Browsing by Author "Gallen P. Mlenge"

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    Determinants of health insurance services provision: lessons from Accredited Drugs Dispensing Outlets (ADDOs). Journal of Global Health Science
    (XMLink, 2022) Gallen P. Mlenge; Lutengano Mwinuka
    Background: Healthcare as a social service has growing demand by the majority of citizens including employees from all sectors and informal sector workers. A health insurance scheme is vital. The participation of the non-state actors in delivering health services is inevitable to address inefficiencies associated with accessibility, convenience and financing mechanisms. This paper assesses the socioeconomic factors affecting the response of the non-state entity—Accredited Drugs Dispensing Outlets (ADDOs) in providing the healthcare services to the National Health Insurance Fund (NHIF) members. Lessons were derived from the led district, Kilombero, in Tanzania. Methods: A multi-stage sampling technique was employed in the study for selecting location and respondents. A sample of 141 ADDOs was used to represent those providing NHIF services and those who were not. A Likert scale and logistic regression model were used to examine the attitude and the odds ratio of a non-state actor to provide NHIF services, respectively. Results: The results on overall attitude revealed that NHIF should use market prices to reimburse ADDOs without delays. Capital size at P < 0.05 was a strong predictor of ADDOs providing good health insurance services. Moreover, ADDOs owners’ level of education and their business location were not good predictors of ADDOs to provide required health insurance services at P > 0.05. Conclusion: The non-state actor through ADDOs has the potentials to improve health service provision in the country. This is possible through improvement in information sharing regarding NHIF service provision, availability of grants for business capital expansions, review of laws, rules and regulations that govern the operations of NHIF and ADDOs. Informal sector workers can also be part of beneficiaries to acquire health insurance services through ADDOs