TOPIC 3.Social security institutions
Social
security institutions
Tanzania,
like many other countries in the developing world, has strong informal social
security and formal social security systems. Informal social security systems
are such as Village Community Banks (VICOBA) UPATU, UMASIDA and VIBINDO. These
are locally formed by people in their areas or community for the aim of helping
each other in socio-economic issues.
The
formal social security systems found in Tanzania are the National Social
Security Fund (NSSF), Parastatal Pension Fund (PPF), National Health Insurance
Fund (NHIF), Local Authorities Provident Fund (LAPF) and Public Service Pension
Fund (PSPF).
NSSF offers social security
coverage to employees of the private sector and non-pensionable parastatal and
government employees. PSPF provides
social security protection to employees of the central government under
pensionable terms, while PPFoffers
social security coverage to employees of both private and parastatal
organizations. LAPF offers
social security coverage to employees of local government and the NHIF offers health insurance
coverage to pensionable employees of the central government.
The Social Security Regulatory Authority (SSRA)
Social
Security Regulatory Authority (SSRA) is a regulatory and supervising body of
the functions of all social security schemes in the country. It wascreated
under the Social Security Regulatory Authority Act, 2008, which President
Jakaya Mrisho Kikwete assented to in June 2010 and which became operational in
September 2011. The authority has the role of ensuring the funds are
sustainable, project interests, increase coverage and reduce the burden to the
government.
Functions of Social Security Regulatory Authority (SSRA)
The following are some of the functions of Social Security
regulatory Authority in economic development:
·
Register all managers, custodians and social security schemes.
·
Regulate and supervise the performance of all mangers,
custodians and social security schemes.
·
Issue guidelines for the efficient and effective operations of
the social security sector.
·
Protect and safeguard the interests of members.
·
Create a good environment for the promotion and development of
the social security sector.
·
Advice the minister concerned on all policy and operational
matters relating to the social security sector.
·
Adopt the conventional broad guidelines applicable to all
managers, custodians and social security schemes.
·
Monitor and review regularly the performance of the social
security sector.
·
Initiate studies, recommend, coordinate and implement reforms in
the social security sector.
·
Appoint an interim administrator of schemes, where necessary.
Strengths of social security institutions
Social security institutions have the following strengths in
their contributions over the economic development of the country.
·
Provide security to their member’s contributions.
·
Doing business by giving loans to firms, associations, and
individuals with interest.
·
Invest in the construction of houses for accommodations in town
and sell some of them to individuals.
·
They give benefits to the members when they retire.
·
Assist members when in trouble such as sickness or treatment to
expectant mothers.
·
Refund expenses incurred during the funeral of their member to
the family concerned.
Weaknesses of social security institutions
Apart from those mentioned strengths of social security
institutions, there are some weaknesses too, including:
·
Poor record-keeping as some members sometimes complain that
their contributions are not shown on the respective records.
·
Delays when giving services to the members. It takes about six
months to get benefits when a member retires.
·
Education to the members is inadequate because most of them are
now well informed about their rights and contributions.
·
Some employers do not provide the correct contributions to the
concerned social security scheme.
·
Some social security institutions are not giving loans to the
members especially when a child wants to go to school and other development
activities.
·
Money value always fluctuates which causes a negative impact to
members since it affects their purchasing power.
Loan
–giving institutions
There
are several financial institutions like banks, finance companies and private
money lenders, which provide loans to people. The loan taken will depend on the
purpose for which it is to be taken. There are various types of loans which are
available like commercial lending, house-building loans, home financing and
mortgage financing.
The
financial resources of a person help him or her to ascertain whether it is a
rational decision to take a loan. The loan should be taken at reasonable
interest rates. The person needs to compare the interest rates from multiple
lenders. The repayment of loans is dependent on the prevalent interest rates of
the market.
The
time of the actual repayment of the principal amount should be decided in
advance. A favourable adjustable rate protects a person from being in trouble
in future. Any lending agency will be interested to know your creditability, if
you will be able to pay monthly installments or not.
Strengths of loan institutions.
Loan-giving institutions have the following strengths in their
contributions to the economic development of the country.
·
People who take loans from these institutions establish petty
businesses which raise income to their families.
·
Education provided is free of charge to all members. They are
trained on how to invest and spend money wisely.
·
When members sit together and train, they form unity among
themselves. They sit in groups of five, six, seven or ten.
Weaknesses of loan-giving institutions
·
Apart from those mentioned strengths of loan-giving
institutions, they loans and put their guarantors in trouble.
·
The interest imposed on the loan is very high.
·
The loans given are small in quantity and cannot finance a large
investment.
Activity 5
Debate topic: “Loan-giving institutions are a burden rather than
a help to the people.”
The role of
Government in Economic Development
The
government formulates policies which aim at attaining economic development. The
government creates good conditions for all sectors of the economy. For
instance, in agriculture, the government provides storage facilities for crops
produced in rural areas.
The Role of Government in Economic Development
Explain
the role of government in economic development
the
farmers on modern methods of production and how to look after their harvests.
It also provides subsidized pesticides, fertilizers and equipment such as
sprayers, hoes and power tillers in rural areas. The government encourages
farmers to join cooperative societies and gives them loans.
