While the Tanzanian Ministry of Health has dictated guidelines for how healthcare should be facilitated and staffed, these are often disregarded. There is a very decentralized national system, and it is common for individual districts to, in large part, run their own healthcare delivery systems. Nationally, each health center serves about 50,000 citizens. Guidelines dictate that each district should have its own large hospital, however this is not always the case. In addition to facility deficits, there are significant deficits in the level of training of the staff. Many of the dispensaries and rural healthcare centers have no physicians, and are run by nurses whose education consists of seven years of primary school, and a year of introductory nursing (Manzi et al., 2012). This leaves a huge disparity between the number of citizens in need of medical care, and the availability of services.
Providing education on preventative medicine and basic first aid can prevent many issues that can become dire from escalating to the point of hospitalization. Asali provides seminars, and trainings to help communities take ownership of their own health, and the health of their families.