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Factors Associated with the Implementation of an Improved Community Health Fund in the Ubungo Municipality Area, Dar es Salaam Region, Tanzania

Author

Listed:
  • Goodluck Mselle

    (Department of Health and Social Welfare, Ubungo Municipal Council, Dar es Salaam P.O. Box 55068, Tanzania)

  • Peter Nsanya

    (Department of Health and Social Welfare, Ubungo Municipal Council, Dar es Salaam P.O. Box 55068, Tanzania)

  • Kennedy Diema Konlan

    (Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana
    Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea)

  • Yuri Lee

    (Department of Health and Medical Information, Myongji College, Seoul 03674, Korea)

  • Jongsoo Ryu

    (Department of Global Health, Graduate School of Public Health, Yonsei University, Seoul 03722, Korea)

  • Sunjoo Kang

    (Department of Global Health, Graduate School of Public Health, Yonsei University, Seoul 03722, Korea)

Abstract

Community-based health insurance schemes help households to afford healthcare services. This paper describes healthcare facilities and community factors that are associated with the Improved Community Health Fund (iCHF) scheme in the Ubungo district of Tanzania. A cross-sectional descriptive study was conducted using online questionnaires that were completed by healthcare providers and community members in public-owned healthcare facilities in the Ubungo Municipal Council district of Dar es Salaam, Tanzania, between October and November 2021. The data were analyzed using descriptive statistics and the chi-squared test of association. We found a statistically significant relationship between income level and satisfaction with the iCHF scheme. For community-related factors, income level was statistically significant in the level of involvement in iCHF implementation among local leaders. Further, income level was statistically significant in relation to community behavior/culture toward the iCHF. Occupation was statistically significant in iCHF implementation, iCHF premiums, and iCHF membership size. A statistically significant relationship was also found between income, iCHF membership size, and iCHF premiums. Moreover, people would be willing to pay the required premiums if the quality of the healthcare services under the iCHF scheme improves. Therefore, the government should allocate resources to reduce the challenges that are facing iCHF implementation, such as the preference for a user fee scheme over the iCHF, the issues that are faced by enrollment officers, and inadequate iCHF premiums and membership size.

Suggested Citation

  • Goodluck Mselle & Peter Nsanya & Kennedy Diema Konlan & Yuri Lee & Jongsoo Ryu & Sunjoo Kang, 2022. "Factors Associated with the Implementation of an Improved Community Health Fund in the Ubungo Municipality Area, Dar es Salaam Region, Tanzania," IJERPH, MDPI, vol. 19(9), pages 1-12, May.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:9:p:5606-:d:808778
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    References listed on IDEAS

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    1. Mustefa Glagn Abdilwohab & Zeleke Hailemariam Abebo & Wanzahun Godana & Dessalegn Ajema & Manaye Yihune & Hadiya Hassen, 2021. "Factors affecting enrollment status of households for community based health insurance in a resource-limited peripheral area in Southern Ethiopia. Mixed method," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-16, January.
    2. Asmamaw Atafu & Soonman Kwon, 2018. "Adverse selection and supply‐side factors in the enrollment in community‐based health insurance in Northwest Ethiopia: A mixed methodology," International Journal of Health Planning and Management, Wiley Blackwell, vol. 33(4), pages 902-914, October.
    3. Adeline Ajuaye & Boris Verbrugge & Jan Van Ongevalle & Patrick Develtere, 2019. "Understanding the limitations of “quasi‐mandatory” approaches to enrolment in community‐based health insurance: Empirical evidence from Tanzania," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1304-1318, October.
    4. Zemzem Shigute & Anagaw D. Mebratie & Robert Sparrow & Getnet Alemu & Arjun S. Bedi, 2020. "The Effect of Ethiopia’s Community-Based Health Insurance Scheme on Revenues and Quality of Care," IJERPH, MDPI, vol. 17(22), pages 1-17, November.
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    Cited by:

    1. Osei Afriyie, Doris & Loo, Pei Shan & Kuwawenaruwa, August & Kassimu, Tani & Fink, Günther & Tediosi, Fabrizio & Mtenga, Sally, 2024. "Understanding the role of the Tanzania national health insurance fund in improving service coverage and quality of care," Social Science & Medicine, Elsevier, vol. 347(C).
    2. Dale, Elina & Evans, David B. & Gopinathan, Unni & Kurowski, Christoph & Norheim, Ole F. & Ottersen, Trygve & Voorhoeve, Alex, 2023. "Open and inclusive: fair processes for financing universal health coverage," LSE Research Online Documents on Economics 119795, London School of Economics and Political Science, LSE Library.

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