1. Sikika’s SAM Experience
Strategic plan 2011 – 2015
Sikika’s SAM Experience
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

4. Source: Center for Social Accountability (CSA), retrieved September 1, 2014, from 4 4

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 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 http://www.sikika-tz.blogspot.com
@Sikika
ASANTE SANA