The
government encourages society to have a culture of saving and investing. The
culture and habit of saving and investing generates wealth for individuals,
households, communities and the nation, in the same vein, a culture of wealth
creation and accumulation for development must also be reinforced by a culture
of maintenance to prevent unnecessary loss of capital stock.
The
government promotes a broad human development strategy; it encourages the
society to upgrade itself and improve its productivity. The government creates
an incentive system that encourages and rewards individuals, groups, and firms
to embrace initiative, creativity, innovation and excellence. This
transformation is reflected in the education system, training institutions, and
recruitment and promotion process.
The
government provides a good environment for actors to effectively harness
domestic resources in order to attain competitiveness in their diverse economic
activities. Competence and competitiveness, as driving forces, are realized
through sound macroeconomic policies, adequate and reliable infrastructural
development, quality education, effective utilization of domestic resources,
higher productivity and strengthening of the capacity to effectively anticipate
and respond to external changes. The government also has a duty of providing
security and favourable environment for investors in the country.
Effectiveness of the Government in Economic Development
Assess the
effectiveness of the government in economic development
The
government plays an important role in economic development. For instance in the
1980s the government adopted the policy of trade liberalization, which led to
the mushrooming of commercial activities in Tanzania. Many local and foreign
investors started investing in this sector. Since then, the commercial sector
has been expanding tremendously.
Areas
where the government has been ineffective in economic development
Apart from the mentioned effectiveness of the government in
economic development, there is some ineffectiveness too. Some of this
ineffectiveness is:
1. Signing
weak contracts with investors which do not consider the national interests, for
instance mining contracts and privatization of Tanzania railway Cooperation
(TRC) to Tanzania Railway Limited (TRL).
2. Poor
tax collection where the government loses a lot of money due to unnecessary tax
exemptions and tax avoidance.
3. Failure
to control inflation. The increase in inflation is attributed to a combination
of exogenous shocks. Some of the exogenous shocks include the hike in global
oil and flood prices, the decrease in demand and price of primary exports in
the world market. Other shocks include extreme weather conditions, which
adversely affect agricultural produce and power supply, and consequently
inhibit the growth of other sectors of the economy.
4. The
poor transport system affects the economic development of Tanzania. For
instance, traffic jams in cities is due to poor infrastructure and city
planning.
5. Inefficiency
of power supply. The government has failed to make proper use of the available
waterfalls, natural gas, coal and uranium to solve the power problems in the
country hence affecting economic production in various sectors like industries.
6. Lack of
good governance and accountability shows the inefficiency of the government in
spearheading economic development. There has been rampant corruption in Africa
which hinders economic development.
7. Dependence
on foreign aid to finance the budget of the nation affects the economic development
of the country especially where the aid is not given on time. For instance, the
government prefers the General Budget Support (GBS) as one of the sources of
external financing modalities. The GBS contributed Tshs.4 billion in 2008/2009
budget.
The Role of the
Private Sector in Economic Development
The
private sector in an economy is formulated under government policies but owned
individual or privately. Although the private sector provides services to the
public, it aims at maximizing profits. In a private sector there are two
components, namely the formal and the informal sectors.
Components of the Private Sector and Importance of the Formal
Sector in Economic Development
Identify
components of the private sector
The
private sector in an economy is formulated under government policies but owned
individual or privately. Although the private sector provides services to the
public, it aims at maximizing profits. In a private sector there are two
components, namely the formal and the informal sectors.
The
formal sector
The
formal sector encompasses all jobs with normal hours and regular wages, and is
recognized as income sources on which income taxes must be paid. This sector is
composed of all those private firms established legally by the registrar of
companies. Their businesses are legally performed, opened at an area known
publicly. They pay tax and other duties to the government. Examples of
businesses undertaken in the formal sector are industries, agriculture,
commerce and trade, transport and communication. The owners of these sectors of
the economy follow rules and communication. The owners of these sectors of the
economy follow rules and regulations established by the government.
Importance of the formal sector in economic development
The formal sector plays a significant role in economic
development.
·
Provides employment opportunities to skilled, semi-skilled and
unskilled labour. People are employed according to their skills in a particular
job. Thus, their living standard increases.
·
Helps to mobilize aid from foreign countries and international
organizations like the International Monetary Fund (IMF) and the World Bank.
·
Increases income to the country as owners of the firms pay tax
to the government. The tax is utilized by the government in various development
projects in the country.
·
Brings in foreign exchange, skilled power and capital.
·
Encourages competitions because of the existence of the formal
sector.
·
Creates availability of goods and services which are of good
quality due to competition.
·
Provides support to the people who have been affected by
disasters.
The
informal sector
The
formal sector has many names; some of them are invisible sector, non-planned
activities and unstructured sector. Others are informal economy, people’s
economy, one-person enterprise and urban subsistence sector.
The
informal sector or economy as defined by governments, scholars or bank is the
part of an economy that is not taxed, monitored by any form of government, or
included in any Gross National Product (GNP). Examples of people who engage in
the informal sector are water sellers, street vendors, buckers and shoe
shiners.
In
developing countries, around 70% of the potential working population earns its
living through the informal sector. They define the sector as that type of
sector where people earn a living self-employment and they are not on anyone’s
payroll. Most of them live and work in this sector not because it is their wish
or choice but because they have no chance of being hired by an employer from
the formal sector.
