Paradox of rural health insurance schemes in Tanzania: policy implication
by Pius Chaya; Pius John; Luckness Chaula
International Journal of Behavioural and Healthcare Research (IJBHR), Vol. 4, No. 2, 2013

Abstract: The aim of this paper is to provide a descriptive analysis of the paradox of rural health insurance scheme in Tanzania, taking the case of Manyoni district. The study examined willingness and ability to pay for community health funds (CHFs) among community members as well as the modus operandi of the fund. It employed a cross sectional design on a random sample of 96 heads of households from Kintinku ward. Data were collected through health insurance consumer survey, documentary review and focus group discussions. The results show that sustainability of CHF is questionable since CHF covers less than 10% of the community members not only because of income poverty, but also due to information asymmetry. Thus, CHF remains a paradox and thus calls for health insurance policy review to take note of the ability to pay, willingness to pay and availability of services to the members.

Online publication date: Sat, 21-Jun-2014

The full text of this article is only available to individual subscribers or to users at subscribing institutions.

Existing subscribers:
Go to Inderscience Online Journals to access the Full Text of this article.

Pay per view:
If you are not a subscriber and you just want to read the full contents of this article, buy online access here.

Complimentary Subscribers, Editors or Members of the Editorial Board of the International Journal of Behavioural and Healthcare Research (IJBHR):
Login with your Inderscience username and password:

    Username:        Password:         

Forgotten your password?

Want to subscribe?
A subscription gives you complete access to all articles in the current issue, as well as to all articles in the previous three years (where applicable). See our Orders page to subscribe.

If you still need assistance, please email