Anaeli Amani, Peter Massawe Norberth, Mwakafwila Furaha J, Tungu Malale
Department of Development Studies, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of.
School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, United Republic of.
BMJ Open. 2025 Jun 9;15(6):e090489. doi: 10.1136/bmjopen-2024-090489.
This study aimed to explore the barriers to the implementation of the improved Community Health Fund (iCHF) electronic-claim (e-claim) process in primary healthcare services in Tanzania.
A phenomenological study design using a qualitative approach.
In-depth interviews were conducted to collect data from 19 participants from Mkalama and Iramba districts.
The data were collected from the regional health managers, district health managers, information technology officers, facility in-charges and iCHF focal persons from dispensaries, health centres and hospitals. Thematic analysis was employed to analyse the data in this study.
This study identified several key barriers to the implementation of the iCHF e-claim process. The barriers include financial governance and oversight, institutional capacity for the iCHF e-claim process, staff negligence in complying with iCHF guidelines, resource availability, and logistical shortcomings for handling iCHF e-claim processes.
The iCHF e-claim process is inadequately implemented and does not attract healthcare workers due to the observed challenges. There is a need for joint efforts to improve the implementation of the iCHF e-claim process involving stakeholders at all levels.
本研究旨在探讨坦桑尼亚初级卫生保健服务中改进后的社区卫生基金（iCHF）电子索赔流程实施的障碍。
采用定性方法的现象学研究设计。
通过深入访谈从姆卡拉马和伊兰巴地区的19名参与者收集数据。
数据收集自区域卫生管理人员、地区卫生管理人员、信息技术官员、机构负责人以及来自药房、健康中心和医院的iCHF协调人。本研究采用主题分析法对数据进行分析。
本研究确定了iCHF电子索赔流程实施的几个关键障碍。这些障碍包括财务治理与监督、iCHF电子索赔流程的机构能力、工作人员在遵守iCHF指南方面的疏忽、资源可用性以及处理iCHF电子索赔流程的后勤缺陷。
由于观察到的挑战，iCHF电子索赔流程实施不力，无法吸引医护人员。需要各级利益相关者共同努力，以改善iCHF电子索赔流程的实施。
