Street level bureaucracy and public service delivery in Tanzania: The case of the delivery of health services in Morogoro municipality
Date
2019
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Mzumbe University
Abstract
The main objective of this study was to examine the coping strategies which are used by street bureaucrats in delivery of health services in Morogoro Municipality, Tanzania. Specifically, the objective of the study was to determine the level of understanding the roles of street level bureaucrats among the SLBs in delivery of health services, to identify challenges which they encounter and the coping strategies they apply in dealing with those challenges. In gathering of information for this study, different interviews were conducted. In-depth interviews involved; Municipal health secretary, medical in charges of health centers, medical doctors and clinical officers. Focus group interviews involved nurses. All these interviews were carried out to four health centers in four wards of Morogoro Municipality. The study revealed that the roles of SLBs are highly known by SLBs and the study revealed different roles of SLBs. Moreover, the roles differ in terms of cadre and departments. Regarding to the challenges which are encountered by SLBs, the study found that there are different challenges which face them in fulfilling their duties and these challenges were identified as; shortage of buildings, high workloads, insufficient drugs and medical equipment, high number of clients, shortage of staff ,unconducive working environment and less public awareness to health- related issues. Lastly, the study revealed that there are different coping strategies which are employed by SLBs in dealing with those challenges. These strategies are: sharing of office, redistribution of staff, improvising of resources, double shift and working in extra hours. These strategies were developed as an attempt to provide services in challenging environment.
Description
A dissertation submitted in partial fulfillment of the requirements for the award degree of Master of Research and Public Policy (MRPP) of Mzumbe University
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