1. Innovations in Healthcare
Haika Mawalla,
Deputy CEO & Director External Affairs
1 December 2015

2. About CCBRT HISTORY Vision
1994: CCBRT established to provide Community Based Rehabilitation (CBR) 1996:CBR services extended to Moshi 2001: Disability Hospital (DH) opened in Dar es Salaam on land donated by the Government of Tanzania (GoT) 2006:DH surgical capacity expanded 2007: CCBRT and GoT formalized a public-private partnership to establish and operate Maternity and Newborn Hospital (MH) 2011: CCBRT broke ground on MH
A Tanzania where people have access to quality disability services as well as safe maternal and newborn healthcare
Today:
CCBRT has a 471 staff,
CCBRT has more than 150 beds for in-client services at the Hospital.
CCBRT has an 11-member general assembly, six board members, and nine senior management team members.
The Maternity and Newborn Hospital is preparing for the final stage of construction and equipping; opening is slated for late 2017.

3. Disability Hospital Today
Ophthalmology Consultations & Surgeries
Orthopaedic
Treatments & Surgeries
Physical Rehabilitation Services
Optical Assessments & Prescriptions
Community
Based Rehabilitation Activities
Private Clinic Services
Today, CCBRT Disability Hospital is a 230 bed hospital in Dar es Salaam with a network of partner facilities around the country. Annually, conduct over 100,000 consultations & nearly 9,000 surgeries each year.
CCBRT aims to serve vulnerable populations and offers subsidised care and treatment. Certain conditions, and all children under five years of age, are treated free of charge.

4. CCBRT Innovations in Healthcare: two challenges
Challenge: Patients not accessing available, free care.
Challenge: Inefficiencies in service deliver and limited culture of continuous improvement
Factors:
Cost of transportation to healthcare facility
Lack of awareness of available treatment
Cost of accommodation
Factors:
Routine quality improvement
Scientific problem solving
Standardized process and protocols
Integrated monitoring and evaluation

5. Solution: TransportMyPatient
Overview
Impact
Consistent increase in the number of patients accessing treatment
On track for 1,000 in 2015; 339 in 2011
Correct referrals to CCBRT
Patients seeking treatment from remote locations
TransportMyPatient Video link:
Estimated: 3,000 women each year develop fistula
Patients referred correctly to CCBRT (97%) actually have fistula
100% of patients eligible for transportation support receive it

6. Solution: Lean Management
Overview
Equip staff with skills to use scientific approach to problem solving
Standardize existing treatment and process protocols, procedures, and trainings
Coordinate monitoring and evaluation frameworks
Pilot implementation of the Integrated Management System
Impact
Continuous quality improvement process implemented in eye department; patient flow revised

7. Thank you! Asanteni sana!