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Mtwara Mikindani Muncipal Council

Mtwara Mikindani Muncipal Council. Preparing for the TIKA – report from the field D.S Dotto , Municipal Health Officer . 0. CHF Mtwara Urban Introduction. CHF Scheme differs from other Districts as it requires urban set up Since 2005, the CHSB and HFGC are in place

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Mtwara Mikindani Muncipal Council

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  1. Mtwara Mikindani Muncipal Council Preparing for the TIKA – report from the field D.S Dotto, Municipal Health Officer 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 0

  2. CHF Mtwara Urban Introduction • CHF Scheme differs from other Districts as it requires urban set up • Since 2005, the CHSB and HFGC are in place • 2004 – 2005 MoH organized various seminars on the module for CHF Urban • During 2005, the Council received a “TIKA” TIBA KWA KADI module to implement CHF in urban areas 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 1

  3. With TGPSH support a technical meeting was conducted to review urban CHF design. • The TIKA module adapted some features from CHF, which was accepted for implementation • Some special features: Membership: Ordinary Category: 5000 TSH p.a. (groups of 6, family of 6, 6 students) • Secondary Category: 20.000 TSH p.a. ( ordinary + fast track service) CHF Mtwara urbanModalities in Establishment of CHF urban 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 2

  4. Benefit Packages: • Ordinary Category: • All services offered at public dispensaries and health center level as per MoH Guidelines, including chronic diseases + admission up to 3 day • Secondary Category: • Ordinary services + fast track arrangements + admission up to 7 days. • Each member gets her/his own CHF ID Card CHF Mtwara urban Modalities in Establishment of CHF urban 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 3

  5. CHF Regional Meeting: CHF Mtwara urban Modalities in Establishment of CHF urban • Regional CHF Steering Meeting: • Every District CHF Coordinator is required to prepare regular progress reports • This encourages active CHF implementation 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 4

  6. The management organs meet quarterly • Budget to run the meeting is allocated in Comprehensive Council Health Plans • Up to date, there are 50 registered CHF members • CHF Coordinator, being part of CHMT, performs routine CHF supervision quarterly CHF Mtwara urbanProgress???? 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 5

  7. Ward Development committee identifies the poor • sensitized community contributes for them (gap will be filled by health department / CCHP) • More and more sensitization campaigning • Community leaders and the community in general are showing solidarity concerning all aspects of CHF CHF Mtwara urbanProgress 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 6

  8. Channel CHF awareness through big organizations (i.e. OLAM, Trade unions + small social economic groups (i.e. Women SACCOS) •  employees and members can join the scheme. • Invitation of business people, official leaders and others who are in position to contribute to raise CHF funds. • Sensitization team agreed to have a meeting with all councilors and be more sensitized on pro poor program CHF Mtwara urbanInnovative Approaches in TIKA Preparation 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 7

  9. Use of community representatives, influential people and drama groups to increase CHF ownership. • Contact market business people through their organization (WABISOKO) to give them the chance of joining the scheme. • 2005/2006, CCHP has allocated 6,000,000 TSH for the pro poor program. • Newly raised funds will also be used to support the pro poor program CHF Mtwara urbanInnovative Approaches in TIKA Preparation 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 8

  10. CHF Mtwara urban Challenges • Some groups are still not reached for sensitization due to inadequate funds • Irregular drug flow through indent system by MSD • Many missing items at MSD Zonal stores 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 9

  11. Establish a database of people with low income (poor) in every ward. • Reduce the problem of poor staff performance the council has planned to conduct a course of medical ethics every year. • Committee for community services will visit all health facilities quarterly to observe quality of health services offered and set backs. • As use of photographs in ID Cards is a problem Council has already processed to buy a Camera for CHF CHF Mtwara urbanEnvisaged Way Forward 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 10

  12. Thank you for your attention! 31st Jan - 2nd February 2006 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM CHF best practice WS, Golden Tulip Hotel, DSM 11

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