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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
2010Feature (sic) future looks bright for health sectorLobulu, WilliamIDRC Only
2005Conclusion : one step at a timeGuest, RobertIDRC Only
2008Fixing health systemsde Savigny, Don; Kasale, Harun; Mbuya, Conrad; Reid, GrahamOpen Access
2005Program emphasizes "examining the whole child entirely'"Nolen, StephanieIDRC Only
2004Extra dollar can go a long way : small amounts of money can have a powerful effect when properly targeted, a health project in Tanzania has shownWatts, GeoffIDRC Only
2005Canadian project halves Tanzania's child deathsNolen, StephanieIDRC Only
2002Health care in poor countries : for 80 cents moreEconomist NewspaperIDRC Only
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
2004Santé : la réforme du système; un avenir en santéCRDI; Baobab Productions Inc.Open Access
1999TEHIP news, vol. 1, no. 1, January - June 1999 : on evidence-based planning; testing a processTanzania Essential Health Interventions ProjectOpen Access
1999TEHIP news, vol. 1, no. 2, July - December 1999 : strengthening district health managementTanzania Essential Health Interventions ProjectOpen Access
1996PolicyMaker : computer aided political analysis; improving the art of the feasible; version 2.0Reich, M.R.; Cooper, D.M.IDRC Only
2005Public health review : creating an enabling environment for taking insecticide treated nets to national scale; the Tanzanian experienceMagesa, Stephen M.; de Savigny, Don; Lengeler, Christian; Njau, Ritha J.A.; Miller, Jane E.; Mwita, Alex; Kitua, Andrew Y.IDRC Only
2001Burden of disease profile, 2001 : graphs of selected health and demographic indicators; coastal zone - for rural Coastal districts in Coast, Lindi, Mtwara, and Tanga regions, based on the Coastal Sentinel DSSTanzania. Ministry of HealthOpen Access
2004TEHIP "spark" : planning and managing health resources at the district level; a report on TEHIP and its influence on public policy, final reportSmutylo, T.; Neilson, S.Open Access
1989Factors affecting leprosy case detection in the National Tuberculosis / Leprosy Control Programme of Tanzania : a research reportMuhimbili Medical Centre, Behavioural Sciences Dept.; Muhondwa, E.P.Y.IDRC Only
2004Health systems : orphan of researchDickson, D.IDRC Only
Collection's Items (Sorted by Submit Date in Descending order): 1 to 20 of 106
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