The Role of Accountability Mechanisms in Zanzibar Public Health Service Delivery: The Case Study of Mpendae Hospital.

Fasihi, Mohd Salum (2023) The Role of Accountability Mechanisms in Zanzibar Public Health Service Delivery: The Case Study of Mpendae Hospital. Masters thesis, The Open University of Tanzania.

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Abstract

It was the goal of this investigation to ascertain how accountability mechanisms work in the delivery of healthcare services to the general public in Zanzibar, in particular with regard to Mpendae Hospital. The sample of 132 participants underwent a cross-sectional research design where a doctor in charge was purposefully selected and 27 staff were randomly selected from several units as well as clients. The respondents' raw data was gathered through surveys and interviews. Additional information was used. Before being presented in tables, charts, and direct quotations, the data was evaluated using the Statistical Package for Social Science (SPSS). The study found that workers were held accountable for their actions in several ways, like termination and demotion, as well as given a chance to explain and defend their actions, and a warning was given before the action. Also, the study found that professional accountability, political accountability, and legal accountability are the chief accountability mechanisms for health service provision, and the most preferable accountability mechanism is professional accountability. Additionally, the study found that nepotism and poor management are the chief challenges facing accountability at Mpendae Hospital. The study further concluded that sticking with political accountability, contending with professional accountability, and combining with legal accountability always bring better health services to the public. The study recommended that the government and other stakeholders should provide accountability education, emphasizing an anti-nepotism campaign as well as special training to equip public hospital administrators in matters of accountability.

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