of other people.


Download file

Health Advocacy Press Releases – June 2011



Sikika has been engaging in production and dissemination of press releases in order to air its voice on issues affecting the health sector paying special attention on HIV& AIDS, Human resources for health, Medicines and Supplies or health care finance and government.




Post election political advertising – April 2011



Tanzania held a general election on the 31st of October 2010 that saw the citizens voting in the president, parliamentarians and civic leaders.

This is a report of research done by Sikika to gather information about amount of public money spent on congratulatory adverts.


Download file

Chakula Cha Daktari – Juni 2010

Chakula cha da

Kama ilivyo katika nchi nyingine, nchini Tanzania pia, rushwa imeenea katika sekta zote za uchumi na utumishi wa umma kiasi kwamba imekuwa ni sehemu ya maisha ya kila siku ya mtanzania.

Download file

Doctor’s food – June 2010

doctors food

Like in many other countries, corruption in Tanzania is rampant in all sectors of the economy and public services and correspondingly has become part and parcel of daily life in Tanzania.

Download file

Petty Corruption in the health service – 2010

Petty Corruption 2011


THIS is a report of a study which was commissioned by Sikika, a civil society organization which operates in areas of social development. Corruption is a concern in all sectors, but it is an especially critical problem in the health sector.

Download file

Rushwa ndogo ndogo katika huduma za afya – 2010

HII ni ripoti ya utafiti uliafanyika kwa agizo la Sikika, shirika linalofanya
shughuli za maendeleo ya jamii hususan katika sekta ya afya.
Rushwa ni tatizo linagusa sekta zote, lakini ni tatizo kubwa zaidi
katika sekta ya afya.


Download file

Report on Downward Accountability of Public Health Care system – Sept 2009

Health care accounts for over ten percent of government spending in Tanzania. Accountability in health care delivery is important for three major reasons.


Abstract of Downward Accountability of Pulic Health Care system – Sept 2009

This research was conducted by Irenei Kiria as part of fulfillment for Masters
Study in Public Health in MUHAS (2009).Health care accounts for over ten percent of government spending in Tanzania.Accountability in health care delivery is important for three major reasons.


Download file

Cost Sharing Report – February 2008

This work articulates the objectives identified by YAV to examine issues of cost sharing in health care provision specifically on levels of accessibility and affordability to health care services by various groups of services users and their degree of ownership and management of health care services at the same time reflecting on service providers’ accountability and transparency in health service provision in Kinondoni, Ilala, Temeke and Kibaha district councils.

Download file

Abstract of petty corruption in the health services in Dar Es Salaam and Coast regions-2008

This study examines the state of petty corruption in the health services in Dar es
Salaam and the coastal regions. Petty corruption directly affects the ordinary
citizen and, according to studies, is pervasive in the country’s health sector.


Download file 

Je Kijana unashiriki kuandaa na kusimamia mipango ya huduma ya afya-2006

Screen Shot 2013-12-11 at 11.17.48 AM





Soma zaidi…


Budget Analysis of the MoHSW for the Fiscal Year 2013/2014

Screen Shot 2013-12-19 at 2.42.10 PM


The aim of this budget analysis is to elaborate on how the Ministry of Health and Social Welfare has been spending the tax payers’ money in the past and how it plans to spend funds in the next fiscal year (FY) 2013/14.

Download file

Health care workers’ adherence to professional ethics:December 2012




The existence of unethical behaviours among health workers hinders the accessibility of quality health services for citizens as it creates disharmony in the relationship between health workers and health service users…

Download file

Unnecessary Expenditure Vol. 3

Screen Shot 2013-12-11 at 11.34.27 AM


There is broad concern that the public sector is spending monies on activities that are not necessary for the achievement of Tanzania’s development vision. In 2008, the Government committed itself to reduce unnecessary expenditures and to redirect the savings to strategic areas that promote the well-being of Tanzanian citizens.

Download file

Medicines and Supplies Availability Survey May to August 2011

Screen Shot 2013-12-11 at 12.51.26 PM

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



Download file

Health Sector Budget analysis 2011

Budget analysis 2011

Health sector budget analysis is one of Sikika’s major undertakings to advocate for efficient and effective budget allocation and utilization. Sikika has analyzed the allocation for the Ministry of Health and Social Welfare as well as regional health related budgets for Tanzania.

>>> download file

Petty corruption in the health services in Dar Es Salaam and Coast regions- April 2008

Screen Shot 2013-10-17 at 8.30.50 AM

There is no doubt that corruption is rampant in all sectors of the economy and public services in the country.

It has become part and parcel of daily life in many countries including Tanzania.



Download file

Choose your Style
Layout Style
Predefined Colors * You can use Unlimited Colors