Among the shocking findings was a delivery
bed at the doctor’s house, drips supported by window seals and no water
supply in the health facilities.
During a public dialogue organised by the
community SAM team to share the findings, it was revealed that at the
Lesoit health facility, nurses used a bench as an examining bed while at
Loitepes facility, one of the delivery beds was found at the doctor in
charge’s house.
It was also revealed that water is a great
challenge in Kiteto district. In most health facilities patients are
advised to bring water from home when visiting the health facilities. At
Songambele facility, at times nurses used their own money to buy water
for patients.
At Ngabolo dispensary, the SAM team saw
toilets full of stones and sands because patients were told not to use
them due to lack of running water.
The SAM team explained that this could
have been caused by poor planning and wondered why the district would
build a modern toilet while well aware of the water problem in Kiteto.
Meanwhile, at Irkiushi health facility, a drip was found attached to the window seals as there was no stand for it.
Moreover, most of the health facilities
visited by the SAM team were closed during working hours due to lack of
human resources. People complained that every time they visited the
facility, they would either find it closed during working hours or no
medicines.
The Kiteto District Executive Director
(DED), Jane Mutagurwa who was responding to issues raised from the
findings, was shocked by the poor operations of the health facilities in
the district.
Expressing her disappointment she asked:
“What is a delivery bed doing in the doctor’s house? You people have to
change, unless you want me to be transferred back to Dar es Salaam.
Contributing to the debate, one Assam
Konge blamed the councillors for not being accountable to the people and
asked them to wake up and take their responsibilities seriously.
“The councillors should work on improving the health services in our communities,” he said.
DED Mutagurwa promised Kiteto residents
that the embarrassing issues unveiled by the SAM team will soon be
history. “We are going to have a full council meeting and I believe by
then some of the challenges raised will have been taken care of,” he
said.
The SAM public dialogue was facilitated by
Sikika, a health advocacy organisation, after conducting training on
SAM for almost 3 weeks. The team, comprised members from the community,
councillors, Ward Executive Officers, representatives from health
governing committees, religious leaders as well as local civil society
organisations (CSOs).
The team’s task was to follow up on
quality of service delivery, seek clarifications from service providers
and demand for accountability.
Participants of the public dialogue
included the representatives from the citizens, Councillors, Ward
Executive Officers; District Medical Officer, DED, SAM team etc.
Speaking on behalf of Sikika, the Head of
Programmes, Josephat Mshighati said he was pleased with the exercise and
that the organisation will take the project to Iramba, Singida Rural,
Kondoa, Simanjiro and Mpwapwa districts.
“We believe that the SAM exercise will
bring a lot of change especially in the health sector…we have already
seen some positive changes. Councilors have made a commitment to address
all issues in the next full council meeting and citizens have started
questioning authorities on the level of services delivered including the
construction of modern toilets in Kiteto where water is a critical
problem,” he said.
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