Table 1 Selected characteristics of sampled case study districts
Characteristics | Rural district | Urban district |
|---|---|---|
Population size | 486,900 | 175,717 |
Proportion of the population living below the poverty line (%) | 56 | 46 |
Number of health facilities | 57 | 16 |
Number of government facilities | 47 | 10 |
Population per health facility | 8,542 | 10,982 |
Year of introducing CHF | 1999 | 2008 |
Number of CHF member households and estimated population coverage (2011) | 11,802 (12%) | 792 (2%) |
CHF premium | 3.13 USD per household per year | 3.13 USD per household per year |
CHF benefit package | Outpatient care in selected public primary facility (dispensary or health centre) plus referral care up to 9.38 USD in regional hospital, district designated hospital (faith-based) | Outpatient care in selected public primary facility (dispensary or health centre) |
User fee level | 0.63 USD until 2009 | 0.63 USD for dispensaries and health centres |
1.89 USD since 2009 | ||
Financial flows | CHF, NHIF and user fee revenue pooled in district CHF-account | CHF and user fee revenue deposited in facility bank account. NHIF revenue pooled in the District Medical Officer account |