In
describing this sector, one should bear in mind that the formal economy is not
a deviation of the formal economy. The sector shows the initiative of people
who have failed to get formal employment engaging in various economic
activities to earn a living.
Characteristics of the informal sector
The
formal sector involves economic activities that are not regulated by labour or
taxation laws or monitored for inclusion in the Gross Domestic Product (GDP)
estimates.
There
are two types of the informal sector activities, namely coping strategies
(survival activities) and unofficial earning strategies (illegality in
business). Coping strategies include causal jobs, temporary jobs, unpaid jobs,
and subsistence agriculture.
Importance of the Informal Sector in Economic Development
Illustrate
the importance of the informal sector in economic development
Though most of the activities in this sector are performed
illegally, they contribute to the economic development of our country. The
following is the importance of the informal sector in economic development:
1. Provides
jobs which reduce the unemployment problem
2. Generates
income for individuals linked to these activities.
3. Helps
to alleviate poverty.
4. Bolsters
entrepreneurial activity.
5. Helps
to bring commodities to the customer‟s doors. This helps those customers who
stay away from the city center.
6. Make
easier the supply of goods and services since the exchange takes place on the
same day.
7. Contributes
income to the local government.
Problems Facing the Informal Sector
Analyse
the problems facing the informal sector
Apart from the mentioned importance of the informal sector in
economic development, there are some problems too. Some of those problems are:
1. Many
jobs are low-paid and the job security is poor.
2. There
are no proper places set for them to conduct their businesses.
3. Lack of
transportation means. For instance, “Machinga” guys walk long distances to sell
their goods.
4. Some of
the businesses do not address the issue of hygiene.
5. Lack of
enough capital which limits the expansion of the businesses.
6. Lack of
warehouse for traders to keep their stock or commodities.
7. Lack of
creativity among the members due to low levels of education.
8. They
are not recognized by the authorities and therefore there is no freedom in
doing their businesses.
9. No
fringe benefits from institutional sources because the activities are not
recognized.
10. Absence
of trade union organization.
Ways of Improving the Informal Sector
Propose
ways of improving the informal sector
The informal sector may be improved in several ways. Some of
these include the following:-
1. The
government should recognize the sectors by registering all the owners of these
businesses.
2. Proper
places should be located where people can operate their activities comfortably
3. People
should be educated on how to conduct their activities properly and the
importance of cooperation and unity. If they are united it will be easier for
them to get loans from financial institutions.
4. Health
officers must visit these areas to inspect and educate people on all issues
relating to health.
Social Development
and Social Services
Social
development is the improvement of the welfare of the people in the community.
It deals with the development in social, cultural and political aspects of the
society. Social development is the process of improving people’s living
standards, reducing poverty and unemployment, enabling people to invest in
profitable ventures, widening trading opportunities and reducing inequalities
among the people.
Meaning of Social Development and Social Services
Explain
the meaning of social development and social services
Social development is a
long-term process. There are a number of factors that must be considered to
achieve social development. People should get a balanced diet, good shelter and
health care. The government also has to provide important services which will
facilitate them in production. Such services are banking, insurance, loan
facilities and social security protection. These will support production of
goods and services which will stimulate high levels of living, high income,
more employment opportunities and better education.
Social services are
those services which are in a form of consumption. They include education,
housing, insurance, health, pension schemes, and cultural affairs. Sports,
games and entertainment. From these services, people get satisfaction. These
services are provided by the government through its agencies and the private
sectors as well.
It is
very difficult to draw a line between social development and social services
because they are closely relate. The third President of the United Republic of
Tanzania, Mr. Benjamin William Mkapa, named them as social hardware
infrastructure and software infrastructure. He meant that social hardware infrastructure
are those services which help directly to improve production in the country and
are usually in a form of investment. These include transportation and
communication, and water supplies for agricultural purposes. The
social-software infrastructures are those services which provide aids to the
services. These include banking and others.
Different Social Services Provided in Tanzania
Analyse
the different social services provided in Tanzania
Education
sector
The
United Republic of Tanzania realizes that equality education is the pillar of
national development, for it is through education that the nation obtains
skilled manpower to serve in various sectors of the national economy. It is
through quality education that Tanzania will be able to create a strong and
competitive economy which can be effectively cope with the challenges of
development and which can also easily and confidently adapt to the changing
market and technological conditions in the region and the global economy.
As at 2011, the structure of the formal education and training
system in Tanzania constituted 2 years of pre-primary education, 7 years of
primary education, 4 years of junior Secondary (ordinary level), 2 years of
Senior Secondary (advanced level) and up to 3 or more years of Tertiary
Education. Specifically, the education system has three levels, namely basic,
secondary and tertiary levels. Basic level includes pre-primary, primary and
non-formal adult education. Secondary level includes ordinary and advanced
education, while tertiary level includes programs and courses offered by
non-higher and higher education institutions.
The
current education system
The
overriding goal of the United Republic of Tanzania is that of eradicating
poverty under the framework of Tanzania Development Vision 2025 and the Poverty
Reduction Strategy 2015. Both of these identify education as a priority. The
Ministry of Education and Vocational Training (MoEVT) therefore recognized the
need to develop the Primary Education Development Plan (PEDP), 2002 -2006, and
Adult and Non-formal Education Strategy and implementation Plan (ANEIP),
2003/04 – 2007/08.
