1,720,974 research outputs found

    Haydom Lutheran Hospital - Final project review

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    Haydom Lutheran Hospital (HLH) is a first level referral hospital located in Mbulu district, Manyara region in Tanzania. HLH was established by the Norwegian Lutheran Mission in 1955 and is owned by the Evangelical Lutheran Church of Tanzania (ELCT). HLH has over many years received substantial financial support from the Norwegian government through the Ministry of Foreign Affairs and NORAD. The support is presently channelled through the Royal Norwegian Embassy (RNE) in Dar es Salaam. In 2008, the RNE funded 70% of the hospital’s budget. Most of the RNE funds are administered through a Block Grant. This report is the final project review of the Block Grant for the period 2006-2009. Emphasis is placed on developments since the mid-term review, which was conducted in late 2007

    Haydom Lutheran Hospital - Final project review

    No full text
    Haydom Lutheran Hospital (HLH) is a first level referral hospital located in Mbulu district, Manyara region in Tanzania. HLH was established by the Norwegian Lutheran Mission in 1955 and is owned by the Evangelical Lutheran Church of Tanzania (ELCT). HLH has over many years received substantial financial support from the Norwegian government through the Ministry of Foreign Affairs and NORAD. The support is presently channelled through the Royal Norwegian Embassy (RNE) in Dar es Salaam. In 2008, the RNE funded 70% of the hospital’s budget. Most of the RNE funds are administered through a Block Grant. This report is the final project review of the Block Grant for the period 2006-2009. Emphasis is placed on developments since the mid-term review, which was conducted in late 2007

    Missing the essentials? Children can be saved if they are more carefully examined

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    Thousands of children die every year from diseases that are easy to diagnose and treat. A study from rural Tanzania shows that health workers usually don’t do those investigations that are required to identify some of these deadly illnesses. The likely consequence is mismanagement and unnecessary deaths

    Informal pay and the quality of health care: lessons from Tanzania

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    Informal payments for health services are common in many transitional and developing countries. Informal payments are often claimed to reduce access to health services, especially among the poorest. Impacts on the quality of care are, however, less obvious. Both positive and negative consequences are conceivable. This Brief draws on a qualitative study among health workers in Tanzania to describe the nature of informal payments that are taking place in the health sector, and their potential impacts on access to and the quality of health care. Particular attention is devoted to the policy implications. A more comprehensive report from this research can be found in CMI Working Paper 5/2007

    Haydom Lutheran Hospital - Final project review

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    Haydom Lutheran Hospital (HLH) is a first level referral hospital located in Mbulu district, Manyara region in Tanzania. HLH was established by the Norwegian Lutheran Mission in 1955 and is owned by the Evangelical Lutheran Church of Tanzania (ELCT). HLH has over many years received substantial financial support from the Norwegian government through the Ministry of Foreign Affairs and NORAD. The support is presently channelled through the Royal Norwegian Embassy (RNE) in Dar es Salaam. In 2008, the RNE funded 70% of the hospital’s budget. Most of the RNE funds are administered through a Block Grant. This report is the final project review of the Block Grant for the period 2006-2009. Emphasis is placed on developments since the mid-term review, which was conducted in late 2007

    Haydom Lutheran Hospital - Final project review

    Full text link
    Haydom Lutheran Hospital (HLH) is a first level referral hospital located in Mbulu district, Manyara region in Tanzania. HLH was established by the Norwegian Lutheran Mission in 1955 and is owned by the Evangelical Lutheran Church of Tanzania (ELCT). HLH has over many years received substantial financial support from the Norwegian government through the Ministry of Foreign Affairs and NORAD. The support is presently channelled through the Royal Norwegian Embassy (RNE) in Dar es Salaam. In 2008, the RNE funded 70% of the hospital’s budget. Most of the RNE funds are administered through a Block Grant. This report is the final project review of the Block Grant for the period 2006-2009. Emphasis is placed on developments since the mid-term review, which was conducted in late 2007

    Informal payments and the quality of health care: Mechanisms revealed by Tanzanian health workers

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    Informal payments for health services are common in many transitional and developing countries. The aim of this paper is to investigate the nature of informal payments in the health sector of Tanzania and to identify mechanisms through which informal payments may affect the quality of health care. Our focus is on the effect of informal payments on health worker behaviours, in particular the interpersonal dynamics among health workers at their workplaces. We organised eight focus groups with 58 health workers representing different cadres and levels of care in one rural and one urban district in Tanzania. We found that health workers at all levels receive informal payments in a number of different contexts. Health workers sometimes share the payments received, but only partially, and more rarely within the cadre than across cadres. Our findings indicate that health workers are involved in 'rent-seeking' activities, such as creating artificial shortages and deliberately lowering the quality of service, in order to extract extra payments from patients or to bargain for a higher share of the payments received by their colleagues. The discussions revealed that many health workers think that the distribution of informal payments is grossly unfair. The findings suggest that informal payments can impact negatively on the quality of health care through rent-seeking behaviours and through frustrations created by the unfair allocation of payments. Interestingly, the presence of corruption may also induce non-corrupt workers to reduce the quality of care. Positive impacts can occur because informal payments may induce health workers to increase their efforts, and maybe more so if there is competition among health workers about receiving the payments. Moreover, informal payments add to health workers' incomes and might thus contribute to retention of health workers within the health sector.Informal payments Corruption Quality of health care Health worker Performance Tanzania

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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