Tanzania suffers from one of the worst health worker shortages in the world. In developing their response to the crisis, the Tanzanian government turned to the Touch Foundation and McKinsey & Company and asked that we conduct the diagnostic phase of their Twiga Initiative, a program designed to double the nation's health worker training capacity. Our team developed a strategy to optimize and expand the existing current training network to create an immediate and sustainable impact.
Download PDF (0.08 MB)The finance to expand the training of such workers is severely limited at national government and local training facility levels. Of the many potential funding solutions, a student loan scheme - operated by a commercial bank, but with risks appropriately shared by international development partners - offers the most sustainable way of rapidly increasing finance for health education.
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We have taken a three-pronged approach to the health crisis in Tanzania: building a university from the ground up, using that knowledge to assist the government to plan rapid-scale expansion of training across the country, and determining the key impediments to health system recovery in a third of the country.
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Patients in Tanzania frequently bypass dispensaries and health centres at the primary care level in favor of specialized hospitals, which leads to delayed treatment, overcrowding, and compromised preventative care. Through our Lake Zone health system diagnostic and out work at Weill Bugando, we have developed multiple initiatives to improve access to quality primary care services in even the most remote communities and relieve pressure on overstretched hospital services.
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The acute shortage of health workers in sub-Saharan Africa requires a dramatic increase in the training of new workers. However, if such trained staff are to be retained and used efficiently then the management skills and capacity of health systems like that in Tanzania must be greatly improved.
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