Both the PEDP and ANEIP have been developed within the context
of the Education and Training Policy (1995) and the Education Sector
Development Programme (ESDP 2000). PEDP aimed at providing Universal Primary
Education (UPE). It was expected that all school-age children (7 to 13 years
old) would be enrolled in primary schools by the year 2006. This translates
into a total of 6.5 million children. The key components of PEDP are:
·
Enrollment expansion
·
Quality improvement
·
Capacity building
·
Institutional arrangements
·
Finance and resource allocation.
Those
who missed basic education for various reasons are being absorbed into
non-formal education centres under the approved Adult Education/Non Formal
Education (AE/NFE) strategy and plan, developed after five years of experience
in piloting the Complementary Basic Education in Tanzania (COBET) and the
Integrated Community Based Adult Education (ICBAE).
The ANEIP
is expected to contribute to the creation of lifelong learning mechanisms, to
improve people’s livelihood and to be used for the creation of awareness of
prevention of HIV and AIDS. ANEIP will also contribute to the creation of a
conducive environment to address gender issues, sustained socio-economic
development, good governance and poverty reduction. The plan targets to enroll
3.5 million adults and almost a million out out-of school children and youth.
Secondary
education does not currently absorb all primary school-leavers. In 2002 a total
of 497 688 pupils completed Standard VII. Out of 497 688 pupils only 107 282,
which is about 21.7%, were admitted to secondary education in both public and
private schools. The age range in ordinary level secondary schools is 14 to 17
years and in advanced level it is 18 to 19. In the real situation, however,
there is a wide range of age groups in both ordinary and advanced levels
depending on age at first enrollment in primary schools and other factors.
Although
initial enrollment in primary education is almost equal between girls and boys,
fewer girls than boys complete primary and secondary levels or attain
higher-level education. There are a number of reasons for this disparity:
gender relations, pregnancy at young age, and parental preference for boys to
continue with education.
The accessibility, quality, efficiency and distribution of
education services in Tanzania.
The
Education and Training Policy adopted in a policy for the education sector
reform. The importance of education for Tanzania’s development is also echoed
in the National Strategy for Growth and Reduction of Poverty (NSGRP) which
builds on three pillars: growth and reduction of income poverty , improvement
of quality of life and social well-being, and governance accountability.
The
main role of the Ministry of Education and Vocational Training (MoEVT) is so
set policies based on accessibility, equality, distribution efficiency. In
addition, the ministry is responsible for improving the education standards in
the country, to systematize school; syllabi and oversee the implementation, to
arrange the format of examinations for primary and secondary schools and
distribution of school necessities and to promote national culture.
In the
implementation of the education policy in Tanzania, the government through the
Ministry of Education and Vocational Training (MoEVT) introduced various
programs. Some of those programs are the Primary Education Development Program
(PEDP) and the Secondary Education Development Program (SEDP). The aim is to
improve the education system in the country and increase the enrollment ratio
in schools.
From
1995, communities have played a big role in the establishment of primary and
secondary schools. The community builds schools and the central government
supports it in many ways such as providing teaching materials, books and
teachers. Today about 90% of the schools are community-owned schools.
Achievement of the government in the provision of education.
Following the education sector reforms established by the
Tanzanian government, the following achievements have been observed:
·
Increased gross and net enrollment of boys and girls, including
children with disabilities, in primary schools from 90.5% in 2004 to 99% in
2010.
·
Increased enrollment of orphans and other disadvantaged children
in attending and completing, primary education from 2% in 2000 to 30% in 2010.
·
At least 50% of boys and girls aged 14 to 17 years had been
enrolled in ordinary level secondary schools by 2010.
·
At least 25% of boys and girls were enrolled in advanced level
secondary schools by 2010.
·
Pupils who have passed primary education are given access to
secondary education.
·
The introduction of Information and Communication Technology
studies (ICT) in primary and secondary schools gives students skill to fit in
the modern society.
Problems facing the government in the provision of education
services.
Despite the achievements registered by the government in the
education sector, the sector is still facing numerous problems, including:
·
Poor resource allocation to the sector. The education sector has
inadequate laboratories, libraries and their equipment, textbooks and reference
books for students and teachers.
·
Lack of qualified teachers.
·
The number of teachers is less compared to the number of
students enrolled into Tanzanian schools.
·
Low salaries to the teaching profession which forces many people
to leave the profession.
·
Unavailability of electricity in remote areas which discourages
teachers to go to the villages once employed. As a result, they decide to find
employment in private schools.
·
Lack of important school infrastructures like classes, desks,
offices, toilets and teacher’s houses.
·
Transport problems for both students and teachers from their
homes to schools, making them waste a lot of valuable time while on transit.
·
Lack of in-service training for the teachers.
Activity 7
Suggest some possible measures or solutions in the challenges
facing the education sector in Tanzania.
Health
Sector
For a
period of almost fifty years, health services delivery has been largely done by
the government, with a limited number of private health institutions especially
in large towns or cities of the country. After independence, health care
facilities were redirected towards rural areas and free medical health services
were introduced except for Grades I and II. In 1977, private health services
for profit were banned under the Private Hospitals Regulation Act, 1977. This
act had negative implications on health services in the country. However, after
a series of major economic and social changes, the government adopted a
different approach to the role of the private sector.
