Nyamuhunguru, Gati R.
(2018)
Assessment of the Impact of Cost Sharing Mechanism in Healthcare Service Delivery in Tanzania: A Case of Amana Hospital.
Masters thesis, The Open University of Tanzania.
Abstract
The cost sharing scheme in health delivery is supposed to cater for the quality, affordable and better services for the Patients. The overall study objective was to assess the impact of cost sharing mechanisms in the delivery of healthcare services in Tanzania. The study was conducted in Dare es salaam at Amana Hospital using a sample of 108 participants where 95 were Patients, 3 doctors, 8 nurses, and 2 accountants. In line to the above mentioned subject, the specific objectives were to assess the accessibility, convenience and affordability of healthcare services to the beneficiaries and stakeholders, the performance of healthcare services delivery and to identify the obstacles facing the hospitals in the delivery. The data from the field were collected through questionnaires, and interview. The results revealed that less than 50% was awarded by participants to accessibility, convenience, and affordability of health services to the beneficiaries and stakeholders. Less than 45% was awarded to the performance of cost sharing scheme in health delivery is negative. Obstacles in this study included little participant’s awareness about cost sharing, availability of medicines, long distance to the service centres, unfriendly hospital environment and poor hospital attendance. It can be concluded that the implementation of cost sharing scheme in Tanzania lies far from Tanzanians expectation of the said service. The following recommendations are made; Government should sensitize people on the cost sharing scheme. Prices of health services have to be revised to allow most Tanzanians to access it and lastly improving quality of health delivery is necessary to create confidence on patients to make use of them.
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