Factors Influencing Implementation of the Community Health Fund in Tanzania

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dc.contributor.authorKamuzora, Peter
dc.contributor.authorGilson, Lucy
dc.date.accessioned2016-04-05T07:01:43Z
dc.date.available2016-04-05T07:01:43Z
dc.date.issued2006
dc.description.abstractAlthough prepayment schemes are being hailed internationally as part of a solution to health care financing problems in low-income countries, literature has raised problems with such schemes. This paper reports the findings of a study that examined the factors influencing low enrolment in Tanzania’s health prepayment schemes (Community Health Fund). The paper argues that district managers had a direct influence over the factors explaining low enrolment and identified in other studies (inability to pay membership contributions, low quality of care, lack of trust in scheme managers and failure to see the rationale to insure). District managers’ actions appeared, in turn, to be at least partly a response to the manner of this policy’s implementation. In order better to achieve the objectives of prepayment schemes, it is important to focus attention on policy implementers, who are capable of re-shaping policy during its implementation, with consequences for policy outcomes.en_US
dc.identifier.citationKamuzora, P. and Gilson, L., 2007. Factors influencing implementation of the Community Health Fund in Tanzania. Health policy and planning, 22(2), pp.95-102.en_US
dc.identifier.doi10.1093/heapol/czm001
dc.identifier.urihttp://hdl.handle.net/123456789/1436
dc.language.isoenen_US
dc.subjectTanzaniaen_US
dc.subjectPolicy analysisen_US
dc.subjectPrepayment schemesen_US
dc.subjectImplementationen_US
dc.subjectStreet-level bureaucratsen_US
dc.titleFactors Influencing Implementation of the Community Health Fund in Tanzaniaen_US
dc.typeJournal Article, Peer Revieweden_US
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