Abstract:
Tanzania. like many other African countries. has nearly half the health system financing coming from households. The
government and development partners contribute approximately 45% of total health system financing out of which the
development partners (donors) contribute about ham of the total health sector budget. This scenario occurs in the hackdrop
of the existence of the National Health Insurance Fund (NHIF) whose mandate is to facilitate affordability and access to
healthcare services to its members throughout the country.
The accredited health care services providers through NHIF have not yet been able to provide affordable and quality health
services to their members. It is in this regard that the study aimed at assessing the performance of the National Health
Insurance Fund using Moshi Municipality Council as a case study Thus, the study sought to determine the NHIF members
' satisfaction levels on the quality of services provided at the accredited health care facilities. Levels of effectiveness of
service delivery at these health facilities as well as challenges faced were also identified leading to recommendations on
the areas of improvement being made.
