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Sikika ’ s SAM Experience

Explore Sikika's strategic plan 2011–2015, detailing the implementation process, achievements, and challenges of their Social Accountability Monitoring (SAM) initiative in improving health resource management. Through SAM, citizens actively participate in public resource oversight, contributing to governance changes, transparency improvements, and health service enhancements.

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Sikika ’ s SAM Experience

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  1. Sikika’s SAM Experience Strategic plan 2011 – 2015 Presented by Beatrice Mkani July, 2016

  2. CONTENT • Introduction • Implementation process • Achievements • Challenges

  3. SOCIAL ACCOUNTABILITY MONITORING • Broad range of actions and mechanisms that citizens, communities, independent media and civil society organizations can use to hold public officials and public servants accountable, these actions go beyond mere voting” World Bank (2004). • Sikika adopted SAM to:- • Reinforce accountability in health resources management • Provide space/opportunities for citizens to participate in public resources management • To implement SAM, Sikika uses the PSAM model from the CSA- Rhodes University

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  5. IMPLEMENTATION PROCESS • Introduction of SAM to LGAs and councilors(through District Commissioner) • Formation of SAM teams(ownership by the community) – 13 committees • Stakeholders meetings • Training and analysis • Field visits for verification of findings

  6. IMPLEMENTATION PROCESS.. • Meeting with Council management to share findings and clarifications and justifications • Stakeholders feedback meeting • Development of a joint action plan • Continuous monitoring

  7. ACHIEVEMENTS • Governance and systematic changes • Citizens activeness(rights and roles) • Contributed to the development of HSSP IV and BRN health initiative(evidences from the SAM) • Contributed to recognition of SAM as a good practice to improve accountability( LGAs, councilors and MDAs, PSAM)

  8. ACHIEVEMENTS • Improved effectiveness of councilors in the districts we work( requesting documents as per standing order, monitor health services) • Improved transparency – such as sharing of information( budget, health commodities etc.)

  9. ACHIEVEMENTS Responsiveness of the LGAs • Contributed to the improvement in CHF performance e.g. in Kibaha(enrolment rose from 27% in 2013 to 59% in 2015 of household) • Non functional dispensaries were brought into function (Wangi and Mlunga in Mpwapwa) • Improvement in health infrastructure and basic amenities (Kibakwe theatre, electricity, water and health commodities storage facilities) • Contributed to the improved functionality of HFGCs (Simanjiro-reestablished HFGCs in 28 facilities in 2014)

  10. Storage of medicines & equipment: (Iramba, Mpwapwa, Kondoa)

  11. TOILETS… Before SAM After SAM…

  12. CHALLENGES • Timely access to information • Occasional resistance from LGAs (especially budget holders) • Resource intensive approach • Limited support from the LGAs to the districts SAM teams • Committed SAM members

  13. ASANTE SANA http://sikika.or.tz @Sikika https://www.facebook/SikikaTanzania http://www.sikika-tz.blogspot.com https://www.youtube.com/sikikat

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