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The Impacts of Cost Sharing in Health Services in Geita Distrct, Tanzania

Robert Ngelela Shole


A study on the impact of cost sharing in health services was carried out in Geita District focussing on health service provision. A sample size of 96 respondents includes 24 health workers and 72 households’ heads. Household heads were chosen to represent the community receiving health services. Health workers were chosen to represent health service providers who are providing health services in the study area. A cross sectional research design was adopted involving administration of structured questionnaires to both primary and secondary partners, complemented by relevant documentation. Statistical Package for Social services (SPSS) software was employed in data coding and analysis. The study revealed that the aim of cost sharing on health service is good. But the nature of the Tanzanians of being poor among the poorer and poor government procedure for sensitizing its policies before implementation impend the target and objectives of cost sharing on health service. More than 67% people earn less than 50,000 per month and more than 10% do not attend hospital services if they become sick. Also, more than 58% of people are not aware about cost sharing on health service. The study makes the following recommendations to improve health service provision under cost sharing policy. The spirit of working very hard in production activities should be done by all Tanzanians to reduce poverty. The government should educate its people at all levels such as villages, wards, division, district, region and national to make them aware on any policy like cost sharing on health service. Capacity building should be done to health workers to follow all the guidelines and conditions of cost sharing on health service provision.






Cost sharing, health services, poverty, willingness and ability to pay for health service

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