Abstract
This study investigates the factors influencing corruption in the health sector, using Dar es Salaam City Council as a case study. The research is guided by the Public Choice Theory, which posits that individuals in the public sector act in their self-interest, leading to corrupt practices when the opportunity arises. A descriptive research design was adopted in this study. The target population consisted of health workers within the Dar es Salaam City Council (8980). A sample size of 110 respondents was selected using purposive and simple random sampling techniques. Data collection involved the use of 90 questionnaires distributed to respondents and 20 in-depth interviews with key informants. Both qualitative and quantitative methods were employed to collect, process, and analyze the data. Primary data were collected using questionnaires and interviews, while secondary data were obtained through documentary review. The findings revealed a high prevalence of corruption in society, with the health sector showing higher incidents of corruption in Dar es Salaam City Council. Factors contributing to corruption include low salaries, non-existent rules, lack of transparency and accountability, nepotism, favoritism, and inadequate staff welfare benefits. The study concluded that corruption affects the socio-economic development of the country and is considered a major obstacle towards sustainable development in the community and the public at large in the Dar-es-Salaam City Council health sector. The study recommends that the Dar es Salaam City Council improve the working conditions of health workers by increasing salaries, providing staff housing, and offering free utilities and allowances. Additionally, the government of Tanzania should formulate an integrated policy for the health department to enhance transparency, accountability, and efficiency in the management of schools and health facilities.
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