Tanzania - Mainland

Overview

Country/Region	Tanzania - Mainland
Solution	Health Insurance
Description	In Tanzania, openIMIS powers the Improved Community Health Fund (iCHF), a voluntary social health insurance scheme. The platform manages all operations - from village-level enrollments via mobile apps and real-time verification to claims processing - while seamlessly integrating with government and hospital systems, as well as mobile payment gateways.
Program Operator	President’s Office Regional Administration and Local Government (PORALG)
Program type	Community Health Fund (iCHF, 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	6,573,895 (as of Aug 2024) with 3,666,619 women (55,8%)
Number of users	43,000
Number of health facilities	6,270
Status
Last update	Feb 2026

Health scheme implemented since	2001
Name of openIMIS focal point
Total number of health scheme employees	Structure: Currently 2 full time at national level + 263 positions per region (some full but mostly part time) + 1833 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)

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

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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