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Enrolment of orphans into the CHF - a proposal - M. Kuper CHF WS 2007

Enrolment of orphans into the CHF - a proposal - M. Kuper CHF WS 2007. Situation. - Approximately 1.5 mio orphans are living in Tanzania (WHO 2005) - Increase of number is alarming (100 % alone from 1996 to 99). Problem.

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Enrolment of orphans into the CHF - a proposal - M. Kuper CHF WS 2007

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  1. Enrolment of orphans into the CHF - a proposal - M. Kuper CHF WS 2007

  2. Situation - Approximately 1.5 mio orphans are living in Tanzania (WHO 2005)- Increase of number is alarming (100 % alone from 1996 to 99)

  3. Problem • Poor families often are not able to care for an additional child in case where the parents are not present anymore • There does not yet exist a systematic approach to offer orphans free access to medical care

  4. Solution • Advise GOT in coming up with standard guidelines for funding orphan medical care (OMC) • CHF could play a major role in providing medical care to orphans

  5. Proposed steps:

  6. (1) CHF Cards for orphans - Each orphan receives a CHF card- A card is given also to the fostering family- The “orphan” CHF card does not differ from the standard card (avoid stigma)

  7. (2) Role of the Council • Councils shall take full responsibility:- calculation of total no. of orphans - budgeting- fund seeking - financial management

  8. (3) Funding of CHF cards for OMC - by HIV/AIDS block grant- by donor funding- other sources?

  9. (4) Annual premium - the annual premium for OMC should be standardized for the entire country(for harmonization purpose) - a rate of 10,000 TSh/ annum could serve to cover one orphan and its fostering family

  10. Way forward • Elaborate guidelines on OMC • Incorporate guidelines in the CHF pro-poor approach of the Councils

  11. Thanks for listening!Your health financing teamfrom the Tanzanian German Programme to Support Health

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