IDEAS home Printed from https://ideas.repec.org/a/mth/jpag88/v10y2020i2p311-326.html
   My bibliography  Save this article

Community attitude towards Community Health Fund on Health Security in Kalambo District, Rukwa Region, Tanzania

Author

Listed:
  • Alexander D. Kasonso
  • Emanuel E. Chingonikaya
  • Anna N. Sikira

Abstract

Community Health Fund (CHF) is one among health insurance schemes found in Tanzania. It was established in 1996 with the aim of improving the health of people who work in informal sectors. However, since its formulation, it has not performed well; the majority of HHs are not members, and some members are withdrawing from the scheme. The overall objective was to assess the attitude of community members towards the importance of CHF for health security. Specifically, the paper assesses the attitude towards CHF interventions among members and non-members of CHF and compares the attitude between members and non-members of CHF on health security. Cross sectional research design was used in this study. Simple random sampling technique using the lottery method was employed to select 354 respondents. Data were collected using a household questionnaire survey, Focus Group Discussions guide, Key Informant Interviews checklist and documents’ reviews. Descriptive statistics, inferential statistics and content analysis were used to analyze the data. The findings show that CHF has inclusive benefits to its members as it covers costs of health treatment rather than paying money every time they attend medical treatments. Furthermore, the attitude towards CHF among members and non-members was accounted for 9.3% and 51.9 negative, 2.3% and 4.1 neutral and 88.4 and 44.0 positive. This indicates that the majority of people in the study area had a positive attitude towards CHF services. Thus, the study concludes that a great proportion of members of CHF in Kalambo District have positive attitude towards CHF intervention while the majority of non-members have negative attitude towards CHF intervention because they were not aware of it due to lack of knowledge. It is recommended that the government should mainstream CHF intervention to all communities so that non-members can join the scheme and hence get better health services. Also, the study recommends that the CHF service providers should put more emphasis on sensitising communities against negative attitudes from non-members of CHF.

Suggested Citation

  • Alexander D. Kasonso & Emanuel E. Chingonikaya & Anna N. Sikira, 2020. "Community attitude towards Community Health Fund on Health Security in Kalambo District, Rukwa Region, Tanzania," Journal of Public Administration and Governance, Macrothink Institute, vol. 10(2), pages 311326-3113, December.
    • Handle: RePEc:mth:jpag88:v:10:y:2020:i:2:p:311-326
    as

