Draft health policy likely to be devised within a week
PESHAWAR: The Khyber Pakhtunkhwa government is formulating a draft of health policy and devising a strategy for its implementation to improve healthcare along with strengthening regulations as part of the first 100-day agenda of the ruling PTI, according to officials.
Health Sector Reforms Unit in collaboration with DFID UK, USAID, WHO, UNFPA, Unicef, JICA, Aga Khan Health Services, Pakistan Population Welfare Council, Khyber Medical University and Khyber Medical College is busy in analysing the situation and hammering out a document that would be presented to the provincial cabinet for approval prior to assuming status of health policy.
October 2018 - While not all health improvements in the remote, rural areas of northern Pakistan can be ascribed to the AKDN alone, it is clear that the Network has had a significant impact in the region. In areas where it works, access to safe water rose from 5% of the population in 1986 to 72% in 2014. Likewise, infant mortality dropped from 158 per 1,000 live births in 1986 to 20 per 1,000 in 2014. The number of deliveries assisted by skilled attendants rose from 13% to 86%. Today, over 60 Aga Khan health centres are reaching more than 750,000 people in this area, responding to increasing concerns around high blood pressure, heart disease and cancer, and other non-communicable diseases.
Aga Khan Hospital Dar es Salaam has performed at least 102 plastic and reconstructive surgeries on women and children resulting from violence, burns and accidents.The hospital on November 27 will offer a free medical screening camp as it prepares to perform other 40 similar plastic surgeries on women and children.
AKUH Nairobi introduces region's most advanced cancer diagnostic technology
The Aga Khan University Hospital, Nairobi, announced that it has invested more than KES 600 million (​US $5.9 million) to become the first hospital in the region to introduce a state-of-the-art technology that will improve the diagnosis and treatment of cancer, heart disease and other diseases.
The Positron Emission Tomography–Computed Tomography (PET-CT) scanner and Cyclotron is the first such scanner in East and Central Africa. It enables physicians to study the body in extraordinary detail, allowing them to diagnose diseases early and plan the most effective course of treatment. No longer will patients have to leave the region to access this advanced technology.
First Lady of the Republic of Kenya, Her Excellency Margaret Kenyatta, was Chief Guest at a ceremony inaugurating the PET-CT scanner. Also in attendance were Dr Jackson Kioko, Director of Medical Services, Ministry of Health, and other dignitaries.
An innovative mobile health application, Nighedaasht, which has helped expand access to vital maternal and neonatal health services in remote areas of Pakistan, has won a prestigious award at the Commonwealth Digital Health Awards 2018 (CDHA).
Nighedaasht won the top prize in the Maternal and Neonatal Health category. Judges commended the application’s innovative use of SMS technology to synchronise data about healthcare services received by pregnant women and new mothers in rural areas of Gilgit-Baltistan and Chitral. Nighedaasht was up against eight other finalists from Asia, Africa and Europe in the category.
The annual CDHA awards recognise the best digital health innovations in the 53 Commonwealth countries, which are raising the standard of healthcare and wellbeing. The award means that Nighedaast will be showcased to health ministers from around the Commonwealth during meetings at next year’s World Health Assembly in Geneva where policymakers will review emerging healthcare challenges and discuss which innovations can be scaled up.
Learn more about Nighedaast in this video.
“Gaps in health service delivery for expecting mothers and newborns are especially concerning in hard-to-reach areas," said Saleem Sayani, Director of the Aga Khan Development Network (AKDN) Digital Health Resource Centre. "Applications like Nighedaasht play a key role in ensuring that pregnant women and new mothers receive antenatal and postnatal care whenever and wherever they need it.”
From January to September 2018, Nighedaasht has helped serve 513 mothers; supported community midwives (CMW) with 158 deliveries, 399 initial antenatal, and 162 follow up antenatal visits; and tracked 47 referrals.
The application is currently being used by 31 CMWs and eight physicians in eight health facilities in northern Pakistan. The application was developed by the AKDN Digital Health Resource Centre under the AQCESS Project, implemented by Aga Khan Health Services, Pakistan, and funded by the Aga Khan Foundation, Canada, and Global Affairs Canada.
