INTERVENTIONS

Improving quality through digitalization

One quality platform for all

Online interaction & support

All facilities were linked to an app, the Quality Platform, through which they were able to monitor their quality improvement activities and benchmark their progress as compared to peers.

The platform contains a library of training materials, guidelines, and more.

The Ministry of Health and the District Health Management Teams were also connected to the Quality Platform to monitor facilities' progress.

Prioritizing digitalization

Key to Zanzibar’s digital health strategy

  • Digital quality dashboards were provided to all stakeholders. This created transparency and alignment. The time required to evaluate facilities was reduced by 50%.
  • Digital health client registry introduced. For insight into citizens' access to health services and the associated costs.
  • Elimination of manual paperwork. A digital way of working is now routine for Ministry of Health staff.

Training and support in numbers

9 Ministry of Health staff using digital quality improvement dashboards for decision-making

11 district health management team members using dashboards for planning and structuring supportive supervision

19 assessors employed by the Ministry of Health

36 Council and National Health Care Managers provide coordination and technical support

484 technical support visits to facilities

“The inclusion of private health facilities in quality training and quality improvement journeys demonstrates that the project is integrating the public and private sector on the same quality improvement model, bridging the gap, coordinating their efforts and truly embracing an ecosystem approach.”

DUA SULEIMAN - REGISTRAR OF THE PRIVATE HOSPITALS ADVISORY BOARD

Expanding the impact

Significant steps towards better quality care

From 44 facilities in 2020, the program was scaled up to eventually include 214 facilities in 2022. Half of the participating facilities were private institutions.

After each assessment, tailored quality improvement plans were shared digitally with each facility’s stakeholders.

In the first year, some facilities managed to take significant steps towards better quality care. More than 50 facilities increased their quality to Level 2. Five facilities even achieved the acceptable Level 3.

The improvement in quality impacted 110,000 Zanzibari patients.