As I mentioned last week, the Tanzania Human Development Report has a wealth of interesting data tables, many of which have data broken down by region for the first time. I plan to explore this data over the next few weeks. To start, I have prepared a dashboard showcasing the report’s data on gender.
Specifically, this includes two things:
1. Analysis by region:
A Gender Development Index (GDI) score for each region of mainland Tanzania, based on the health, time spent in education, and living standards of women and men in each region. Along with the GDI score, I have included charts on each of the indicators that is used to calculate the GDI.
Women in decision making positions, by region. This gives the percentage of each region’s MPs, councillors and key officials (RCs, RASs, DCs, DASs) who are female and male.
You can choose which region to look at by selecting from the drop-down menu.
2. Analysis by indicator:
This shows GDI and Human Development Index (HDI) scores for each region, by gender along with scores for the component indicators that make up the HDI, and representation of women in various decision making groups.
Again, you can choose which indicators to look at using the drop-down menus.
Of these, only 1.5% take place in settings with access to safe water and sanitation
Only 44% of health facilities that conduct deliveries have provision of safe water and sanitation facilities
And putting that all together:
Only 30% of births in Tanzania take place in an environment that includes access to safe water and sanitation.
These findings come from an analysis of data from the 2010 Demographic and Health Survey (DHS) and the 2006 Service Provision Assessment, by researchers from the London School of Hygiene and Tropical Medicine, the World Health Organisation and Bugando Hospital.
Access to safe water and sanitation facilities seems like such a fundamental part of giving birth, wherever it happens. That only 30% of mothers in Tanzania have such access is pretty shocking.
But the researchers went further, to look at how access to a safe water and sanitation environment when giving birth varied across the country, and between richer and poorer Tanzanians. It turns out that the headline figures cover up some major differences.
The same World Bank Service Delivery Indicators project has collected data on this as well, in the same four countries: Kenya, Senegal, Tanzania and Uganda. I’ve pulled out three indicators: health worker absenteeism, adherence to clinical guidelines, and diagnostic accuracy.
Health worker absenteeism is worst in Uganda, where nearly half (46%) of health workers were found to be not present at the time of an unannounced visit.
In Tanzania, absenteeism is substantially higher in urban areas (33%) than rural (17%).
Senegal appears to have a bigger problem that the other three countries with the quality of services provided. Only 22% of health workers were found to be following clinical guidelines, and only a third (34%) of diagnostic tests were found to be accurate.
In all three East African countries, health workers are more likely to follow clinical guidelines in urban areas than rural. And the accuracy of diagnostic tests was also higher in urban areas.
Tanzania Daima published a story last week about a remarkably unpleasant event that allegedly took place in Mpanda district, in the west of Tanzania. The reaction the story has generated within Tanzania demonstrates that the events described are not a typical / common occurrence. Nevertheless, I think it illustrates some wider interesting points, so I have translated the story in full. And make a few quick points below the translated article.
The original article is legally problematic, in that it potentially prejudices a pending legal case, (as do the Police Commander’s remarks), but that’s not the point I want to make here. Nevertheless, to avoid repeating the problem, I have changed or obscured the names of key participants and other identifying details in the translation.
Healer kills his child because she had been born in breech position
My colleagues on Twaweza’s Sauti za Wananchi mobile phone-based surveys are scaling up their output this year, in a big way. After the fascinating briefs they launched in last month on water supplies and the new constitution, they have a new one out today, on health services.