Fixing Health Systems

Fixing Health Systems

Fixing Health Systems

Fixing Health Systems

Synopsis

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."

Excerpt

The challenges that face Africa in the sphere of health care are formidable and often daunting. After decades of stagnant or worsening poverty and health indicators across the continent, the Millennium Development Goals (MDGs) — adopted by the United Nations at its Millennium Summit of September 2000 — have set benchmarks for improvements in the health picture. If accomplished, the MDGs would represent major advances in the well-being and survival rate of millions of people. Those goals envision that by 2015 child mortality can be reduced by two thirds, that maternal mortality can be reduced by three quarters, and that infectious diseases such as malaria, tuberculosis, and HIV/AIDS — which threaten to do even more damage tomorrow than they do today — can be held in check and indeed reversed.

Are these goals realistic? in Tanzania, recent experience in the large rural districts of Rufiji and Morogoro gives us cause for . . .

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