SELF MANAGED HEALTH INSURANCE SCHEME SMHIS

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SELF MANAGED HEALTH INSURANCE SCHEME (SMHIS)

• MBOZI
• TANZANIA

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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

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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

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EAST AFRICA
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2.MBOZI

• AREA - 9679KM²
• POPULATION -575,270
• POPULATION PER HF-12,0001 (MBEYA REGION)
• POPULATION PER BED 13201 (MBEYA REGION)
• MMR- 234 (MBEYA REGION)

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MBOZI HOSPITAL
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MBOZI HOSPITAL

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

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MBOZI HOSPITAL
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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

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PROBLEMS OF MBOZI PEOPLE

• FINANCIAL ACCESS TO HEALTHCARE
• GEOGRAPHICAL ACCESS
• AIDS
• gt CREATION OF SMHIS 2000 by CIDR

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RESULTS

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

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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

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THE HOSPITAL HAS PLAIED ITS ROLE

• QUALITY HEALTHCARE
• PROMOTION OF SMHIS

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QUALITY HEALTHCARE

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

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PROMOTION OF SMHIS

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

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BICYCLE AMBULANCE
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VEHICLE AMBULANCE
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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

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AFRICAN UNION
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MOUNT KILIMANJARO
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MBOZI METEORIOTE