Transcript CHF BEST PRACTICE WORKSHOP TIKA

CHF BEST PRACTICE WORKSHOP
TIKA – CHF - URBAN SETTING
What is the difference?
Ludovick Nduhiye
Economist
CHF/TIKA COORDINATION
UNIT
MOHSW
GOLDEN TULIP HOTEL
31st Jan– 02nd Feb. 2007
Definition

TIKA is an abbreviation of kiswahili
word “TIBA KWA KADI” That simply
refer to Treatment by Health Card.

It is a Community Health Fund Scheme
made for Urban and Peri-Urban
Communities.

Its design extends beyond CHF design
to meet some special urban
features/characteristics.
Definition Cont…

TIKA works within the CHF Act of
Parliament No. 1 of April 2001.

It is a voluntary pre-payment scheme
that offer an opportunity to the
community to contribute for health care
before they fall sick and when they have
money to avoid the burden of user fees.
TIKA Concept Development and
Designing

The Need for different approach rather than
CHF emerged from unconvincing CHF pre-test
experience of Songea Town(1997-1999).

The Ministry of Health by then commissioned a
critical examination study to Development
Studies MUCHS (Prof. Kiwara and Kapinga).

The results suggested different CHF design in
urban settings due to high differences between
urban and rural communities.
TIKA Design was presented in 2000 for
discussions and decision.

TIKA Concept Development
and Designing Cont…

Stakeholders meeting and forums were
convened to discuss the TIKA design.

Technical meetings, forums, workshops
were held to develop the implementation
and training guidelines.

In 2005/06 financial year the decision
was reached by MOHSW to start the
Implementation.
Main Objective of TIKA
Is to enhance or improve the health
status of urban and peri-urban informal
sector communities through promotion of
community empowerment and ensuring
availability, accessibility, affordable,
equitable health care services at the time
of need in a sustainable way.
Specific Objectives

Promote Community Participation,
Empowerment and Solidarity.

Provide framework for partnership
between Community and Government as
such Community take a leading role in
needs identification and decision making,
while the government offers technical
support.
Specific Objective Cont…

Mobilize financial resources from the
community for provision of health
services.

Provide quality and affordable health care
services through sustainable financial
mechanism

Improve health care management in the
communities through decentralization.
Specific Objective Cont…

Ensure Equity and Access for poor
families by providing them with free
TIKA- membership card that gives them
an opportunity to access better health
service on demand.

Act as a mechanism in promoting
partnership between public and private in
health care service provision.
TIKA Implementation
Status

In 2005/06 MOHSW-MTEF provided
funds and two municipalities (Tabora
and Moshi) were supported.

The MOHSW will support 10 urban
councils in TIKA Sensitization and
formulation of By Law and other
Instruments this Financial year.
Lessons From Tabora and Moshi
Sensitization training

Participatory
training
approach
were used.

This picture
was taken
during group
discussion in
Tabora 2006..
Lessons From Tabora and Moshi
Sensitization training Cont…


TIKA is highly acceptable
Stakeholders were happy for being involved at
early stage

There is some reluctance for accepting TIKA
design proposal such as categorization of
membership and services

Councils needs external support to ensure
continuous advocacy, capacity building and
procurement of essential materials and
equipments.
Group Picture of Participants of TIKA Sensitization Forum
in Tabora 2006.
Mayor of Tabora Municipal Council Underlining the importance
of introducing TIKA.
Group Picture of Participants of TIKA Sensitization Forum in
Moshi 2006.
Cooperation with Others CBHIS
Lessons from their experience
 Need for inventory and literature
review
 Regulatory mechanism
 Subsidization

Way forward

Support the remained 13 Urban Councils to
introduce TIKA from July to December 2007.

Undertake facilitative supervision

Promote TIKA advocacy at all levels

Promote Cooperation with other Community
Based health Insurance Schemes in urban.

Regulatory Mechanism of CBHIS