Enrollment Status and Determinants of Improved Community Health Fund Among Households in Dodoma Tanzania


Authors : Andrea R Modest; Agatha Fabian Ngowi; Leonard Katalambula

Volume/Issue : Volume 6 - 2021, Issue 2 - February

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3c6SQVH

Community Health Funds (CHFs) is a promising means for enhancing social economic security to low socio-economic 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. Methods: This study was a cross 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. Results: 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 16.017a and 64.084, p-value of 0.00 and 0.00 at CI of 95% respectively. Conclusion: 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.

Keywords : Improved Community Health Fund, Progressive Payment And Motivational Benefits.

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