Sustaining Practices of Community Health Fund and HIV/AIDS Services in Dodoma Central Tanzania
Abstract
The persistence of diseases varies across countries due to differentials in investment by various health actors, among other factors. This paper investigated the practices in the provision of community health fund (CHF) and human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) services in Dodoma, central Tanzania. The paper explored the differences in experiences between urban and rural settings. A cross-sectional design and a mixed approach were employed for comparative and complementation purposes, respectively. A sample size of 400 was used to gather data by survey, documentary review, and key informant interviews. The analysis was done using descriptive statistical methods. It was found that the area received improved CHF services using 10,000 to 12,000 Tanzanian shillings (Tshs) as an annual fee per household. It accounted for the enrollment of 61195 households and 19000 households from 2008 to 2016 in the Kongwa District Council (KDC) and Dodoma Municipal Council (DMC), respectively. There had been groups formed due to HIV/AIDS adaptation, whereby 48 and a few in DMC and KDC, respectively, were served by financial mitigations. This amounted to 152, 498, 306 Tshs and 16, 000,000 Tshs for DMC and Kongwa, respectively, from 2010 to 2017. It concluded that there had been improvement in the practices of CHF and HIV/AIDS services in the area. These were purposeful practices by project actors and national programmes on HIV/AIDS services. However, these practices are not sustainably promoting the social well-being of communities. Recommended for adoption are community practices that build awareness and knowledge regarding the potentials of CHF services on their lives, as well as HIV/AIDS awareness mitigations that are community-centred.
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34. Kongwa District Council (KDC). (2015). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
35. Kongwa District Council (KDC). (2016). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
36. Dodoma Municipal Council (DMC). (2014). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
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39. Baylis A, Buck D, Anderson J, Jabbal J & Ross S. (2017). “The Future of HIV Services in England, Shaping the
Response to Changing Needs”, site visited at www. kingsfund.org.uk on 15th October 2017.
40. Mboera L.EG, Rumisha S. F, Senkoro KP, Mayala, B.K; Shayo EH; & Kisinza W.N. (2007). “Knowledge and Health Information Communication in Tanzania”, East African Journal of Public Health Volume 4 Number 1.
2. World Bank .(2004). Making Services Work for Poor People, World Development Report, Washington, DC, accessed at www.WorldBank, site visited on 14/02/ 2014.
3. Brinkerhoff DW, Bossert TJ. Health governance: concepts, experience, and programming options. Bethesda: Health Systems. 2008 Feb;20:20.
4. Ranson MK. Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bulletin of the World Health Organization. 2002;80:613-21.
5. World Health Organisation.(1978). Primary Healthcare, Report of the International Conference on Primary Health Care, Unpublished Report, Alma-Ata USSR, 6-12, Geneva
6. McPake B, Hanson K& Mills A.(1992). Implementing the Bamako initiative in Africa. London: Health Economics
and Financing Programme, Unpublished Report, Health Policy Unit, Department of Public Health and Policy.
7. Bultman, Jan and Anselmi Mushy (2013), ‘Options for health insurance market structuring’, MoHSW, June 2013
8. Conyers, D. (1990). Decentralisation and Development Planning. Is Decentralising for Participatory Development?, Comparing the Experiences of Zimbabwe and other Anglophone Countries in Eastern and Southern Africa, De Valk P, Wekwete K.H. (eds.), Unpublished Report, Aldershot, Brookfield, Hong Kong, Singapore and Sydney, Avebury, 15-33.
9. Masanyiwa, Z.S; Niehof, A; &Termeer, C.J.A.M. (2013). Institutional Arrangements for Decentralised Water and Health Services Delivery in Rural Tanzania, Differences and Constraints, Full-Length Paper, Basic Research Journal, Basic Research Journal of Social and Political Sciences, Vol.1, N0.4, 77-88.
10. United Republic of Tanzania, (URT). (2013a). Guidelines for the Establishment and Operation of Council Health Service Boards and Health Facility Committees, Unpublished Report, Ministry of Health and Social Welfare, Dar es Salaam.
11. Kessy, F.(2008). Technical Review of Council Health Service Boards and Health Facility Governing Committees in Tanzania, Final Report, Unpublished Report, Prepared for the Ministry of Health and Social Welfare, Dar es Salaam.
12. Macha, J; & Borghi, J.(2011). Health Facility Committees, Are they Working?, Unpublished Report, Ifakara Health Institute, Issue7, Dar es Salaam.
13. United Republic of Tanzania. (2001a). Guidelines for the Establishment and Operations of Council Health Service Boards and Health Facility Governing Committees, Unpublished Report, The President’s Office, Regional Administration and Local Government and Ministry of Health and Social Welfare, Dar es Salaam.
14. Community-Based Health Initiatives Project. (2010). Capitalization Study, eMJee Development Consult, Dodoma.http://emjee.biz/resources.CBHICapitalisation- study.pdf, site visited on 20/07/, 2014.
15. United Republic of Tanzania. (2010). The Constitution of United Republic of Tanzania of 1977. Dar es Salaam: Government Printers.
16. Boex J, Fuller L & Malik A. (2015). Decentralized Local Primary Healthcare Services in Tanzania, Are Health Resources Reaching Primary Health Facilities or Are they Getting Stuck at the District Level?, International Research Report, Unpublished Report, Urban Institute.
