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 Fields of science medical and health scienceshealth sciencespublic healthmedical and health sciencesbasic medicineimmunologyimmunisation Programme(s) FP3-STD 3 - Specific research and technological development programme (EEC) in the field of the life sciences and technologies for developing countries, 1990-1994 Topic(s) Data not available Call for proposal Data not available Funding Scheme CSC - Cost-sharing contracts Coordinator LIVERPOOL SCHOOL OF TROPICAL MEDICINE EU contribution No data Address Pembroke Place LIVERPOOL United Kingdom See on map Links Website Opens in new window Total cost No data Participants (2) Sort alphabetically Sort by EU Contribution Expand all Collapse all African Medical and Research Foundation Tanzania EU contribution No data Address Dar es-Salaam See on map Total cost No data Istituto Superiore di Sanità Italy EU contribution No data Address Viale Regina Elena 299 00161 Roma See on map Total cost No data