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Patients’ satisfaction under National Health Insurance Fund (MHIF):The case of Bugando Referral Hospital
(Mzumbe University, 2015) Mtwe, Joseph Nyamhanga
Patients’ satisfaction under National Health Insurance Fund (NHIF):The case of Bugando Referral Hospital Introduction: The National Health Insurance Fund (NHIF), scheme was initiated in 2003 by the government, with the aim of making health care services accessible to the formal sector employees.
Objective: The main objective of this study was to assess the patients’ level of satisfaction under NHIF and factors influencing their satisfaction.
Methods: The study employed a cross sectional study design involving 82 NHIF outpatients. Qualitative and quantitative approaches were employed; the data collection methods used includes questionnaire administration, focus group discussions and documentary review.
Results: It emerged from the study that, insured patients had good expectation towards health services as well as good attitude with health service at the OPD, except poor attitude was noted on patients’ comfort ability towards health service. 37 (52.9%) respondents expressed poor attitude. Also 38 (54.2%) respondents indicated dissatisfaction on accessibility of the health services, especially enough space and seats.
Furthermore, up to 36(51.4 %) respondents were dissatisfied with too long consultation time; and 34 (48.6%) respondents were dissatisfied with the service area at OPD, being inconvenient for the provision of health care to the insured patients.. It however emerged from the study that respondents were moderately satisfied with the availability of health services at the OPD and were satisfied with the quality of health services at the OPD.
Conclusion: The study recommends action to be taken by NHIF scheme together with the hospital administration on addressing patients’ concerns for the purpose of improving the provision of health services. They should also include patient satisfaction strategies in their strategic plan for monitoring and evaluation of patient satisfaction under NHIF
An assessment of family planning program data quality: A case of Tarime district
(Mzumbe University, 2018) Sufian, Magetta S.
BACKGROUND: Family planning encompasses the accessibility of services, policies, information, attitudes, practices and commodities, that gives women, men, couples, and adolescents the ability to avoid unintended pregnancy and choose whether and or when to have a child and the preferable number of children. It is a cross-sectoral intervention that can hasten progress across the sustainable development goals (Starbird, 2016). Inadequate information and poor data quality on family planning intervention program seems to affect contraceptives uptake records across different level of response. Investing on family planning program data quality assessment can bridge up the gap between the observed differences.
OBJECTIVES: The aim of this evaluation study was to determine the tools used by health care providers in recording and reporting family planning data at facility levels, to assess how data collected at different levels with different organisation have similarities, and exploring how different organizations assess family planning data quality collected at different levels.
METHODS: The study was conducted at Tarime district in the DMO’s office, 19 health facilities, RMO’s office and Program’s office. Qualitative research design was used in this study, purposive sampling methods applied, the researcher used both primary and secondary data through questionnaires and documentary review respectively, and lastly data analysed by excel and Atlas.ti software.
RESULTS: Family planning data recording and data reporting tools was available in all public health facilities visited, however, there were data disparity between health facility and district level, as well as District and Regional office. Though data similarities were observed between District office and program office. Data quality assessment was not vii done in the health facilities for almost 90% but seems to be done at the District and in the Regional levels in collaboration with partners.
CONCLUSSION: The findings concluding that Family planning program use MTUHA book no 8 which consist of three books namely registers, tally sheet and summary report books as a data recording and data reporting tools in the health facilities, despite that tools are available but still the quality of data remained doubtful due to data disparities observed in the documentary review across different level of response. Family planning data quality assessment is only performed at the District and in the Region level but rarely and improperly conducted at facility levels due to some observed challenges like inadequate knowledge for FP DQA, lack of skilled team, lack of standardized data quality assessment tools, mistrust of data collectors at different levels, data manipulation to fulfil donors requirements, parallel reporting and report overburden at the health facilities.
Pastoralism reorganised: Maasai resilience and governance in the shadow of mega-infrastructure in Tanzania
(Cogent Social Sciences- Taylor &Francis, 2026) Chambo, Makulangwa Jeremiah; Massoi, lucy Willy
Mega-infrastructure projects are widely promoted as engines of modernisation in Africa, yet their implications for pastoralist societies remain contested. this article examines how Tanzania’s Standard Gauge railway (SGr) has reshaped livelihoods, governance, and spatial practices among the Ilparakuyo Maasai in Kilosa District. using interviews, focus group discussions, and field observations, the study draws on lefebvre’s notion
of the production of space and resilience theory to analyze community responses. the findings show that the SGr has not displaced pastoralists but reorganised their practices through adaptation rather than transformation. Stations and adjacent settlements became economic hubs appropriated by women traders and youth entrepreneurs, with profits often reinvested in livestock, reinforcing pastoral continuity. resilience emerged through livelihood diversification, though unevenly distributed across households.