Another award-winning mobile health application, Teeko, which was developed jointly by AKDN and Aga Khan University, has been adopted by the Sindh government after a successful pilot in the province in 2015.
The CDHA 2018 event was organised by the Commonwealth Centre for Digital Health in association with the British Medical Journal, in Sri Lanka.
Dar es Salaam — The Aga Khan Hospital and Muhimbili National Hospital (MNH) have partnered with religious leaders and non-governmental organisations to raise Sh268 million that will fund plastic and reconstructive surgery for 40 women and children who had suffered incidents that caused them to lose their original appearances.
The two facilities have been offering this kind of treatment and their initiative has now been supported by other organisations.
Women for Women - a non-governmental organisation - will provide doctors while Sadaka Network will coordinate the financial contributions from the public.
Dar es Salaam Regional Sheikh Alhad Mussa Salum said yesterday that the initiative deserved support from religious leaders.
"We are obliged to make vulnerable groups feel happy as part of our society. We can do this by putting our beliefs a side and unite to facilitate the achievement of one goal," he said as he asked people to contribute.
For his part, the Aga Khan Hospital Marketing and Communications manager Olayce Lotha said a total of 16 surgeons will be performed on November 27.
Ten will be from 'Women for Women' organisation, three from Aga Khan and three from MNH.
Aga Khan Hospital laboratory acquires global accreditation
NAIROBI, Kenya – The Aga Khan University Hospital Laboratory, Nairobi, Kenya has been awarded accreditation by the committee of the College of American Pathologists (CAP). The CAP accreditation is a global recognition for the excellence of the services provided by the Hospitals Laboratory.
Dr Zahir Moloo, the Chair Department of Pathology and Medical Director of Laboratory Services, was advised of this recognition and congratulated for the excellence of the services being provided.
“It has been a team effort since we began our journey towards CAP Accreditation three years ago. The faculty and the technical team in the department are proud to be the first Hospital-based Clinical Laboratory in Africa to achieve such a high standard of recognition. This Accreditation will be recertified every two years” said Dr Zahir Moloo.
Dr Shawn Bolouki, Chief Executive upon learning of the laboratory’s accreditation, said: “We are very proud as an institution to be awarded this accreditation a testimony of our commitment to the provision of high-quality patient care equivalent to the best hospitals in the world. Quality diagnosis is critical to positive patient care outcomes, and this CAP accreditation is a validation of our laboratory’s capability which serves patients from across East Africa and Central. We appreciate and congratulate all our staff for their hard work towards this achievement. ”
During the CAP accreditation process, designed to ensure the highest standard of care for all laboratory patients, inspectors examine the laboratory’s records and quality control of procedures for the preceding two years. CAP inspectors also examine laboratory staff qualifications, equipment, facilities, safety program and record, and overall management.
CAP accreditation is one of many firsts for the Aga Khan University Hospital, Nairobi. In July 2003, AKUH became the first hospital in East Africa to be awarded the prestigious ISO 9001:2000 (now ISO 9001:2008) by the International Organization for Standardization, which is awarded to organisations that are found to conform fully to standards set for quality management systems.
In 2013 AKUH attained the coveted internationally recognised Joint Commission International accreditation that is recertified every three years, a first in East and Central Africa, affirming the hospital’s commitment to achieve is its vision as the leading teaching and tertiary healthcare institution in sub-Saharan Africa.
Aga Khan Health Services expands healthcare in Afghanistan’s Bamyan and Badakhshan provinces
Kabul, Afghanistan, 17 February 2019 – In a signing ceremony held at Afghanistan’s Ministry of Public Health, the Aga Khan Health Services (AKHS) took over management of health care facilities in the Bamyan and Badakhshan provinces on a pay-for-performance basis as part of the “Sehatmandi project”.
Through the Project, AKHS - with support from the Aga Khan Foundation (AKF) - will now manage over 1,015 health posts (within villages), 158 basic and primary health centres, 24 comprehensive health centres (around 10 beds each), five (5) district hospitals (30 beds each), and two (2) ISO-certified provincial hospitals in Faizabad and Bamyan until June 2021.
