A public/private partnership experiment in the area of social health protection in Tanzania

An NGO, the Centre International de Développement et de Recherche (CIDR, International Centre for Development and Research), supported a network of mutual health organisations in the Mbozi district of the Mbeya region in Tanzania. The target population were households living in rural areas from the...

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Main Authors: Bruno Galland, Josselin Guillebert, Alain Letourmy
Format: Article
Language:English
Published: Institut Veolia Environnement 2012-11-01
Series:Field Actions Science Reports
Subjects:
Online Access:http://journals.openedition.org/factsreports/1826
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author Bruno Galland
Josselin Guillebert
Alain Letourmy
author_facet Bruno Galland
Josselin Guillebert
Alain Letourmy
author_sort Bruno Galland
collection DOAJ
description An NGO, the Centre International de Développement et de Recherche (CIDR, International Centre for Development and Research), supported a network of mutual health organisations in the Mbozi district of the Mbeya region in Tanzania. The target population were households living in rural areas from the informal sector that had access to the services of a private religious hospital. The project was not in line with the national policy that, for this population category, promoted Community Health Funds (CHFs), voluntary health coverage organisations that only provide access to the district's public care structures and are therefore managed by district authorities. The results obtained by the network of mutual organisations provided an incentive for a partnership between public and private stakeholders. The partnership gave rise to the development of hybrid mutual and CHF organisations and allowed mutual organisations and the private hospital to benefit from subsidies reserved for CHFs. The partnership was replicated in the neighbouring district of Kyela, with the subsidising of contributions by the district and a private company (Biolands) that sells cocoa. The coverage by mutual organisations of people living with HIV/AIDS was organised thanks to the Elton John Foundation and associations of patients. The results of this extended partnership were even better than in the neighbouring district. The conditions for the success and sustainability of the experiment are discussed here.
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spelling doaj.art-a61d7dd3fc4b4bd8905978485bccaa802022-12-21T18:50:58ZengInstitut Veolia EnvironnementField Actions Science Reports1867-139X1867-85212012-11-01A public/private partnership experiment in the area of social health protection in TanzaniaBruno GallandJosselin GuillebertAlain LetourmyAn NGO, the Centre International de Développement et de Recherche (CIDR, International Centre for Development and Research), supported a network of mutual health organisations in the Mbozi district of the Mbeya region in Tanzania. The target population were households living in rural areas from the informal sector that had access to the services of a private religious hospital. The project was not in line with the national policy that, for this population category, promoted Community Health Funds (CHFs), voluntary health coverage organisations that only provide access to the district's public care structures and are therefore managed by district authorities. The results obtained by the network of mutual organisations provided an incentive for a partnership between public and private stakeholders. The partnership gave rise to the development of hybrid mutual and CHF organisations and allowed mutual organisations and the private hospital to benefit from subsidies reserved for CHFs. The partnership was replicated in the neighbouring district of Kyela, with the subsidising of contributions by the district and a private company (Biolands) that sells cocoa. The coverage by mutual organisations of people living with HIV/AIDS was organised thanks to the Elton John Foundation and associations of patients. The results of this extended partnership were even better than in the neighbouring district. The conditions for the success and sustainability of the experiment are discussed here.http://journals.openedition.org/factsreports/1826micro health insurancepublic-private partnershipsocial protectionTanzania
spellingShingle Bruno Galland
Josselin Guillebert
Alain Letourmy
A public/private partnership experiment in the area of social health protection in Tanzania
Field Actions Science Reports
micro health insurance
public-private partnership
social protection
Tanzania
title A public/private partnership experiment in the area of social health protection in Tanzania
title_full A public/private partnership experiment in the area of social health protection in Tanzania
title_fullStr A public/private partnership experiment in the area of social health protection in Tanzania
title_full_unstemmed A public/private partnership experiment in the area of social health protection in Tanzania
title_short A public/private partnership experiment in the area of social health protection in Tanzania
title_sort public private partnership experiment in the area of social health protection in tanzania
topic micro health insurance
public-private partnership
social protection
Tanzania
url http://journals.openedition.org/factsreports/1826
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