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

Goodluck Mselle, Peter Nsanya, Kennedy Diema Konlan, Yuri Lee, Jongsoo Ryu and Sunjoo Kang
Additional contact information
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
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

IJERPH, 2022, vol. 19, issue 9, 1-12

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.

Keywords: Improved Community Health Fund (iCHF); Ubungo municipality; healthcare providers; community health; health insurance (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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