Overview
Scheme Features
Health scheme implemented since | 2020 | |
|---|---|---|
Name of openIMIS focal point | Jonia Bwakea | |
Total number of health scheme employees |
| |
Total number of employees using openIMIS | 954 | |
Total number of employees not trained on openIMIS |
| |
Number of health insurance products managed by the health scheme and using openIMIS | 0 |
Product Features
Number of households covered | 111,650 |
|---|---|
Average size of a household | 3.9 |
Household contribution amount | 0 |
Individual contribution | 0 |
Average amount paid for a claim | 0 |
Specifications of the openIMIS used
Version | Web App v1.4.0, Mobile App V2.0.0 |
|---|---|
Has anything been modified (customization) | Yes |
What standards are used to code services, items, diagnosis and products | Diagnosis ICD 10, Items-Zanzibar essential medical list, Services NHIF |
Three main lessons learned
One | We learned that Open IMIS is a good system that can be customized according to your needs and requirements. |
|---|---|
Two | |
Three |
Recommendations for Developers Committee
What to improve | Prepare guide documents to support other developers and implementers. |
|---|---|
What to add | Design the system to work on current android version both enrolment and Claims, Add dashboard, add more filter on search like date from to, enrolment date etc. add edit claim on mobile app, allow rejected claim to be reviewed and edited with reasons, improve rest API in memory usage, it should run as a services, Auto upload of the data when system is online, Auto update database in claim App when Services, items, claim administrators and disease codes changed or updated |
What to remove |
Implementation Details
Overview on the ground
Resource constrains and untimely availability of data, makes the government of Zanzibar continually face double challenges of inadequate funding and inefficient resource allocation. To address these challenges, the Government of Zanzibar has developed a digital health strategy to make data available in a timely manner and improve transparency, efficiency and effectiveness of the health care delivery process.
The Revolutionary Government of Zanzibar (RGoZ) envisages to continue providing quality health care for all citizens with the goal of achieving Universal Health Coverage (UHC). Since 2019 PharmAccess has been working with the Ministry of Health Social Welfare, Gender Elderly and Children (MoHSWGEC) of Zanzibar to support the review of health financing model, establishment of quality improvement structure and support implementation of digital health strategies. As part of the implementation strategy, PharmAccess is supporting MoHSWGEC to digitalize utilization data capturing and establish national client registry through openIMIS
Project Details
Coverage: | The entire archipelago of Zanzibar with it's associate regions and districts. Zanzibar is composed of five regions namely Kaskazini Unguja, KusiniUnguja and Mjini Magharibi from Unguja Island where as Kaskazini Pemba and Kusini Pemba from Pemba Island. The project is currently covering 6 districts and expected to cover the remained 5 by the end of June 2022. |
Total number of health scheme employees | There are a total of 6 scheme health employees with different roles from the Ministry of Health Zanzibar and PharmAccess Tanzania |
Number of beneficiaries | 600,000 individuals |
Number of users | Over 200 healthcare workers |
Number of health facilities | 100 health facilities |
|
|
Number of health insurance products managed by the health scheme and using openIMIS | Single Product for Health Utilization Data collected during enrolment by CHV's and Healthcare Providers. However from April 2022, the Government of Zanzibar and PharmAccess will collaboratively launch the first health insurance product for the formal sector. |
|
|
|
|
Number of households covered | 106,000 households |
Average size of a household | 4.9 persons |
Utilization data collected through openIMIS is used to inform the government on the consumption patterns at the healthcare facilities per geographical area. PharmAccess will continue working and the support the government on effectively managing health services and improve quality healthcare delivery to all.
The customization and initial set up are both configured to enable end users to access the system on the web and on mobile. The Community Health Volunteers (CHVs) are trained to use the App installed on mobile phones to collect demographic, poverty mapping data and other enrolment details of the household members. Up on completion of enrolment the CHV issues a card with unique identification number, known as “Kadi ya Matibabu”. This card has a QR code and is used to identify the holder when seeking services at a health facility. With this approach, it is possible to collect utilization data at each facility, to determine the type of services provided, socio-economic characteristics of those using the service and total cost of services provided. It also identifies areas of under or overuse of services. More interventions can be designed in a timely manner.
From February 2022, as part of the process to support establishment of a functional Zanzibar Health Services Fund (ZHSF), the government of Zanzibar in collaboration with PharmAccess Tanzania will customize the openIMIS to accommodate requirements for health insurance management. To align with the government’s plans to enroll the formal sector by April 1st, the initial plan is to start with registration of formal sector employees by March 2022.
PharmAccess will continue working and support the government on effectively managing health services and improve quality healthcare delivery to all.