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

Mselle, Goodluck; Nsanya, Peter; Konlan, Kennedy Diema; Lee, Yuri; Ryu, Jaeho; Kang, Sunjoo

doi:10.3390/ijerph19095606

Cited by 5 publications

(2 citation statements)

References 18 publications

(25 reference statements)

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“…It is estimated to have 1,043,549 people as residents. It is subdivided into 14 administrative wards and 91 streets, within a total surface area of 210 square kilometers (Mselle et al, 2022). Also, this is a center for diverse socioeconomic activities taking place in shopping malls, hotels, restaurants, night pubs, bars, liquor stores, retail manners, barber shops and saloons, transport facilities, and others.…”

Section: Methodsmentioning

confidence: 99%

Factors promoting daily usage of alcoholic substances in Ubungo District

Mugane

Welwel

Kessy

2023

IJSS

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Topics concerning the usage of alcoholic substances have always caught the attention of different health science and social science professionals because of the tenacious growth in alcohol consumption and its effects. Due to such a fact, this study was conducted in Ubungo District in order to determine the factors that promote the daily usage of alcoholic substances. A cross-sectional research design and purposive sampling were employed to manifest data collection within a sample size of 240. The obtained data were gathered through semi-structured interviews and presented in tables, showing frequencies and percentages. The results show that alcoholic substances are daily consumed due to the availability of alcoholic centers, low/affordable price of alcoholic substances, the nature of works of people, bundles promotion and offers from friends/relatives, family history of the users, less purchasing restrictions, individual’s perception on alcoholic beverages, advertisement of the substances on media, and alcohol dependency and addiction. Finally, rescuing the alcohol addicts, the concerned authorities should set and enforce rules and restrictions concerning the sales and consumption of the substances; and provide psycho-educational programs and seminars on abandoning alcohol abuse, dependency, and addiction, so as to minimize financial bankruptcy and other social or family conflicts brought about by daily consumption/usage of alcoholic substances.

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Section: Methodsmentioning

confidence: 99%

Factors promoting daily usage of alcoholic substances in Ubungo District

Mugane

Welwel

Kessy

2023

IJSS

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“…Therefore, figures of 23–25% for iCHF enrolment for 2018 are cited by some of the studies (e.g. Mselle et al. , 2022 .…”

Section: Footnotesmentioning

confidence: 99%

Developing the improved Community Health Fund in Tanzania: was it a fair process?

Binyaruka,

Mtei,

Maiba

et al. 2023

Health Policy and Planning

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Tanzania developed its 2016–26 health financing strategy to address existing inequities and inefficiencies in its health financing architecture. The strategy suggested the introduction of mandatory national health insurance, which requires long-term legal, interministerial and parliamentary procedures. In 2017/18, improved Community Health Fund (iCHF) was introduced to make short-term improvements in coverage and financial risk protection for the informal sector. Improvements involved purchaser–provider split, portability of services, uniformity in premium and risk pooling at the regional level. Using qualitative methods and drawing on the policy analysis triangle framework (context, content, actors and process) and criteria for procedural fairness, we examined the decision-making process around iCHF and the extent to which it met the criteria for a fair process. Data collection involved a document review and key informant interviews (n = 12). The iCHF reform was exempt from following the mandatory legislative procedures, including processes for involving the public, for policy reforms in Tanzania. The Ministry of Health, leading the process, formed a technical taskforce to review evidence, draw lessons from pilots and develop plans for implementing iCHF. The taskforce included representatives from ministries, civil society organizations and CHF implementing partners with experience in running iCHF pilots. However, beneficiaries and providers were not included in these processes. iCHF was largely informed by the evidence from pilots and literature, but the evidence to reduce administrative cost by changing the oversight role to the National Health Insurance Fund was not taken into account. Moreover, the iCHF process lacked transparency beyond its key stakeholders. The iCHF reform provided a partial solution to fragmentation in the health financing system in Tanzania by expanding the pool from the district to regional level. However, its decision-making process underscores the significance of giving greater consideration to procedural fairness in reforms guided by technical institutions, which can enhance responsiveness, legitimacy and implementation.

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