Transcript CHF BEST PRACTICES WORKSHOP

CHF BEST PRACTICES
WORKSHOP
IRINGA DISTRICT
TITLE: HOW TO MOBILIZE CHF
FUNDS (STRATEGIES AND
MODALITIES)
PRESENTER: DR. ROBERT.
MAHIMBO. SALIM (DMO) AND
SECRETARY OF THE COUNCIL
HEALTH SERVICE BOARD
CHF Iringa
• Launched in June 1999 at Bomalang’ombe village
in Kilolo district.
• Current members 6,268 (21,262)
• Number of ‘poor’ erolled 0
• Premium 5,000 Tshs. for CHF members and 1,000
Tshs. for Non-CHF members.
• Trend of enrollment declining.
• All (46) Government health facilities provide
services to CHF members.
CHF Iringa
- Membership
4,500
4,000
5.9%
4.8%
3,500
3,000
3.9%
3.8%
3.4%
2,500
2,000
4.7%
2.6%
1,500
1,000
500
0
1999
2001
2002
2003
2004 2004/05 2005/06
East
STRATEGIES AND MODALITIES TO
MOBILIZE CHF FUNDS
Comments: What INNOVATIVE Strategies does Iringa employ here? What special in their approach that
shows successes? Later on slide 7 it says that some of the approaches do NOT work - it would be good to
also highlight what DOES work well!
Taken out previous slide as irrelevant in this context
• Sensitization to regional, district leaders (HODs)
and councilors.
• Transfer of power and authority to the
communities by establishing Council Health
Service Board and Health Facility Committees.
• Have a functional CHMT
• Training of CHSB and CHMT-TOT (MoHSW)
• Training of Ward Health Committees members,
Health Facility Committees members on their
roles and functions.
STRATEGIES AND MODALITIES TO
MOBILIZE CHF FUNDS CONT.
Comments: What is done to mobilize funds from other sources than the Community and from the
Matching Grant? E.g. what additional sources does the District contribute/ raise for CHF - does it raise
funds for the poor? Are other organisations/ NGOs/ FBOs encouraged to raise some funds eg. For the
poor?
• Sensitization meetings to WDC, VDC, Health
providers and communities
• Using health providers to sensitize the
communities to join CHF.
• Using politicians to sensitize the communities
during public meetings
• Using health providers as collectors for CHF
who also initiates the utilization of the funds.
• Ensure CHF account is audited yearly.
STRATEGIES AND MODALITIES TO
MOBILIZE CHF FUNDS CONT.
• Giving feedback to the community about the
amount collected and its utilization (Financial
reports are displayed at the notice board)
• Distribution of IEC materials to the
communities
• National campaign on cost sharing through radio
and TV
• Liaise with MoHSW to get Matching funds
(Tshs.106,345,000).
• Ensure NHIF are claims are made by health
providers and deposited in their accounts (? Or the
cost sharing account?).
STRATEGIES AND MODALITIES TO
MOBILIZE CHF FUNDS - Challenges
•
•
•
•
•
•
•
•
Irregular sensitization due to lack of funds.
Lack of IEC materials.
Negative Political Influence during election.
Exemption mechanism.
Poverty among community members.
Severe shortage of staff.
Low premium-(small health package).
Irregular meetings of Ward Health Committees
and Health Facility Committees due lack of funds.
STRATEGIES AND MODALITIES TO
MOBILIZE CHF FUNDS - Way Forward
• Improve ward health plans and Incorporate
(what?) in the CCHP
• Use local media to sensitize the communities on
CHF
• Design and prepare and distribute IEC materials.
• Review user fee (system?)
• Strengthen links between communities and health
workers.
Comments: what concrete plans are there to mobilize additional financial resources for CHF
through e.g. the Council itself or external orgs/ funding for the poor?
STRATEGIES AND MODALITIES TO
MOBILIZE CHF FUNDS - Conclusion
• CHF is a potential means of ensuring greater
security of access to health care, empowering
households and community in health decisions,
promoting cost sharing with strong local
participation and providing a stimulus to local
health care providers. Conclusion relevant to the Topic?
Maybe something like : “For the successful running of CHF it is
necessary to mobilize funds not only from the Community through
CHF contributions and user fees, but also through additional sources
available at the District level……………..”