First published in 1998, this volume represents the outcome of a seminar as part of the continuing efforts of the Convocation of the University of Dar es Salam to maintain a dialogue with the Government of Tanzania on its socio-economic problems. Its aim was to underscore heightened public concern on the continued deterioration of social services in Tanzania following the onset of the economic crisis, to examine the effect of structural adjustment policies and measures on health, education, water, food, security, housing and social welfare services and to make specific recommendations on how to improve the delivery and sustainability of social services. This volume reproduces, as far as is practicable, the full proceedings of that important forum, whose issues remain relevant today. Recent reforms in the country, including privatization, graded user fees and decentralized management of social services by local communities have been substantially influenced by what the seminar recommended. While a section of society has welcomed these reforms as the only realistic way to achieve sustainability, reduce donor dependence, and prevent further deterioration of social services, there are still voices which object to the measures. Key questions raised in the book concern citizens’ rights to social services, the regulatory role of government, democratic participation and partnerships between government, NGOs and private providers of social services. It will serve as a reference point for a fresh review of the social services crisis in the 1990’s and the basis for devising more appropriate and sustainable strategies for the 21st Century.

The book presents the thinking of the Tanzanian intellectual community on the declining state of social services, lessons from past experience and recovery strategies under harsh economic conditions.

First published in 1998, this volume represents the outcome of a seminar as part of the continuing efforts of the Convocation of the University of Dar es Salam to maintain a dialogue with the Government of Tanzania on its socio-economic problems. Its aim was to underscore heightened public concern on the continued deterioration of social services in Tanzania following the onset of the economic crisis, to examine the effect of structural adjustment policies and measures on health, education, water, food, security, housing and social welfare services and to make specific recommendations on how to improve the delivery and sustainability of social services. This volume reproduces, as far as is practicable, the full proceedings of that important forum, whose issues remain relevant today. Recent reforms in the country, including privatization, graded user fees and decentralized management of social services by local communities have been substantially influenced by what the seminar recommended. While a section of society has welcomed these reforms as the only realistic way to achieve sustainability, reduce donor dependence, and prevent further deterioration of social services, there are still voices which object to the measures. Key questions raised in the book concern citizens' rights to social services, the regulatory role of government, democratic participation and partnerships between government, NGOs and private providers of social services. It will serve as a reference point for a fresh review of the social services crisis in the 1990's and the basis for devising more appropriate and sustainable strategies for the 21st Century.

This book has emerged in response to social service workers' vivid descriptions of changes in the practice of their craft during the past 15 years and to the scanty literature that addressed their concerns. Few works have attempted to explore the interplay between the recent broader changes affecting the welfare state (fiscal crisis, cost containment, privatization, etc) and the restructuring of social service work. Yet, it is clear that the fiscal decisions of the 1980s profoundly affected both the context and content of social service practice. "The Welfare State Crisis and the Transformation of Social Service Work" explores how these larger forces have created significant changes for the line practitioner. The greater push for caseload volume in the face of resource scarcity is redefining service encounters in ways that are more likely to meet the fiscal needs of the agency rather than the service needs of clients and the professional concerns of the worker. In short, the fiscal crisis of the past two decades has placed the enterprise of social services at risk. After empirically documenting the seriousness of the risk, "The Welfare State Crisis and the Transformation of Social Service Work" concludes with an exploration of new social service practice strategies that have the potential to integrate the individual, organization, communal, and social changes necessary for effective service interventions.

There is no precedent to the current economic crisis which looks set to redefine social policy debate throughout the globe. But its effects are not uniform across nations. Bringing together a range of expert contributions, the key lesson to emerge from this book is that 'the crisis' is better understood as a variety of crises, each mediated by national context. Consequently, there is an array of potential trajectories for welfare systems, from those where social policy is regarded as incompatible with the post-crisis economy to those where it is considered essential to future economic growth and security.

Chronic homelessness is a highly complex social problem of national importance. The problem has elicited a variety of societal and public policy responses over the years, concomitant with fluctuations in the economy and changes in the demographics of and attitudes toward poor and disenfranchised citizens. In recent decades, federal agencies, nonprofit organizations, and the philanthropic community have worked hard to develop and implement programs to solve the challenges of homelessness, and progress has been made. However, much more remains to be done. Importantly, the results of various efforts, and especially the efforts to reduce homelessness among veterans in recent years, have shown that the problem of homelessness can be successfully addressed. Although a number of programs have been developed to meet the needs of persons experiencing homelessness, this report focuses on one particular type of intervention: permanent supportive housing (PSH). Permanent Supportive Housing focuses on the impact of PSH on health care outcomes and its cost-effectiveness. The report also addresses policy and program barriers that affect the ability to bring the PSH and other housing models to scale to address housing and health care needs.