Factors influencing implementation of the Community Health Fund in Tanzania

Dados Bibliográficos

ID11490404
AutoresPeter Kamuzora (0000-0002-0974-8520, University of Dar es Salaam, autor correspondente), Lucy Gilson (0000-0002-2775-7703, University of the Witwatersrand)
Ano2007
Volume22
Fascículo2
Páginas95-102
Data de publicação2007-01-15
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Policy and Planning (JOURNAL)
Identificadores do periódicoISSN: 0268-1080 • E-ISSN: 1460-2237
EditoraOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czm001
PMID17299023
OpenAlexW2126324264
IdiomaEN
Citações recebidas43
Referências citadas6

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