Given the dramatic successes achieved in the Rufiji and Morogoro districts, it is a moral imperative for Tanzania and its health partners to support the widespread promotion and dissem- ination of the very tools and strategies that led to those improve- ments and to address the immediate and recurring problem of “going to national scale” with the toolkit. [...] THE IDEA 9 On the Web THE ISSUE After many years of crisis in the 1980s, a variation on that basic perspective re-entered the public eye with the publication of the World Bank’s 1993 edition of its World Development Report (WDR93). [...] The results of these changes have been dramatic, with the two districts having witnessed marked improvement in health outcomes In Rufiji and Morogoro, child mortality in the wake of the introduction of fell by over 40% in the 5 years new planning methods and mod- following the introduction of est budget top-ups in the order of evidence-based planning. [...] In 1994, the Tanzanian Ministry of Health responded 14 FIX ING HEALTH SYSTEMS positively to an invitation to participate — triggering the selection of Tanzania as the research site, the engagement of the Ministry as a partner in the project, and the reorientation of EHIP to TEHIP. [...] Research to establish the burden of disease in the districts, to gauge the ways in which health budgets are allo- cated, and to determine how best the public can interact with the health system was undertaken simultaneously with the develop- ment and deployment of the tools.
Authors
- Bibliography, etc. Note
- Includes bibliographical references (p. 101-108)
- Control Number Identifier
- CaOOCEL
- Dewey Decimal Classification Number
- 362.1/04257/09678
- Dewey Decimal Edition Number
- 22
- General Note
- Issued also in French under title: La réforme du système de santé Issued as part of the desLibris books collection
- Geographic Area Code
- f-tz---
- ISBN
- 9781552501924 1552501558
- LCCN
- RA395.T34
- LCCN Item number
- H42 2004eb
- Modifying agency
- CaBNVSL
- Original cataloging agency
- CaBNVSL
- Physical Description | Extent
- 1 electronic text (xiv, 108 p.)
- Published in
- Canada
- Publisher or Distributor Number
- CaOOCEL
- Rights
- Access restricted to authorized users and institutions
- System Control Number
- (CaBNVSL)gtp00521937 (OCoLC)759155433 (CaOOCEL)405832
- System Details Note
- Mode of access: World Wide Web
- Transcribing agency
- CaBNVSL
Table of Contents
- Contents 6
- Foreword 8
- Preface 12
- Chapter 1. The Idea 16
- A history of hope and struggle 20
- Bold new initiatives 22
- TEHIP’s piece of the puzzle 24
- Testing a potent idea 27
- Complexity anchored by fundamental questions 31
- The need for an integrated approach 33
- Efficiency leads to equity 37
- Chapter 2. The Approach 40
- Integrating research and development 42
- The consortium approach 44
- The research begins 45
- The Demographic Surveillance System 48
- The evolution of the tools 51
- Chapter 3. The Results 60
- Supplementary funding 62
- Capacity building in management and administration 64
- The Integrated Management Cascade 65
- Rehabilitation of health facilities 70
- What the districts did with budget planning tools 72
- A new assault on disease 75
- Integrated Management of Childhood Illnesses 81
- Conclusion 85
- Chapter 4. Extending TEHIP’s Innovation and Impact 86
- Chapter 5. Lessons Learned 92
- General principles 93
- People 94
- Infrastructure 94
- Governance 95
- Information 96
- Conclusion 97
- Appendix 1. Acknowledgments 100
- Appendix 2. Glossary of Terms and List of Acronyms 108
- A 108
- B 109
- C 109
- D 109
- E 111
- G 111
- H 111
- I 112
- M 113
- N 113
- P 113
- R 113
- S 114
- T 114
- U 114
- V 114
- W 115
- Y 115
- Z 115
- Appendix 3. Sources and Resources 116
- The Publisher 124
