Browsing by Author "Modest, Andrea R."

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    Enrollment status and determinants of improved community health fund among households in Dodoma Tanzania
    (International Journal of Innovative Science and Research Technology, 2021) Modest, Andrea R.; Ngowi, Agatha Fabian; Katalambula, Leonard
    Community Health Funds (CHFs) is a promising means for enhancing social economic security to low socio-economic households. In 2015 the government of Tanzania set a goal of achieving 30% of CHF enrolment amongst households, however only 16.4% was achieved. The government of Tanzania is continually reforming the Health Fund and the most recent reform started implementation on 2018 which changed the name to Improved Community Health Fund (ICHF). There is a need of knowing if the changes have affected enrolment status and what could be the driving factors. Therefore, this study aimed to establish enrolment status of ICHF and its determinants among households in Dodoma region. This study was a cross sectional study design which employed multi stage sampling technique Structured questionnaire was used to obtain information from a total number of 424 head of the HH; Descriptive statistics were used to determine status of enrolment while chi square test and logistic regression were used to determine factors. This study found that, of all 424 respondents only 19.1% were enrolled in ICHF. Wealthiest households were 2.224 (AOR); p-value (0.034) at CI of 95% (1.063, 4.657) more likely to be enrolled to the ICHF as compared to poor households. Households with more than two elders with 60 years old and above, were 2.986 (AOR); p-value 0.006 at the CI of 95% (1.373, 6.496) more likely to be enrolled in ICHF compared to households with no elderly. And there were statistical significance between motivational benefits and availability of health care services with the enrollment status, household who perceived to receive motivational benefits once visit health facility were more enrolled as compared to those who do not and household who perceive health care service to be available were more enrolled as compared to who do not, they had chi-square of 16.017a and 64.084, p-value of 0.00 and 0.00 at CI of 95% respectively. Wealth status, presence of elders above 60 years old, motivational benefits and availability of the HCs were the determining factors for HH to be enrolled in ICHF. The government should consider poor households by helping them to pay ICHF enrollment fees.
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    Enrollment status and determinants of improved Community Health Fund among households in Dodoma Tanzania
    (Hemant, 2021) Ngowi, Agatha Fabian; Katalambula, Leonard; Modest, Andrea R.
    Community Health Funds (CHFs) is a promising means for enhancing social economic security to low socioeconomic households. In 2015 the government of Tanzania set a goal of achieving 30% of CHF enrolment amongst households, however only 16.4% was achieved. The government of Tanzania is continually reforming the Health Fund and the most recent reform started implementation on 2018 which changed the name to Improved Community Health Fund (ICHF). There is a need of knowing if the changes have affected enrolment status and what could be the driving factors. Therefore, this study aimed to establish enrolment status of ICHF and its determinants among households in Dodoma region. This study was across sectional study design which employed multi stage sampling technique Structured questionnaire was used to obtain information from a total number of 424 head of the HH; Descriptive statistics were used to determine status of enrollment while chi square test and logistic regression were used to determine factors. This study found that, of all 424 respondents only 19.1% were enrolled in ICHF. Wealthiest households were 2.224 (AOR); p-value (0.034) at CI of 95% (1.063, 4.657) more likely to be enrolled to the ICHF as compared to poor households. Households with more than two elders with 60 years old and above, were 2.986 (AOR); p-value 0.006 at the CI of 95% (1.373, 6.496) more likely to be enrolled in ICHF compared to households with no elderly. And there were statistical significance between motivational benefits and availability of health care services with the enrollment status, household who perceived to receive motivational benefits once visit health facility were more enrolled as compared to those who do not and household who perceive health care service to be available were more enrolled as compared to who do not, they had chi-square of 16.017aand 64.084, p-value of 0.00 and 0.00 at CI of 95% respectively. Wealth status, presence of elders above 60 years old, motivational benefits and availability of the HCs were the determining factors for HH to be enrolled in ICHF. The government should consider poor households by helping them to pay ICHF enrollment fees.
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    Exploring the influence of health care services utilization and perceived satisfaction on enrollment status to the improved community health fund among household in Dodoma: a cross sectional study
    (The University of Dodoma, 2019) Modest, Andrea R.
    Background: Community Health Fund (CHF) is the promising means for enhancing access to and utilization of the health services to the low social economic status societies in Tanzania. Little is known on the influence of Health care services utilization and perceived satisfaction on enrollment status to the Improved Community Health Fund (ICHF) among household. The government goal for 2015 was a 30% CHF enrolment among Tanzania HH. Only16.4% was achieved. The aim of this study was to explore the influence of Health care services utilization and perceived satisfaction on enrolment status to the Improved Community Health Fund among household. Methods: A cross sectional study design of randomly selected of 424 head of the household in three district council in Dodoma region. A self-administered questionnaire were used which was standardized tool adopted from previous studies. Descriptive analysis was used to establish status of enrollment, bivariate and multivariate logistic regression was used to establish determinant of enrollment status to the ICHF and the data analyzed by SPSS version 25.0 (chi-square and AOR at p< 0.05 was used as significance level). Results: Out of 424 of the respondents only 19.1% were enrolled to the ICHF. The high income households were 2.224 (AOR); p-value (0.034) at CI of 95% (1.063, 4.657) more likely to be enrolled to the ICHF as compared to very poor households. Regarding elderly, the households with more than two elderly aged 60 years and above were 2.986 (AOR); p-value 0.006 at the CI of 95% (1.373, 6.496) more likely to be enrolled to the ICHF as compared to the households with no elderly. Conclusion: The current study shows that there is low level of household enrollment to the ICHF and the strongest determinants were; wealth status, presence of elderly above 60 years, motivational benefits and availability of the HCs. Also there is significant difference on the level of perceived satisfaction among enrolled and unenrolled