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Factors Associated With Low Enrollment to Community Health Fund (CHF) in Mkuranga District- Pwani, Tanzania

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Listed:
  • Bertha Mwinuka

    (Department of Health Systems Management, School of Public Administration and Management, Mzumbe University, Morogoro, United Republic of Tanzania)

  • Mary J Chacha

    (Department of Health Services, Mkuranga District Council, Pwani, United Republic of Tanzania)

Abstract

Background: Despite the 15 years of promotion of Community Health Fund (CHF) in Tanzania, overall membership has remained low and this has led to an increase in mortality and morbidity due to unaffordability of health services. Materials and methods: The study was descriptive cross-sectional study. One hundred and thirty consenting were selected purposively and randomly and interview and questionnaires were used to collect the data to identify the major factors associated with CHF enrollment. Quantitative data were analyzed by using STATA and qualitative data were analyzed based on the major themes by a process of content analysis. A p-value of less than 0.05 was considered statistically significant, at 95% confidence interval. Results: Demographic factors, lack of CHF awareness, failure to understand the CHF benefits and poor attendance to CHF sensitization meetings were the factors associated with low CHF enrollment (p-value >0.05).Socio economic factors showed strong association with CHF enrollment. Unavailability of drugs (75%) and lack of training about CHF (100%) were the major challenges faced by health workers. Conclusion: The strategies to improve CHF enrollment were political leaders’ involvement in community sensitization, district support to most vulnerable groups, health service quality improvement and conducting regular community sensitization.

Suggested Citation

  • Bertha Mwinuka & Mary J Chacha, 2020. "Factors Associated With Low Enrollment to Community Health Fund (CHF) in Mkuranga District- Pwani, Tanzania," International Journal of Research and Scientific Innovation, International Journal of Research and Scientific Innovation (IJRSI), vol. 7(4), pages 44-48, April.
    • Handle: RePEc:bjc:journl:v:7:y:2020:i:4:p:44-48
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    References listed on IDEAS

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    1. Acharya, Arnab & Vellakkal, Sukumar & Taylor Fiona & Masset Edoardo & Satija, Ambika & Burke, Margaret & Ebrahim, Shah, 2013. "The impact of health insurance schemes for the informal sector in low- and middle-income countries : a systematic review," Policy Research Working Paper Series 6324, The World Bank.
    2. Arnab Acharya & Sukumar Vellakkal & Fiona Taylor & Edoardo Masset & Ambika Satija & Margaret Burke & Shah Ebrahim, 2013. "The Impact of Health Insurance Schemes for the Informal Sector in Low- and Middle-Income Countries: A Systematic Review," The World Bank Research Observer, World Bank, vol. 28(2), pages 236-266, August.
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