• To develop a model of high quality healthcare based on a public / private partnership. This model will incorporate not only high standards of clinical care but also the development of sustainable healthcare, management and financial systems.
• To apply the same model used in Makunduchi Hospital to other cottage hospitals in Zanzibar.
• To develop a ‘blueprint’ of cottage hospital development that can be used by others in the field of healthcare development.

Our 4 P’s

At the outset of The Makunduchi Project we decided on four founding principles that we would apply across the project. These are:

1. Patient first
2. Positive
3. Professional
4. Passionate

This ethos is to permeate from the founders all the way through to hospital staff.

Main aims of the Makunduchi Project

• Upgrading of the staff, facilities, equipment, financing and management of Makunduchi Hospital to enable it to provide an essential package of hospital care which includes:
  • Maternity and newborn care
  • 24 hour accident and emergency care
  • Treatment of major communicable diseases
  • Care of common serious conditions in children
  • Treatment of common serious conditions in adults, including elective surgery services
  • Family planning services
  • Basic dental and ophthalmologic care (extraction and hygiene)
  • Primary health care preventative, diagnostic and treatment services
• Development of additional medical services to generate revenue to cross subsidise the essential hospital services. This will include:
  • Health services for tourists
  • Specialist surgical services
  • Specialist laboratory services
  • Provision of specialised drugs
• Development of necessary support services such as CSSD, laundry, kitchen, stores, blood banking/transfusion and transport services.
• Development of an active and ongoing clinical and management research programme with the aim of indentifying cost effective management and clinical care

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