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Country/Region | Tanzania Mainland |
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Scheme type | Community Health Fund (Government run Voluntary Health Insurance programme initially operating at district and currently at regional level - 26 insurance schemes) |
Cooperation partner | President’s Office Regional Administration and Local Government (PORALG) |
Implementation Support | Funding: Swiss Agency for Development and Cooperation |
Health scheme implemented since | 2001 |
Implemented since | 2012 |
Name of openIMIS focal point |
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Total number of health scheme employees | 26*Structure: Currently 2 full time at national level + 26*3 positions per region (some full but mostly part time) + 183*3 positions per district (some full but mostly part time) + 1 EO per village (commission based - currently over 16,000) |
Total number of employees using openIMIS | Over 22,000 user accounts (each staff above and over 6000 health facility staff claim admin accounts) |
Total number of employees not trained on openIMIS |
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Number of health insurance products managed by the health scheme and using openIMIS | 26 (1 per region) |
Product Features:
Number of households covered | |
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Number of beneficiaries | 100as of July 2021 - 1,641,980 actively insured individuals and 4,560,657 individuals registered in CHF-IMIS till date. |
Average size of a household | 6 |
Household contribution amount | 30,000 TZS per household (150,000 TZS in Dar es Salaam) |
Individual contribution | |
Average amount paid for a claim |
Specifications of the openIMIS used:
Version | 3v1.5.1 (build 2021.4.12.1030) |
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Has anything been modified (customization) | Many features continue to be added and provided in the Github repository for Tanzania |
What standards are used to code services, items, diagnosis and products | ICD 9 originally and then shifted to ICD 10 since 2019. |
Three main lessons learned:
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