Zanzibar's Ministry of Health teamed up with PharmAccess and the Zanzibar Health Services Fund to launch the ZHSF Mothers project that gives over 2,300 pregnant women digital insurance tracking across 25 facilities in Kaskazini B and Micheweni districts. The MomCare model hooks low-income expecting mothers up with subsidized care packages while feeding data into government systems like ZanEMR and the ZHSF Claims Portal, and women can pick any participating clinic without worrying about payment barriers.
The whole setup shifts from just funding hospitals to directly empowering patients through demand-side financing that rewards facilities for quality service. Zanzibar already hits 98.9 percent for at least one antenatal visit, but neonatal mortality still sits at 42 per 1,000 live births because service gaps remain for destitute populations that make up 26 percent of residents.
The demonstration project wants to push early booking rates from 16 percent up to 40 percent while getting skilled delivery coverage to 95 percent by using real-time monitoring that makes maternal care more responsive.
The whole setup shifts from just funding hospitals to directly empowering patients through demand-side financing that rewards facilities for quality service. Zanzibar already hits 98.9 percent for at least one antenatal visit, but neonatal mortality still sits at 42 per 1,000 live births because service gaps remain for destitute populations that make up 26 percent of residents.
The demonstration project wants to push early booking rates from 16 percent up to 40 percent while getting skilled delivery coverage to 95 percent by using real-time monitoring that makes maternal care more responsive.