17. United Republic of Tanzania and ICF International. (2016), Tanzania Demographic and Health Survey and Malaria Indicator Survey 2015-2016, Unpublished Report, MoHCDGEC, USA: MoHSW, NBS, OCGS and International, Dar es Salaam Tanzania and Rockville, Maryland
18. Ministry of Health and Social Welfare (Tanzania Mainland), Ministry of Health (Zanzibar), National Bureau of Statistics, Office of the Chief Government Statistician and ICF International. (2015). Tanzania Service Provision Assessment Survey 2014-2015.
19. Dar es Salaam, Tanzania, and Rockville Maryland, USA: MoHSW, MoH, NBS, OCGS, and ICF International.
[19] Kessy, F. L.(2014). Improving Health Services through Community Participation in Health Governance
Structures in Tanzania, Journal of Rural and Community Development, Vol. 9. N0.2, 14-31.
20. Mamdani. M; & Bangser, M.(2004). Poor People’s Experiences of Health Services in Tanzania, A Literature Review, Elsevier, Woman Dignity Project, Reproductive Health Matters, Vol.12, N0.24, 138–153.
21. Lwelamira J; Safari J;& Stephen A. (2015). The Utilization of Maternal Postnatal Care Services among Women
in Selected Villages of Bahi District, Tanzania, Current Research Journal of Social Sciences, Vol.7, N0. 4, 106-
111.
22. Mshana, Z.M; Zilihona, I.E; & Canute, H.B. (2015). Forgotten Roles of Health Services Provision in Poor Tanzania, Case of Faith-Based Organisation in Healthcare Facilities in Dodoma Region, Science Publishing Group, Science Journal of Public Health, Vol.3, N0. 2, 210-215.
23. Kiria, I. (2013). Health Care Workers’ Adherence to Professional Ethics, A Score Card Report on the Experience from 45 Health Facilities in Six Districts of Tanzania Mainland, Unpublished Report, Dar es Salaam.
24. Kiria, I.B.(2009). Downward Accountability in Public Health Care Systems, The Case of Temeke Municipal Council, Unpublished Report, The Dissertation Submitted in Partial Fulfillment for Masters Degree in Public Health at Muhimbili University of Allied Health Sciences (MUHAS), Dar es Salaam.
25. Habtom, G.K. (2017). Designing Innovative Pro-Poor Health Financing System in Sub-Saharan Africa: The Case of Eritrea, Journal of Public Administration and Policy Research Vol. 9 (4), 51-67.
26. World Health Organization Regional Office for Africa. (2016). United Republic of Tanzania WHO Country Cooperation Strategy 2016-2020, Unpublished Report, DRC
27. Macha, J; Mushi, H.P; & Borghi, J. (2011). Examining the Links between Accountability, Trust and Performance in Health Service Delivery in Tanzania, Unpublished Report, Ifakara Health Institute, Dar es Salaam.
28. Mubyazi, G.M et al;. (2007). Local Primary Health Care Committees and Community-based Health Workers in
Mkuranga District, Tanzania, Does the Public Recognise and Appreciate Them?, Amani Medical Research Centre, National Institute for Medical Research (NIMR), Kamla Raj, Ethno-Med., Vol.1, N0.1, 27-35.
29. Mpambije C, J. (2017). Decentralization of Health Systems and the Fate of Community Health Fund in Tanzania: Critical Review of High and Low Performing Districts. Science Journal of Public Health, Vol. 5, No. 2, 136-144.
30. Dodoma Municipal Council (DMC). (2015a). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
31. Haricharan, H.J. (2010). Extending Participation: Challenges of Health Committees as Meaningful Structures for Community Participation, A Study of Health Committees in the Cape Town Metropole, Human Rights Division, Unpublished Report, School of Public Health, University of Cape Town and the Learning Network on Health and Human Rights.
32. United Republic of Tanzania. (2007b). Primary Health Services Development Programme-MMAM 2007-2017, Unpublished Report, Ministry of Health and Social Welfare, Dar Es Salaam.
33. Kongwa District Council (KDC). (2014). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
34. Kongwa District Council (KDC). (2015). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
35. Kongwa District Council (KDC). (2016). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
36. Dodoma Municipal Council (DMC). (2014). Inpatient and Outpatient Annual Report on Health Services, Unpublished Report, Dodoma.
37. Dodoma Municipal Council. (2015). Chamwino Dispensary Governing Committee Quarter II Meeting, 16th.11.2015, Unpublished Report, Dodoma.
38. Dodoma Municipal Council. (2016). Comprehensive Council Health Plan for Financial Year 2015/2016, Unpublished Report, Dodoma.
39. Baylis A, Buck D, Anderson J, Jabbal J & Ross S. (2017). “The Future of HIV Services in England, Shaping the
Response to Changing Needs”, site visited at www. kingsfund.org.uk on 15th October 2017.
40. Mboera L.EG, Rumisha S. F, Senkoro KP, Mayala, B.K; Shayo EH; & Kisinza W.N. (2007). “Knowledge and Health Information Communication in Tanzania”, East African Journal of Public Health Volume 4 Number 1.
Published
2024-04-23
How to Cite
BABUNE, George Julius.
Sustaining Practices of Community Health Fund and HIV/AIDS Services in Dodoma Central Tanzania.
Journal of Advanced Research in Humanities and Social Sciences, [S.l.], v. 11, n. 1, p. 23-32, apr. 2024.
ISSN 2349-2872.
Available at: <http://thejournalshouse.com/index.php/Journal-Humanities-SocialScience/article/view/1070>. Date accessed: 30 dec. 2024.
Section
Research Article
