Abstract:
Tanzania, like many other African countries, has nearly half of the health system financing coming
from households. The government and development partners contribute approximately 45% of total
health systems financing out of which the development partners (donors) contribute about half of the
total health sector budget. This scenario occurs in the backdrop of the existence of the National Health
Insurance Fund (NHIF) whose mandate is to facilitate affordability and access to health care 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 aims at assessing the performance of the National Health Insurance Fund using
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.
