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Socialist Health Care in Tanzania: A View from Kilimanjaro Christian Medical Centre

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Dr. Michele Barry conducted this work during a World Health Organization Fellowship. The views expressed are solely the authors' and not opinions of the World Health Organization or the Tanzanian government.

Yale University School of Medicine, New Haven; and the West Haven Veterans Administration Medical Center, West Haven, Connecticut

© 1986 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1986;104(3):438-440. doi:10.7326/0003-4819-104-3-438
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This excerpt has been provided in the absence of an abstract.

In 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


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