Health facility revisit and its associated factors among clients utilizing public health facilities in Zanzibar: a retrospective cohort study.

ABSTRACT:

Background

Since 1964, healthcare in Zanzibar has been tax-funded and provided free at all public facilities. However, this model has become financially unsustainable. Inadequate funding allocation and weak adherence to the referral system have led to inefficiencies, including unnecessary revisits to healthcare facilities. Despite ongoing reforms, there is limited evidence on how inefficient healthcare utilization occurs in Zanzibar's system. The purpose of this study was to utilize a new digital healthcare reporting system using patient-level information to measure the magnitude of patient revisits and identify factors associated with them, as well as the time to revisit.

Methods

This retrospective cohort study included individual-level data from clients enrolled in Zanziba

SUBMITTER: Abdul R 

PROVIDER: S-EPMC12771729 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature