Impacts of National Health Insurance Fund revenue on quality health service delivery at Dodoma City in Tanzania.

Mustapher, Mwanaisha Hassan (2023) Impacts of National Health Insurance Fund revenue on quality health service delivery at Dodoma City in Tanzania. Masters thesis, The Open University of Tanzania.

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Abstract

The study aimed at assessing the impact of National Health Insurance Fund Revenue on Quality Health Service in Dodoma, Tanzania using Dodoma Regional Referral Hospital as commonly known as General Hospital as the case study. The study includes the cross-sectional research design in which quantitative and qualitative approach employed. Targeted population for the study was 1038 beneficiaries of the NHIF scheme services and services providers including the NHIF and Dodoma Regional Referral Hospital staff from randomly selected from six departments and its sub-units at the facility level. The sample size of 97 patients and survives providers‘ respondents were determined. The descriptive statistics were calculated, including frequency, percentages, mean, and standard deviation. The survey findings revealed that the gender composition of the sampled households‘ is headed mainly by the males. Main challenges that most of the families in the study operation areas were Lack of awareness and understanding of NHIF policies and procedures, Shortage of skilled healthcare professionals, inadequate monitoring and evaluation of NHIF funded programs, delayed access to the health care services, higher out-of�pocket expense for the patient, decrease patient satisfaction and experience, lower healthcare outcomes and health status and another and compromised adherence to clinical guidelines. The study concluded that a Health facilities' access to the health care services has caused a delay in that access. The study recommended the implementation of healthcare management systems suitable to ensure internal control systems. Keywords: NHIF, Revenue Collection, Quality Service Delivery

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