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ID: 64409Added: 2004-08-26 11:47Modified: 2010-01-08 16:28Refreshed: 2010-08-31 21:40 
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FIXING HEALTH SYSTEMS / 2. The approach@ 2008 Two large districts in Tanzania -- already engaged in health reforms centred on devolving management of resources to the local level -- attempt to bring health spending more in line with cost-effective approaches to the local disease burden. Information from Demographic Surveillance Systems makes it possible for planners to determine spending priorities. A series of simple management tools enable those district planners to allot funds to interventions that will have a greater impact on local causes of mortality. Integrating research and development The consortium approach The research begins The Demographic Surveillance System The evolution of the tools FIXING HEALTH SYSTEMS / 3. The results@ 2008 New means of planning lead district health teams to budget more proportionally to address major contributors to mortality such as malaria and a cluster of childhood illnesses. Effectively addressing those problems, however, requires that a modest funding top-up be applied to increasing capacity within the health system. This allows for better training, more effective deployment of resources such as drugs, better clinical practice, and increased patient satisfaction. The overall result is a dramatic decline in mortality in the two districts. Supplementary funding Capacity building in management and administration The Integrated Management Cascade Rehabilitation of health facilities What the districts did with budget planning tools A new assault on disease Integrated Management of Childhood Illnesses Conclusion FIXING HEALTH SYSTEMS / Appendix 1. Acknowledgments@ 2008 FIXING HEALTH SYSTEMS / Appendix 2. Glossary of terms and list of acronyms@ 2008 FIXING HEALTH SYSTEMS / Appendix 3. Sources and resources@ 2004 EXTENDED BIBLIOGRAPHY Fixing Health Systems 2004-09-02 The four components of TEHIP Research@ 2001 The TEHIP ‘Spark’: Planning and Managing Health Resources at the District Level@ Stephanie Neilson and Terry Smutylo 2004-04-22 A case study by IDRC’s Evaluation Unit details how TEHIP has influenced public policy and decision-making in Tanzania’s health sector. The study also illustrates some of the challenges associated with sustaining the project’s achievements. Open file Interventions@ 1999-06-01 IDRC in Tanzania@ 2006 Open file |
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