The Tibu Homa project (March 2011-September 2015), funded by the US Agency for International Development (USAID), collaborates with the Ministry of Health and Social Welfare to reduce morbidity and mortality among children under five in Tanzania’s lake zone by increasing proper diagnosis and treatment of severe fever.
Tibu Homa (“treat fever” in Swahili) increases the availability of and access to child health services, ensures the sustainability of critical child health activities, and increases linkages within the community to promote healthy behaviors.
MSH contributes to improving case management in facilities by improving the availability of medicines and supplies. The project strengthens the facility-level supply chain by training facility workers in supply chain management, providing mentoring for supportive supervision and logistics management, revitalizing medicines and therapeutic committees, using stock-out monitoring tools, and establishing medicines and finance audit committees. MSH also engages key stakeholders in improving case management, supports health management teams in mobilizing resources from other sources of financing, and works to strengthen community health funds and improve supply chain data management in facilities.
Proper documentation and use of consumption data in forecasting and quantification has improved the availability of medicines and supplies. Also, use of the stock-out monitoring tool and communication between district medical officers and lower-level health facility staff has contributed to reducing stock-outs. Regional and council health management teams have demonstrated ownership of follow-ups on diagnosis and treatment for children with fever-related illnesses.
Resource mobilization efforts have led to funding for constructing a boat for supportive supervision in Muleba District's marshy islands and renovating a pediatric ward at the Geita District Hospital. The community health fund enrollment rate increased from 1.4 percent to more 44 percent in Musoma Rural district, surpassing the national target of 30 percent. With this improvement, Musoma Rural collected revenues of more than $40,000, enabling health facilities to procure more medicines and supplies, improving their availability in facilities from 55 percent in 2013 to 80 percent by May 2015.