Health Systems Strengthening

Jamii ni Afya: Zanzibar's national digital community health system

Launched in early 2020 by the Zanzibar Ministry of Health as part of its national Community Health Strategy, the Jamii ni Afya program offers a unique example of strong and coordinated government leadership and a unified digital community health system. Jamii ni Afya is the first digital community health program to be fully integrated into the health systems on a national scale.

Citizen feedback to improve respectful care

We believe in the importance of giving clients a voice in health systems and having mechanisms to promote accountable, respectful care. One way that we do this is through citizen feedback systems which are integrated into our digital health systems. Learn how D-tree is empowering mothers in Zanzibar to promote respectful care.

Motivating health workers through pay for performance

Health workers in resource-constrained settings face many challenges, including lack of motivation and limited connectedness with the broader health system. Digital tools provide an opportunity to better link health workers with their peers and supervisors. Here we describe one way that we are leveraging technology to improve health worker motivation and engagement.

Supporting referrals

Within health systems, clients are frequently referred for services or commodities, and tracking these referrals to ensure completion and reduce loss to follow up is essential for health programs. D-tree has experience supporting organizations to manage referral tracking in a variety of contexts. Learn more about the challenges and some of the systems we have developed to improve referral tracking.