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Measures taken by the Government of Phase Five on improving health services does not help to improve the industry in the country as the basic problems were addressed comprehensively, Citizen limebaini.Since coming to power President John Magufuli, has made two visits to surprise at the National Hospital of Allied and take several steps, including breaking the Board of the hospital to dismiss Director General thereof as corrective measures to improve health care in the hospital.However, our investigation revealed that these steps together and be happy and citizens, solve the only indication of the complexities of health care in the country.In the study, Citizen, limeambiwa be to improve your health care six basic things that need to be addressed with great force and quickly, in order to improve health care in the country.These places are becoming doctors and other ministers of health sufficient working directly in hospitals and health centers, provision of efficient services, not enough medicine and medical supplies all the necessary vaccines and modern technology in the medical, financial enough to cater for the health sector and careful management with professionalism.One of the doctors from Muhimbili National Hospital says these things have not been dealt with to the fullest; "Without these things to be put right in the hospital all our current measures are as a remedy for pain relief only, we begin to treat disease in this industry," says the doctor whose name we will not mention for obvious reasons.He adds that the problems in the health sector in the country is a malignancy that is the main source of strikes of doctors in 2006 and 2012. He says despite strikes that the government has not been to address these concerns in its entirety, instead it has been taking steps to fire only, he stressed as President Magufuli has a commitment to fix the situation we must first deal with these fundamental problems."Action is taken, the President indicate good intentions, but it is only temporary, should force be directed at the root of the problems of health care in the country, without focus there will give the public unrealistic hope," he said.Inadequate incentives for doctorsOne of the basic problems facing the health sector in the country include many doctors see the work that does not incentive enough and so decided to do other tasks that are not medical.According to a survey conducted by the non-governmental organization Sikika in collaboration with the Medical Association of Tanzania (MAT), called Where are the Doctors? -Tracking Study of Medical Doctors, doctors working (full time) in the hospital in less than half of the graduates of the profession.The study was released in September 2013 you indicated that 39.6 percent of physicians surveyed did doctoral work. Doctors were carrying out activities related to medicine is 60.4 percent who were working in hospitals, non-governmental organizations (NGOs), universities, research and other studies."Percentage 42.8 graduates of doctoral were the work directly to the hospital (full time) 15.5 percent were blossomed academically, 13.7 percent were working in NGOs, 11.9 percent were working in health institutions or research, 16.1 percent were either work unrelated to health, the Ministry of health or ceased to function, "says the report of the study by adding; "In general, the number of medical graduates who do not work in hospitals increasingly those who work in the hospital."Another study published in the Journal of Tanzania Journal of Health Research Volume 16, No. 2, April 2014 notes that Tanzania was facing a serious problem of insufficient manpower in the health sector (Human Resource for Health - HRH), reaching a percentage 87.5 to hospital private and 67 percent to the government hospital."The cause of this decrease is the unequal distribution of health workers and will be academic refuge abroad (brain drain)," describes part of the study called, Addressing the human resource for health crisis in Tanzania: the lost in transition syndrome.The study shows that between 2001 until 2010 a total of 2,248 doctors and 198 dentists graduated in domestic and foreign universities. From 2005 until 2010 a total of 1,691 doctors equal to 97.13 percent and 186 Dental Surgeons equal to 126.53 percent were registered for the internship. But hired in 2007/2008 is 80 out of 218 doctors equal to 37.7 percent of doctoral graduates who graduated in 2006, when dentistry that is employed in seven out of 27 graduates equivalent to 25 per cent.For fiscal year 2009/2010 employment permit was issued to 265 out of 310 doctors equal to 85.48 percent of doctors who graduated in 2008. In 2010/2011, the employment permit was issued to 190 out of 330 doctors who graduated in 2009 equal to 57.58 percent, while 2011/2012 year employment permit employment permit for 249 in the 408 doctors who graduated in 2010 equal to 61.03 percent of the graduates of that year."Based on the analysis of employment permits for the 2007/2008, 2009/2010, 2010/2011 and 2011/2012 could not provide jobs for 482 doctors equal to 38.1 percent of qualified doctors in those years," says the survey report and increase; "The biggest challenge with regard to the registration of doctors in the pilot (Graduation Internship Appointment - GIA) is a lack of accommodation, allowances or delay of salaries for jobs first, difficult working conditions, limited employment opportunities and job security."In addition, the study illustrates that the failure to put in order to register to internship compulsory and failure to employ all graduates of doctoral loss causes many doctors are required to provide services in the country.MAT reminded incentive policy for 2010Vice President of the Association of Doctors (MAT) Dk. Obadiah Nyongela told the Citizen that the measures taken by the Government of Phase V may be helpful in improving the health sector as a form of austerity will elekeleza zinazookolewa money in the industry."The problem of shortage of doctors is great, your locations deficit is more than 52 percent, and there are rural shortage of nurses is more than about 68. In order to reduce the deficit that the government should ensure that it provides permits to employ consistent with a number of medical graduates, they won all be employed internship, "says Nyongela adding that action against employing all graduates, the waiting time makes some doctors plan to do other things.Anaishauri Phase Five government started to use the policy of incentives for doctors in 2010 that is activated. He says the policy will help raise morale among doctors.According to his notes, it is also important to the government to create conducive environment for doctors to places they