Cover image for Fixing Health Systems.
Fixing Health Systems.
Title:
Fixing Health Systems.
Author:
de Savigny, Don.
ISBN:
9781552504116
Personal Author:
Edition:
2nd ed.
Physical Description:
1 online resource (148 pages)
Series:
In Focus Collection
Contents:
Contents -- Foreword -- Preface to the Second Edition -- Preface to the First Edition -- 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 -- Effciency 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 facilities -- What 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 -- Epilogue. TEHIP Maintains its Momentum -- Early scaling up -- Maintaining momentum -- Enter the "exit strategy" -- Dissemination -- Replication -- Planning for sustainability/institutional strengthening -- Continued data collection and population health research -- Fundraising -- 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.
Abstract:
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.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
Electronic Access:
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