Socialist Health Care in Tanzania: A View from Kilimanjaro Christian Medical Centre
Authors: MICHELE BARRY
Journal: Annals of Internal Medicine (1986)

Abroad1 March 1986Socialist Health Care in Tanzania: A View from Kilimanjaro Christian Medical CentreMICHELE BARRY, M.D., FRANK BIA, M.D., M.P.H.MICHELE BARRY, M.D.Search for more papers by this author, FRANK BIA, M.D., M.P.H.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-3-438 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptIn 1964 the political union of Tanganyika and Zanzibar (Figure 1) formed a new country, the United Republic of Tanzania (1). Led by President Julius Nyerere, Tanzania has attempted to develop a health care system committed to the principles of African socialism (2). Due to economic adversity, some legacies of colonial medicine, and widespread drug shortages, this commitment to provide comprehensive preventive and curative health care to a predominately rural population has been constrained. A brief examination of Tanzania's health care system within the context of recent social and political development lends some insight into obstacles that hinder delivery of...References1. KAPLAN I, ed. Tanzania: A Country Study. 2nd ed. Washington, D.C.: American University Press; 1978. Google Scholar2. The Arusha Declaration: socialism and self-reliance. In: NYERERE JK. Freedom and Socialism. London: Oxford University Press; 1968:231-50. Google Scholar3. MSHIUCHHABRA ES. Traditional healers and health care delivery in Tanzania. Trop Doct. 1982;3:142-3. CrossrefGoogle Scholar4. CHHABRAUISOMSHIU STE. Phytochemical screening of Tanzanian medical plants: I. J Ethnopharmacol. 1984;11:157-79. CrossrefMedlineGoogle Scholar5. RANGER T. Godly medicine: the ambiguities of medical mission in southeast Tanzania, 1900-1945. Soc Sci Med [B]. 1981;15:261-77. MedlineGoogle Scholar6. TITMUSSABEL-SMITHMACDONALDWILLIAMSWOOD RBGAC. The Health Services of Tanganyika: A Report to the Government. London: Pitman Publishing Company; 1964. Google Scholar7. Socialism and rural development. In: NYERERE JK. Freedom and Socialism. London: Oxford University Press; 1968:337-66. Google Scholar8. ORUBULOYEOYENEYE IO. Primary health care in developing countries: the case of Nigeria, Sri Lanka and Tanzania. Soc Sci Med. 1982;16:675-86. CrossrefMedlineGoogle Scholar9. CHAGULATARIMO WE. Meeting basic health needs in Tanzania. In: NEWELL KW, ed. Health by the People. Geneva: World Health Organization; 1975:145-68. Google Scholar10. SAITORIAMOSHI EJ, eds. Kilimanjaro Christian Medical Centre: Annual Medical Report 1983. Moshi, Tanzania: Kilimanjaro Christian Medical Centre; 1983. Google Scholar11. HENN A. Tanzania: Health sector strategy. Dar es Salaam, Tanzania: U.S. Agency for International Development, Bureau of Africa; 1980. (Publication no. PN-AAJ-899). Google Scholar12. HESSTIMMERMANSJONES UPM. Combined chloroquine/Fansidar-resistant falciparum malaria appears in East Africa. Am J Trop Med Hyg. 1983;32:217-20. CrossrefMedlineGoogle Scholar13. MABELELYAKURWANDULUWANGWE RWBS. The economic development of Tanzania. Sci Am. 1980;243(3): 182-90. CrossrefGoogle Scholar14. ALEXANDER G. Radiotherapy in Tanzania. J Natl Med Assoc. 1983;75:289-95. MedlineGoogle Scholar15. YUDKIN J. Provision of medicines in a developing country. Lancet. 1978;1:810-2. CrossrefMedlineGoogle Scholar16. GARGAN E. Nyerere steps down but keeps his hand in. New York Times. 1985;Nov 3:E3(col 1). Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Yale University School of Medicine New Haven West Haven Veterans Administration Medical Center West Haven, Connecticut PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEmergence of a university of health sciences: Health professions education in TanzaniaCauses of Admissions of Rural African Patients to Murchison Hospital, Natal, South Africa 1 March 1986Volume 104, Issue 3Page: 438-440KeywordsDrugsFellowshipsGlobal healthHealth careHealth economicsPreventive medicine Issue Published: 1 March 1986 Copyright & Permissions© 1986 American College of PhysiciansPDF downloadLoading ...