Assessment of Community Involvement and Enrollment on CHF Scheme in Accessibility of Quality Health Care Services in Meru District Council.

Elam, Charles (2020) Assessment of Community Involvement and Enrollment on CHF Scheme in Accessibility of Quality Health Care Services in Meru District Council. Masters thesis, The Open University of Tanzania.

PDF - Submitted Version Download (679kB)

Abstract

The Community Health Fund (CHF) was introduced in Tanzania as part of the Ministry of Health’s (MOHSW) Endeavour to make health care affordable and available to the rural population and the informal sector. The study was carried out to assess community involvement and enrolment on CHF scheme in accessibility of quality health care services in Meru District Council by adopting a cross-sectional study design. Questionnaire and interview were administered to gather information from 80 households and 6 key informants and analyzed by SPSS to produce frequencies, percentages and cross tabulation. The study finding shows that out of 80 respondents only 44% were active members. The study revealed that, friends have spread information in abundance by 27.5% higher than CHF staff, Government health Officers, NGOs and media concerning the community involvement and enrollment in the scheme. Furthermore, total of 38% were unsatisfied with the services provided under CHF scheme while 66.4% of members who recently dropped out were financially capable to afford a yearly fee contribution but were not willing to renew their membership due to obvious factors such as low coverage and poor customer care to CHF members hence these predicts the decline of the membership and scheme’s sustainability. In order to improve CHF scheme, the government and development partners should establish a fair ground for NHIF and CHF schemes to compete and empower CHF under the responsible ministry to initiate their own facilities such as health and laboratory centers at least in every region of the country so as to demonstrate and provide quality of health services as it is required to meet the international health care standard. Keywords: Health Care, Community Involvement, Community Health Fund & Health Insurance.

Actions (login required)

View Item