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COMMUNITY PARTICIPATION IN CHF VIA CHSB AND HFC MWANGA DISTRICT. PRESENTED BY: N. E. Mashika: CHF Coordinator GOLDEN TULIP HOTEL DAR ES SALAAM. OUTLINE OF THE PRESENTATION:. CHF IN THE DISTRICT CHF CONTRIBUTION COMMUNITY PARTICIPATION CHALLENGES OF COMMUNITY PARTICIPATION WAY FORWARD.
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COMMUNITY PARTICIPATION IN CHF VIA CHSB AND HFCMWANGA DISTRICT PRESENTED BY: N. E. Mashika: CHF Coordinator GOLDEN TULIP HOTEL DAR ES SALAAM 31st Jan- 2nd Feb. 2007
OUTLINE OF THE PRESENTATION: • CHF IN THE DISTRICT • CHF CONTRIBUTION • COMMUNITY PARTICIPATION • CHALLENGES OF COMMUNITY PARTICIPATION • WAY FORWARD 31st Jan- 2nd Feb. 2007
Mwanga district Council started CHF in 1st July 2003, till the end of December 2006 total collections were Tshs. 133,668,250.00 as stipulated below:- • CHF membership contribution Tshs.54,291,000.00 • User fees from non-CHF members Tshs. 32,477,250.00 Matching grant from MOH Tshs. 46,900,000.00 Total Tshs.133,668,250.00 31st Jan- 2nd Feb. 2007
Table 1 CHF members as from July 2003 to October 2006 31st Jan- 2nd Feb. 2007 N=22,826 household to be covered by CHF in the district.
2.0 CHF CONTRIBUTION • Initially the contribution per house hold was Tshs. 10,000/=, this was revised after six months of implementation and found to be unaffordable for most of the households, so as from February 2004 to date CHF contribution per household is Tshs. 5,000/=. • User fees paid by non-CHF members varies depending to the level of health facility providing the health care as follows:- • Dispensary level Tshs. 1,000.00 • Health Centre level Tshs. 1,500.00 • Hospital level Tshs. 3,000.00 31st Jan- 2nd Feb. 2007
3.0 COMMUNITY PARTICIPATION • Community participation and involvement are the key factors in the success of health insurance for communities . In CHF community participation is done through Council Health Service Board (CHSB) and Health facility Committees (HFCs). 31st Jan- 2nd Feb. 2007
Comm. Part. (cont’d) • The Council Health Service Board and Health Facility Committees has representatives elected from the Communities, these bodies meet quarterly to discuss development and challenges of CHF in their respective areas, moreover financial reports are prepared and presented to HFCs and CHSB for discussion. 31st Jan- 2nd Feb. 2007
Comm. Part. (cont’d) • Also the Community is fully involved in planning and decision making regarding funds collected e.g. in purchase of drugs and medical supplies, minor renovation of Health facility buildings. • So far the district has 39 functioning HFCs and Council health Service Board. 31st Jan- 2nd Feb. 2007
4.0 CHALLENGES OF COMMUNITY PARTICIPATION • Although Community participation and involvement are the key factors in the success of CHF implementation, experience have shown that there are challenges to be addressed so that the scheme can be successful. These challenges are as follows:- 31st Jan- 2nd Feb. 2007
Inadequate planning knowledge and skills for health facility committee members. • Low enrollment of CHF members • High demand of diagnostic services 31st Jan- 2nd Feb. 2007
5.0 WAY FORWARD • In order to resolve the issues addressed above, the following activities need to be done.- • To conduct training on planning to HFCs members. • Improvement of health services by introducing laboratory services at the government dispensaries. • Vigorous community sensitization. 31st Jan- 2nd Feb. 2007
Thank You!For Listening. 31st Jan- 2nd Feb. 2007