Public Private Mix for Tuberculosis

APHFTA through its network member facilities (district, regional and zonal level hospitals) are currently engaged in TB Screening, diagnosis and treatment interventions through the support of the Ministry of Health, Community Development, Gender, Elderly and Children. Several private health facilities have been provided with Gene Expert Machines for TB diagnosis in-order to increase the access points for TB diagnosis services. APHFTA has supported training of health care workers in this private health facilities on TB diagnosis, treatment and referral. APHFTA has also engaged several smaller health facilities in sample collection, transportation and referrals whereby facilities with no capacity of testing are collecting samples or referring patients to the other health facilities for diagnosis or treatment. APHFTA will use the experience gained through this project to lead the implementation of TB programme in Tanzania.

Malaria project

APHFTA with the financial support from UKAID through Comic Relief and GSK implements a 4-year (2017-2020) Malaria control project worth approximately GBP 1.2 Million that aims at contributing to the reduction of Malaria prevalence in the six councils of Geita region. APHFTA works closely with MoHCDGEC, MoEST and PO – RALG. APHFTA partners with Afya Micro-Finance Company as a sub-recipient of the project to increase access to financing for anti-malaria drugs and commodities.

Key interventions being implemented include Facility based Malaria Case Management by strengthening quality assurance and quality improvement of malaria diagnosis, treatment, and prevention services. The project also trains health care providers (Clinicians and Nurses) on National Guideline for Diagnosis and Treatment for Malaria, Trainings of Laboratory Personnel in Malaria testing (Microscopy and mRDT) Quality Assurance and Quality Control. The project also focuses on improving Private sector Case Management by an innovative PHFs financing model to ensure continuous availability of medical commodities in both private health facilities and ADDOs.

Health Sector Support Program (HSSP)

APHFTA through the financial support of DANIDA has been implementing the Health Sector Support Programme in Tanzania that aims at promoting Public Private Partnership for improved health outcomes. Through this support APHFTA has been able to facilitate over 400 private health facilities to provide public health services across all regions in Tanzania. These private health facilities have signed service level agreements (SLAs) with the respective councils for provision of RCH, HIV/AIDS testing, care and treatment, Malaria services among other areas. APHFTA has effectively and efficiently engaged the councils, regions and national level through the various PPP platforms by signing service/project agreements for various service provision. APHFTA will use this experience gained to engaging more private health facilities in the targeted regions to provide HIV and TB Testing, Care and Treatment services through the SLAs.

Health Sector Support Program (HSSP)

APHFTA through the financial support of DANIDA has been implementing the Health Sector Support Programme in Tanzania that aims at promoting Public Private Partnership for improved health outcomes. Through this support APHFTA has been able to facilitate over 400 private health facilities to provide public health services across all regions in Tanzania. These private health facilities have signed service level agreements (SLAs) with the respective councils for provision of RCH, HIV/AIDS testing, care and treatment, Malaria services among other areas. APHFTA has effectively and efficiently engaged the councils, regions and national level through the various PPP platforms by signing service/project agreements for various service provision. APHFTA will use this experience gained to engaging more private health facilities in the targeted regions to provide HIV and TB Testing, Care and Treatment services through the SLAs.

Public Private Mix for Tuberculosis

APHFTA through its network member facilities (district, regional and zonal level hospitals) are currently engaged in TB Screening, diagnosis and treatment interventions through the support of the Ministry of Health, Community Development, Gender, Elderly and Children. Several private health facilities have been provided with Gene Expert Machines for TB diagnosis in-order to increase the access points for TB diagnosis services. APHFTA has supported training of health care workers in this private health facilities on TB diagnosis, treatment and referral. APHFTA has also engaged several smaller health facilities in sample collection, transportation and referrals whereby facilities with no capacity of testing are collecting samples or referring patients to the other health facilities for diagnosis or treatment. APHFTA will use the experience gained through this project to lead the implementation of TB programme in Tanzania.

Quality Improvement Program

For the past ten years, APHFTA has been working hard to ensure that quality of healthcare in the PHFs improves. APHFTA has been implementing Quality Improvement Programs since 2009. Consequently, APHFTA established a designated Department for this purpose and collaborated with PharmAccess International to pioneer the use of now internationally recognized Quality of Healthcare Improvement model – ‘SafeCare’. APHFTA through the financial support of PharmAccess International rolled out a Quality Imrpvement program to over 450 private health facilities across the country. The project focus was to provide technical and financial support to private health facilities for overall quality improvement. In addition APHFTA has also established it own quality improvement system that it uses to support private health facilities to improve the quality of care provided from one level to another (AFYA STEPS). APHFTA uses this system as a training tool to mentor and coach facilities through their journey of quality improvement

MNCH projects

APHFTA also implements Quality improvement in the delivery of Maternal Newborn and Child Health (MNCH). The project focuses on bridging the gap identified in provision of quality MNCH services in the targeted areas. The Health facilities involved are provided with capacity building of their clinicians and nurses on Basic Emergency Obstetric and Neonatal care (BEmONC), equipment for support during Labour and Delivery (Delivery kit, Delivery bed etc.), equipment for Newborn resuscitation, Weight and Height scales for Adult and Children among others.

Family planning

APHFTA has implemented a Family Planning Project (referred to Smart Filling Project) in selected 150 private health facilities in four zones of Tanzania Mainland. The focus of the project is to build the capacity of health care workers to provide quality, integrated and sustainable family planning services, create linkages to other services and through CHWs create demand for and use of VMMC services in the APHFTA network facilities

Capacity Building project-HBB and HMS

APHFTA also implements Quality improvement in the delivery of Maternal Newborn and Child Health (MNCH). The project focuses on bridging the gap identified in provision of quality MNCH services in the targeted areas. The Health facilities involved are provided with capacity building of their clinicians and nurses on Basic Emergency Obstetric and Neonatal care (BEmONC), equipment for support during Labour and Delivery (Delivery kit, Delivery bed etc.), equipment for Newborn resuscitation, Weight and Height scales for Adult and Children among others.