Fixing health systems / by Don de Savigny ... [et al.].

"In collaboration with the Ministry of Health and Social Work, Tanzania."

Includes bibliographical references (p. 119-126).

Foreword / M.J. Mwaffisi
Ch. 1. Idea
history of hope and struggle
Bold new initiatives
TEHIP's piece of the puzzle
Testing a potent idea
Complexity anchored by fundamental questions
need for an integrated approach
Efficiency leads to equity
Ch. 2. Approach
Integrating research and development
consortium approach
research begins
Demographic Surveillance System
evolution of the tools
Ch. 3. Results
Supplementary funding
Capacity building in management and administration
Integrated Management Cascade
Rehabilitation of health facilities
What the districts did with budget planning tools
new assault on disease
Integrated Management of Childhood Illnesses
Conclusion
Ch. 4. Extending TEHIP's Innovation and Impact
Ch. 5. Lessons Learned
General principles
People
Infrastructure
Governance
Information
Conclusion
Epilogue. TEHIP Maintains its Momentum
App. 1. Acknowledgments
App. 2. Glossary of Terms and List of Acronyms
App. 3. Sources and Resources

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."--Jacket