Enrollment status and determinants of improved Community Health Fund among households in Dodoma Tanzania

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dc.creatorNgowi, Agatha Fabian
dc.creatorKatalambula, Leonard
dc.creatorModest, Andrea R.
dc.date2021-05-12T12:04:06Z
dc.date2021-05-12T12:04:06Z
dc.date2021
dc.date.accessioned2022-10-20T14:01:41Z
dc.date.available2022-10-20T14:01:41Z
dc.descriptionFull text article. Available at https://ijisrt.com/assets/upload/files/IJISRT21FEB044.pdf
dc.descriptionCommunity Health Funds (CHFs) is a promising means for enhancing social economic security to low socioeconomic households. In 2015 the government of Tanzania set a goal of achieving 30% of CHF enrolment amongst households, however only 16.4% was achieved. The government of Tanzania is continually reforming the Health Fund and the most recent reform started implementation on 2018 which changed the name to Improved Community Health Fund (ICHF). There is a need of knowing if the changes have affected enrolment status and what could be the driving factors. Therefore, this study aimed to establish enrolment status of ICHF and its determinants among households in Dodoma region. This study was across sectional study design which employed multi stage sampling technique Structured questionnaire was used to obtain information from a total number of 424 head of the HH; Descriptive statistics were used to determine status of enrollment while chi square test and logistic regression were used to determine factors. This study found that, of all 424 respondents only 19.1% were enrolled in ICHF. Wealthiest households were 2.224 (AOR); p-value (0.034) at CI of 95% (1.063, 4.657) more likely to be enrolled to the ICHF as compared to poor households. Households with more than two elders with 60 years old and above, were 2.986 (AOR); p-value 0.006 at the CI of 95% (1.373, 6.496) more likely to be enrolled in ICHF compared to households with no elderly. And there were statistical significance between motivational benefits and availability of health care services with the enrollment status, household who perceived to receive motivational benefits once visit health facility were more enrolled as compared to those who do not and household who perceive health care service to be available were more enrolled as compared to who do not, they had chi-square of 16.017aand 64.084, p-value of 0.00 and 0.00 at CI of 95% respectively. Wealth status, presence of elders above 60 years old, motivational benefits and availability of the HCs were the determining factors for HH to be enrolled in ICHF. The government should consider poor households by helping them to pay ICHF enrollment fees.
dc.identifierModest, A. R., Ngowi, A. F., & Katalambula, L. (2021). Enrollment status and determinants of improved community health fund among households in Dodoma Tanzania. International Journal of Innovative Science and Research Technology, 6(2).
dc.identifierURL: https://ijisrt.com/assets/upload/files/IJISRT21FEB044.pdf
dc.identifierhttp://hdl.handle.net/20.500.12661/3051
dc.identifier.urihttp://hdl.handle.net/20.500.12661/3051
dc.languageen
dc.publisherHemant
dc.subjectCommunity Health Funds
dc.subjectCHFs
dc.subjectImproved Community Health Fund
dc.subjectProgressive Payment
dc.subjectMotivational Benefits
dc.subjectCommunity Health
dc.subjectSocial security
dc.subjectSocial economic security
dc.titleEnrollment status and determinants of improved Community Health Fund among households in Dodoma Tanzania
dc.typeArticle

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