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Overview

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Page Properties

Country/Region

Tanzania - Mainland

Scheme Operator

President’s Office Regional Administration and Local Government (PORALG)

Scheme type

Community Health Fund (Government run Voluntary Health Insurance programme)

Implemented since

2012

Implementing Partner(s)

Swiss Tropical and Public Health Institute (https://openimis.atlassian.net/wiki/pages/resumedraft.action?draftId=835682333 )TPH

Supporting Partner(s)

Financial Assistance: Swiss Agency for Development and Cooperation

Version

v1.5.1 (build 2021.4.12.1030)

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

26 regions

Number of beneficiaries

 13,641,980

Last update to beneficiary numbers

July 2021092,118

Note

4,560,657 individuals registered in CHF-IMIS till date.

Number of users

43,000 (including 20,000 enrolment officers who can submit enrolment data to openIMIS)

Number of health facilities

6,270

Scheme Features:

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Country/Region

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Tanzania Mainland

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Scheme type

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Community Health Fund (Government run Voluntary Health Insurance programme initially operating at district and currently at regional level - 26 insurance schemes)

...

Cooperation partner

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President’s Office Regional Administration and Local Government (PORALG)

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Implementation Support

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Funding: Swiss Agency for Development and Cooperation
Implementation: Swiss TPH (under the HPSS Project)

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Last update

July 2021

Scheme Features

Health scheme implemented since

2001

Implemented since

2012

Name of openIMIS focal point

 

Total number of health scheme employees

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

 

Number of health insurance products managed by the health scheme and using openIMIS

 26 (1 per region)

Health facilities using openIMIS

6,270

Product Features

...

Number of households covered

as of July 2021 -

312,033

actively insured families and

Note

622,804 families registered in CHF-IMIS till date.

Number of beneficiaries

as 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

4.9 is the national average and in iCHF family up to 6 members are enrolled for the set contribution amount

Household contribution amount

30,000 TZS per household (150,000 TZS in Dar es Salaam)

Individual contribution

n/a

Average amount paid for a claim

Last Update

July 2021

Specifications of the openIMIS used:

Version

v1.5.1 (build 2021.4.12.1030)

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.

Page Properties
hiddentrue

Three main lessons learned:

One

Two

Three

Recommendations for Developers Committee:

What to improve

What to add

What to remove

More information here.


Include Page
Tanzania - Mainland / Implementation Details
Tanzania - Mainland / Implementation Details