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

CONTENT Introduction Implementation process Achievements Challenges

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

Source: Center for Social Accountability (CSA), retrieved September 1, 2014, from http://www.psam.org.za/. 4 4

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

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

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)

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.)

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)

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

TOILETS… Before SAM After SAM…

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

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