Fixing Health Systems / Don De Savigny, Harun Kasale, Conrad Mbuya

Foreword; Preface; Chapter 1. The Idea; A history of hope and struggle; Bold new initiatives; TEHIP's piece of the puzzle; Testing a potent idea; Complexity anchored by fundamental questions; The need for an integrated approach; Efficiency leads to equity; Chapter 2. The Approach; Integrating research and development; The consortium approach; The research begins; The Demographic Surveillance System; The evolution of the tools; Chapter 3. The Results; Supplementary funding; Capacity building in management and administration; The Integrated Management Cascade. Rehabilitation of health facilitiesWhat the districts did with budget planning tools; A new assault on disease; Integrated Management of Childhood Illnesses; Conclusion; Chapter 4. Extending TEHIP's Innovation and Impact; Chapter 5. Lessons Learned; General principles; People; Infrastructure; Governance; Information; Conclusion; Appendix 1. Acknowledgments; Appendix 2. Glossary of Terms and List of Acronyms; A; B; C; D; E; G; H; I; M; N; P; R; S; T; U; V; W; Y; Z; Appendix 3. Sources and Resources; The Publisher

The daunting health challenges now confronting Africa, and the rest of the developing world, have been well publicized. Malaria, HIV/AIDS, tuberculosis, malnutrition, anemia: all devastating epidemics whose effects are multiplied by conditions of poverty. In Tanzania, however, recent experience and research are providing cause for optimism. In 1993, the World Development Report suggested that mortality rates could be significantly reduced if resources were directed more in line with local "burden of disease." The TEHIP program was founded to test this idea. After a decade of research and exper

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