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The Community Health Fund (CHF) is one of the programs that has been actively
promoted in rural areas to ensure that communities have access to basic health services.
People in rural areas, on the other hand, have a low rate of enrolment in the scheme. The
study on which this dissertation is based aimed at assessing the determinants of
households’ enrollment to improved CHF in Kilosa District. The specific objectives were
to: assess local peoples’ awareness of CHF and determine factors influencing household
enrolment in CHF. The study used a cross-sectional research approach, in which data was
collected from 120 respondents through a questionnaire and analyzed using non-
parametric tests and binary logistic regression to quantify variables and determine
differences in CHF awareness among CHF and non-CHF members. Findings from the
study showed that, there was a statistically significant difference in awareness between
CHF members and non-members (P = 0.01). CHF members were more aware of the
program than non-CHF members. According to local people's perceptions of the quality of
CHF services, members of the CHF were satisfied with the services. In addition, the
binary logistic regression revealed that socioeconomic characteristics such household size,
married status, CHF-covered services and the sex of the household head strongly predicted
household membership in the CHF program by 5%. As a result, the study concludes that
CHF members were aware of the scheme's services but lacked specific information about
the services covered. In addition, socioeconomic and demographic variables (demand
side) and the kind of CHF services and facilities in the research region were found to have
an impact on household participation in CHF. To increase enrolment, the government and
local health institutions should encourage people in rural areas to enroll in the program by
expanding the number of services covered by the CHF scheme in rural areas. In addition,
while working to increase the number of health workers, expand the services offered and
promote them to raise awareness among the local people. |
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