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This study was put in place to investigate on the normative factors leading to enrolment in social protection mechanisms in Tanzania. The study was undertaken by taking the case of Community Health Fund and was actualized in Dodoma Municipality. The study explored the enrolment procedures and their influence on non-enrolment in CHF, determined the perceptions of people towards enrolment to the fund, analyzed the impact of households’ income towards enrolment of CHF and investigated on the challenges of coverage expansion at CHF. The study was conducted using an explanatory cross-sectional survey design under Dodoma Municipality in selected five wards, namely; Viwandani, Makulu, Chang’ombe, Kizota and Mnadani. Data were collected from 150 respondents, of which 140 were members of CHF and 10 were CHF officials. Furthermore, data were gathered from members of CHF using a questionnaire and from officials using interviews. Data obtained were then analyzed using both quantitative and qualitative means. It was found out that, the enrolment procedure took long time before the applicant was allowed to use the services. The procedure was reported to have various consequences such as high risk of missing forms, lost of CHF membership ID and embezzlement of CHF collections. It was also found out that, households’ income has no impact on enrolment into CHF. The main explanation to this could be the presence of other factors which called for additional investigation. Furthermore, the study uncovered several challenges which faced expansion of CHF enrolment, most notably; lack of community motivation to induce prospective members into the scheme, lack of education to cultivate awareness regarding CHF scheme and shortage of drugs and diagnostic services in health facilities. It was recommended that, the government should ensure health facilities accredited by the scheme are well equipped with adequate drugs, equipments and qualified health personnel in order increase satisfaction of members. CHF management was also advised to increase community mobilization to induce prospective member to joining CHF. |
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