Abstract:
The research has aimed at examining the Leadership Accountability in service
delivery and the selected health service. The main objective was to investigate the
Leadership Accountability and the delivery of health service. Specific objectives
were to examine the role of the leaders on health service provision in Songea
district, examining the influence of Leadership Accountability in improving health
service provision, and to identify the factors and challenges affecting the
effectiveness of the Leadership Accountability in bringing better health service. The
study adopted a crossectional design where data were collected at once and on time.
Primarily data were through survey method using questionnaires and an interview
method, using an interview guide. Again these data were collected through direct
observation. The study covered 108 respondents who were selected from the four
wards and eight villages. These were Mtyangimbole ward which comprised
Luhimba and Likarangilo village as selected areas, Mpandangindo ward with
Mpandangindo and Liweta villages and Mbingamhalule ward, with Mbingamhalule
village. There was Peramiho ward also which composed Peramiho „A‟ and
Peramiho „B‟ villages. The findings revealed that there was a limited Leadership
Accountability enough to make health service delivery, to be in an efficient and
effective manner. The majority of people who were interviewed, were dissatisfied
with the service provision and accountability of the leaders, both elected and
appointed ones. The study consequently through the categories of institutional, legal,
policy and resource recommendations, suggested that it was for all stakeholders
involved in health service and leadership affairs, to make their contributions so as to
enable the service to be provided, as required or expected. Policy makers
specifically were advised to create and or review policies relating to health,
motivations and incentives. Again it was recommended that different legislations
should also be formulated, so as to scrutinize public officials and enabling
participations in decision making processes
