Determinants of community health fund membership drop out in Lindi district council of Tanzania
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Date
2014
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Publisher
Sokoine University of Agriculture
Abstract
Tanzania, have been implementing Community Health Fund scheme in its government
health services since 1996. Lindi District Council is one of the six councils which make
Lindi Region. There have been a lot of research and studies on CHF in Tanzania such as
determinants for CHF enrolment, reasons for the continuing low enrolment in the district.
There is scanty information about the actual factors that determine CHF membership drop
out, in the study area. However, the overall objective of the study was to identify the
factors determining the CHF membership drop out in Lindi District council. Specifically,
the study aimed at determining the perception of CHF members on CHF management,
determinants of joining the CHF scheme, duration which CHF members stay under the
insurance before they drop out and determinants of CHF membership drop out. Interview
and Focus Group Discussions were used to collect data. Statistical Package for Social
Science Programme (SPSS) was applied to analyze both qualitative and quantitative data.
By using multiple linear Regression analysis, the study revealed the factors that
determined CHF membership drop out in the study area. Those factors included socio and
economic and demographic characteristics such as ability to pay the premium. Finally the
study provides four strong recommendations that could be done to improve CHF
membership retention in the study area and other district councils where CHF scheme is
implemented.
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Thesis
Keywords
Determinants, Community health, Fund membership, Government health