Overview:
Scheme Features:
Country/Region | Tanzania Mainland |
|---|---|
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 |
|
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 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 |
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. |
More information here.