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Tanzania has undertaken several deliberate measures to address the social exclusion of traditionally marginalised groups. Yet, it is still felt by some people that good measures, strategies, and plans implemented in health and education are not handled at the household level. The study was conducted in Bunda TC, Bunda DC, and Busega DC to assess gender and social exclusion in the Lake Victoria basin. Specifically, examining disparities in household children’s education expectations by gender and investigating gendered differentials in health status and care. This study employed a multistage sampling method, combining random and purposive techniques, to select 447 households. Key informants were purposefully chosen for interviews, and 30 households per village were systematically surveyed. Data were collected through various methods, including documentary review and computer-aided personnel interviews, ensuring comprehensive coverage. Findings revealed that the sex of a child influenced the household expectation of the highest education level of children. Financial expectation determines who should be educated. The girls were on the disadvantageous side. The sex of the household head did not distinguish health status, and the exclusion of health care lies not in differential treatment between males and females but in differing affordability and the availability of health facilities. It is recommended that: the right to education of a girl child should be addressed at the household level; measures to improve health care affordability and availability of health facilities should be ensured; the provision of health insurance for all and free health services for complicated health problems of women should be emphasised.
Mbasa et al. (Fri,) studied this question.