Ch. 1. The idea 2004 In Africa, health care has been in a state of crisis for several decades. The Tanzania Essential Health Interventions Project (TEHIP) has sought to test a premise that called for health reforms based not just on increased funding but on more strategic investments in health. 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 Efficiency leads to equity -- Ch. 2. The approach 2004 Two large districts in Tanzania -- already engaged in health reforms centred on devolving management of resources to the local level -- attempt to bring health spending more in line with cost-effective approaches to the local disease burden. Information from Demographic Surveillance Systems makes it possible for planners to determine spending priorities. A series of simple management tools enable those district planners to allot funds to interventions that will have a greater impact on local causes of mortality. Integrating research and development The consortium approach The research begins The Demographic Surveillance System The evolution of the tools -- Ch.3. The results 2004 New means of planning lead district health teams to budget more proportionally to address major contributors to mortality such as malaria and a cluster of childhood illnesses. Effectively addressing those problems, however, requires that a modest funding top-up be applied to increasing capacity within the health system. This allows for better training, more effective deployment of resources such as drugs, better clinical practice, and increased patient satisfaction. The overall result is a dramatic decline in mortality in the two districts. 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 -- Ch.4. Extending TEHIP's innovation and impact 2004 The two districts' success in substantially lowering mortality demands that the tools for achieving that success be disseminated more widely, both within Tanzania and internationally. This section of the book documents current efforts to extend the impact of the TEHIP innovations. -- Ch.5. Lessons learned 2004 The primary lesson arising from the TEHIP experience is that investing in health systems is an effective way of improving population health. This chapter presents the critical lessons learned from the TEHIP experience. General principles People Infrastructure Governance Information Conclusion-- Appendix 1. Acknowledgments 2004 -- Appendix 2. Glossary of terms and list of acronyms 2004 -- Appendix 3. Sources and resources 2004

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