The project has the objective of increasing the utilisation and quality of health, nutrition and family planning services across 31 provinces. The expansion is based on earlier positive experience of the AKHS, which has managed the Bamyan and Faizabad provincial hospitals, on behalf of the government of Afghanistan since 2004.
“The agreement specifies the staff, equipment, diagnostic services and medications that should be provided by each primary health facilities in the Afghan health system,” said Dr. Massoud Mehrzad, CEO of AKHS Afghanistan. “It also sets the standards for hospitals in the system.”
Under the Sehatmandi project, the new health system will operate under a new pay-for-performance model. The Agency’s success will be measured on the number of antenatal and postnatal care visits, institutional deliveries, family planning, growth monitoring and nutrition counseling for children under the age of 24 months, health consultations for children under the age of five, the number of immunized infants, the number of women of reproductive age who are immunized against tetanus, the number of tuberculosis cases that are successfully treated, and the quantity, as well as quality, of caesarean sections and major surgeries.
“The idea that service providers will be compensated for their work if they meet pre-established benchmarks is a game changer for Afghanistan,” said Dr. Gijs Walraven, AKDN Director of Global Health. “And while these requirements may seem challenging, the Aga Khan Health Services and the Aga Khan Foundation are committed to meeting the targets set by the Sehatmandi project.”
The Sehatmandi project was launched in 2018 in recognition that while significant advances had been made to improve access and the quality of health care in Afghanistan since 2002, progress had been uneven. The World Bank - in partnership with the Afghanistan Ministry of Public Health (MoPH), United States Agency for International Development (USAID) and the European Union - launched the programme of performance-based contracts (also known as a pay-for-performance model). The Sehatmandi project holds service providers accountable for delivering improvements based on established targets.
About the Aga Khan Health Services
When Aga Khan Health Services (AKHS) - with the support of the governments of Afghanistan, Canada and France, and His Highness the Aga Khan through AKDN and AKF - first established itself in Afghanistan in 2003, the Agency’s core mandate was to enhance the quality of both primary and secondary health care services in the difficult to reach provinces of Bamyan, Badakhshan and Baghlan. AKHS also partnered with the Afghan government and its Ministry of Public Health (MoPH) by providing them with technical assistance to help improve health care delivery across the country.
AKHS has also trained community midwives to work in rural areas in Badakhshan, Bamyan and Baghlan where maternal and child health care provisions were most needed. The Agency established the first 24-month Community Midwifery Education Programme in 2004, and has since trained, as well as deployed, 459 midwives across the three provinces. In 2012, AKHS initiated the Community Nursing Education Programme, which has graduated 194 community health nurses who now work across the three provinces.
IN a bid to improve health services and curb Non-Communicable Diseases (NCDs) in the country, the Aga Khan Hospital is looking forward to launch its 192bn/- building soon.
The launching of the modern building is expected to provide relief to wananchi who suffer from non-communicable diseases. According to information released yesterday, Prime Minister Kassim Majaliwa is expected to be the guest of honour during the launch, which is scheduled for Saturday, this week.
Aga Khan Hospital is looking forward to using sophisticated equipment and technology in kidney and liver transplant, heart surgery and cancer treatment.
Aga Khan Health Service Tanzania Medical Director, Dr Ahmed Jusabani, said the expansion of the hospital aims at among other things, promoting "Reverse Medical Tourism"; in the country, which minimises the number of Tanzanians who seek treatment abroad, mostly to India, South Africa and Europe.
With the increasing population of Tanzanians exiting the country to seek medical treatment abroad and the huge impact on the nation's economy, it has become a matter of urgency to revamp the health sector to edge the ugly trend since 2013/14.
The concept of Medical Tourism has served to undermine confidence in our healthcare system as most providers in countries mentioned, portray foreign doctors and medical facilities as vastly superior to those within Tanzania; he said.
According to him, the hospital's models of care will double its reach by providing quality healthcare to over one million Tanzanians annually. The institution catered for 287 international patients mainly from Malawi, Zambia and the Comoro Islands in 2017.
Video: Opening ceremony of the Aga Khan Hospital, Dar es Salaam - Phase II
The Aga Khan Hospital, Dar es Salaam is managed by the Aga Khan Health Services (AKHS), which has been operating in Tanzania since the 1920s, and counts among the longest-serving healthcare institutions in East Africa. The Hospital and its associated healthcare centres follow an integrated approach based on a continuum of care for the local community.
