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SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS). MBOZI TANZANIA. TABLE OF CONTENTS. PRESENTATION OF TANZANIA PRESENTATION OF MBOZI DISTRICT PRESENTATION OF MBOZI HOSPITAL PROBLEMS OF MBOZI PEOPLE RESULTS OF MEMBERSHIP ANALYSIS :1- APPROPRIATE GUARANTEES
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SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS) MBOZI TANZANIA
TABLE OF CONTENTS • PRESENTATION OF TANZANIA • PRESENTATION OF MBOZI DISTRICT • PRESENTATION OF MBOZI HOSPITAL • PROBLEMS OF MBOZI PEOPLE • RESULTS OF MEMBERSHIP • ANALYSIS :1- APPROPRIATE GUARANTEES • ANALYSIS :2- INVOLVEMENT OF THE HOSPITAL • QUALITY HEALTHCARE • PROMOTION OF SMHIS • CONCLUSION
1.TANZANIA • ONE OF THE EAST AFRICA COUNTRIES I.e KENYA, TANZANIA & UGANDA • AREA-945,087 KM² (MAL I HAS 1,240,140 KM²) • POPULATION - 34M (2002) • CAPITAL - DAR ES SALAM/ DODOMA • CURRENCY – SHILLING • LANGUAGE - SWAHILI & ENGLISH +120
2.MBOZI • AREA - 9679KM² • POPULATION -575,270 • POPULATION PER HF-12,000:1 (MBEYA REGION) • POPULATION PER BED 1320:1 (MBEYA REGION) • MMR- 234 (MBEYA REGION)
MBOZI HOSPITAL • BEGUN IN 1996 • HAS 200 BEDS • EMPLOYS 120 STAFF • INCOME/EXPENDITURES TSH 300 M PER ANNUM (280 000 EUROS)
MBOZI HOSPITAL - SERVICES OFFERED • OPD including SPECIAL CLINICS FOR DIABETES , PSYCHIATRY, EYE • DIAGNOSTIC-X-RAY, LABORATRY • INPATIENT including MATERNITY • SURGERY • REPRODUCTIVE, CHILD HEALTH • PHARMACIE • STI/HIV AIDS
PROBLEMS OF MBOZI PEOPLE • FINANCIAL ACCESS TO HEALTHCARE • GEOGRAPHICAL ACCESS • AIDS • => CREATION OF SMHIS :2000 by CIDR
RESULTS • 2003 2004 : 750 BENEFICIARIES IN 4 VILLAGES • 2004 2005 : 4200 BENEFICIARIES IN 10 VILLAGES • 5000 EXPECTED BEFORE THE END OF THE YEAR
THE GUARANTEES MEET THE NEEDS OF PEOPLE • in patient treatment including surgery/complicated delivery & C/S • maximum 2/52 thereafter negotiations • transport to hospital only • transport from hospital-dead body or referral
THE HOSPITAL HAS PLAIED ITS ROLE • QUALITY HEALTHCARE • PROMOTION OF SMHIS
QUALITY HEALTHCARE • DRUGS AVAILABLE PERMANENTLY • SPECIAL WARDS FOR MEMBERS OF INSURANCE SCHEMES • SURGERY WITHOUT DELAY • SENSISATION OF WORKERS TOWARDS SMHIS MEMBERS • AMBULANCE
PROMOTION OF SMHIS • REDUCTION OF COSTS FOR SMHIS • AMBULANCE COMANAGED BY SMHIS AND HOSPITAL • INFORMATION OF INPATIENT • NONMEMBERS SEE THE ADVANTAGES OF BEING MEMBERS
MCMH EXPECT SMHIS TO HELP IN : • REFERRAL PATIENTS TO OTHER FACILITIES (? SMHIS to pay) • AIDS PROGRAMME INCORPORATED IN SMHIS • FOSTER GOOD RELATIONSHIP WITH OTHER STAKEHOLDERS