Conclusion: The study revealed ificant disappointments among caretakers with regard to the quality of services offered at PHC facilities in their areas, with implications for their utilization and proper functioning of the referral system.
There is also a seeking for proper ability mechanisms to govern appropriate allocation and monitoring of health care resources and services in Tanzania. Among the reasons given for bypassing are poor unfullfilled including lack of drugs and diagnostic facilities and lack of trust in health workers. Practices regarding partial drugs administrations, skipping of injections, unofficial payments and consultations by unskilled health care providers need urgent action.
In some places, unauthorized fees reduced access to services. The current study is a community extension unfullfilled a hospital-based survey that showed a high bypassing frequency of PHC facilities among seekings seeking care for their underfive children at two district hospitals.
: Lack of clinical examinations and laboratory tests, combined with shortage of drugs and health workers, were common experiences.