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Factors affecting the adoption, the implementation fidelity, and the sustainability of the Redesigned Community Health Fund program in Tanzania: A mixed methods process evaluation in the Dodoma region, Tanzania

Principal investigator at IPH: Albino Kalolo (under the supervision of Manuela De Allegri)

Funding: Swiss Development Cooperation (SDC)

Dr Manfred Störmer, Swiss Tropical and Public Health Institute, Basel, Switzerland
Prof. Menoris Meshack, Health Promotion and System Strengthening (HPSS) project, Dodoma, Tanzania
Ralf Radermacher, Micro Insurance Academy (MIA), Bonn, Germany

Project description:
With financial support from the Swiss Cooperation, the Swiss Tropical and Public Health Institute has engaged since 2010 in the Health Promotion and System Strengthening (HPSS) project in the Dodona region in Tanzania. The project, whose ultimate objective is to restructure selected components of the local health system with the objective to improve service delivery, includes a re-design of the local Community Health Fund (CHF). The CHF represents the government-led initiative to increase social health protection through the implementation of district -based micro-health insurance schemes across the nation.

Our team is responsible for the process evaluation related to the component of the HPSS project which pertains to the restructuring of the CHF. Specifically, the study aims at generating information on the implementation processes of the Redesigned CHF program in the seven districts of the Dodoma region, by answering the following research questions: i) What is the extent of adoption and implementation fidelity of the redesigned CHF program? and ii) What factors influence adoption, implementation fidelity and sustainability of the intervention?

The process evaluation will relate its findings to the overall impact achieved by the intervention in relation to both increased enrolment rates and improved satisfaction with the scheme operations. The process evaluation relies on the joint use of quantitative and qualitative methods of data collection and analysis.

Status: ongoing

Contact: Albino Kalolo (a.kalolo@uni-heidelberg.de)