The challenges

In the process of implementing a Mobile Health program, you face an extraordinary number of complex issues and many decisions that can be uniquely challenging.

Some significant elements of the process include:

A.    Securing financing and insurance

B.     Selecting and customizing your vehicle

C.     Establishing on-board systems of operation

D.    Integrating new communication technology with your existing fixed-site systems

E.     Maximizing usage capacity to realize long-term cost benefits

F.     Coordinating delivery with local emergency preparedness initiatives.

G.    Community Health Events Planning

H.    Our staff of experienced managers can assist you with planning and organizing a wide spectrum of events within your organization or community:

I.       Health/Wellness Fairs

J.       Professional Education Forums

K.     Professional In-House Training Sessions

L.      Regional Conference/Product Exhibition

Health in Rural Tanzania: The Determinants of Health Status, Health Care Demand and Health Care Choice

Contents:

In Tanzania, health statistics have shown slow improvement, although spending on health services in Tanzania is quite high. Defining the determinants of both health status and health use is interesting to point out possibilities for policy. Using household data of the rural Tanzanian mainland, one indicator of health status, the incidence of illness, is examined here and three health demand variables, the incidence of treatment, the level and the provider of treatment. For health outcome as well as health demand, the importance of household income in Tanzania is striking. A positive cross-effect of education on health could not be identified, except for rich Tanzanians. Distance to the nearest health facility does not matter for the poorest patients. Although the measurement of quality is problematic, the quality of the lower level medical care is found to have a positive impact on health status and on health demand, more specifically the nonwage component of quality. These results indicate that the introduction of cost recovery schemes in the Tanzanian health system may have perverse effects, if not combined with a price differentiation according to income and an improvement of quality of health facilities.

For a period of almost thirty years, health services delivery has been largely a prerogative of the state, only a limited number of private-for-profit health services were provided in major towns of the country. After independence, health care facilities were re-directed towards rural areas and free medical health services were introduced except for Grade I and II. 

In 1977 private health services for profit was banned under the Private Hospitals (Regulation) Act and the practice of medicine and dentistry prohibited as a commercial service. This Act had negative implications on health services in the country.

However, after a series of major economic and social changes, the Government adopted a different approach to the role of private sector. New policies were developed that looked favorably on the role of the private sector. The importance of the private sector in health care delivery was further recognized with an amendment to the Private Hospitals (Regulatory) Act, 1977 which resulted into the establishment of the Private Hospitals (Regulation) (Amendment) Act, 1991. following this act, individual qualified medical practitioners and dentists could now manage private – hospitals, with the approval of the Ministry of Health.

The distribution of Health Facilities has a heavy rural emphasis because more than 70% of the population live in rural areas. Plans for the establishment of health facilities have in the past taken into consideration the facility/population ratio, but with time this has in some areas been seriously overtaken by the high population growth-rate.