Transcript KARAGWE DISTRICT COUNCIL

KARAGWE DISTRICT
COUNCIL
Funding drug gaps by using
CHF
By Dr Ruta Thomas
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Outline
1.
2.
3.
4.
5.
Introduction
Community Health Fund
Drug Revolving Fund
Challenges
Way forward
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Introduction
• Karagwe is one of the districts in Kagera region
• It is served by a total of 52 health facilities of
which 36 are owned by the council others are
under ownership of Faith based organizations
• All council owned facilities are receiving drugs
from the government through Medical Stores
Department (MSD) under Indent system
• Despite of indent system there is insufficient
drug supply due to either missing of essential
items at MSD and/or delay of supplies from MSD
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Community Health Fund
• CHF started in January 2007
– CHF contribution is 15000/- per household
– User fee is 1000/= at dispensaries and 1500/=
at health centre level
• Each beneficiary is issued a card that
enables her/him to access health services
at all council owned facilities
• Health staff have been trained on financial
management
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Drug Revolving Fund (DRF)
• Now on process to establish DRF
• Note: Health financing and DRF are among the
components of PHC project which is supported
by Belgian Government- they are
interdependent
• DRF aims at addressing availability of essential
drugs and supplies at the district level
• DRF will be purchasing drugs from MSD and
other suppliers as per government regulations
• Initial stocks of drugs will be purchased using
funds from the donor
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DRF continues,
• Health facilities will procure supplementary
drugs from DRF by using funds which are
collected through user fee and CHF
– The procurement will be initiated the health
facility committee and approved by Council
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DRF-current situation
• Health staffs have been trained on rational drug
use
• Recruitment of key staff: Pharmacist and
Accountant
• Building financial capacity of the ‘customer’
(health facility) through user fee and CHF
• Construction of a standard district drug store is
now on final stages
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District Drug store-under
construction
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Challenges
• Inadequate number qualified staff
– But the government has approved
employment of 151 health staffs of different
cadres for 2006/2007 financial year
• Low enrolment to CHF
– ?timing: (January)
– Non-involvement faith based health facilities
in CHF
– The contribution
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Way forward
• Completion of drug store
• The MOHSW is requested to post staff
• Negotiation with:
– SACCOS: to pay for their members
– Faith based organizations, etc
• Conducting another sensitization for the
period starting in July: still under
discussion
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THANK YOU
FOR
LISTENING
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