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Costing HIV/AIDS Services for Community Health Fund Members and Non-members in Hanang District, Tanzania

Chanfreau, C. , Musau, S. and Kidane, L. (2005) Costing HIV/AIDS Services for Community Health Fund Members and Non-members in Hanang District, Tanzania. UNSPECIFIED. (Unpublished)

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Abstract

This study analyzes the costs and use of HIV/AIDS services by people living with HIV/AIDS (PLWHA) who are members and non-members of the Community Health Fund (CHF), a prepaid health scheme in the Hanang district of Tanzania. The study comprised multi-facility, retrospective, and analytical analyses of HIV/AIDS services for the year 2002. Medical utilization data through a retrospective review of the facility records and 1,666 medical charts of 464 PLWHA were analyzed. The study collected data on the direct costs of providing HIV/AIDS services within the CHF package of benefits. Members are 1.6 times more likely to access outpatient care than non-members. CHF members use outpatient services more regularly than non-members, with an average number of revisits per patient per year of 1.8 for members versus 1.6 for non-members. CHF members are 40 percent less likely to have inpatient care compared to non-members and require a shorter inpatient stay. Voluntary counseling and testing services are underused in the district. Members consume 30 percent more outpatient resources per year but consume 40 percent less inpatient resources than non-members. There is no appreciable difference between the two populations for the cost of care per visit or admission. No major differences are found between services provided to the two groups. Major differences in costs exist with regards to the facility where the inpatient stay takes place. The total cost of care of PLWHA is on average Tanzanian shillings (TSh) 6,543 for members and TSh 5,960 for non-members. The total cost of care used by an individual PLWHA is on average 65 percent of the annual premium for a household.

Item Type: Other
Keywords: HIV/AIDS;Health Fund;Hanang;Tanzania
Subjects: HIV > Surveillance
Health Systems > Surveillance, monitoring & evaluation
Divisions: Other
Depositing User: Mr Joseph Madata
Date Deposited: 18 Dec 2012 11:42
Last Modified: 18 Dec 2012 11:42
URI: http://ihi.eprints.org/id/eprint/695

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