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SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS). MBOZI TANZANIA. TABLE OF CONTENTS. PRESENTATION OF TANZANIA PRESENTATION OF MBOZI DISTRICT PRESENTATION OF MBOZI HOSPITAL PROBLEMS OF MBOZI PEOPLE RESULTS OF MEMBERSHIP ANALYSIS :1- APPROPRIATE GUARANTEES

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TABLE OF CONTENTS

  • PRESENTATION OF TANZANIA

  • PRESENTATION OF MBOZI DISTRICT

  • PRESENTATION OF MBOZI HOSPITAL

  • PROBLEMS OF MBOZI PEOPLE

  • RESULTS OF MEMBERSHIP

  • ANALYSIS :1- APPROPRIATE GUARANTEES

  • ANALYSIS :2- INVOLVEMENT OF THE HOSPITAL

  • QUALITY HEALTHCARE

  • PROMOTION OF SMHIS

  • CONCLUSION


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1.TANZANIA

  • ONE OF THE EAST AFRICA COUNTRIES I.e KENYA, TANZANIA & UGANDA

  • AREA-945,087 KM² (MAL I HAS 1,240,140 KM²)

  • POPULATION - 34M (2002)

  • CAPITAL - DAR ES SALAM/ DODOMA

  • CURRENCY – SHILLING

  • LANGUAGE - SWAHILI & ENGLISH +120



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2.MBOZI

  • AREA - 9679KM²

  • POPULATION -575,270

  • POPULATION PER HF-12,000:1 (MBEYA REGION)

  • POPULATION PER BED 1320:1 (MBEYA REGION)

  • MMR- 234 (MBEYA REGION)



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MBOZI HOSPITAL

  • BEGUN IN 1996

  • HAS 200 BEDS

  • EMPLOYS 120 STAFF

  • INCOME/EXPENDITURES TSH 300 M PER ANNUM (280 000 EUROS)



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MBOZI HOSPITAL - SERVICES OFFERED

  • OPD including SPECIAL CLINICS FOR DIABETES , PSYCHIATRY, EYE

  • DIAGNOSTIC-X-RAY, LABORATRY

  • INPATIENT including MATERNITY

  • SURGERY

  • REPRODUCTIVE, CHILD HEALTH

  • PHARMACIE

  • STI/HIV AIDS


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PROBLEMS OF MBOZI PEOPLE

  • FINANCIAL ACCESS TO HEALTHCARE

  • GEOGRAPHICAL ACCESS

  • AIDS

  • => CREATION OF SMHIS :2000 by CIDR


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RESULTS

  • 2003 2004 : 750 BENEFICIARIES IN 4 VILLAGES

  • 2004 2005 : 4200 BENEFICIARIES IN 10 VILLAGES

  • 5000 EXPECTED BEFORE THE END OF THE YEAR


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THE GUARANTEES MEET THE NEEDS OF PEOPLE

  • in patient treatment including surgery/complicated delivery & C/S

  • maximum 2/52 thereafter negotiations

  • transport to hospital only

  • transport from hospital-dead body or referral


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THE HOSPITAL HAS PLAIED ITS ROLE

  • QUALITY HEALTHCARE

  • PROMOTION OF SMHIS


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QUALITY HEALTHCARE

  • DRUGS AVAILABLE PERMANENTLY

  • SPECIAL WARDS FOR MEMBERS OF INSURANCE SCHEMES

  • SURGERY WITHOUT DELAY

  • SENSISATION OF WORKERS TOWARDS SMHIS MEMBERS

  • AMBULANCE


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PROMOTION OF SMHIS

  • REDUCTION OF COSTS FOR SMHIS

  • AMBULANCE COMANAGED BY SMHIS AND HOSPITAL

  • INFORMATION OF INPATIENT

  • NONMEMBERS SEE THE ADVANTAGES OF BEING MEMBERS




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MCMH EXPECT SMHIS TO HELP IN :

  • REFERRAL PATIENTS TO OTHER FACILITIES (? SMHIS to pay)

  • AIDS PROGRAMME INCORPORATED IN SMHIS

  • FOSTER GOOD RELATIONSHIP WITH OTHER STAKEHOLDERS





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