6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 1

CHF best practices workshop

Kigoma Rural CHF: Reaching the Poor through CHF

Dr Dismas B. Vyagusa, DMO Kigoma

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 2

CHF Kigoma Rural - Basic Information• Kigoma Rural: 1 of 4 Districts in Kigoma Region• CHF started 10/2/2004• Number of current members: 18049

• number of “poor” enrolled: 10549

• Premium level: Tsh 5000•Revenue Collectors are the In-Charges of the health facilities• Promoters: Village leaders, religious leaders, influential people

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 3

Enrolment Trend

TRENDS OF CHF FROM 2004-2006

3107

7094

18049

FEB - DEC 2004

JAN - DEC 2005

JAN - DEC 2006

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 4

Other Payors (user fees)

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CHF Kigoma Rural

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 5

CHF Kigoma Rural

Contributors to Reach the Poor:

- Dioces of Kigoma

- TACARE

Exemptions

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 6

Problems• Some households are not able to pay the

contribution for a CHF membership card• Remoteness and poverty • Expensive for the community to afford user fees• Lack of skilled staff • Some of the politicians are not able to sensitize the

community

CHF Kigoma Rural

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 7

Alternative Funding for the Poor - Action taken

• Discussions with Regional Authorities to help raise alternative funds

• Involvement of NGOs and parastatals • Involved community to identify the poor and other ways

of raising funds for the poor

CHF Kigoma Rural

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 8

Results• 1 NGO (TACARE) Contributed for 500 poor

households• Kigoma Diocese contributed for 10,000 poor

households• Access to quality health services improved for the

poor

CHF Kigoma Rural

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 9

CHF Kigoma Rural - Future Plans

• Extend lobbying with other potential funding partners

• Ensure the availability of quality services to those poor CHF members

• Increase advocacy among the population to join CHF - increased CHF membership will increase capacity of CHF to sustain funding the poor

6th-8th December 2006 CHF best practice WS, Golden Tulip Hotel, DSM 10

Asanteni!