Determinants of community health fund membership in Tanzania: a mixed methods analysis

by Jane Macha, August Kuwawenaruwa, Suzan Makawia, et al.
BMC Health Services Research 2014, 14:538 (20 November 2014)

19 pp. 199 kB:
http://www.biomedcentral.com/content/pdf/s12913-014-0538-9.pdflogo

In many developing countries, initiatives are underway to strengthen voluntary community based health insurance as a means of expanding access to affordable care among the informal sector. However, increasing coverage with voluntary health insurance in low income settings can prove challenging. This study aims to shed light on the characteristics of those joining a community health fund (CHF), a type of community based health insurance, in Tanzania and the reasons for their membership and subsequent drop out using mixed methods. The authors conclude that determinants of CHF membership are diverse and improving the quality of health services and expanding the benefit package should be prioritised to expand voluntary health insurance coverage.

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