Center for Health Market Innovations (CHMI)

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Overview

Implementation Partner(s): 
Government of Tanzania, Standard Chartered Bank, PEPFAR, CBM, Irish Aid, Light for the World, European Union, UNDP, NBC Bank, Barclays Bank, Caritas Luxembourg, The Smile Train, Dar es salaam Charitable Goat Races, Johnson & Johnson, The Charitable Foundation, AMREF, Rotary Club of Dar es salaam, Tigo, Lions Club Dar es salaam, Liliane Foundation, UNFPA
Legal Status: 
Year Launched: 
1994
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%

Funding

Primary Source of Funding: 
Donor
Additional Source(s) of Funding: 
Government, In-kind contributions

Technology

Technology Used: 
Phones › SMS/MMS (Text Message)
Technology Purpose: 
Improving Diagnosis and Treatment, Streamlining Financial Transactions
Technology Partner(s): 
Vodafone

Scale

Replication: 
Comprehensive Communtiy Based Rehabilitation in Tanzania (CCBRT) is located in Dar es Salaam, Tanzania’s biggest city. The organisation and their disability hospital serve a total population of 3,000,000 million people living in Dar es Salaam and 7,000,000 in the surrounding regions of Pwani, Morogoro, Tanga, Zanzibar and Pemba. In addition they have a community-based rehabilitation (CBR) programme in Moshi. CCBRT Community Rehabilitation Kilimanjaro covers a total population of almost two million, including Moshi (rural and urban areas), Mwanga, Hai, Arumeru and Karatu districts in Arusha.
Scope: 
From providing high quality medical care and rehabilitative services to people with disabilities, it has expanded into services that strengthen social inclusion and empowerment for its clients, and making HIV/AIDS services more accessible to people with disabilities.
Summary: 

CCBRT is a multifaceted organization offering a wide range of affordable, high-quality services ranging from community based rehabilitation, legal aid, and specialized preventive and curative medical services provided by the CCBRT disability hospital.

Program goals/rationale: 

CCBRT's goal is to improve the quality of life of people living with disabilities, their family members and caregivers by providing quality medical and rehabilitative services, empowering people with disabilities to participate fully as members of their communities and gain equal benefit from available services, and mainstream disability into development issues to work towards an inclusive environment for people with disabilities.

Key program components: 

CCBRT has grown rapidly into a large and comprehensive rehabilitation program comprising of two community-based rehabilitation (CBR) programs in Dar es Salaam and Moshi, a disability hospital, and an active international training programme. It is the largest indigenous provider of disability and rehabilitation services in the country, providing quality rehabilitative services to 120,000 people with disabilities and their caregivers each year. This includes persons with physical impairments (cerebral palsy, congenital deformities such as clubfoot, cleft lip/palate), visual impairments, hearing impairments, epilepsy, intellectual impairments and obstetric fistula.

CCBRT's programs are aimed at preventing impairments and disabilities, curing patients’ disabilities, improving the physical conditions of patients with disabilities, improving the physical accessibility of facilities, empowering those with disabilities and HIV/AIDS to assert their rights and make a contribution to their own livelihood by including children in mainstream schools, and mainstreaming disability into the agenda of other development organizations.

At the very end of 2009, CCBRT began a pilot scheme using Vodacom’s M-PESA facility to transfer transport money via mobile phone to women in need of fistula surgery. The money is sent from CCBRT to 'ambassadors' (usually doctors, nurses, or NGO workers) across Tanzania who retrieve the money at their local mobile company agency and then buy the patient's bus tickets. Once the patient arrives at CCBRT, the ambassador receives a small incentive via the same mobile banking system. Since transport and lodging are among the main barriers to women seeking treatment for fistula, CCBRT hopes that this program will encourage more women to come forward for treatment.

CCBRT Community Rehabilitation Kilimanjaro covers a total population of almost three million, including Moshi (rural and urban areas), Mwanga, Hai, Arumeru and Karatu districts in Arusha.

Program history: 

CCBRT was established in 1994 in response to the needs of people with disabilities in and around Dar es Salaam and the lack of accessible services to them.

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