Improved Community Health Fund (iCHF)

This voluntary community-based financing scheme is implemented by the Government of Tanzania to enhance healthcare services. Under this scheme, households contribute financially to support their basic healthcare needs, complementing the government's efforts in health financing.

HIMSO, which stands for Health & Insurance Management Services Organization, initiated its community health program in 2002 through the Center for International Development and Research (CIDR). In Mbozi district, CIDR introduced the Self-Managed Health Insurance Scheme (SMHIS).

HIMSO serves as the government's implementing partner in the Mbeya and Songwe regions, providing technical and financial support in managing the innovative Community Health Fund (iCHF). The organization plays a crucial role in ensuring the effective implementation and administration of the iCHF program.

At the national level, HIMSO holds a permanent membership in the National iCHF Taskforce, which operates under the management of the President's Office, Regional Administration, and Local Government Ministry. This membership demonstrates HIMSO's integral role in shaping and guiding the strategic direction of the iCHF initiative at a national level.

Key Achievements of the HIMSO program include:

1. Co-management: Ten district councils actively participate in the co-management of both iCHF and Dharura Fasta programs in the Mbeya and Songwe regions. This collaborative approach enhances the efficiency and effectiveness of the healthcare financing schemes.
2. Through community sensitization efforts, a remarkable total of 63,234 households have enrolled in the iCHF program between February 2019 and June 2024. Among these households, 41,078 are from the Mbeya region, while 22,156 are from the Songwe region. This substantial enrollment signifies the increasing acceptance and adoption of the iCHF scheme within the communities. It is a testament to the effectiveness of the awareness campaigns and education initiatives conducted to inform households about the benefits and importance of participating in the program. The significant number of enrolled households showcases the growing trust and confidence in the iCHF program as a means to access vital healthcare services.
3. Village Sensitization: HIMSO has successfully reached out to and sensitized 802 villages in the Mbeya and Songwe regions about the benefits and functioning of the iCHF program. This extensive outreach helps raise awareness among communities and encourages their active participation.
4. Motorbike Provision: To facilitate effective supervision and monitoring of the iCHF program, HIMSO has provided eight motorbikes to seven district councils. This logistical support enables efficient oversight and enhances the program's implementation and service delivery.

These achievements highlight the significant progress made by HIMSO in strengthening community-based healthcare financing in Tanzania. By promoting active involvement and financial contributions from households, HIMSO and the iCHF program play a vital role in improving access to essential healthcare services and achieving better health outcomes for the population.