1. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 031st Jan - 2nd February 20060 Mtwara Mikindani Muncipal Council Preparing for the TIKA – report from the field D.S Dotto, Municipal Health Officer

2. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 11CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara Urban Introduction CHF Scheme differs from other Districts as it requires urban set up Since 2005, the CHSB and HFGC are in place 2004 – 2005 MoH organized various seminars on the module for CHF Urban During 2005, the Council received a “TIKA” TIBA KWA KADI module to implement CHF in urban areas 31st Jan - 2nd February 2006

3. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 22CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Modalities in Establishment of CHF urban With TGPSH support a technical meeting was conducted to review urban CHF design. The TIKA module adapted some features from CHF, which was accepted for implementation Some special features: Membership: Ordinary Category: 5000 TSH p.a. (groups of 6, family of 6, 6 students) Secondary Category: 20.000 TSH p.a. ( ordinary + fast track service) 31st Jan - 2nd February 2006

4. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 33CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Modalities in Establishment of CHF urban Benefit Packages: Ordinary Category: - All services offered at public dispensaries and health center level as per MoH Guidelines, including chronic diseases + admission up to 3 day Secondary Category: - Ordinary services + fast track arrangements + admission up to 7 days. Each member gets her/his own CHF ID Card 31st Jan - 2nd February 2006

5. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 44CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Modalities in Establishment of CHF urban Regional CHF Steering Meeting: Every District CHF Coordinator is required to prepare regular progress reports This encourages active CHF implementation CHF Regional Meeting: 31st Jan - 2nd February 2006

6. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 55CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Progress???? The management organs meet quarterly Budget to run the meeting is allocated in Comprehensive Council Health Plans Up to date, there are 50 registered CHF members CHF Coordinator, being part of CHMT, performs routine CHF supervision quarterly 31st Jan - 2nd February 2006

7. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 66CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Progress Ward Development committee identifies the poor  sensitized community contributes for them (gap will be filled by health department / CCHP) More and more sensitization campaigning Community leaders and the community in general are showing solidarity concerning all aspects of CHF 31st Jan - 2nd February 2006

8. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 77CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Innovative Approaches in TIKA Preparation Channel CHF awareness through big organizations (i.e. OLAM, Trade unions + small social economic groups (i.e. Women SACCOS)  employees and members can join the scheme. Invitation of business people, official leaders and others who are in position to contribute to raise CHF funds. Sensitization team agreed to have a meeting with all councilors and be more sensitized on pro poor program 31st Jan - 2nd February 2006

9. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 88CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Innovative Approaches in TIKA Preparation Use of community representatives, influential people and drama groups to increase CHF ownership. Contact market business people through their organization (WABISOKO) to give them the chance of joining the scheme. 2005/2006, CCHP has allocated 6,000,000 TSH for the pro poor program. Newly raised funds will also be used to support the pro poor program 31st Jan - 2nd February 2006

10. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 99CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Challenges Some groups are still not reached for sensitization due to inadequate funds Irregular drug flow through indent system by MSD Many missing items at MSD Zonal stores 31st Jan - 2nd February 2006

11. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 10 CHF best practice WS, Golden Tulip Hotel, DSM CHF Mtwara urban Envisaged Way Forward Establish a database of people with low income (poor) in every ward. Reduce the problem of poor staff performance  the council has planned to conduct a course of medical ethics every year. Committee for community services will visit all health facilities quarterly to observe quality of health services offered and set backs. As use of photographs in ID Cards is a problem  Council has already processed to buy a Camera for CHF 31st Jan - 2nd February 2006

12. 31st Jan- 2nd Feb, 2007CHF best practice WS, Golden Tulip Hotel, DSM 11 CHF best practice WS, Golden Tulip Hotel, DSM Thank you for your attention! 31st Jan - 2nd February 2006