Tanzania - Mainland

Overview

Country/Region

Tanzania - Mainland

Solution

Health Insurance

Program Operator

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

Program type

Community Health Fund (Government run Voluntary Health Insurance programme)

Implemented since

2012

Implementing Partner(s)

Swiss 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

3,092,118

Note

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

Number of users

43,000

Number of health facilities

6,270

Last update

July 2021

Scheme Features

Health scheme implemented since

2001

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)

Product Features

Number of households covered

312,033

Number of households covered

312,033

Note

622,804 families 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)

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.

 



 

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