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Addressing Challenges in CHF Enrolment: Best Practices Workshop at Sumbawanga District Council

Explore strategies to improve enrollment in the Community Health Fund (CHF) at Sumbawanga District Council. Learn about current challenges, financial reports, and future directions for enhancing CHF membership.

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Addressing Challenges in CHF Enrolment: Best Practices Workshop at Sumbawanga District Council

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  1. CHF best practices workshop Sumbawanga District Council Challenges of Low CHF Enrolment F. Kagombe CHF Coordinator, CHF best practice WS, Golden Tulip Hotel, DSM

  2. CHF Sumbawanga - Basic Information • The Council has an area of 13,585km2 • Population is 434,084 living in 169 villages. • Number of households is 77,555 • Has no District Hospital • Has 7 public Health Centers and 79 public • dispensaries • 2 Health Centers and 5 dispensaries are • owned by voluntary Agencies. • Health Department has a total of 441 (64%) workers out of 690 required number of health staff CHF best practice WS, Golden Tulip Hotel, DSM

  3. CHF Sumbawanga - CHF Establishment • The Council started to implement CHF in • September 2002. • The Council health service board was established on • 17th/10/2003 and launched on 6th/May/2004 followed • with training conducted last year (2005) • Number of households enrolled in CHF: only 4,483 • (6%) • Trend of enrolment: declining yearly CHF best practice WS, Golden Tulip Hotel, DSM

  4. CHF Enrolment CHF best practice WS, Golden Tulip Hotel, DSM

  5. CHF Sumbawanga - Financial Report • Total CHF Contribution from 2002-2006: Tshs 22,415,000 • User fees btw 2002-2006: Tshs 37,636,189 • Total amount used for drugs: Tshs 26,399,800 • Matching Fund received Nov. 2004: tshs 19,255,000 CHF best practice WS, Golden Tulip Hotel, DSM

  6. CHF Sumbawanga - Challenges of low CHF enrolment • The national policy exempts under fives and pregnant • women, who attend health facilities frequently to seek services • Shortages of trained health personnel • Inadequate and irregular drug supplies by MSD to health facilities • The community prefers to pay user fees rather than becoming CHF members because fees are low CHF best practice WS, Golden Tulip Hotel, DSM

  7. CHF Sumbawanga - The way forward • The government to review the policy of exemption for pregnant women and under fives • Council/MOHSW to recruit health personnel • Continuous CHF enrollment sensitization meetings to the community through health facility committee and ward health committee • Multi-sector collaboration on CHF community sensitization • Increase user fees CHF best practice WS, Golden Tulip Hotel, DSM

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