Public-Private Partnership for Health Care in Tanzania

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Improving Muhimbili National Hospital

In 2001, the Abbott Fund and the Ministry of Health identified Muhimbili National Hospital, the country's leading teaching and reference hospital, located in Dar es Salaam, as a starting point for a nationwide effort to help strengthen the country’s healthcare system. Muhimbili’s deteriorating facilities and services were often ill equipped to meet the needs of patients across the spectrum of care – from urgent emergency care to chronic disease management.

Improving Muhimbili National Hospital

A modern outpatient department was built, containing a training facility for students and hospital staff. Hospital management received training to strengthen department organization and financial management, and a modern IT system was installed to track inventory, prescriptions and patient health history. These improvements helped to increase hospital-generated revenues by more than 50 percent in the first two years of the partnership.

Improving Muhimbili National Hospital

Building on the initial work at Muhimbili, an ambitious plan was developed to strengthen other critical parts of the country’s healthcare system, including renovating clinics and laboratories, donating laboratory equipment, and conducting more than 20,000 health care worker trainings.

Improving Muhimbili National Hospital

The Muhimbili outpatient department was the first to integrate HIV treatment into its other outpatient services, helping to mitigate the stigma associated with HIV status. The partnership also upgraded testing and treatment capacity in hospitals, clinics and healthcare facilities at more than 90 sites throughout the country, bringing services to some rural areas for the first time.

Improving Muhimbili National Hospital

Most public health laboratories, including Muhimbili’s Central Pathology Laboratory building, were inefficiently designed and understaffed, and physical infrastructure and equipment were in a state of disrepair – leaving a critical gap in patient services.

Improving Muhimbili National Hospital

The Muhimbili Central Pathology laboratory building was modernized and computerized to provide the accurate diagnostic testing that is crucial for lifelong monitoring of people with chronic illnesses such as diabetes and HIV. Patients can now get test results on the same day, rather than having to come back days or weeks later to receive a diagnosis.

Improving Muhimbili National Hospital

The partnership also identified emergency care as a critical area of focus. In the past, emergency medicine was not a recognized, trained medical specialty in Tanzania, and there were no formal emergency care services available at hospitals in the country. As a result, patients coming to public hospitals for acute conditions generally received limited care until a specialist was available to provide treatment – a key contributing factor to the country’s high mortality and morbidity rates.

Improving Muhimbili National Hospital

In 2009, the first public Emergency Medical Department in Tanzania was dedicated at Muhimbili National Hospital. The building renovations, staff training and new equipment are supported by a grant from the Abbott Fund. The training and services provided at the new EMD had an immediate impact, providing critical care for more than 120,000 patients in its first three years. The EMD also serves as an important training ground for East Africa's first residency program in emergency medicine, with the first class of residents graduating in 2013.

Improving Muhimbili National Hospital

RESULTS
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   at AWS.Web.UI.WebControls.ImageDisplay.get_ImageUrl() In 2001, Abbott, the Abbott Fund and the Government of Tanzania formed a public-private partnership to strengthen the country's health care system and address critical areas of need. To date, the Abbott Fund has invested more than $100 million in this more than 10-year partnership effort, and Abbott has made more than $5 million in corporate donations.

The Abbott Fund has been working to comprehensively modernize Muhimbili National Hospital. Key improvements include: a new emergency-medicine department that served 120,000 patients in its first three years of operations; a new outpatient treatment center that serves hundreds of patients per day; a modernized hospital laboratory building; a hospital-wide IT system that tracks inventory, prescriptions and patient health history; and training for hospital managers and health care workers.

In 2011, the Abbott Fund completed a $10 million regional laboratory modernization project by building new laboratories at 23 regional-level hospitals nationwide. This national program is improving diagnostics and monitoring services across the country. Specialized Abbott employee volunteers provide mentoring in laboratory management.

The Abbott Fund has supported more than 20,000 health care worker trainings in HIV care and treatment, voluntary counseling and testing, laboratory equipment operation, hospital information technology and hospital management.

Results include significantly increasing access to HIV testing, care and treatment. A 2007 assessment by the government found that nearly one in three people undergoing HIV treatment in Tanzania were receiving care at one of the more than 90 sites around the country that have benefited from Abbott Fund support. Abbott also donated 1 million rapid HIV tests to launch Tanzania’s national HIV testing campaign. The Abbott Fund has also partnered with the Baylor International Pediatric AIDS Initiative to build a pediatric AIDS Center of Excellence in Tanzania. The new center will train local health care workers and expand access to pediatric HIV/AIDS care and treatment across the country.
Results Sources: Government of Tanzania and the Abbott Fund
Results to Date

12/10/2013

Copyright © 2006, 2014 Abbott Fund. Abbott Park, Illinois, U.S.A.