Factors Affecting Community Health Fund Growth in Tanzania. A Case of Ilala District.

Kassanga, Khadija Mohamed (2023) Factors Affecting Community Health Fund Growth in Tanzania. A Case of Ilala District. Masters thesis, The Open University of Tanzania.

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Abstract

The study objectives were to assess the socio-demographic, socio-economic as well and socio-cultural factors affecting CHF scheme growth in the Ilala district. The study population for this research comprised both members and non-members of the CHF scheme, staff members of CHF institutions and local government officials from four wards (Ilala, Kisutu, East and West Upanga). The sample size of 400 respondents was considered to be reasonable and affordable. The study used a cross-sectional design, where quantitative data was collected at a single point. The cross-sectional design took the form of a questionnaire survey, with participants selected using random sampling processes. Quantitative data collected using questionnaires was analyzed using descriptive statistics while multiple linear regression was carried out to determine the general relationship between independent and dependent variables. The findings showed that the majority of the surveyed households had a sufficient education level and ages of more than 50 years. A higher number of the households had unreliable jobs that gave them no option to join the CHF scheme. The majority of the surveyed households mentioned traditional healing to be the most appropriate way to treat their health implications. Based on the study findings, the researcher recommends the following in order to improve the performance of the implementation of the CHF scheme: Households have to be categorized by authorities into strata of different income levels and geographical locations premiums determined according to their ability to pay. Timings for revenue collection are to be designed in such a way to suit the situation of different members, for example during harvest, by two equal instalments, or through peer members. Keywords: Community Health Fund, Tanzania

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