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Enrollees in Nigeria, Kenya and Tanzania


Total disbursed loan amount in USD


Number of patient visits to SafeCare facilities per month


Number of active clinics in the SafeCare program

Quality improvement


SafeCare is an internationally recognized quality improvement program that offers clinics positive incentives to move steadily upwards in quality. It is an integral part of the strategy of the Health Insurance Fund's implementing partner, the PharmAccess Group.

Sub-Saharan Africa has a shortage of institutions and standards that can ensure objective measurement of the level of quality of basic healthcare facilities in Africa. This lack of transparency means that benchmarking is not possible and patients are often unable to make informed decisions about health care.


SafeCare is a quality improvement program that supports healthcare providers in resource-restricted settings to move steadily upwards in quality and deliver safe and optimal care for their patients. It was founded in 2011 by the PharmAccess Foundation, the Joint Commission International (JCI) and the Council for Health Service Accreditation of Southern Africa (COHSASA). In 2013, SafeCare was accredited by the prestigious International Society for Quality in Health Care (ISQua), which is known as the ‘accreditor of accreditors.’ This accreditation provides assurance to ministries of health, donors, funders, clients and health facilities that the organizations using SafeCare’s standards meet the highest international requirements and are focused on continuous improvement.

SafeCare standards focus on ‘bottom of the pyramid’ public and private healthcare facilities such as dispensaries and health centers that make up the main healthcare distribution channel for low-income settings. These type of facilities struggle with patient safety and quality demands. The SafeCare standards offer a stepwise and transparent improvement path that offers positive incentives for healthcare providers to enhance quality. The methodology is supported by innovative real-time data collection tools allowing it to be applied on a large-scale.

SafeCare is an integral part of the PharmAccess Group strategy and is fully incorporated into all its programs. Healthcare providers in Nigeria, Kenya, Tanzania, Ghana and Namibia are applying the program to improve their quality. Also, four African governments have adopted SafeCare as part of their national healthcare systems. Multinational corporations such as Shell and Heineken have signed up as well.

SafeCare receives backing from the Dutch Ministry of Foreign Affairs, USAID, and the African Health Market for Equity (AHME) program.



On 12 September 2016, OPIC, Calvert Foundation and two private investors announce expansion
PharmAccess and its German consultancy partner GFA have won a 27.3 million Euros tender from the German development bank KfW to improve access to healthcare for low-income pregnant women in 5 regions of Tanzania.
President Felipe Nyuse of Mozambique officially opened the University Clinic


A population-based study
Date: September, 2015

Research findings on Health Insurance Fund supported programs

Date: February, 2015