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Tanzania :A Country Status Report on Health and Poverty (Health, Nutrition, and Population inputs for the PRSP and HIPC process)

World Bank, (W.) and Ministry of Health Tanzania, (M.) (2003) Tanzania :A Country Status Report on Health and Poverty (Health, Nutrition, and Population inputs for the PRSP and HIPC process). MoH. (Unpublished)

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After the Arusha Declaration in 1967, the Tanzanian health services were focused on meeting the basic needs of the population. During the period from 1967 to the late 1970s, the primary health care infrastructure was expanded quite significantly. Access to primary health facilities and medical personnel improved rapidly - dispensaries and health centers increased from 1,210 in 1961 to 2,839 in 1980. Population coverage by medical personnel rose sharply from one physician for every 21,000 people in 1960 to one physician for every 15,000 people in 1997. The number of nurses increased from one for every 10,000 people in 1960 to one for every 5,000 in 1997. In the late 1970s, both Tanzania’s internal and external accounts were in imbalance. The economy suffered shocks because of oil price hikes (1979), fluctuations in international prices for gricultural exports and end of coffee boom (1978), war with Uganda (1978-79), detrimental weather conditions, and the break-up of the East- African community (1977). These shocks led to decline in expenditures on social sectors including health. In 1986, Tanzania signed a stand-by agreement with the International Monetary Fund (IMF) and a structural adjustment program with the World Bank. These programs led to the introduction of health sector reforms with the aim of improving the efficiency and quality of health services and mobilization of internal resources to support health systems. The Health Sector Action Plan -- a part of the simultaneous broader civil service reform-- formalized Tanzania’s health sector reform in 1991. The government has undertaken to prepare a poverty reduction strategy, a crucial part of the HIPC development program. Preparations for an effective poverty monitoring system are also under way.

Item Type: Other
Keywords: Country Status, Community health, Povert, Health, Nutrition, Pupulation
Subjects: Health Systems > Community Health
Divisions: Ministry of Health and Social Welfare
Depositing User: Mr Joseph Madata
Date Deposited: 20 Dec 2012 07:12
Last Modified: 20 Dec 2012 07:12

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