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CHF best practices workshop. Kigoma Rural CHF: Reaching the Poor through CHF Dr Dismas B. Vyagusa, DMO Kigoma. 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
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CHF best practices workshop Kigoma Rural CHF: Reaching the Poor through CHF Dr Dismas B. Vyagusa, DMO Kigoma CHF best practice WS, Golden Tulip Hotel, DSM
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 CHF best practice WS, Golden Tulip Hotel, DSM
Enrolment Trend CHF best practice WS, Golden Tulip Hotel, DSM
CHF Kigoma Rural Other Payors (user fees) CHF best practice WS, Golden Tulip Hotel, DSM
CHF Kigoma Rural Contributors to Reach the Poor: • Dioces of Kigoma • TACARE • Exemptions CHF best practice WS, Golden Tulip Hotel, DSM
CHF Kigoma Rural • 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 best practice WS, Golden Tulip Hotel, DSM
CHF Kigoma Rural • 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 best practice WS, Golden Tulip Hotel, DSM
CHF Kigoma Rural • 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 best practice WS, Golden Tulip Hotel, DSM
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 CHF best practice WS, Golden Tulip Hotel, DSM
Asanteni! CHF best practice WS, Golden Tulip Hotel, DSM