Factors influencing implementation of the Community Health Fund in Tanzania

Bibliographic Data

ID11490404
AuthorsPeter Kamuzora (0000-0002-0974-8520, University of Dar es Salaam, corresponding author), Lucy Gilson (0000-0002-2775-7703, University of the Witwatersrand)
Year2007
Volume22
Issue2
Pages95-102
Publication date2007-01-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy and Planning (JOURNAL)
Journal identifiersISSN: 0268-1080 • E-ISSN: 1460-2237
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czm001
PMID17299023
OpenAlexW2126324264
LanguageEN
Citations received43
References cited6

Although prepayment schemes are being hailed internationally as part of a solution to health care financing problems in low-income countries, literature has raised problems with such schemes. This paper reports the findings of a study that examined the factors influencing low enrollment in Tanzania's health prepayment schemes (Community Health Fund). The paper argues that district managers had a direct influence over the factors explaining low enrollment and identified in other studies (inability to pay membership contributions, low quality of care, lack of trust in scheme managers and failure to see the rationale to insure). District managers' actions appeared, in turn, to be at least partly a response to the manner of this policy's implementation. In order better to achieve the objectives of prepayment schemes, it is important to focus attention on policy implementers, who are capable of re-shaping policy during its implementation, with consequences for policy outcomes.

Actuarial science · Business · Developing country · Economic growth · Economics · Health care · Order (exchange) · Prepayment of loan · Public economics · Quality (philosophy) · Socioeconomics · Tanzania · Finance · Global Maternal and Child Health · Healthcare Systems and Reforms · Poverty, Education, and Child Welfare