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Audit by issue for health management (aihm): Developpement of a method to integrate health information systems, district level management and inservice training in Tanzania

Objective



WEAKNESS IN PLANNING, ORGANISATION AND MANAGEMENT, PARTICULARLY IN DISTRICTS, REPRESENTS ONE OF THE GREATEST OBSTACLES IMPEDING HEALTH DEVELOPMENT. IN RESPONSE TO THIS PROBLEM A NUMBER OF DIFFERENT APPROACHES HAVE EMERGED WHICH FALL INTO FOUR BROAD CATEGORIES ; CHANGES IN ORGANISATIONAL STRUCTURE OF HEALTH CARE DELIVERY, MANAGEMENT TRAINING, PROMOTION OF PLANNING AND DECISION-MAKING METHODOLOGIES AND HEALTH INFORMATION SYSTEM INTERVENTIONS. THE LIMITATIONS OF EACH OF THESE APPROACHES, HOWEVER, ARE NOW WELL RECOGNISED.
THIS PROPOSAL AIMS TO REFINE AND EXPAND UPON A TECHNIQUE WHICH HAS BEEN DESIGNED TO CIRCUMVENT SOME OF THESE LIMITATIONS BY INTEGRATING A PLANNING AND DECISION-MAKING PROCESS WITH THE USE OF HEALTH INFORMATION AND TRAINING THE METHOD WHICH WAS EXPLORED IN THE CURRENT STD 2 PROJECT, IS KNOWN AS AUDIT BY ISSUE FOR HEALTH MANAGEMENT (AIHM). AIHM TAKES SPECIFIC ISSUES IN PRIMARY HEALTH CARE MANAGEMENT AND USES ROUTINELY COLLECTED DATA (SUPPLEMEN TED WHERE NECESSARY WITH AD HOC SURVEYS), TO ASSESS PROVIDE INSIGHT INTO PROBLEMS IDENTIFIED WITHIN EACH OF THE AREAS. THE FULL AIHM PROTOCOLS WILL OFFER GUIDANCE IN THE INTERPRETATION AND PRESENTATION OF FINDINGS TO MEMBERS OF THE DISTRICT HEALTH MANAGEMENT TEAM AS WELL AS IN THE DATA COLLECTION AND ANALYSIS.
IN THE FIRST STAGE OF THE PROJECT, TEN AIHM PROTOCOLS WILL BE DEVELOPED, DEALING WITH CRITICAL AREAS OF MANAGEMENT IMPORT SUCH AS DRUG SUPPLIES, STAFF TRAINING THE IMMUNISATION PROGRAMME ETC. THE PROTOCOLS WILL BE DEVELOPED AND TESTED IN KISARAWE DISTRICT IN A SERIES OF THREE-MONTHLY CYCLES A DIFFERENT PROTOCOL PRODUCED IN EACH CYCLE. THE SECOND STAGE OF THE PROJECT WILL BE CONCERNED WITH EVALUATING THE VARIOUS AIHM EXERCICES, SELEC TING THE MOST SUCCESSFUL AIHM PROTOCOLS AND DEVELOPING THESE IN THE FORM OF KITS. THE KITS WILL BE OFFERED TO OTHER DISTRICTS TO PROMOTE THEIR USE THROUGHOUT THE COUNTRY. FINALLY, THE EXPERIENCES OF THE PROJECT WILL BE DISSEMINATED WITHIN THE TANZANIAN AND THE INTERNATIONAL PUBLIC HEALTH ARENA

Funding Scheme

CSC - Cost-sharing contracts

Coordinator

LIVERPOOL SCHOOL OF TROPICAL MEDICINE
Address
Pembroke Place
Liverpool
United Kingdom

Participants (2)

African Medical and Research Foundation
Tanzania
Address

Dar Es-salaam
Istituto Superiore di Sanità
Italy
Address
Viale Regina Elena 299
00161 Roma