Title:
The Challenges towards Attaining Universal Health Coverage among the Low Income Population in Tanzania
Authors:
Timothy, Wonanji Vivian
Year:
2013
PAGE:
xi, 52
Language:
En
Subject:
Health and Poverty
Keywords:
Universal Health Coverage, out-of-pockets, risk pooling, Tanzania
Abstract:
Background: Despite her vision of providing quality health care to all its citizens, Tanzania is struggling to provide quality health care to all. The poor are most affected as they have the lowest access to quality health care, and when seeking health care incur high cost, their poverty levels are increased. Objective: The objective of this study is to review existing Tanzania health care financing based on the following three financing functions; revenue collections, pooling and purchasing of the services, identifying the gaps and propose recommendations to contribute the country progress towards Universal Health Coverage. Method: Literature review Findings: Tanzania is still far from raising sufficient and sustainable funds for Universal health coverage; the country is highly depending on external funds. In recent years it was noted that there was a decline in government health expenditure on health care and an increase in the out-of-pockets payments. The country is facing challenges in collecting the premiums and risk pooling from the informal sector. The pre-payment insurance schemes are highly fragmented, each with its own risk pooling mechanisms. The rich benefit more from the public subsidized services than the poor. Conclusions and recommendations: Tanzania will be able to attain its goal of universal coverage only if will be able to raise sufficient and sustainable revenue through innovation. The size of risk pool should be expanded through increase in prepayment schemes and optimal use of resource in purchasing of services through good governance and stewardship.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Department:
Development Policy and Practice
Country:
Tanzania, United Republic of
Region:
Eastern Africa
Training:
Master of Public Health / International Course in Health Development
Category:
Research
Right:
© 2013 Timothy
Document type:
Thesis/dissertation
File:
KFRtfe4SVX_20161103142537935.pdf