The Service Delivery Indicators (SDIs)provides a set of key indicators serving as a benchmark forservice delivery performance in the health and educationsectors in Sub-Saharan Africa. The overarching objective ofthe SDIs is to ascertain the quality of service delivery inprimary education and basic health services. This would inturn enable governments and service providers alike toidentify gaps and bottlenecks, as well as track progressover time, and across countries. The SDI survey interviewed403 heath providers across Tanzania between May 2014 andJuly 2014. This technical report presents the findings fromthe implementation of the SDI in the health sector inTanzania in 2014. Survey implementation activities tookplace following extensive consultations with the governmentand key stakeholders on survey design, sampling, andadaptation of survey instruments. A major challenge forTanzania’s health sector is the shortage of skilled humanresources for health (HRH). This survey found that providerknowledge and abilities were not adequate to deliver qualityservices. Caseload per provider and absenteeism arerelatively low, so the issue is not over burdened providers.There seems to be ample room for a significant increase inthe caseload of Tanzanian providers, i.e. the level ofproductivity in health service delivery, withoutjeopardizing quality. In addition to increasing the volumeof skilled HRH to address the shortage of providers,improvements in management, supervision and training isimportant to improving service delivery. Health for all inTanzania will mean the simultaneous availability of widelyaccessible inputs and skilled providers.
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