Aga Khan Health Services launches critical hospital expansion in mission to advance the delivery of care to 1,000,000 Tanzanians
Dar es Salaam, Tanzania, 9 March 2019 - Aga Khan Health Services (AKHS), today launched the completion of the second phase of a US$83.5 million (TZS 192 billion) expansion of the Aga Khan Hospital in Dar es Salaam, which will enable the institution to serve over one million patients each year.
The expansion, funded by a US$ 53.5M (TZS 134 billion) loan from the French Development Agency (Agence Française de Développement - AFD) and a US$ 26.3million (TZS 58 billion) contribution from the Aga Khan Development Network (AKDN), transforms the previous 74-bed facility to a leading 170-bed tertiary care, referral and teaching centre that will serve as an integrated health care medical facility for Tanzania and the rest of sub-Saharan Africa. The second phase development also marks a country-wide expansion of AKHS with 35 outreach health centres, 23 of which are already operational.
“I am pleased that the hospital today employs some of the most qualified and competent human resources, supplemented by world-class technical expertise, and will offer specialised programmes … which will also respond to the increasing burden of non-communicable diseases in Tanzania,” noted Princess Zahra Aga Khan, Member of the Board of Directors of the Aga Khan Development Network (AKDN), in a speech given on the occasion of the expansion’s opening. “I am delighted that this advanced facility will allow Tanzanians to receive world-class treatment at home thereby reversing medical tourism and also encouraging medical tourism from the region.”
Strong partnerships answer to government’s healthcare agenda
Tuesday March 12 2019
Tanzania, like most developing countries does not have an elaborate health financing system and the majority of its citizens pay for their own medical expenses.
By SISAWO KONTEH
Health systems in Tanzania have been improving over the past decade as the country aims to establish acceptable and universal health provisions for its citizens.
The country has made some progress in improving local health facilities through modernisation of its infrastructure, acquisition of leading-edge technologies, development of sound policies to support the healthcare system, as well as the growth and expertise of the human resources pool that supports the country’s health infrastructure. However, additional work is required to ensure consistency across the country.
Tanzania’s health system is a referral pyramid, which includes interventions at the village and ward level where there are community dispensaries; divisional level where there are rural health centres; district level where there are district or district designated hospitals; regional level where there are regional hospitals; zonal level where there are referral/consultant hospitals and the national level where there are national and specialised hospitals.
At the national level, the Ministry of Health administers and supervises national hospitals, consultant referral hospitals, special hospitals, training institutions, executive agencies and regulatory authorities.
At the regional level, provision of health services is vested to the Regional Administrative Secretary with technical guidance of the Regional Health Management Team.
At the district level, management and administration of health services has been devolved through the respective district’s Council Authorities, Health Service Boards, Facility Committees and Health Management Teams.
Understanding the tiers in Tanzania’s health system is key to understanding the scope and depth of the government’s measures to achieve universal health coverage (UHC). The government has worked closely with local and international players to ensure a vibrant system that not only provides curative but also preventive healthcare.
Tanzania dedicates 5.6 per cent of its GDP towards the growth and development of its health sector, which is higher than the amount invested by other countries in Africa. In addition, 35 per cent of government expenditure on health programmes comes from external sources. (Source: World Bank 2016).
Tanzania, like most developing countries does not have an elaborate health financing system and the majority of its citizens pay for own medical expenses, which, according to the World Bank, stands at 23 per cent compared with 34 per cent for the sub-Saharan region. (Source: World Bank 2016).
This has led to the government developing a mechanism to increase the number of people with health insurance coverage.
A bill developed through consultation with health system stakeholders and the National Health Insurance Fund (NHIF) will soon seek to consolidate existing schemes and change the manner in which people pay for health services. Health insurance through pooling of risk protects individuals and families from catastrophic health expenditure.
Meaningful partnerships are crucial in order for the government to achieve this ambitious agenda and collaboration with institutions such as Aga Khan Health Service, Tanzania (AKHS,T) are an example of how this vision is being realised.
