SafeCare is currently active in eleven different programs.

SafeCare was launched in March of 2011 and is already operational in Kenya, Ghana, Nambia, Tanzania and Nigeria, with the number of clinics being assessed and in the Quality Improvement phase constantly rising. Tanzania, Kenya, Ghana and Nigeria have locally qualified SafeCare surveyors on the ground.

Current SafeCare programs are:

  1. SafeCare is currently contracted by the Health Insurance Fund (HIF) and the Medical Credit Fund (MCF) and operational in Ghana, Kenya, Namibia, Nigeria and Tanzania. Currently 199 facilities are in the program, an additional 100 are expected to enroll by the end of 2013.
  2. SafeCare is a partner in the APHIAplus consortium, which aims to strengthen Kenyan health systems and includes the expansion of the Kenyan SafeCare certification body
  3. SafeCare is a partner of the AHME consortium funded by Gates Foundation and DFID under HANSHEP which introduces SafeCare external certification methodology to the social franchises of PSI, MSI and FSH in Kenya, Nigeria and Ghana
  4. In Tanzania, over 172 clinics of the armed forces (TPDF/TPPI) are in a quality improvement program that has been supervised by PharmAccess under a PEPFAR/USAID agreement over the past 5 years. The SafeCare methodology is introduced into these clinics this year with a phase 1 program started in March 2012
  5. In Kenya, SafeCare has entered into a collaboration agreement with the NHIF as a Technical Assistance partner for the implementation of SafeCare standards into the NHIF accreditation system to be introduced into 280 healthcare facilities across the country starting 2012.
  6. In Tanzania, SafeCare is a formal technical assistance partner to the ministry of health and social welfare (MoH&SW) to adopt SafeCare methodology into a national institutionalized quality improvement and recognition methodology.
  7. PharmAccess has entered into an agreement with Shell for a two year quality assurance initiative, using the SafeCare methodology in three Shell-assisted clinics in Anambra State, Rivers State and Delta State.
  8. Private Sector Health Alliance of Nigeria (PHN) has asked PharmAccess-SafeCare to conduct baseline and follow up assessments with the SafeCare Essentials tool for 60 facilities under a project tagged Health Ventures Network Pilot Nigeria. Three groups will be compared for a scientific study. One of the groups receives quality training, a quality improvement plan as well as intensive quality improvement support, the second group only receives training and a quality improvement plan and the third group only receives the quality improvement plan. Group trainings for the Medical Directors and key staff of the facilities will be organized.
  9. 400 facilities in four regions of Tanzania will enter the SafeCare quality improvement program and will receive (MCF) business training and business plans. ELMA Foundation (ELMA) requested a full proposal for an add-on to DFID’s HDIF initiative (see under secured contracts) with a focus on the maternal, child and neonatal health care (‘MCNH’).
  10. In May 2014, PharmAccess received notice that the grant for Support for International Family Planning and Health Organizations (SIFPO) 2: Sustainable Networks was awarded to PSI, with a subcontract for PharmAccess (SafeCare) together with MCF. Under this Program, MCF/SafeCare will be tested in healthcare facilities in Uganda.
  11. PharmAccess entered into an agreement with Jawabu Health Limited and Africa MediLink in Kenya, to assist in the set up a micro health insurance product. The SafeCare standards will be used to assess participating healthcare providers and to monitor and facilitate their quality improvement. Jawabu Afya Micro Health Product is a health insurance program: after several rounds of adjustments, MoH approved the proposal and will sign the contract in August. The money comes from KfW through MoH to Jawabu. PharmAccess is subcontractor on SafeCare, health intelligence and technical assistance on marketing, sales and reviews on the design of the product.