are going to work and cooperate with the party requesting to be able to deal with these challenges.The challenge of financial resourcesWith Tanzania to sign the Declaration of Abuja (Abuja Declaration) calling for 2001 to allocate 15 percent of the budget for health, statistics of the World Health Organization (WHO) show that the health budget for Tanzania has been declining year after year.The budget has been declining from 17 percent in 2006 to 11 percent in 2011. Statistics show that the Tanzania government budget until it fell nine percent in 2011/2012 to 8.5 percent in 2012/2013. In the budget for the year 2014/2015 and 2015/2016 government allocated eight percent of its budget for the Ministry of HealthThe realities in hospitalThe real situation in some hospitals in effectively reflect the results of these studies about the problems of human and financial resources. For instance, the financial statements of the Mbeya Referral Hospital, show that in November last year alone, the hospital was the demand of 1.2 billion shillings. However the money obtained was only 544 million, where the purchase of a particular drug in the same month need 120 million shillings.Citizen investigation revealed that the actual financial situation in Mbeya Referral Hospital are different and how society ilivyoaminishwa recently by the Deputy Minister of Health, Dr. Kigwangwala Hamis, who gave the leadership of the hospital 60 days to make sure they buy a CT scan machine.CT Scan machine sells small between 800 million to one billion is greater when the three billion shillings for a single machine.Order of the deputy minister was due to the collection of financial information was discovered in the hospitals he visited, that gathers Sh. 500 million per month. Dk. Kigwangala looked at only one side, the collections would compare to the use of the hospital."It is true we collect Sh. 500 million a month now, but about 80 percent are from the special program of maternal you owagharimia through the National Fund for Health Insurance, "says one doctor from the Hospital Appeal Parents Meta, who asked not to be named for obvious reasons.Due to these collections, the hospital has run a program of recruiting doctors and nurses when the government fails to provide them due to budget constraints and educating doctors at the level of the second degree.Mbeya Referral Hospital Director Dr. Goodlove Bwanji, confirmed the hospital's ability to collect 500 million shillings per month and noting that they are still working on the orders of the Deputy Minister.However, the director was not willing to go into more detail, saying it is still a stranger in that position and continues to learn.Our source else from the hospital states that in order to cover the shortage of doctors, the hospital employs 15 physicians and nurses 26 through the mechanism of jobs created and the hospital, and doctors 15 others are studying taking the second degree, the aim being to get doctors to its champion.Mbeya Referral Hospital caters regions of the Southern Highlands, but according to reliable sources, the hospital has not reached the provision of services in its level, as a referral hospital to serve the region.With the budget deficit, the country's health sector is also facing the problem of shortage of space to cater for patients, leading to overcrowding in hospitals across the country, especially with lay sick.Our sources in various hospitals in Mbeya control points reveal another challenge to be a shortage of staff, including specialists in Mbeya Referral Hospital.Establishment of the hospital is 1,500 staff, including the subject matter. However, hospital statistics indicate that there are only 845 staff, a step that leads to the existence of a huge load of work for some staff or withhold some services.Unit ears, nose and throat, kinachofahamika simply as ENT, has no specialist doctor even one in Mbeya Referral Hospital, and as a result, the service is not provided at the hospital.With serviced roughly seven provinces, including neighboring countries, the Mbeya Referral Hospital has modern machinery diagnostics of diseases such as CT scan and MRI, access the patients are forced transported to Dar es Salaam.The problem of shortage of staff also linaikumba Referral Hospital Dodoma Region. Physician in Charge of the hospital, told Zainab priorities Citizen, that the hospital has a shortage of 141 staff of various departments which leads to work without rest."Establishment of 699 staff had to have been present but now are 558 who are inconclusive due to the many patients who arrive at the hospital for a day (external) and admissions," he said.Patients being treated for a day out reach between 400 and 500, with 400 admissions as it says the government has to look at these hospitals and to give the necessary requirements to be able to serve citizens efficiently and save the lives of patients.Working conditions at the hospital continues to be challenging due to the shortage of rooms where one room doctors are forced to stay two doctors during the procedure you want a room to have one doctor to provide privacy for the patient.60 percent of patients being treated at the hospital are exempt and those patients with the government taking a long time to send money to cover portions of forgiveness. Health policy emphasizes citizens to contribute to health costs.The situation oblige them to make improvements to solve the challenges faced especially in terms of access to drugs after receiving the advice of the governor introduce Fast Track service to medicine so that patients do not go to buy drugs outside the hospital.Pharmacist of the hospital, Mussa Halingoti explains that all essential drugs to save the lives of patients antibiotic including but not limited to, drip, blood pressure, pain relief, diabetes and medications for children.The availability of these drugs derive from the hospital to raise funds to supplement patients who pay cash, which is used to make medication available at all times.In terms of motivation for employees, have received 'on call allowance' since October last year, but they continued to work.Despite all the efforts made by the ministers of health save lives of people in difficult working conditions but still people have continued to complain, Dk. Aula says they are fulfilling their duty, they have a box for collecting feedback, but have never met with any nuisance.Health workers are human but they should follow the ethics of their work is not done and changes to work practices.Referring to the saga of health workers in Nyamagana in Mwanza hospital mortality kulikosababisha twins pregnant after failing minister, said if they really deserve punishment led to be judged according to their crimes, this function is calledPursue online: