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The Tanzania Essential Health Interventions Project (TEHIP) was inspired by the World Bank's World Development Report 1993 Investing in Health (WDR '93). This was the first World Development Report to focus on the challenges facing health care systems around the world. WDR '93 highlighted the need for global health reform, citing systemic problems that hinder the delivery of services and reducing death and illness. These include a huge imbalance in health care spending (more resources go toward expensive but less effective interventions such as tertiary care and CAT scans rather than simpler interventions like primary care); the inefficient use of available resources; rising health care costs; and inequitable access to health services. Investing in Health also noted that these problems are often compounded in low income economies by highly centralized decision making, wide fluctuations in health budgets, and low motivation of health care workers.


Le Projet d'interventions essentielles en santé en Tanzanie (PIEST) émane du Rapport de 1993 sur le développement dans le monde (RDM 93) de la Banque mondiale intitulé Investir dans la santé. Il s'agit du premier Rapport sur le développement dans le monde axé sur les défis que doivent relever les systèmes de santé du monde. Le RDM 93 a mis en évidence le besoin de réforme de la santé dans le monde en citant des problèmes généraux qui nuisent à la prestation des services et à la réduction des taux de mortalité et de morbidité. Ces problèmes comprennent le déséquilibre considérable des dépenses consacrées à la santé (on alloue plus de ressources à des interventions coûteuses bien que moins efficaces comme les soins tertiaires et les tomodensitométries, plutôt qu'à des interventions plus simples comme les soins primaires), l'utilisation inefficiente des ressources disponibles, l'augmentation des coûts des soins de santé et l'inégalité d'accès aux services. Dans Investir dans la santé, la Banque signale également que le caractère très centralisé de la prise de décision, les fortes fluctuations des budgets de la santé et le peu de motivation des travailleurs de la santé compliquent souvent ces problèmes dans les économies à faible revenu.


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Collection's Items (Sorted by Submit Date in Descending order): 1 to 20 of 106
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DateTitleAuthor(s)Access
2005Consolidating and strengthening : a decentralised pre service training and continuing education system for the health sector in Tanzania; revised proposal - final versionKoot, Jaap; Kortmann, Geertruid; Caffrey, Margeret; O'Connel, Andy; Mwango, Hamisi; Kwiligwa, Emmanuel; Mussi, MariaOpen Access
2004Santé, la réforme du système : la moustiquaire traitée, un filet efficaceCRDIOpen Access
2004Fixing health systems : net solutionIDRC; Baobab Productions Inc.Open Access
2004Santé, la réforme du système : traiter l'enfant, pas la maladieCRDI; Baobab Productions Inc.Open Access
2004Fixing health systems : the child not the diseaseIDRC; Baobab Productions Inc.Open Access
2004Santé : la réforme du système; les données du changementCRDI; Baobab Productions Inc.Open Access
2004Fixing health systems : evidence for changeIDRC; Baobab Productions Inc.Open Access
Sep-2004TEHIP news, issue no. 9, September 2004 : tools roll-out to more districts; IMCI reverses grim statistics; strengthening linkages in healthTanzania Essential Health Interventions ProjectOpen Access
2000TEHIP news, vol. 1, no. 3, 2000 : collaborative initiative: an opportunity for a research and development platformTanzania Essential Health Interventions Project (TEHIP).Open Access
2005Conclusion : one step at a timeGuest, RobertIDRC Only
2005Paludisme, le tsunami silencieux d'Afriquede Savigny, DonOpen Access
2005Malaria : Africa's silent tsunamide Savigny, DonOpen Access
2006Using knowledge brokering to promote evidence-based policy-making : the need for support structuresKammen, Jessika van; de Savigny, Don; Sewankambo, Nelson K.IDRC Only
2006Regional East African Community Health (REACH)-policy initiative prospectusEast African CommunityIDRC Only
2007Hamilton Spectator articles on Dr. SewankamboAulakh, Raveena; The Hamilton SpectatorIDRC Only
2008Priority health policy and system challenges (2008-2010)Uganda National Health Research OrganisationIDRC Only
2008Evidence-informed policy making in the United Republic of Tanzania : setting REACH-Policy Initiative priorities for 2008-2010; reportNational Institute for Medical ResearchIDRC Only
2008National study to review existing policy documents and identification of upcoming priority national health policy issues in East African community partner states : Kenya country reportKariuki, J.; Muthami, L.; Mutai, J.; Ojakaa, D.Open Access
1995Strengthening health management in districts and provincesCassels, Andrew; Janovsky, KatjaIDRC Only
2004New WHO report calls for a new and innovative approach to health systems research : urgent need for research to bridge the "know-do" gapPang, Tikki; Durivage, Stéfanie; Larsen, Ian; Chaib, FadélaIDRC Only
Collection's Items (Sorted by Submit Date in Descending order): 1 to 20 of 106
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