Community health fund enrolment determinants: the case of Mvomero district
| dc.creator | Kajala, V. | |
| dc.date | 2016-09-28T09:04:03Z | |
| dc.date | 2016-09-28T09:04:03Z | |
| dc.date | 2015 | |
| dc.description | A Dissertation Submitted In Partial Fulfillment of the Requirements for Award of the Degree of Master in Health Systems Management of Mzumbe University | |
| dc.description | The main purpose of this study was to determine factors for membership in Community Health Fund (CHF) in Mvomero District by looking at the following factors: study's main variables of interest ( price, income, and treatment of the patients who cannot pay), demographic factors, economic factors ( distance to health services and availability of transport) and socio-cultural factors. This study was cross-sectional design used structured questionnaires to collect data and related literatures. It comprised 76 respondents conveniently selected. The results showed that 51% (N=76) were enroled in CHF while 49% were not. With respect to demographic variables middle aged people (31 to 45 years) were more likely to join CHF than any other age (21% compared to 15% among the younger group). On sex 29% of males joined while females were 22%. Basing on occupation and level of education these factors had nothing to do with enrolment since the peasants enroled and not enroled were 39%. Primary education level enroled were 34%, secondary 9% and 3% with certificate level had not joined. In marital status married people joined CHF by 41% and 32% did not. Household with more than 4 family members were enroled by 41% while those with less than 4 members 11% joined. Distance as among economic factors was not important determinant because those who received health services within 5 kilometres were 37% the same as who did not join. Those who lived more than 5 kilometres 14% joined and 12% did not. Availability of transport to health services was not important determinant since 37% of members and 34% to non members did not use transport. Price of premium did not determine joining as 41% of CHF members said it's fair and 32% of non CHF members. On price of out of pocket 33% of CHF members said it's not fair as 34% of non CHF members. On treatment of patients who cannot pay 36% of members said they are provided with the services and 34% for non members. Respondents who perceived CHF enrolment as an important protective tool were 83%. In order to improve CHF in Mvomero 79 remaining villages need to be sensitised; a kind of mechanism is needed for CHF enrolment; equipping health facilities with medicine, medical equipment and supplies; community empowerment on entrepreneurship and resource mobilisation in order to raise people’s income so they can afford price of premium. | |
| dc.identifier | http://hdl.handle.net/11192/1757 | |
| dc.language | en | |
| dc.publisher | Mzumbe University | |
| dc.subject | Community Health Fund (CHF) | |
| dc.title | Community health fund enrolment determinants: the case of Mvomero district | |
| dc.type | Thesis |