Browsing by Author "Khumbe, Boba Esther"
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- Factors contributing to corruption in public health facilities in Tanzania: A case of Regional Referral and Makole District Hospitals in Dodoma(St John's University of Tanzania, 2017-07-28) Khumbe, Boba EstherThe overall objective of this study is to identify and examine factors contributing to corruption in public health facilities in Tanzania; A case of Regional Referral and Makole District Hospitals in Dodoma. Specific objectives are:-To find out the causes of corruption in public health facilities, to assess the effects of corruption on health service delivery in Dodoma public hospitals and to find out government efforts to combat corruption in health sector. Research Questions include; what causes corruption in public health facilities?, how does corruption affect health care provision in public hospitals in Dodoma Urban? What efforts is the government of Tanzania taking to address corruption in health service delivery? Methodology for the execution of the study included literature review, individual interviews, Key Informant Interviews, Focus Group Discussion and observation. Results for factors contributing to corruption in Dodoma Referral and Makole District Hospital arranged in descending order are low wages and lack of allowances, political interference, circumstances and personal status, lack of ethics and moral decay, patients influence, imbalance of information, poor service and harassment. Effects of corruption included, misuse of money, economic burden to poor, inequality on patient care, inefficient low quality services, underdevelopment, less and poorly functioning medical equipment and women get less attention during delivery. The government of Tanzania is addressing corruption in health service delivery though Improvement of hospital facilities and structures by upgrading of the hospital to a referral level, capacity building of the staff and provision of health insurance for maternity and antenatal customers and corruption free campaigns in collaboration PCCB. It is concluded from the study that the major causes are; low wages and lack of allowance, poor service, un-certain circumstances, personal status, harassment, and imbalance of information, minor causes include lack of values ethics and moral decay and patients influence. Although Makole District Hospital recorded political interference as cause number one. It is recommended that improvements be done in Salaries, wages and incentives, involve collective efforts from the community and the most importantly improve service delivery systems.