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SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS)

SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS). MBOZI TANZANIA. TABLE OF CONTENTS. PRESENTATION OF TANZANIA PRESENTATION OF MBOZI DISTRICT PRESENTATION OF MBOZI HOSPITAL PROBLEMS OF MBOZI PEOPLE RESULTS OF MEMBERSHIP ANALYSIS :1- APPROPRIATE GUARANTEES

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SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS)

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  1. SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS) MBOZI TANZANIA

  2. TABLE OF CONTENTS • PRESENTATION OF TANZANIA • PRESENTATION OF MBOZI DISTRICT • PRESENTATION OF MBOZI HOSPITAL • PROBLEMS OF MBOZI PEOPLE • RESULTS OF MEMBERSHIP • ANALYSIS :1- APPROPRIATE GUARANTEES • ANALYSIS :2- INVOLVEMENT OF THE HOSPITAL • QUALITY HEALTHCARE • PROMOTION OF SMHIS • CONCLUSION

  3. 1.TANZANIA • ONE OF THE EAST AFRICA COUNTRIES I.e KENYA, TANZANIA & UGANDA • AREA-945,087 KM² (MAL I HAS 1,240,140 KM²) • POPULATION - 34M (2002) • CAPITAL - DAR ES SALAM/ DODOMA • CURRENCY – SHILLING • LANGUAGE - SWAHILI & ENGLISH +120

  4. EAST AFRICA

  5. 2.MBOZI • AREA - 9679KM² • POPULATION -575,270 • POPULATION PER HF-12,000:1 (MBEYA REGION) • POPULATION PER BED 1320:1 (MBEYA REGION) • MMR- 234 (MBEYA REGION)

  6. MBOZI HOSPITAL

  7. MBOZI HOSPITAL • BEGUN IN 1996 • HAS 200 BEDS • EMPLOYS 120 STAFF • INCOME/EXPENDITURES TSH 300 M PER ANNUM (280 000 EUROS)

  8. MBOZI HOSPITAL

  9. MBOZI HOSPITAL - SERVICES OFFERED • OPD including SPECIAL CLINICS FOR DIABETES , PSYCHIATRY, EYE • DIAGNOSTIC-X-RAY, LABORATRY • INPATIENT including MATERNITY • SURGERY • REPRODUCTIVE, CHILD HEALTH • PHARMACIE • STI/HIV AIDS

  10. PROBLEMS OF MBOZI PEOPLE • FINANCIAL ACCESS TO HEALTHCARE • GEOGRAPHICAL ACCESS • AIDS • => CREATION OF SMHIS :2000 by CIDR

  11. RESULTS • 2003 2004 : 750 BENEFICIARIES IN 4 VILLAGES • 2004 2005 : 4200 BENEFICIARIES IN 10 VILLAGES • 5000 EXPECTED BEFORE THE END OF THE YEAR

  12. THE GUARANTEES MEET THE NEEDS OF PEOPLE • in patient treatment including surgery/complicated delivery & C/S • maximum 2/52 thereafter negotiations • transport to hospital only • transport from hospital-dead body or referral

  13. THE HOSPITAL HAS PLAIED ITS ROLE • QUALITY HEALTHCARE • PROMOTION OF SMHIS

  14. QUALITY HEALTHCARE • DRUGS AVAILABLE PERMANENTLY • SPECIAL WARDS FOR MEMBERS OF INSURANCE SCHEMES • SURGERY WITHOUT DELAY • SENSISATION OF WORKERS TOWARDS SMHIS MEMBERS • AMBULANCE

  15. PROMOTION OF SMHIS • REDUCTION OF COSTS FOR SMHIS • AMBULANCE COMANAGED BY SMHIS AND HOSPITAL • INFORMATION OF INPATIENT • NONMEMBERS SEE THE ADVANTAGES OF BEING MEMBERS

  16. BICYCLE AMBULANCE

  17. VEHICLE AMBULANCE

  18. MCMH EXPECT SMHIS TO HELP IN : • REFERRAL PATIENTS TO OTHER FACILITIES (? SMHIS to pay) • AIDS PROGRAMME INCORPORATED IN SMHIS • FOSTER GOOD RELATIONSHIP WITH OTHER STAKEHOLDERS

  19. AFRICAN UNION

  20. MOUNT KILIMANJARO

  21. MBOZI METEORIOTE

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