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Beneficiary Feedback Mechanisms Iringa DC – Tanzania

“Beneficiary feedback mechanism” is the name of a pilot project that CUAMM is implementing in Tanzania’s Iringa District. Begun in mid-2014, the project aims to assess the suitability of ongoing health care interventions in order to fully grasp operational limits and the needs of the local population, and subsequently to strengthen these services in terms of access, quality and equity.

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Duration

The BFM “Beneficiary Feedback Mechanisms” is a pilot project. Its activities started  in August 2014, and will end in April 2016.

Objectives

This pilot project has being carried out in in 18 villages in Kiponzelo Division (Iringa DC) with the participation of Doctors with Africa CUAMM. Funded by the UK Department for International Development (DFID), the project’s aim is to assess the suitability of the health care interventions being implemented in the region. Underthe supervision of World Vision, which is in charge of the assessment, CUAMM has been testing out a system that motivates the beneficiary population to offer their impressions, suggestions and critiques vis-à-vis these services, and collects them for analysis.

The final objective is to appraise the efficiency of the maternal and child health care projects that Doctors with Africa CUAMM has been implementing in the area for years

 What we do

The project focus on unsolicited feedback by SMS (and voice) from both direct and indirect beneficiaries. The approach aimed at exploring the hypothesis that using mobile technology would be more confidential, timely and accessible, and would also open up an existing communication channel enabling real time feedbacks and adaptive programming. Distinctive aspect of this approach is that it is open to all members of the community, going beyond “the beneficiary” per se. The tools of the project are:

  • unsolicited SMS and phone calls;
  • suggestion boxes at village governmental office and notice boards.

Achievements

  • Improve community acceptance to disclose “personal” – health related issues
  • Increased community ownership toward health services
  • Increased health staffs (and CHWs) accountability
  • Close gap between community and district authorities
  • Talk about “burning issues”: social protection and gender based violence (GBV)

In details:

  • total of 509 feedback received in 2 years
  • 41 % of direct health services and project related feedback
  • 59 % of indirect health services related feedback (social protection, abuses, GBV, stigmatization, misconduct of village leaders etc.)
  • 38 % of positive feedback on direct health services and project activities

Partnership

More about the project

“The voice of the community in Tanzania” by Edoardo Occa, from Health and Development nr.70, 2014

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