1. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM0 CHF best practices workshop Kigoma Rural CHF: Reaching the Poor through CHF Dr Dismas B. Vyagusa, DMO Kigoma

2. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM1 CHF Kigoma Rural - Basic Information Kigoma Rural: 1 of 4 Districts in Kigoma Region CHF started 10/2/2004 Number of current members: 18049 number of “poor” enrolled: 10549 Premium level: Tsh 5000 Revenue Collectors are the In-Charges of the health facilities Promoters: Village leaders, religious leaders, influential people

3. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM2 Enrolment Trend

4. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM3 Other Payors (user fees) CHF Kigoma Rural

5. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM4 CHF Kigoma Rural Contributors to Reach the Poor: - Dioces of Kigoma - TACARE Exemptions

6. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM5 Problems Some households are not able to pay the contribution for a CHF membership card Remoteness and poverty Expensive for the community to afford user fees Lack of skilled staff Some of the politicians are not able to sensitize the community CHF Kigoma Rural

7. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM6 Alternative Funding for the Poor - Action taken Discussions with Regional Authorities to help raise alternative funds Involvement of NGOs and parastatals Involved community to identify the poor and other ways of raising funds for the poor CHF Kigoma Rural

8. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM7 Results 1 NGO (TACARE) Contributed for 500 poor households Kigoma Diocese contributed for 10,000 poor households Access to quality health services improved for the poor CHF Kigoma Rural

9. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM8 CHF Kigoma Rural - Future Plans Extend lobbying with other potential funding partners Ensure the availability of quality services to those poor CHF members Increase advocacy among the population to join CHF - increased CHF membership will increase capacity of CHF to sustain funding the poor

10. 6th-8th December 2006CHF best practice WS, Golden Tulip Hotel, DSM9 Asanteni!