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Drivers for implementing e-claim process of improved Community Health Fund from two districts in Central Tanzania. | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL This is a preprint and has not been peer reviewed. Data may be preliminary. 3 September 2025 V1 Latest version Share on Drivers for implementing e-claim process of improved Community Health Fund from two districts in Central Tanzania. Authors : Furaha Mwakafwila J [email protected] , Malale Tungu , Kenneth Mlay 0000-0002-9577-5487 , and Amani Anaeli Authors Info & Affiliations https://doi.org/10.22541/au.175692132.23078011/v1 120 views 99 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Background: In most Low and Middle-Income Countries (LMICs), enrolment in community-based health insurance (CBHI) is still low. In Sub-Saharan Africa enrolment rate is less than 10%. In 1996, Tanzania introduced Community Health Fund (CHF) which was modified in 2011 whereby the government came up with the improved community health fund (iCHF). The introduction of iCHF was intended to improve service delivery to the population where an electronic integrated management information system was introduced. Objective: This study was set to explore the drivers for implementing the e-claim process of improved Community Health Funds from two districts in Central Tanzania. Methods: An exploratory case study design using a qualitative approach was adopted to explore information on the drivers of the implementation of the iCHF electronic claim process in Mkalama and Iramba districts in Singida region. In-depth interviews were used to collect data from the Eighteen (18) participants including regional health managers, district health managers, Information Technology (IT) officers, facility in charge and iCHF focal persons from dispensaries, health centres and hospitals. Data were analyzed using a thematic content analysis. Results: The drivers for implementing the iCHF e-claim process were adherence to supervision directives and government policy, resource management and client satisfaction but the e-claim system does not attract Health Community Workers (HCWs) to comply with the iCHF e-claim process Conclusion: The iCHF e-claim process is inadequately implemented and does not attract Health care workers (HCWs) due Supplementary Material File (manuscript_(f)e-claim.doc) Download 192.50 KB Information & Authors Information Version history V1 Version 1 03 September 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Keywords cbhi ichf nhif Authors Affiliations Furaha Mwakafwila J [email protected] Muhimbili University of Health and Allied Sciences School of Public Health and Social Sciences View all articles by this author Malale Tungu Muhimbili University of Health and Allied Sciences School of Public Health and Social Sciences View all articles by this author Kenneth Mlay 0000-0002-9577-5487 Kilimanjaro Christian Medical University College View all articles by this author Amani Anaeli Muhimbili University of Health and Allied Sciences School of Public Health and Social Sciences View all articles by this author Metrics & Citations Metrics Article Usage 120 views 99 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Furaha Mwakafwila J, Malale Tungu, Kenneth Mlay, et al. Drivers for implementing e-claim process of improved Community Health Fund from two districts in Central Tanzania.. Authorea . 03 September 2025. DOI: https://doi.org/10.22541/au.175692132.23078011/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . Format Please select one from the list RIS (ProCite, Reference Manager) EndNote BibTex Medlars RefWorks Direct import Tips for downloading citations document.getElementById('citMgrHelpLink').addEventListener('click', function() { popupHelp(this.href); return false; }); $(".js__slcInclude").on("change", function(e){ if ($(this).val() == 'refworks') $('#direct').prop("checked", false); $('#direct').prop("disabled", ($(this).val() == 'refworks')); }); View Options View options PDF View PDF Figures Tables Media Share Share Share article link Copy Link Copied! Copying failed. 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