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MAKING FBO PARTICIPATE IN CHF OPERATIONS

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MAKING FBO PARTICIPATE IN CHF OPERATIONS Powered By Docstoc
					       CHF Best Practices


MAKING FBO PARTICIPATE IN CHF
        OPERATIONS


       ROMBO DISTRICT COUNCIL
     Presenter: Dr. C.E. Nkya - DMO
          And Secretary CHSB -
              ENROLLMENT

• Currently there are 8,415 households enrolled
  OUT OF 60,000 WHICH IS ABOUT 14%
• Rombo district Council started CHF on 1st
  March 2005
• Enrollment steadily increased for the first six
  month (march – september’2005)
• After that we observed a decline
      Factors contributing to declining
               membership:

• Misleading information about CHF to the
  community during campaigns in general
  election.
• Lack of enough sensitization
• The premium level of 10,000/= was too much for
  most of the households
• Shortage of drugs at the District Hospital
        PROVISION ISSUES

• CHF scheme covers one DDH, 4 public
  health centers, 18 public dispensaries

• CHF covers both outpatient and inpatient
  services
          CHF contract with DDH

• Rombo DDH is owned by the Roman Catholic
  Church, subsidized by the government.
• It provides health services to CHF members
  under the contract between the District
  Executive Director and the DDH
• Under the contract, the CHF patient should have
  a referral letter from the primary health facility
  except seriously ill patients or involved in
  accident.
• The patients should have CHF membership
  cards with the photographs of six beneficiaries.
          CHF contract with DDH

• The District council introduced the CHF claim
  forms to DDH which have to be filled for each
  CHF patient service (fee per service
  reimbursement) rendered and sent to DMO
  monthly
• A sub committee which comprises 2 people
  from the hospital (DDH) and 2 out of CHMT
  members crosscheck the claim forms
• Payments have to be authorized by DMO, DED,
  and the Board chairman
• Since the introduction of this claim forms there
  are less complains from DDH
            ACHIEVEMENTS
• The CHF members are appreciating health
  services provided
• Availability of Drugs all the time
• Sense of ownership to health facility around
  them
• Patient referred from primary health facilities to
  DDH
• Rational prescription has started picking up
• Demand for VAs and private dispensaries to
  give services to CHF members
                   Challenges

• Council does not have direct authority to a DDH

• Drop out of qualified staff at DDH

• Difficulties in agreement on claims and
  reimbursements
    RECOMMEDATIONS FOR MAKING
      FBOS PARTCIPATE IN CHF
           OPERATIONS

•   Claim forms for payments
•   Government management control
•   Special services room for CHF members
•   Grant for exempted groups
•   Staff recruitment.
• ASANTENI SANA KUTOKA ROMBO.

				
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