As an agency of the global Aga Khan Development Network (AKDN), AKHS,T has been committed to providing quality healthcare in Tanzania for over nine decades. The vision is to create a truly integrated system that provides access to quality and affordable healthcare.
Today, its contributions align with the government's National Development Plan 2025, particularly as this relates to the following areas: Access to primary healthcare for all; gender equality and the empowerment of women in all socio-economic and political relations and cultures; access to quality reproductive health services; reduction in infant and maternal mortality; addressing the increasing burden of non-communicable diseases including mental health issues; effective treatment of injuries; and increased life expectancy.
The Aga Khan Hospital in Dar es Salaam sees over half a million patients through its outpatient care services, and conducts 1.3 million lab tests, 75,000 radiology investigations, and over 7,000 surgeries annually across its facilities.
Five primary medical centres, located in Dodoma, Iringa, Mbeya, Morogoro, and Mwanza, serve an additional population of approximately 10.9 million (source: Tanzania Bureau of Statistics population projection 2017).
Through its partnership with the Aga Khan University’s Institute for Education Development (AKU-IED), the Aga Khan Hospital is committed to being the premier teaching hospital in the country, offering health sciences education in both the medical and nursing fields an integral part of its vision.
Together with AKU, the Aga Khan Hospital offers postgraduate medical education in family medicine, internal medicine and surgery. Since 2004, AKU has graduated over 600 nurses and midwives in Tanzania and continues to expand its post graduate residency programmes to help train more qualified nursing professionals.
Over the past few years, 23 AKHS outreach health centers have opened throughout the country, making affordable and quality healthcare accessible to even more Tanzanians.
These expansion plans are part of a much larger integrated health network that AKDN is developing in East Africa, which uses a hub and spoke model that pairs the Aga Khan Hospital with a series of community health programmes, health centres, as well as local clinics and hospitals.
The Phase 2 expansion of the Aga Khan Hospital this week is yet another reminder of the importance of partnerships to achieve Tanzania’s critical healthcare goals. Together with Agence Française de Development (AFD), AKHS,T will expand its facilities to provide specialised care to fight non-communicable diseases in the areas of oncology, cardiology and neurosciences.
Drawing from the strength of its global network and lessons learnt from around the world, it will provide excellence in every sphere, in full commitment with the government’s development agenda.
Tanzania’s healthcare system is continuously evolving to fulfill its government’s vision of delivering an integrated, full service offering to its citizens. And while this commitment is noteworthy, there is recognition that no one stakeholder can go the distance alone.
At AKHS, we believe that everyone has the right to quality healthcare and the ability to pursue their dreams, to build their lives, their communities and their nation together. And we are proud to be a partner to the government of Tanzania in realising the full potential of this vision.
Sisawo Konteh is the chief operating officer, The Aga Khan Health Service, Tanzania.
12 March 2019
The Citizen (Dar es Salaam)
Tanzania: Aga Khan Development Network Plan to Improve 24 Public Health Centres in Mwanza
By Ngollo John
Mwanza — The Aga Khan Development Network (AKDN) has started its plan of improving 24 public health facilities in Mwanza Region. The plan includes putting up rooms for males to wait for their female partners in labour.
The planned works will target Reproductive Child Health (RCH) units, 4 maternity wings (with minor theaters), 2 postnatal wards, 13 delivery units and 4 operating theaters as per the requirements of the specific facilities.
Speaking to The Citizen during the celebration of the International Women's Day held at Bujora in Magu District, Dr Benardin Ngaila, said the improvement of the health centers will go in hand with establishing modern toilets and will take into consideration requirements of people with disabilities.
"Most health facilities have no waiting rooms for males when their partners go in labour rooms. Therefore, we have come with this plan," she said.
Apart from the improvement, the project has also provided training to 716 community health care providers in Mwanza who will assist in efforts to eliminate child mortality.
He further informed that, the community health care providers will each be with a bicycle worth Sh91 million, back packs and file folders to help them record their daily reports.
For her part, Health minister Ummy Mwalimu urged male parents to stop negative attitudes towards women and instead help them for their developments and the country at large.
During the event, Ms Ummy warned all employers who fire and/or demote pregnant workers from work saying stern measures will be taken against them.
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