Fixing Health Systems
In 1993, the World Development Report suggested that directing health care budgets more proportionally toward the local "burden of disease" could significantly lower rates of death and disease. As the original edition of Fixing Health Systems revealed, the TEHIP program provided powerful evidence in support of that hypothesis. In TEHIP's two Tanzanian test districts, for example, modest funding increases and sweeping organizational changes contributed to decreases in child mortality of more than 40%.
Now, this second edition moves beyond the hopeful story of how TEHIP's interlocking web of systemic reforms improved the health outlook in Tanzania. With a new epilogue and preface, this updated volume also explores how the TEHIP example has helped create a paradigm shift in Africa and within the global health community.
With its accompanying CD, which presents the associated website (www.idrc.ca/in_focus_tehip), this book remains an indispensable resource for decision-makers, researchers, policy advisors, and activists in health and international development around the world.
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Africa allocated Alma-Ata approach areas budget burden of disease capita Childhood Illnesses CIDA clinic cost-effectiveness Dar es Salaam deaths decentralized Demographic Surveillance System DHMTs Dispensary District Health Management district planners Don de Savigny drugs Essential Health Interventions evidence-based planning example goals Graham Reid Harun health care delivery Health Centre health facilities Health Interventions Project health planners health policy health services health workers HIV/AIDS IDRC Ifakara Health Research IMCI impact improve health INDEPTH Network initiatives Institute Integrated Management malaria Management Cascade Management of Childhood ment Millennium Development Goals Ministry of Health Morogoro districts mortality rates Muhimbili package planning tools population health Primary Health programs research and development Rufiji and Morogoro Rufiji District spending staff Swiss Tropical Institute Tanzania Bureau Tanzania Essential Health Tanzania Ministry TEHIP tion top-up UNICEF United Nations Foundation World Bank World Health Organization Zonal Training Centre ZTCs