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Effect of Leadership Accountability on Improving Service Delivery in the Public Sector in Tanzania: A Case Study of Ocean Road Cancer Institute, Dar es Salaam
Darlene Mutalemwa
Abstract
This study assesses the influence of leadership accountability on improving service delivery at Ocean Road Cancer Institute, Dar es Salaam, Tanzania. The specific objectives of this study were to: determine the effect of financial accountability on service delivery; determine the effect of legal framework accountability on improving service delivery; and investigate the influence of management accountability on improving service delivery at Ocean Road Cancer Institute in Dar es Salaam, Tanzania. The study was conducted at the Ocean Road Cancer Institute in Dar es Salaam as a case study. A total of only 110 were filled in and returned, which gave adequate information required for the study. The sample size was selected using simple random and purposive sampling methods. Mixed methods (qualitative and quantitative data) were used to collect, process, and analyze the data. Qualitative data were analyzed through content analysis, while the Microsoft Excel program was used for analyzing quantitative data. Basically, primary data is collected using questionnaires, and secondary data is collected with the aid of a documentary review. The general study findings indicated that the legal framework increased efficiency in service delivery at the Ocean Road Cancer Institute, management accountability helped to ensure efficient utilization of resources, which in turn improved service delivery, and financial accountability helped to ensure funds are used in a transparent and accountable manner at the Ocean Road Cancer Institute. However, corruption, nepotism, misuse of resources, and a lack of transparency and accountability were the challenges that prevented ORCI from providing services effectively. However, the study recommends that the government needs to formulate an effective policy that could address problems associated with ICT facilities, and the policy also needs to solve the problems adequately so that the workers can provide quality service by using advanced computerized systems.
