in_focus: FIXING HEALTH SYSTEMS Don de Savigny, Harun Kasale, Conrad Mbuya, and Graham Reid IDRC 2004 ISBN 1-55250-155-8 126 pp. (An image was removed. Link: Browse from this page) (An image was removed. Link: Download e-book) (An image was removed. Link: Purchase book online) 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 experience, the verdict is in: the idea is solid, and has produced some remarkable results. Two districts in Tanzania, for example, have seen child mortality rates fall by more than 40%. This book presents the TEHIP story. It is a story of hope, and holds important lessons that can be applied widely throughout the countries of the developing world, and beyond. With its accompanying CD, which presents the associated Website (www.idrc.ca/in_focus_tehip), this book will be an indispensable resource for decision-makers, researchers, policy advisors, and activists in health and international development around the world. THE AUTHORS Don de Savigny is Research Manager of the Tanzanian Essential Health Interventions Project (TEHIP), IDRC. Harun Kasale is TEHIP’s Project Coordinator (Ministry of Health, Tanzania). Conrad Mbuya is TEHIP’s Research Coordinator (Ministry of Health, Tanzania). Graham Reid is TEHIP’s Project Manager, IDRC.
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