Center for Health Market Innovations (CHMI)

Programs

Tandabui Health Access Tanzania

last updated Aug 29, 2012

Overview

Implementing organization: 
Rapid Funding Envelope (RFE)
Implementation Partner(s): 
Mwananchi Trust
Legal Status: 
Private (not-for-profit)
Year Launched: 
2008
Stage: 
Existing/expansion stage
Income Level of Target Population: 
Bottom 20%, 20-60% (lower to lower-middle)

Funding

Primary Source of Funding: 
Donor
Funders: 
CIDA, Embassy of Finland, Irish Aid, Rapid Funding Envelope (RFE);Mwananchi Trust;Bernard van Leer Foundation, Royal Danish Embassy, Royal Netherlands Embassy, Royal Norwegian Embassy, Swiss Agency for Development

Scale

Number of Clients Served: 
3,573 clients enrolled at the decentralised care and treatment centres by March 2010, and 1,668 started on ART; 18,717 clients received VCT and received their results
Other Measures of Scale: 
100 healthcare providers given refresher training on the provision of HIV drugs, continuum of care, nutrition, prevention and support for people living with HIV;
Summary: 

The name Tandabui (a Kiswahili word for spider web) denotes the organization’s central strategy of building institutional networks, linkages, and partnerships to foster equitable access to quality health care services. Currently, this program focuses on prevention and control of HIV and AIDS, community-based malaria control, and health promotion through behaviour change communication.

Program goals/rationale: 

Tandabui Health Access Initiative aims to decentralize HIV/AIDS care and treatment services from the referral hospital level to eight primary health care facilities in Mwanza Municipality.

Key program components: 

Tandabui Health Access has managed to move HIV/AIDS prevention, care, and treatment services closer to the people by decentralizing the services from the referral hospital level to primary healthcare facilities in the project area - a process which involved training of the healthcare providers on HIV/AIDS care and treatment; regular procurement and distribution of essential commodities and supplies; prompt collection and analysis of specimens and delivery of results to clients; and routine supportive supervision to ensure the quality of services provided by the facilities.

This project works to realize the improved access of quality health services and the well-being of poor and vulnerable people through health system strengthening and the social marketing of health systems, behaviours and products. They do this through programs such as Behaviour Change Communication and Social Accountability; Community Intervention; Media Intervention; Health System Strengthening; Preventive Health Screening Campaigns; and Development and Production of Human Resource for Health.

Motorized tricycles are used to facilitate prompt collection of specimens from the care and treatment centres to Mwananchi Hospital. These motorized tricycles (commonly known in Tanzania as Bajaji) are used by Tandabui Health Access to collect specimens from the decentralised HIV/AIDS care and treatment centers and to deliver them to Mwananchi Hospital for laboratory analysis.

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