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Answer.

The health care facilities of most African countries were inherited from colonialism that were used to care the Europeans and civil servants and few and poor medical facilities caring the ordinary citizens. Most of them were allocated in urban areas unlike in villages especially in capital cities.

In fact most of Africans preferred traditional medicines offered by the traditional doctors in their communities. This was due to the fact that imported medicines from overseas provided in a modern hospital were very expensive t the extent that most Africans could not afford them.

In Tanzania health services have been provided by the government, national parastatal agencies, and churches, local and international voluntary agencies. Government put more emphasis was to rural areas through funds allocation as health centers and dispensaries were established. The weeaknesses in the provision of health services in Africa after independence includes:-

1. Lack of human resources, especially well trained health personnel this is due to the fact thatduring colonial rule many Africans were not trained by the colonialists.

2.Corruption, most of the civil servants in health sector are not faithful as they had beenpracticing corruption through selling of government funded medicines at a throwaway price tounscrupulous business people something that result to suffering among the populations.

3.Inadequate financial resources, most of African countries experience lack of enough funds toprovide quality health services to whole country free or at low cost following this access topersonnel health care has therefore remained the privilege of a few people in society. Forexample rural areas are neglected as good services are mainly available in the urban centers.

4.Poor planning and lack of resources to support the provision of health services, for examplepoor provision of infrastructure, clean water and transport has affected the delivery of healthservices.

5.Dependency on donor funding who provide conditions to the African countries under StructuralAdjustment Programs. For example the introduction of cost sharing policy discouraged manypoor people from seeking good medical attention.

6.Failure to research on local traditional medicines has led African governments to spend a lot ofresources in buying medicines from other parts of the world.

7.Existence of incurable diseases like HIV/AIDS, cancer and diabetes has created heavy burden tomost African countries since they require a lot of financial resources and time in caring. Forexample by the end of 1980’s over six million people had been infected in the continent

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