New
were developed that favoured the private sector. The importance of the private
sector in health care delivery was further recognized with an amendment to the
Private Hospitals Regulation Act, 1977 which resulted into the establishment of
the Private Hospitals Regulation (Amendment) Act, 1991. Following this act,
individual qualified medical practitioners and dentists could now manage
private hospitals, with the approval of the Ministry of Health.
The
National Health Policy
The
National Health Policy was introduced in the early 1970s in the wake of the
Arusha Declaration 1967. The broad objective of the National Health Policy was
to provide comprehensive basic health services equitably to the whole
population. Strong emphasis was put on promotion of health and prevention of
diseases rather than curative services. It also called for a shift from
building large hospitals to smaller to smaller health centres throughout the
country. In addition, emphasis was given to training mid-level health workers
to manage these health units.
The
government of Tanzania has clear polices on the implementation of health
services to its people. These policies, currently the citizens are required to
share the costs of the services provided in those hospitals.
The specific objectives of the health services in Tanzania are:
·
To reduce diseases and death so as to raise the life expectancy of
Tanzanians. The government gives more attention to special groups like children
under five years, cold people.
·
To make sure that primary health care services are available and
are offered efficiently to the people.
·
To prevent and control communicable and non-communicable
diseases such as HIV and AIDS, malaria, tuberculosis, diseases caused by
malnutrition, environmental health, and working places as well as chemical
control.
·
To enlighten the citizens about the preventable diseases in
order to know them and find techniques of controlling them.
·
To create cooperation among the public sector, the private
sector, religious organizations and non-governmental organizations that provide
health services.
·
To provide education and increase the number of professional
health workers.
·
To identify, rehabilitate the infrastructure according to the
needs of the disabled, and lay down rehabilitation systems.
·
To evaluate health policies, laws and standards of giving health
services.
Primary Health Care (PHC) Approach
Following the Alma Ata Declaration of 1978, the government
adopted the PHC approach as a means of achieving “Health for all by the year
2000”. The Alma Ata Declaration defined Primary Health Care as the essential
health care based on practical, scientifically sound and socially acceptable
methods and technology. Under PHC, health services are made universally
accessible to individuals and families, through their full participation and at
an affordable cost.
·
Provision of essential health care in all villages through
village workers.
·
PHC committees at each level to promote community involvement
and intersect oral collaboration.
·
Strengthening health services especially at district level.
The
purpose of primary health is to strengthen the health of the citizens from the
family to national level by involving the citizens themselves. This includes
education, prevention and treatment.
Public health education
Public
health is mainly concerned with identifying prevailing health problems and
disseminating information about the public methods of preventing and
controlling them. This is an integral part of community involvement in Primary
Health Care (PHC). It is assumed that the health of an individual, the family
and the community at large is dependent upon factors such as environment,
socio-cultural traditions and lifestyles.
Hence,
public health education focuses on strengthening and addressing g issues
related to agricultural development, child upbringing, environmental sanitation
and development in general. For instance, school children are a special target
group for health education through the school health program. Public health
education is provided by a variety of methods including mass media,
dissemination of health education materials and through dialogue with communities.
Public
health education is a very important method in offering health services. It
involves communication technology and sends messages to the individuals,
families, and the society in order to reduce diseases in the society. The
government uses a variety of technologies like the media, signboards, fliers,
journals, books and websites.
Environmental health and hygiene
Our
health depends very much on how our environment is properly maintained. Our
land, plants, air, water bodies, buildings and sewage must be well taken care
of. The diseases which attack people are mostly caused by an unhygienic
environment. Our environment may be degraded by many economic activities, such
as the smoke produced form the industries which contaminates the air and destroys
the ozone layer. Waste water from industries which contains chemicals is thrown
into the rivers. Human beings are also affected by water pollution as they use
this water for different purposes.
The accessibility, quality, efficiency and distribution of health
services in Tanzania
The
distribution of health facilities has a heavy rural emphasis because more than
70% of the population lives in rural areas. Plans for the establishment of
health facilities have in the past taken into consideration the population
ratio. However with time this has in some areas been seriously overtaken by the
high population growth rate. The health system and specially the government’s
referral system assume a pyramidal patter of a referral system recommended by
health planners, which is from dispensary to consultant hospital.
The
structure of health services at various levels in the country starts with the
village health service. This is the lowest level of health care delivery in the
country.
They
essentially provide preventive services which can be offered in homes. Usually
each village health post has two village health workers chosen by the village
government amongst the villagers and given a short training before they start
providing services.
Dispensary
is the second stage of health services. The dispensary caters for 6000 up to
10,000 people and supervises all the village health posts in a particular ward.
Health centres come after dispensaries. Health centres are expected to cater
for 50,000 people which is the approximate population of one administrative
division.
District
hospitals are another important level in the provision of health services in
the country. Each district is supposed to have a district hospital. District
hospitals provide services to an average of 250 000 people. In Tanzania, almost
all districts have districts hospitals. In those few districts without district
hospitals, Faith Based Organization (FBO) hospitals are designated as district
hospitals.
Referral
hospitals are the highest level of hospital services in the country. currently
there are four referral hospitals, namely Muhimbili National Hospital (MNH)
which caters for the eastern zone; Kilimanjaro Christian Medical Centre (KCMC)
which caters for the northern zone; Bugando Hospital which caters for the
western zone; and Mbeya Hospital which serves the southern highlands.
However,
there are some diseases and cases that require special treatment whose
facilities and equipment are not available in the country. Depending on the
resources available, some patients have to be sent abroad for treatment.
The Role of
Government in the Provision of Social Services
It is
the duty of the government to promote the welfare of its people. In Tanzania
particularly, the government is trying its level best to improve the provision
of social services. There are a number of economic and social sector reforms
and policies which the government has implemented. These are like Primary
Health Service Development Plan. The plan intends to minimize the problem of
human resource shortage through advocacy for increased funding and reallocation
of staff for optimum utilization.
Meaning of Social Development and Social Services
Explain
the meaning of social development and social services
The
National Healthy Policy of 2007. The healthy policy vision is to have a healthy
community, which will contribute effectively to individual development and the
country as a whole. The mission is to facilitate provision of basic health
services, which are proportional, equitable, of high quality, affordable,
sustainable and gender sensitive.Government provision of health, education and
water services has consistently been rated as the key public priority. The
government plays a vital role in the provision of social services. The
following are the roles:
The Role of the Government in the Provision of Social Services
Appraise
the role of the government in the provision of social services
Government
provision of health, education and water services has consistently been rated
as the key public priority. The government plays a vital role in the provision
of social services. The following are the roles:
To make
policies which support private and non-governmental institutions in the
provision of social services2. To construct and maintain the transportation
system.3. To distribute teaching and learning materials to schools.4. To
distribute important facilities to hospitals and other areas where health
services are provided.5. To educate Tanzanians on environmental preservation so
that water sources are not polluted.6. To train the required personnel who will
assist in the provision of social services. Examples of such personnel are
teachers; water experts; railways; road and electrical engineers; doctors and
nurses.7. To train citizens on the best use of those social services and be
responsible. The citizens must realize that social services are for their own
use hence they should protect them
Appraising
the role of the government in the provision of social services in Tanzania.
The
government plays a vital role in ensuring that social services provided to the
citizens. Effective access to functioning and well equipped social services is
a prerequisite ofimproving the quality of life and for promoting the well-being
of all Tanzanians. The following are some of the evidences on the role of our
government in the provision off social services to its people:The government
has extended the provision of water in many places in rural and urban areas.
For instance, Kahama, Shinyanga Water Supply Project from Lake Victoria and the
Chalinze Water Supply Project which was implemented in the year 2001, targeted
at supplying water to 105 000 people for the 18 villages by the year 2015.
The
Tanzanian government has continued to focus on education provision since independence.
The aim is to address the shortage of skilled national manpower. In the
mid-1970s, a decision was made by the government to introduce Universal Primary
Education (UPE) by 1984. Funding was concentrated on primary education and
secondary school enrolment. The statics for primary enrolment and adult
literacy in the early 1980s were impressive. For instance, the Gross Enrolment
Ratio (GER) in 1980 was 98%.
In the
1980s the government allowed private and voluntary sectors to run
non-governmental schools. The education sector expanded rapidly. Higher
education in Tanzania during the late 19th century was predominantly provided
by the University Of Dares Salaam (UDSM).
The
University of Dares Salaam was first established in 1961 as a College of the
University of London. In 1963 it became a Constituent College of the University
of East Africa. In August 1970, it became a national University.
In
1965, Sokoine University of Agriculture (SUA) was established as the second
university in the country. It started as an Agricultural college offering
Diploma training in the discipline of agriculture. The establishment of this
university showed the importance of agriculture in the country. With the
dissolution of the University of East Africa and the consequent establishment
of the University of Dares Salaam (UDSM) in 1970, the College was transformed
into a Faculty of Agriculture of UDSM and thereby started offering Bachelor of
Science in Agriculture.
In
1965, Sokoine University of Agriculture (SUA) was established as the second
university in the country. It started as an Agricultural college offering
Diploma training in the discipline of agriculture. The establishment of this
university showed the importance of agriculture in the country. With the
dissolution of the University of East Africa and the consequent establishment
of the University of Dares Salaam (UDSM) in 1970, the College was transformed
into a Faculty of Agriculture of UDSM and thereby started offering Bachelor of
Science in Agriculture.
1994,
the Institutional Transformation Programme was initiated and since then, there
has been a considerable increase in students‟ numbers. Several other tertiary training institutions have
become universities. More recently, a number of private universities have been
opened, mainly run by religious bodies. Vocational training as also provided in
National VocationalTraining Centres. In 1994, these came under the newly formed
Vocational Education and Training Authority (VETA). VETA colleges offer a wide
range of courses.
Since
2001, there has been a dramatic expansion of primary education due to the
introduction of the Primary Education Development Programme (PEDP). In 2002,
standard one enrolments increased by 43.1%. The enrolment in primary school has
increased by 5.8% between 2006 and 2010. Gross Enrolment Ratio (GER) was 106.4%
in 2010 and Net Enrolment Ratio was 95.4%, indicating adequate absorption
capacity at primary schools for all school ages (7 to 13).
In
2003, the government embarked on ambitious plans for the expansion of the
secondary education through the Secondary Education Development Programme
(SEDP). All those are the efforts which the government is doing to raise the
level of education in Tanzania, hence eradicating the problem of illiteracy and
unemployment.
The
government, in collaboration with other stakeholders, has continued with the
implementation of the Child Health strategic Plan (2005 - 2010) and the Road
Map strategic Plan to accelerate reduction of maternal, newborn and child
deaths. Notable achievements have been recorded. The deaths of children fewer
than five years of age (the probability of dying between birth and fifth
birthday) have continued to decline significantly. The rate declined from 12
per 1000 live births in 2004/ 05 to 91 per 1000 live births in 2007/08 and
thereafter to 811 child deaths per 1000 live births in 2009/10.
The
government provides free primary education to the pupils. For instance, Primary
Education Development Programme Phase 2 of 2007 -2011 aims at ensuring that the
objective of providing free pre-primary and primary education is achieved. The
enrolment in primary schools has increased by 5.8 percent between 2006 and
2010. The government also provides loans to students of higher learning
institutions through the Higher Education Students Loan Board (HESLB).
The
government provides modern medical equipment and rehabilitation to most off its
hospitals. For instance , general rehabilitation of Muhimbili National
Hospital, Amana, Temeke, Mwananyamala and other regional hospitals in the
country.
The
government also provides assistance to health researchers, for instance Ifakara
Health Research Centre. The Government recruits new personnel from health
colleges found inTanzania like Muhimbili College of Health Sciences and others.
It also provides medicine to its health centres through the government agent,
namely Medical Stores Department (MSD).
The Role of the
Private Sector in the Provision of Social Services
The
government of Tanzania recognized effective partnership with the private sector
in the provision of social services in the country. Such services are
education, health, water, electric supply, communication and transportation.
The involvement of the private sectors in the provision of social services has
contributed to the improvement of the quality of life and promotion of the
well- being of Tanzanians.
Religious
group, community-based organizations, individual-owned institutions,
non-governmental organizations and private companies are stakeholders in the
provision of social services. After a series of major economic and social
changes the government adopted different approaches to the role of social
services delivery. New policies were developed that looked favourably in the
role of the private sector. For instance, the Private Hospitals Regulation Act,
1977 which allows the establishment of private hospitals.
The Role of Private Sector in the Provision of Social Services
Explain
the role of private sector in the provision of social services
The
government of Tanzania recognized effective partnership with the private sector
in the provision of social services in the country. Such services are
education, health, water, electric supply, communication and transportation.
The involvement of the private sectors in the provision of social services has
contributed to the improvement of the quality of life and promotion of the
well- being of Tanzanians.
Religious
group, community-based organizations, individual-owned institutions,
non-governmental organizations and private companies are stakeholders in the
provision of social services. After a series of major economic and social
changes the government adopted different approaches to the role of social
services delivery. New policies were developed that looked favourably in the
role of the private sector. For instance, the Private Hospitals Regulation Act,
1977 which allows the establishment of private hospitals
Challenges Facing the Provision of Social Services in Tanzania
Analyse
the challenges facing the provision of social services in Tanzania
The major challenges facing the provision of social services in
Tanzania are:
1. Some of
the government and private institutions face financial constraints which
complicate the provision of high quality social services.
2. People
living in rural areas have the worst living conditions. As a result, they
migrate on urban areas where they cause intensive scramble over the available
social services.
3. Delivery
of household water continues to be a problem for Mainland Tanzania; water
supply is not sufficient in rural and urban areas.
4. Transportation
systems in the rural areas are still a problem. People living in remotes areas
do not have access to transportation systems. Poor transport makes it difficult
for people to go to hospitals or farmers to transport their produce.
5. Bad
behaviour among individuals of destroying public and private infrastructure.
Some destroy the railways and cause accidents. Others steal transformer oil and
telephone cables.
6. Services
are too expensive and the citizens are unable to pay for the costs of the
services rendered. For instance, most of the private schools set high school
fees which are not affordable to a majority of Tanzanians.
7. Corruption
has become a big problem in the provision of quality social services
Appraisal of the role of the private Sector in the provision of
social services in Tanzania.
·
The private sectors play a vital role in the provision of social
services in Tanzania. This is clearly observed in the provision of education,
health services, clean water, transportation and communication.
·
The private sector has established many schools and colleges for
offering education in the country. Many people have benefited from the
education services offered by the private sector. Some of the university
colleges established by private institutions are St. Augustine University of
Tanzania (SAUT) Tumaini University owned by Lutheran Church, and Muslim
University of Morogoro (MUM). Others are the Hubert Kairuki Memorial University
(HKMU), the University of Arusha of Arusha, Zanzibar University and Mount Meru
University.
·
Many people have benefited from the health services offered in
hospitals established by the private sector in the country. examples of the
established hospitals include; Kilimanjaro Christian Medical Centre (Moshi),
Shia Ithnashery Hospital (Arusha and Dares Salaam)), Peramiho Hospital (Ruvuma),
Dr.Kairuki Hospital and Tanzania Heart Institute (Dares Salaam), Ilembula
Hospital (Iringa), Tayabali Mohammed Jaffer Hospital (TMJ) Dares Salaam),
Regency Hospital (Dares Salaam) and Bugando Hospital (Mwanza).
