Khumbe, Rufina Boba
(2018)
Effects of Cost Sharing on Health Services Among Poor Communities in Rural Areas of Chemba District in Dodoma Region.
Masters thesis, The Open University of Tanzania.
Abstract
The study on the effects of cost sharing on health service delivery was carried out in five wards of Chemba District which included: Chemba, Kwamtoro, Farkwa, Paranga and Kidoka. The main objective of the study was to: Assess the effects of cost sharing on health services in rural areas in Chemba district. The specific objectives was to: explore community perception regarding cost sharing; identify factors affecting cost sharing on health services in rural communities and investigate the challenges of cost sharing on health services in rural communities of Chemba District. A case study design was adopted involving administration of structured and non- structured questionnaires complemented by necessary documentation. Data were collected from 100 households heads randomly selected in five wards of Chemba District using questionnaires, Focused Group Discussion and Key Informants Interview as methods. Astatistical Package for Social Science(SPSS) and Microsoft Excel were employed in data coding and analysis. The studies revealed that majority of household heads (68%) are aware of the cost sharing on health services. Generally, the community perception on cost sharing on health services was significantly positive despite their request for reduction of costs and demand for clear dissemination of information on government‟s initiatives through CHF, its usefulness and limitations. The effects were lack of treatment leading to severe illnesses and death 30.4%. The study also found challenges related to cost sharing such as shortage of health professional, shortage of medicines and supplies, medical cost were expensive and shortage of reliable health facilities. Based on the findings of the study, it was recommended that government should authorize rules and regulations to ensure proper utilization of revenue collected as a result of cost sharing as well asrecruit qualified personnel, use of modern technology such as advanced computer and machines to issue receipt and ensure proper financial records for proper utilization and management of funds.
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