CCBRT is a local organisation working in partnership with the Government of Tanzania to usher the nation toward a future free of maternal and newborn deaths and preventable disabilities. CCBRT is Tanzania’s largest provider of disability and rehabilitative care. In 2012 the hospital began using lean management strategies in order to provide a superior quality of service to patients at the lowest possible cost. With HDIF’s support, CCBRT is refining its approach and moving to become a centre of excellence in Lean Management and a coach for other health care providers in Tanzania. A model cell approach has been adopted to demonstrate change and encourage learning within the hospital through focusing on the Eye Out Patient Department (OPD). As the unit with the highest volume of patients, it has the potential to benefit the most from improvements in efficiencies. The model is also being rolled out through CCBRT’s partnership with Kabanga Mission Hospital in Kigoma Region and with training and support it is now undergoing its own lean transformation.