Tag Archives: Service Delivery Indicators

Chart of the week 31?: On the quality of health service provision

Teachers are on a cold strike, as we have seen, and many don’t have the level of knowledge of their subject matter that we would like. But what about health facility workers – nurses, clinical officers and doctors?

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.

So what do these charts tell us?

  • 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.

Chart of the week #30: How well do teachers understand what they are teaching?

Last time we looked at data that showed how Tanzanian teachers really are on a “cold strike” (mgomo baridi). This time, a simple question: do teachers really understand what they are supposed to be teaching.

The same World Bank Service Delivery Indicators initiative asked grade 4 teachers (known as Standard 4 in Tanzania) in Kenya, Senegal, Tanzania and Uganda to take tests based on the primary school curriculum. Essentially, they were asking how well the teachers understand the subjects they are teaching. Continue reading

Chart of the week #29: “Mgomo Baridi” – How much time do teachers actually spend teaching?

Teachers in Tanzania are often said to be on a “cold strike”- mgomo baridi. Not officially on strike, but seriously demotivated and not putting in anything like the amount of effort that the government expects of them. Some may be absent from their schools, others at school but not in the classroom. This is often cited as one reason why children are not learning as well as they should be.

But exactly how bad is the situation, and how does it compare with teachers in other countries? Continue reading