    Download full text from publisher

    File URL: http://www.macrothink.org/journal/index.php/jpag/article/download/17207/13352
    Download Restriction: no
    File URL: http://www.macrothink.org/journal/index.php/jpag/article/view/17207
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Chemouni, Benjamin, 2018. "The political path to universal health coverage: Power, ideas and community-based health insurance in Rwanda," World Development, Elsevier, vol. 106(C), pages 87-98.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Valéry Ridde & Ibrahima Gaye & Bruno Ventelou & Elisabeth Paul & Adama Faye, 2023. "Mandatory membership of community-based mutual health insurance in Senegal: A national survey," ULB Institutional Repository 2013/363350, ULB -- Universite Libre de Bruxelles.
    2. Benjamin Chemouni, 2019. "The rise of the economic technocracy in Rwanda - A case of a bureaucratic pocket of effectiveness or state-building prioritisation?," Global Development Institute Working Paper Series esid-120-19, GDI, The University of Manchester.
    3. Bert Ingelaere & Réginas Ndayiragije & Marijke Verpoorten, 2022. "Political representation in the wake of ethnic violence and post-conflict institutional reform: Comparing views from Rwandan and Burundian citizens," WIDER Working Paper Series wp-2022-142, World Institute for Development Economic Research (UNU-WIDER).
    4. Jean-Philippe Berrou & Alain Piveteau & Thibaud Deguilhem & Leo Delpy & Claire Gondard-Delcroix, 2021. "Who Drives if No-one Governs? A Social Network Analysis of Social Protection Policy in Madagascar," Working Papers hal-03180029, HAL.
    5. Raphael, Dennis & Komakech, Morris, 2020. "Conceptualizing and researching health equity in Africa through a political economy of health lens – Rwanda in perspective," World Development Perspectives, Elsevier, vol. 19(C).
    6. Nathanael Ojong, 2019. "Healthcare Financing in Rural Cameroon," Societies, MDPI, vol. 9(4), pages 1-12, November.
    7. Xiaofeng Shi & Jianying Li & Fei Wang & Hasan Dinçer & Serhat Yüksel, 2019. "A Hybrid Decision-Making Approach for the Service and Financial-Based Measurement of Universal Health Coverage for the E7 Economies," IJERPH, MDPI, vol. 16(18), pages 1-20, September.
    8. 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.
    9. Thomas Rouyard & Yukichi Mano & Bocar Mamadou Daff & Serigne Diouf & Khadidiatou Fall Dia & Laetitia Duval & Josselin Thuilliez & Ryota Nakamura, 2022. "Operational and Structural Factors Influencing Enrolment in Community-Based Health Insurance Schemes: An Observational Study Using 12 Waves of Nationwide Panel Data from Senegal," Post-Print halshs-03641124, HAL.
    10. Baldwin, Elizabeth & Carley, Sanya & Nicholson-Crotty, Sean, 2019. "Why do countries emulate each others’ policies? A global study of renewable energy policy diffusion," World Development, Elsevier, vol. 120(C), pages 29-45.
    11. Pritish Behuria, 2018. "The politics of upgrading in global value chains: The case of Rwanda’s coffee sector," Global Development Institute Working Paper Series esid-108-18, GDI, The University of Manchester.
    12. Valéry Ridde & Ibrahima Gaye & Bruno Ventelou & Elisabeth Paul & Adama Faye, 2023. "Mandatory membership of community-based mutual health insurance in Senegal: A national survey," Post-Print hal-04222420, HAL.
    13. Lavers, Tom, 2021. "Aiming for Universal Health Coverage through insurance in Ethiopia: State infrastructural power and the challenge of enrolment," Social Science & Medicine, Elsevier, vol. 282(C).
    14. Chinsinga, Blessings & Weldeghebrael, Ezana Haddis & Kelsall, Tim & Schulz, Nicolai & Williams, Timothy P., 2022. "Using political settlements analysis to explain poverty trends in Ethiopia, Malawi, Rwanda and Tanzania," World Development, Elsevier, vol. 153(C).
    15. Sebastian Heinen, 2022. "Rwanda’s Agricultural Transformation Revisited: Stagnating Food Production, Systematic Overestimation, and a Flawed Performance Contract System," Journal of Development Studies, Taylor & Francis Journals, vol. 58(10), pages 2044-2064, October.
    16. Fiedler, Charlotte & Mross, Karina & Berg, Anna & Bhattarai, Prakash & Drees, Dorothea & Kornprobst, Tim & Leibbrandt, Alexandra & Liegmann, Philipp & Riebsamen, Maleen, 2022. "What role do local elections play for societal peace in Nepal? Evidence from post-conflict Nepal," IDOS Discussion Papers 4/2022, German Institute of Development and Sustainability (IDOS).
    17. Lavers, Tom, 2019. "Towards Universal Health Coverage in Ethiopia's ‘developmental state’? The political drivers of health insurance," Social Science & Medicine, Elsevier, vol. 228(C), pages 60-67.
    18. Bender, Katja & Rohregger, Barbara & Kinuthia, Bethuel & Ikua, Grace & Schüring, Esther & Adamba, Clement & Alatinga, Kennedy A. & Pouw, Nicky, 2021. "Different pathways of social protection reforms: An analysis of long-term institutional change in Kenya," World Development, Elsevier, vol. 137(C).
    19. Crawfurd, Lee, 2021. "Accounting for repetition and dropout in contemporaneous cross-section learning profiles: Evidence from Rwanda," International Journal of Educational Development, Elsevier, vol. 85(C).
    20. Hubert Amu & Kwamena Sekyi Dickson & Kenneth Setorwu Adde & Kwaku Kissah-Korsah & Eugene Kofuor Maafo Darteh & Akwasi Kumi-Kyereme, 2022. "Prevalence and factors associated with health insurance coverage in urban sub-Saharan Africa: Multilevel analyses of demographic and health survey data," PLOS ONE, Public Library of Science, vol. 17(3), pages 1-14, March.

    More about this item

    JEL classification:

    • R00 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - General - - - General
    • Z0 - Other Special Topics - - General

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:mth:jpag88:v:10:y:2020:i:2:p:311-326. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Technical Support Office (email available below). General contact details of provider: http://www.macrothink.org/journal/index.php/jpag .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.