Governance appeared as a contested arena, where elders mediated disputes, women pressed for inclusion, and state regulations reshaped authority. the study argues that the SGR generates hybrid socio-spatial realities in which pastoralists assert agency, reorganise livelihoods, and renegotiate authority. By moving beyond binary narratives of disruption versus modernisation, it extends debates on infrastructure, resilience, and governance in African rangelands.
Assessment of factors influencing community health fund member’s satisfaction with treatment services offered through community health fund
(Mzumbe University, 2015) Swai, Denis F.
Background: In Tanzania, Community Health Fund (CHF) was initiated in 1996 with the aim of implementing a community Based Health Financing Scheme through volunteer membership contribution as additional income to improve access to quality health care service for marginalized rural community. The evaluation was conducted to assess factors that influencing Community Health Fund member‟s satisfaction with treatment services offered through Community Health Fund membership.
Methods: A cross sectional study design was employed that involved 153 respondents for which allowed collection of data that provided a descriptive estimates of the population parameters. The study was guided by Donabedian conceptual framework where by questionnaires were designed to assess structures, process of service delivery and treatment outcome as attributes of satisfaction. A sample size of 153 respondents was calculated by statalcl 13 (64-bit) within the effect size of 0.7– 0.8 one sample (Alpha = CI=95%, α=0.05, two-sided). Two health facilities were involved in the exit interview where by respondents were selected and interviewed based on their inclusion criteria.
Results: A bigger proportional of female 55(60%) and 40(60%) in Likombe and Mikindani compared to male 37(40%) and 21(34%). A big proportional of respondents revealed that structures of health facility include availability of adequate Health Care Providers (HCPs) and medicines influence their satisfaction (p=0.05). Most of respondents were happy with the quality of available medical supplies and it was statistically significant at satisfaction level (p=0.02). The process of service delivery indicate that CHF members spend more than one hour to receive treatment service in health facility from their first contact and there was significant association between time spent and satisfaction(p=0.02). However, significance association was found between happiness with treatment and overall satisfaction level with services (p=0.03) though members do not feel much difference from being a CHF member and other patients.
Conclusions: All three attributes - Structure of the health facility, process and treatment outcomes significantly influence CHF members satisfaction of treatment services provided through CHF membership. However, the availability of medicines and qualified HCPs have great influence in the Satisfaction with structures, while there is a significant influence of time in satisfaction with process of services provision and treatment results have significant association with service provided.
Tija za tohara kwa jamii za Kiafrika: Uchunguzi wa mhusika Omolo katika riwaya ya ua la faraja (2004)
(Journal of Kiswahili and Other African Languages, 2025) Fuluge, Adria; Duwe, Martina
Katika jamii nyingi za Kiafrika, tohara ni mchakato wenye thamani na tija kubwa kwa baadhi ya makabila, husuani kwa kijana wa kiume. Katika makabila hayo, asiyetahiriwa huonekana kuwa bado ni mtoto na hajakomaa kifikra na kiutu, ambapo huweza hata kutengwa katika kushirikishwa baadhi ya masuala ya kijamii. Kijana huyo kama umri wake ni mkubwa, huweza kudharauliwa na rika lake na hata waliopo chini yake. Sambamba na hilo, katika maisha halisi ya Waafrika, tohara huchukuliwa kwa thamani inayoweza kuendeleza na kuhifadhi utambulisho wa kitamaduni na kijamii. Kwao, tohara humfanya mtu atambulike kwa namna tofauti na ilivyokuwa awali. Kwa jumla, thamani ya tohara kwa Waafrika ni suala lililowashughulisha wataalamu wengi. Hata hivyo, pamoja na kuwepo kwa tafiti nyingi kuhusu tohara kwa Waafrika, bado tija za tohara kwa kufungamanisha na fasihi andishi haijamakinikiwa kwa umahususi wake. Kwa hiyo, makala hii inashughulikia jambo hilo kwa kumrejelea mhusika Omolo kutoka riwaya ya Ua la Faraja (2004). Data za matokeo haya zilipatikana maktabani kwa kutumia mbinu ya usomaji matini. Vilevile, misingi ya Nadharia ya Sosholojia ya Kifasihi imetumika katika mchakato wa kuchunguza, kuchanganua, na kuwasilisha data zilizozaa matokeo hayo. Mjadala unaonesha kwamba tohara katika maisha ya Waafrika ina tija mbalimbali kulingana na utoshelevu wa kaida zao. Makala hii inajadili tija nne; nazo ni: Kudumisha mila, kuleta heshima kwa mhusika, kujikinga na magonjwa, na kujenga ujasiri na ukakamavu.