In recognition of strong quality improvement systems being essential for achieving priority health outcomes, in 2011 PharmAccess (PAI) developed the SafeCare standards and stepwise quality improvement methodology under a formal partnership with the Council of Health Service Accreditation of Southern Africa (COHSASA) and the Joint Commission International (JCI). The methodology benchmarks the performance of health facilities in the provision of quality care and formally recognises this through certification.

After the official launch of the standards, PharmAccess started enrolling health facilities in Ghana, Kenya, Nigeria, and Tanzania into the programme. By early 2014, 164 facilities in Tanzania had been enrolled and 28 per cent of them had improved by 10 per cent within 18 months of enrolment. Patient numbers increased by 5 per cent within six months. Following these encouraging results, HDIF funded PharmAccess to take the innovation to scale, with the ambition to achieve a tipping point that would influence a systematic and sustainable change in quality improvement in the Tanzanian health sector.


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