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Financing Public Health Care: Insurance, User Fees or Taxes? Welfare Comparison

Location: 157 Mgombani Street, Regent Estate, PO Box 33223, Dar es Salaam, Tanzania
Organization: Research on Poverty Alleviation REPOA
Website: http://www.repoa.or.tz/documents_storage/RR_07.2_Mushi.pdf
Language(s): English
Media: Article or paper
Phone: +255 22 2700083
Last updated: November 20, 2007
Area of Focus: Economic Development, Health and Medicine, Poverty and Hunger
Contact person: S Tiscenko
Fax: +255 22 2775738

Description:

This study contributes to the debate on the best way to finance public health services in Tanzania. It focuses on two methods for financing health care - the community insurance scheme and user fees. The report considers two issues:
(i) Are user fees better than insurance schemes in public health care?
(ii) Can one charge for public health services and at the same time ensure universal access to these services?

The study by Deograsias P. Mushi
commences with background on the introduction of user fees in Tanzania. It follows with analysis of primary health care facilities provided in Iringa and Kilosa during 2004.

The analysis found that the Community Health Fund was more expensive than normal user fees at the primary facility level for the two case study districts. The main barrier to joining the fund was the annual premium, which was considered too high by a majority of households.

If you prefer to receive a printed copy please contact REPOA and we will post a copy to you. Multiple copies may be available for educational institutions.
Permalink: http://www.idealist.org/if/i/en/av/Materials/83774-6/c

 

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