Currently, neither of Tanzania’s health insurance schemes—the National Health Insurance Fund (NHIF) and Improved Community Health Fund (iCHF)—cover HIV services. As donor resources to cover HIV care and treatment are declining globally, integrating HIV services into national health insurance is one option for Tanzania to sustainably increase domestic resources to fund such services. This analysis assesses the feasibility of integrating HIV services into Tanzanian insurance schemes and provides evidence on the incremental financing requirements to cover costs for these additional services within the two existing schemes. The results show that integrating HIV services into the NHIF is feasible in the short-to-medium term, however, under its current design, including HIV services as part of the iCHF is not financially feasible, but it could be considered in the future under a single national health insurance scheme with cross-subsidization from the NHIF.
Lee, B., A. Dutta, K. Tarimo, and S. Prabhakaran. 2018. Mainstreaming HIV Services in Tanzanian Health Insurance. Washington, DC: Palladium, Health Policy Plus. USAID DEC: PA-00T-MBT
English PDF 1027.4 kbJanuary 2019
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