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COHSASA strengthens health systems through standards, quality improvement and accreditation


The Council for Health Service Accreditation of Southern Africa (COHSASA) is the only internationally accredited quality improvement and accreditation body for healthcare facilities in Africa. In the past  23 years over 600 facilities throughout the continent have entered the COHSASA programme to improve the quality and safety of healthcare provided to patients.

By making health systems more resilient, COHSASA assists a range of healthcare facilities in Southern Africa to meet and maintain quality standards. This range includes hospitals, clinics, general and family practitioners, rehabilitation centres, hospices, emergency centres, ambulances and laundries. Standards are also being developed for individual services such as sedation units and home-based care. There is a strong focus on building capacity to help healthcare professionals measure themselves against the standards. The COHSASA approach teaches healthcare workers how to monitor improvements using quality improvement methods, internationally accredited standards and a web-based information system.


Strictly applied quality improvement methods can improve patient safety and the quality of care by identifying deficiencies, guiding interventions and monitoring progress. COHSASA's web-based information system - CoQIS - identifies deficiencies and weaknesses in healthcare facilities and creates prioritised quality improvement plans to overcome them. The data generated helps authorities to provide cost-effective interventions.

COHSASA holds a fifth consecutive accreditation by the International Society for Quality in Health Care (ISQua). The current ISQua accreditation award is valid until December 2022. ISQua is the global authority responsible for ensuring that health accreditors themselves meet standards. "The ISQua International Accreditation Programme provides a mechanism for external evaluation and standard-settings organisations to assure themselves that their standards, their surveyor training programmes and that they, themselves,  as an external evaluation organisation, meet international best practice requirements and to demonstrate this to their clients, funders and stakeholders." ( COHSASA's newly developed First Edition of Standards for Healthcare Facilities has also been accredited by ISQua until 2022.

“There is consistent evidence that shows that accreditation programs improve the process of care provided by healthcare services. There is considerable evidence to show that accreditation programs improve clinical outcomes of a wide spectrum of clinical conditions. Accreditation programs should be supported as a tool to improve the quality of healthcare services.“

Alkhenizan, Abdullah & Shaw, Charles. (2011). Impact of Accreditation on the Quality of Healthcare Services: A Systematic Review of the Literature. Annals of Saudi medicine. 31. 407-16. 10.4103/0256-4947.83204.

Impact of Accreditation on the Quality of Healthcare Services, A Systematic Review of the Literature

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COHSASA's Mission
To assist healthcare facilities in Africa and other developing countries to deliver quality healthcare to their clients through sustained improvement using internationally recognised standards, patient safety principles and operational research.
What we offer
The Council for Health Service Accreditation of Southern Africa works in the field of improving quality and accreditation in healthcare facilities.
Meet the Team
COHSASA is based in Cape Town, South Africa. While many of its employees are based at the headquarters in Pinelands, staff members are always in the field, and this workplace is spread throughout Africa.


Cohsasa's Fifth international accreditation

The Council for Health Service Accreditation of Southern Africa NPC (COHSASA)...


Good Governance Institute
Boitekanelo College
The Health Source
Best Care
PharmAccess Foundation
School for public leadership
Joint Comission International
Management Sciences for Health
South African Medical Association
South African Medical Research Council
Hospital Association of South Africa
National Department of Health
Board of Healthcare Funders of Southern Africa


Lenmed Health
Arwyp Medical Centre
St Nicholas Hospital
Mediclinic Expertise you can trust
Netcare Tsepong
The Urology Hospital
National Hospital Network
Hospice Palliative Care Association
City of Cape Town Health Department
Republic of Botswana Ministry of Health
Republic of Rwanda Ministry of Health