Health System Management Monitoring & Evaluation(HSME)

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    Patients’ satisfaction under National Health Insurance Fund (NHIF): The case of Bugando Referral Hospital
    (Mzumbe University, 2015) Mtwe, Joseph Nyamhanga
    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.
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    Perception, practice and risk factors for self- medication among residents of Kakonko District council
    (Mzumbe University, 2017) Lusinge, Marcely S.
    This study was about perception, practice and risk factors for self-medication. Specific objectives of this study were; to determine the perception of Kakonko District residents towards self- medication, to identify risk factors that influence them to practice self-medication, to identify medicines which are commonly used for self- medication as well as to determine sources of medicines information among those who self- medicate. This study was carried out at Kakonko District council in which 6 wards were randomly selected from the available 11 wards in which in each ward 2 villages were selected. The study area was chosen due to limited health care and increased population as a result of influx of Burundian refugee which jeopardize health services delivery. This study covered 90 respondents with different backgrounds and experiences. Information from respondents were collected through questionnaires and interviews. Results show that out of 90 respondents, only 28% were aware of the concept of self-medication while 88% of all respondents practiced self-medication. Risk factors for self-medication mentioned were as; lack of basic education 64%, dishonorable behaviors of service providers 30%, limited health services 71%, low income 51%, long waiting hours at the facility 61%, knowledge of local medicines 33%, past experience 44% and lastly fear to seek medical care was mentioned by 14% of all respondents. On the other hand, common medicines used were found to be; 14 (25%) respondents said that they usually use ALU for self-medication, 13 (23%) respondents paracetamol, metakelfin was used by 10 (17%), local medicines by 6 (11%) respondents, ciprofloxacin by 3 (5%) respondents, amoxicillin by 7 (12%) while fragyl used by 4 (7%) respondents. Source of medicines information mentioned are individual themselves, friends, family members, parents and other relatives. Given the extent of the study findings, there is a need of concerted efforts to deliver basic factual information to the society on health and social-economic effects of self-medication.