World health forum
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In the urban and rural districts of Tanzania's Dodoma Region a process was adopted for identifying and solving problems of health care delivery. In a single year, considerable improvements were secured in both teamwork and attitudes towards coping with managerial obstacles.
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A community development approach has been adopted in the outreach component of the work of the Alexandra Health Centre in South Africa. The importance of local township organizations has been recognized and the Centre is seen not only as providing technical solutions but also as helping people to achieve improved living conditions. This requires clear motivation, rigorous management, purposeful action by teams of health staff, and planning in conjunction with the community.