...
The scheme in context
CHF Iliyoboreshwa, or iCHF, is a voluntary health insurance scheme administered by the President’s Office Regional Administration and Local Government (PORALG) of the Government of Tanzania.
iCHF emerged from district-level community health funds which were originally established in the 1990s. Since that time, the benefit package has been broadened, entitlements have been made portable across empaneled health facilities nationwide, and management of the scheme has been shifted to dedicated local government structures in each region. iCHF is now a fully operational social health insurance scheme which has been rolled out in all 26 regions of mainland Tanzania.
How the scheme uses openIMIS
IMIS was originally developed in Tanzania in 2012 under the SDC-funded Health Promotion and System Strengthening (HPSS) project implemented by the Swiss Tropical and Public Health Institute.
...
The server is installed and maintained by PORALG and the project team supports the government’s roll-out and implementation activities. Each region (initially district) operates its own CHF scheme through openIMIS. Enrollments and renewals are handled by village-based enrollment officers. Each health facility (existing staff) undertakes verification and claims submissions for the patients they treat and regional-level teams then manage payment to each facility.
Interoperability
The system is currently being integrated with other government systems including:
SMS gateway solution to allow enrollment, renewals and payment confirmations to clients
GEPG (Government e-Payment Gateway) solution
USSD gateway for mobile requests (enquiringinquiring, renewal, request control numbers for mobile or bank payments)
Discussions are ongoing for integration of IMIS with the government's GoTHOMIS (Government of Tanzania Hospital Management Information System) system to link health facility claims coming directly to IMIS, as well as the CHF accounting system.
Full project scope
To learn more about the implementation of openIMIS, including the configuration and system set up, visit the wiki page.
...