“…It is also supported by a recent report that there is about 65 to 75% potential for productivity increase by health workers in Tanzania if working time is spent on productive activities and the activities are done efficiently (Maestad, 2006). Moreover, availability of health professionals has a bearing on the quality of service that is offered and certainly on users' perception as reported from other studies (Smith & Sanderson, 1992;Haddad et al, 1998;Lomoro et al, 2002;Leon, 2003;Groenewegen et al, 2005;Lim et al, 2004;Manongi et al, 2006;Kamuzora & Gilson, 2007).…”