What we do
We support the expansion of RMNCH-N and COVID-19 service delivery!
What we do
The Zimbabwe Health Sector Development Support Project (HSDSP) has supported various innovations including the following:
Introduction of electronic partogram (E-partogram)
Cordaid supported the development of an electronic partogram (e-partogram) as part of the Electronic Health Record module by the MoHCC. The partograph consists of the fetal record which tracks fetal heart rate, amniotic liquor and molding of the fetal skull; the labor record which tracks cervical dilation and descent of the fetus head over time; and the maternal record which captures contractions, blood pressure, pulse, urine output, temperature and medicines administered. These records help to indicate when further interventions are necessary.
Electronic data collection
Migration from paper based to electronic means of gathering data during the Quality and Supervision Survey (QSS), Client Satisfaction Survey (CSS), and the Quality Verification (QV). Turn-around time in processing data and error rate have been significantly reduced with the process now electronic from data collection up to invoice generation. Data can be stored and backed up easily.
Urban Voucher BVR System
Beneficiary identification was paper based where the Community Health Workers would administer a paper-based questionnaire to potential beneficiaries and forward to the Social Workers for assessment. The shifting of this paper- based system to electronic reduced the lag time from identification to enrolment.
RBF Dashboards
For quick access to program related data for individual users. The RBF DHIS2 now provides a personal dashboard where one can put favorite charts, maps and reports for fast access. From the dashboard a user can view the data interpretation feed – data interpretations shared from the various analytics modules appears on the Dashboard so that you can better understand the data.
The Urban Voucher Scheme
In 2014, with World Bank funding, Results Based Financing (RBF) emerged as a potentially course-shifting mechanism to finance Maternal and Child Health (MCH) in Zimbabwe, with vouchers for services as an innovative sub-component of a broader national RBF program. The Urban Voucher (UV) was designed as a sub-component of the RBF program to target low-income urban health districts. The scheme was introduced to provide free Maternal New-born and Child Health (MNCH) services for the poor in two pilot areas: Harare’s Southern District covering Mbare and Hopley wards and Bulawayo’s Nkulumane district covering five wards. Pilot areas were chosen because of their large population groups belonging to the poorest citizens with the aim to improve access and service utilization on ANC, delivery and Post Natal Care (PNC). Implementation of the urban RBF scheme began in 2014. An evaluation of the pilot was done in 2018 with results showing the feasibility of adopting this method and rolling out to other sites, as a complimentary component to effective RBF particularly targeting the urban poor. Roll-out to other sites has already started under the Health Sector Development Support Project of the WB GFF through Additional Financing V. The government has shown commitment to the program by co-financing it to ensure sustainability.
What we care for
The well being of pregnant mothers
“Whenever I feel any pain, I visit Tariro Satellite clinic for assistance, something I was not able to do previously due to lack of money. I also know that should I get complications, I can be assisted including accessing an ambulance for free from the clinic to Sally Mugabe Hospital. I am so excited about my baby and I look forward to a safe delivery. ”
Talent M. Urban Voucher Beneficiary, Harare
Saving women from the prospects of home deliveries
“I heard from the community about how pregnant women who did not have money for registration and antenatal visits were being helped at our local clinic. I quickly visited the clinic where I was assisted. When I got into labour my husband rushed me to Edith Opperman Poly Clinic in Mbare where I delivered for free. Without this program I would have delivered at home,”
Letwin Jumbe, Urban Voucher beneficiary
Infrastructural developments to increase utilisation of maternal services
Health care facilities are using the subsidy earning they are receiving from the RBF program to improve their infrastructures for the ultimate benefit of their patients, particularly pregnant women and delivering mothers