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Table 2 Chronology of events preceding and following the takeover of the management of the CHF by the NHIF

From: Promoting universal financial protection: a case study of new management of community health insurance in Tanzania

Date

Event

2007

Cabinet directive No 37/2007 to synchronise the NHIF and the CHF to support the implementation of the Primary Health Services Development Programme and provide technical and managerial support and extend CHF coverage.

31st January- 2nd February, 2007

CHF best practice workshop in Dar es Salaam funded by SDC and GTZ in collaboration with the MoHSW.

October, 2007

Ten year evaluation of the health sector recommending synchronization of NHIF and CHF operations conducted by an external consultant and commissioned by development partners and the Government of Tanzania.

March, 2008

Resolution by MoHSW management team that the NHIF should oversee CHF.

August, 2008

Regulatory framework feasibility study commissioned by the MoHSW which included a scenario on merging the NHIF and CHF funded by GIZ and SDC.

4th June, 2009

Signing of MOU between the MoHSW, PMO-RALG and NHIF management. Secondment of MoHSW national CHF coordinator to the NHIF.

September 2009

Country evaluation of the net worth of the CHF by the NHIF.

October 2009

The CHF action plan 2009–2012 developed.

February 2010

Appointment of staff to oversee CHF at the zonal/regional NHIF offices.

March 2010

The NHIF began payment of matching funds to the districts.

September 2011

CHF Directorate created within the NHIF.

Late 2011

CHF action plan revised for remaining year.

December 2011

Meeting of CHF coordinators from across the country to inform about the reform and set targets to meet 30% coverage nationally.

February-April 2012

National client days to gather opinions on CHF implementation.

Printing and distribution of CHF leaflets and posters.

Districts are instructed to budget for use of CHF cars that can be used to promote CHF, showing promotional films to communities.

June 2012

NHIF and CHF management teams expected to report on 3 year experience and present plan for coming years to the MoHSW and PMOLARG.