Browsing by Author "Muya, Said Mohamed"

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    Provision of primary health care services under community-based health insurance schemes: a case of community health fund (CHF) in bahi ward, Dodoma
    (University of Dar es Salaam, 2014) Muya, Said Mohamed
    This study examined the Provision of Primary Health Care Services under Community-Based Health Insurance Schemes: The Case of the Community Health Fund (CHF), in Bahi Ward, Dodoma as a case study. It contends that issues regarding access to quality health care services are too complicated to be reduced either to a single indicator or be scrutinized in isolation from the context where they exist. This study asserts that the process or rather the decision to access quality health care services cannot be divorced from the socio- cultural, tradition, economic and health care delivery contexts of the society under study. Apart from the policy issues, it is within the aforementioned socio-cultural characteristics, where the issues of access and patterns adopted could adequately be addressed and re-addressed at the local level. In line with the above framework used in conceptualizing access to health care under those patterns, this study used qualitative and quantitative methodologies, whereby data were generated using in-depth interviews, focus group discussions and questionnaires. This study found-out that the consumption of health service is a product of interaction between multiple forms of variables namely; social, economic, cultural, illness; health care delivery system, and education level. These variables not only shape and guide health consumption patterns, but also influence the utilization of existing health care services. The dynamics associated with the availability, access and utilization of Quality Health Care under the socio-cultural, tradition and economic continuum are pertinent in understanding and improving the provision of Primary health care in the rural context under Community Based Health Insurance.