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Putting People at the Heart of Healthcare

At D-tree, we believe that no matter who you are or where you live, you have a right to high-quality healthcare. Afya-Tek is connecting Tanzanians with life-saving treatment and care wherever they are.

Healthcare in fragments

In Tanzania, community health workers and local private drug shops are on the front lines of healthcare and are often Tanzanians’ first point of care.

Together with health facilities, these local primary care services can meet up to 90% of a person's health needs. 

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So if the pieces are in place for Tanzania to have a robust health system, why are there still so many preventable deaths each year?

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Because health systems weren't built for patients.

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Tanzania's health system relies on community-based institutions that lack accurate patient information, like medical histories and records of previous interactions with the health system. When one component is weak or the information is not shared the consequences can be fatal. In Tanzania:

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600,000

children die before their fifth birthday

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9,000

women succumb to preventable maternal complications

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1 in 3

girls age 15-19 experience early pregnancies in rural areas

Afya-Tek is reimagining this system.

Personalized, digitally-enabled care. Anywhere.

With generous support from Fondation Botnar, Afya-Tek has already begun to improve maternal, child and adolescent health in Tanzania through personalized, digitally enabled care that allows patients to engage with the health system wherever they are: at their doorstep with community health workers (CHWs), at a community-based drug dispensing outlet or at a primary health facility. It reimagines Tanzanian primary healthcare to be centered around clients and to improve the coordination among providers to ensure quality care is accessible to all.

Drug Shop

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Patients are able to  access high-quality healthcare where it's most convenient for them. 

 Patients 

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Patients are able to access high-quality healthcare where it’s most convenient for them.

Health Facility 

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When a patient arrives at a health facility, a staff member equipped with an Afya-Tek device identifies her using Simprints biometric fingerprint identification technology. If the patient was referred by a community health worker or drug dispenser, the system alerts the staff member of the reason for her referral and where the referral came from. The patient's medical record is pulled up, and she is able to receive appropriate treatment quickly and efficiently.

When patients arrive at a health facility, they are checked-in using Simprints biometric fingerprint identification technology. If they have been referred by a community health worker or drug dispenser, the system alerts the staff so patients can receive appropriate treatment quickly and efficiently.

Community Health Worker

Community health workers, equipped with Afya-Tek smartphones, visit patients in their homes and assess the patients for any symptoms that could indicate illness or, in the case of pregnant women, pregnancy complications. If any such symptoms are found, the CHW is able to refer the patient to a drug shop or health facility through the system. Later, the CHW is alerted by the system that the patient has completed the referral and returns to the patient's home for a follow-up visit.

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Community health workers, equipped with Afya-Tek smartphones, visit clients in their homes and assess them for any symptoms that could indicate illness or pregnancy complications. When these symptoms are found, the CHWs can use their smartphone to refer clients to a drug shop or health facility. Later, CHWs are alerted when clients complete the referrals, enabling them to return for a follow-up visit.

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Private drug shops, equipped with Afya-Tek smartphones, identify clients entering their shop using Simprints fingerprint biometric identification technology. The patient's medical record is instantly available, including any symptom that the community health worker identified in the patient's home. The system guides the dispenser through screening and allows the dispenser to record any treatment or medication that was administered in the shop. For more serious conditions, the  dispenser can also refer the patient to a health facility through the system.

When a patient arrives at a health facility, a staff member equipped with an Afya-Tek device identifies her using Simprints biometric fingerprint identification technology. If the patient was referred by a community health worker or drug dispenser, the system alerts the staff member of the reason for her referral and where the referral came from. The patient's medical record is pulled up, and she is able to receive appropriate treatment quickly and efficiently.

When a patient arrives at a health facility, a staff member equipped with an Afya-Tek device identifies her using Simprints biometric fingerprint identification technology. If the patient was referred by a community health worker or drug dispenser, the system alerts the staff member of the reason for her referral and where the referral came from. The patient's medical record is pulled up, and she is able to receive appropriate treatment quickly and efficiently.

At private drug shops, clients are identified using Simprints fingerprint biometric identification technology. Client medical records are instantly available, including any symptoms registered by community health workers, and the system guides dispensers through screening, records any treatments administered, and enables referrals to a health facility for more serious conditions.

Learn how:

Leveraging biometrics, clinical decision support, referral coordination and data-driven performance management, this fully digitized system fills previous cracks at vital touchpoints to enable care. Along the way, data is collected, measuring and monitoring how the health system responds to patient needs, making evidence-based information transparent for meaningful policy and program decision making.

No matter where a patient goes, her health record is always accessible for reliable, efficient treatment and personalized care. Afya-Tek enables people to access care where it’s most convenient for them.

Patient tracking

The digital system identifies the patient by fingerprint and prompts delivery of care based on previous logged interactions and the patient’s unique needs in that moment.

Biometrics

If a problem or risk is identified or the patient needs more sophisticated treatment, she can get a referral to a health facility, and her health record and referral information will already be available to the facility upon her arrival .

Referrals

After a pharmacy or health facility visit, the system ensures patients will have a CHW to check back in with them to ensure any issues have been addressed and they received the best possible care.

Follow-up

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To me this project has been of great benefit. I can see the outcome of this project because in my district it is almost more than ten months, I have not had a death of a pregnant woman. Even the mortality of under-five children has reduced. Even the health seeking behavior of pregnant women and adolescent has increased.

-- District Medical Officer

Maximizing impact

280,000+

people reached

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166,000

home visits made 

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500+

health providers engaged

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3-fold increase

in completed patient referrals

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Reaching new heights

We've only just begun. With your help, Afya-Tek can build on its success by focusing on these  priorities:

DEEPEN GOVERNMENT COLLABORATION

We're deepening our engagement with the Tanzanian government to equip them with key management and technical skills to expand the system even further and change lives on a national level.

SCALE UP QUICKLY

We’re expanding to support 750,000 people across 4 districts in Pwani region, gathering evidence to measure our impact on a wider scale, and using that data to build a reliable, replicable model for other regions in Tanzania and beyond.

BUILD THE EVIDENCE BASE

We can't rely on status quo thinking — to maximize health impact, we're using cutting-edge mixed method evaluation techniques to continuously test our theory of change, understand how people are using the system, and refine our program approach to improve.

Take part in Afya-Tek’s exciting next step.

Contact us today to find out how you can get involved in Afya-Tek Phase II.

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