·
Various private companies have been established to offer
communication services in Tanzania. The companies include telecommunication
companies such as Vodacom, Airtel, Zantel and Tigo. Broadcasting stations such
as ITV and Radio One stations, Channel Ten TV and Magic FM station, Clouds TV
and Radio station, Tumaini TV and Radio stations, Star TV and Radio Free
Africa. Newspapers such as Mwananchi, the Citizen, Tanzania Daima, Nipashe,
Raia Mwema, Kiongozi, the Express, Rai, Mwanahalisi, Annur and Alhuda.The
private sector has contributed in the improvement of transport services.
·
Many people are enjoying the social services offered by the
established transport companies in Tanzania. Examples of the companies
established by the private sector in Tanzania are Precision Air and Community
Airlines, Dar Express Bus Services, and other companies that include sea
ferries such as Azam marine and Sepideh Express.Considerable efforts have been
made by the private sector to promote access to clean and safe water.
Tanzanians are enjoying water services provided by the private sector. Examples
of water companies offering water services are Kili water in Kilimanjaro
region, AfricanMuslims Agency in various areas of the country, Aqua Drilling
Company in Dares Salaam and Maji Tech based in Arusha.
Success and challenges
facing the provision of social services in Tanzania.
·
There is no doubt that both the government and the private
sector work hand in hand in offering good social services to the people of
Tanzania. The social reform policies enable Tanzania to succeed in the
following areas.
·
There has been considerable progress in primary education
following the implementation of the Primary Education Development Plan (PEDP)
in 2000. Enrolment rates have gone up. The number of classrooms and desks in
primary schools has increased, but more qualified teachers and more books are
needed to keep pace with increased enrolment. The data from the Ministry of
education and Vocational Training (MoEVT) indicates that the pupil –to teacher
ratio has increased from 1:64 in 2008 to 1:59 in 2009 and 1:51 in 2010 against
the required ratio of 1:40.
·
The government has taken to measures to improve the provision of
water services to the public. The government has implemented water projects
since 2007. There was a change in the implementation modality, whereby
quick-win projects were implemented while procurement of consultants was taking
place. A two year working plan was developed which targeted to construct 12 000
water points during the period. From July 2007 to June 2010 some 3 897 water
sub-projects were constructed, resulting in 8 277 operational water points.
·
The government has taken measures to improve the provision of
electricity both as hydro and thermal power. There are many private companies
in Tanzania today that avail generators to the public for the public for use
when there is power cut or no power installation
Activity 10
Even
though the private sector has done very good job in the provision of social
services in our country, what do you think are the setbacks facing this sector
in fulfilling their mission? Suggest the possible measures to alleviating those
setbacks.
Solutions of the Challenges Facing the Provision of Social
Services
Recommend
solutions of the challenges facing the provision of social services
The following are some recommendation on the challenges facing
the provision of social services in Tanzania.
1. Enabling
environment for increased private sector involvement, including incentives and
legal recognition to be created.
2. To
educate communities on the importance of the private sector participation in
the provision of rural and urban water supply and sanitation services.
3. To
allocate enough budget in provision of social services such as education,
water, health and infrastructure in the country.
4. To give
regular education to the public on how to take care of the public social
services in their localities. People should be made aware that these services
are for their own benefits.
5. To
construct better infrastructures; this will improve the living standards of the
people.
6. To
encourage community – based organizations to fund and run their own social
services. They can construct schools, dispensaries, water supply systems and
others.
7. . To
set a conducive environment for people to invest in the provision of social services
in the countryside.
8. Physical
planning should be seriously carried out to solve the problems of electricity
and water supply.
9. The
government should impose fines and take drastic measures against people who
destroy the environment.
Read
the following passage carefully and answer the questions that follow.
The
quality of health services in Tanzania has currently been improved. Better
curative and preventive health services are offered. There are now better and
advanced medical equipment in the regional and referral hospitals than the way
the situation was in the past. The medical personnel are more equipped.
At
the preventive level the government has improved nutrition, environmental
health; reproductive health and control of infectious diseases like the HIV and
AIDS, cholera, leprosy and diarrhea.
The
accessibility of Tanzanians to medical services is better than in previous
days. This is due to the improvement and expansion of the transport system in
different parts of the country. In addition, more government and private health
facilities have been built in different areas of the country.
Despite
the various measures taken by the government to improve health services, the
distribution of quality health services in Tanzania is very poor. Most of the health
centres that provide better services are still concentrated in towns and
cities. The health centres in rural areas are facing problems of inadequate
medicine and medical personnel.
Exercise 2
Questions
1. 1.
Suggest a possible title for this page.
2. From
your experience, suggest any two possible ways of preventing cholera.
3. Mention
two referral hospitals in Tanzania which you know.
4. According
to the passage, what are the criteria for measuring the quality of health
services?
5. What
are the possible causes of the difference in the quality of health services
between urban and rural areas?
Section
B
Answer the following questions.
1.
What is social development?
2.
Briefly explain the four social services provided by the Tanzanian government to her people.
- Outline any four challenges facing the education sector in Tanzania.