Tanzanians Highlight Public Health as Top Priority Despite Government Efforts: Afrobarometer Survey Conducted by REPOA

A new Afrobarometer survey by REPOA highlights Tanzanians’ perceptions of public health, showing that 45% consider it the top priority for government action. The findings reveal disparities in access to health care and affordability concerns, especially in rural areas.
Tanzania Afrobarometer REPOA Health 2025

A recent Afrobarometer survey conducted by REPOA reveals that while a majority of Tanzanians commend the government for its efforts to improve basic healthcare services, public health remains the country’s most pressing issue requiring immediate government attention.

The survey, conducted between June and July 2024 and recently released, involved 2,400 adult Tanzanians and provides a comprehensive overview of citizens’ perceptions of public health.

The findings indicate that 68% of Tanzanians appreciate the government’s performance in improving basic health services.

However, nearly half of the respondents (45%) still identify health care as the most critical issue that needs to be addressed, surpassing other concerns such as water supply and infrastructure.

Key Findings on Public Health in Tanzania

The Afrobarometer study highlights significant disparities in access to health care between rural and urban areas. Only 35% of rural areas have a health clinic or hospital within easy reach, compared to 58% of urban centers. This lack of accessibility contributes to the challenges faced by many Tanzanians in obtaining medical care.

Nearly half of the respondents (47%) reported going without essential medicine or medical treatment at least once in the past year, with 17% experiencing this “many times” or “always.”

Additionally, two-thirds of Tanzanians expressed concerns about their ability to afford health care if needed. These worries are particularly acute among those experiencing high levels of poverty, with 78% of this group fearing they would be unable to pay medical bills.

REPOA’s Role and Citizen Voices

REPOA, the national partner for Afrobarometer in Tanzania, played a pivotal role in conducting the survey. The organization’s efforts ensure that the voices of Tanzanians are heard and that policymakers have access to reliable data to inform decisions.

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The survey also sheds light on the broader challenges faced by Tanzanians. Hubert Shija of REPOA emphasized the importance of addressing these issues, stating, “The findings highlight the need for continued investment in public health infrastructure and services, particularly in rural areas where access remains limited.”

Background on Afrobarometer and REPOA

Afrobarometer is a pan-African, non-partisan survey research network that provides reliable data on African citizens’ experiences and evaluations of democracy, governance, and quality of life. Since its inception in 1999, Afrobarometer has conducted nine survey rounds in up to 42 countries. The current Round 10 surveys began in January 2024.

In Tanzania, Afrobarometer surveys have been conducted since 2001, with REPOA leading the efforts. The 2024 survey results have a margin of error of +/-2 percentage points at a 95% confidence level, ensuring the reliability of the data.

For more information, visit REPOA’s website at www.repoa.or.tz or Afrobarometer’s website at www.afrobarometer.org.

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