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Mixed results in healthcare in Dar es Salaam

A recent survey conducted by Uwazi at Twaweza has revealed mixed results in terms of healthcare delivery for residents of Dar es Salaam.

The briefing, What does Dar make of health? Health serviceand practice in Dar es Salaam, found that some front-line interventions implemented by the government have delivered strong results, with 95% of households reporting ownership of at least one mosquito net. However, in contrast, just over half of the respondents reported treating their water before consumption. 

The variation in results was also demonstrated by responses to questions about healthcare facilities. Although consultations appear to be of a similar standard in public and private facilities, there was much greater dissatisfaction among users of government healthcare facilities. Long waiting times and the prevalence of corruption are the most likely factors causing this dissatisfaction.

‘Recent achievements in health in Tanzania may have been reached through the easier (‘low-hanging fruit’) interventions, such as distributing free mosquito nets,’ according to the brief. ‘Making further gains is likely to be much harder as it will entail addressing aspects of quality of care, including better diagnosis, responsiveness to patients, and improvements in drug supply.’

The brief is available in English and Swahili.

Read more: Dar es salaam health monitoring Tanzania Uwazi Uwazi survey

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