Perceived Corruption and Quality of Health Services in Mbeya Urban District, Mbeya Region Tanzania

Samwel J. Kabote


This paper examines the effect of corruption on quality of public health services. Corruption, in Tanzania, is a national concern that upsets public health services. There is a public outcry that corruption is increasing in the public health sector while the government’s effort to combat the phenomenon is unimpressive. This poses worries on the quality of public health services. The current study adopted cross-sectional research design, and a total of 180 respondents were involved in the survey. The Mann Whitney U Test was used to compare differences between perceived quality of health services and respondents’ characteristics. Overall, 87.2% of the respondents perceived low quality of health services, and corruption affected quality of health services to a greater extent. Based on age, employment and wealth status, there was significant difference on reporting perceived quality of health services at 5% and 1% level of significance. In addition, respondents’ sex and employment status showed significant difference in reporting the extent to which corruption affected quality of health services at 5% level of significance. The paper draws out two conclusions: first, the quality of health services was low. Second, corruption exacerbated poor quality of health services. To that effect, interventions to combat corruption in the public health sector are needed so as to improve quality of health services.

Full Text:



Adindu, A. (2010). Students’ perception about the effect of corruption on quality of health care. International Journal of Biological Sciences, 2(7), 122-127. Retrieved March 7, 2017, from'_Perception_about_the _Effect_of_Corruption_on_Quality_of_Health_Care

Ahmad, I., Nawaz, A., Khan, S., Khan, H., Rashid, M. A., & Khan, M. (2011). Predicators of Patient Satisfaction. Gomal Journal of Medical Sciences, 9(2), 183-188.

Aiko, R. (2015). Tanzanians Perceive Ineffective Fight against Corruption; Say Citizens Have a Role to Play. AFRO Barometer Dispatch No. 48. REPOA, Dar es Salaam.

Akter, S., D'Ambra, J., & Ray, P. (2010). User perceived service quality of m-Health services in developing countries. 18th European Conference on Information Systems, Pretoria, South Africa: University of Pretoria. pp. 1-12.

Andaleeb, S. S. (2001). Service quality perceptions and patient satisfaction: a study of hospitals in a developing country. Social Science and Medicine, 52, 1359-1370.

Atherton, F., Mbekem, G., & Nyalusi, I. (2003). Improving service quality: Experience from the Tanzania Family Health Project. International Journal for Quality in Health Care, 11(4), 353-356.

Baba, I. (2004). Experiences in quality assurance at Bawku hospital eye department, Ghana. Journal of Community Eye Health, 17(50), 31. Retrieved December 28, 2016, from

Bailey, D. (1998). Methods of social research. Free Press Collier Macmillan publisher New York Qualitative and Quantitative Approaches. Sage Publication, London (p. 585).

Batool, Z., Afzal, A., & Hussain, S. (2005). Perceptions of the beneficiaries of basic health units in rural areas. Journal of Agriculture and Social Science, 1(1), 62-3. 1813–2235/2005/01–1–62–63

Bradshaw, D. (n.d). Determinants of Health and their Trends. South African Medical Research Council. Retrieved November 28, 2016, from

Field, A. (2009). Discovering Statistics Using SPSS 3rd Edition, 821pp, SAGE Publications Limited, London. Guide to Data Analysis Using SPSS for Windows (3rd Ed, p. 335). Berkshire: Open University Press..

Itam, I.H and Adindu, A. (2012). Health security and quality of health services. Developing Country Studies, 2(11), 43-50.

Kumari, R., Idris, M. Z., Bhushan, V., Khanna, A., Agarwal, M., & Singh, S. K. (2009). Study on patient satisfaction in the government allopathic health facilities of Lucknow district, India. Indian journal of Community Medicine, 34, 35-42.

Legal for Human Rights Centre (LHRC). (2013). Tanzania Human Rights Report. Retrieved April 22, 2016, from report-2013.pdf

Leonard, K. L. (2008). Is patient satisfaction sensitive to the changes in the quality of care? An exploitation of the hawthorne effect. Journal of Health Economies, 27(2), 444-459.

Mahlangu, Q. (2009). Health Budget speech tabled by MEC for Health and Social Development in South African Government information. Retrieved May 17, 2016, from

Melgar, N., Rossi, M., & Smith, T. (2010). The Perception of Corruption. Retrieved April 22, 2016, from http//

Mwakisu, S. (2005). Perceived quality of health care services in Dar es Salaam municipal hospitals: comparison between clients using user fees and National Health Insurance Fund. A dissertation submitted in partial fulfillment of requirement for degree of master of public health of the University of Dar es salaam (pp. 1-20).

Ngware, S. (2005). Corruption in Local Authorities in Tanzania. Retrieved December 26, 2016, from

Pallant, J. (2007). Statistical Package for Social Science (SPSS) Survival Manual: A Step by tep Guide to Data Analysis Using SPSS for Windows (3rd Ed, p. 335). Open University Press, Berkshire.

Pastory, W. (2013). Ageism in Tanzania’s health sector: A Reflective Inquiry and Investigation, 4(1), 400-410.

Research on Poverty Alleviation (REPOA). (2006). Combating Corruption in Tanzania: Perception and Experience. AFRO Barometer briefing paper no. 33. REPOA, Dae es Salaam.

SIKIKA. (2010). Petty corruption in health services in Dar es Salaam and Coast regions. E and D Readership and Development Agency: Jamana Printers. Dar es Salaam, Tanzania (pp. 09-20).

Streefland, P. (2008). Public health care under pressure in Sub-Saharan Africa. Medische Antropologie, 20(1), 139-149.

Sulley, C. (2012). The 2010 general elections in Mbeya Urban constituency: actors and processes. Journal of Politics and Law, 5(4), 4-12.

Transparency International. (2004). The Information Challenge: Transparency International and Combating Corruption by Mr. Jeff Lovitt, Director of Communications –Transparency International Presented at the 4thTraining Seminar of the OLAF Anti-Fraud Communicators’ Network (OAFCN): Deterring Fraud by Informing the Public24-25-26 November 2004.

United Nations. (2016). Measuring corruption in Africa: The international dimension matters - African Governance Report IV. Retrieved April 17, 2016, from

United Republic of Tanzania (URT). (2003). National Health Policy. Ministry of Health, Dar Es Salaam. Retrieved December 26, 2016, from

United Republic of Tanzania (URT). (2007). The Ministry of Health and Social Welfare Tanzania (MOHSW) Dar-es-Salaam Tanzania. Quality Improvement of District Health Services. 128pp.

United Republic of Tanzania (URT). (2011). Ministry of Health and Social Welfare. The Tanzania Quality Improvement Framework in Health Care 2011 – 2016 (p. 76).

United Republic of Tanzania (URT). (2014). Basic Demographic and Socio-economic Profiles: 2012 Population and Housing Census. Dar Es Salaam. Retrieved December 26, 2016, from Economic_Profile_PopularVersion-KeyFindings_2012_PHC_EnglishVersion.pdf

World Health Organization (WHO). (2014). World Health Statistics 2014. Retrieved November 29, 2016, from 692671_eng.pdf

World Health Organization (WHO). (2015). World Health Statistics 2015. Retrieved November 29, 2016, from 0694439_eng.pdf?ua=1



  • There are currently no refbacks.

International Journal of Social Science Research (Online ISSN: 2327-5510) E-mail:

To make sure that you can receive messages from us, please add the '' domain to your e-mail 'safe list'. If you do not receive e-mail in your 'inbox', check your 'bulk mail' or 'junk mail' folders.

Copyright © Macrothink Institute   ISSN 2327-5510