1 KARAGWE DISTRICT COUNCIL Funding drug gaps by using CHF By Dr Ruta Thomas
Dec 17, 2015
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KARAGWE DISTRICT COUNCIL
Funding drug gaps by using CHF
By Dr Ruta Thomas
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Outline
1. Introduction
2. Community Health Fund
3. Drug Revolving Fund
4. Challenges
5. Way forward
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Introduction
• Karagwe is one of the districts in Kagera region• It is served by a total of 52 health facilities of
which 36 are owned by the council others are under ownership of Faith based organizations
• All council owned facilities are receiving drugs from the government through Medical Stores Department (MSD) under Indent system
• Despite of indent system there is insufficient drug supply due to either missing of essential items at MSD and/or delay of supplies from MSD
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Community Health Fund
• CHF started in January 2007– CHF contribution is 15000/- per household– User fee is 1000/= at dispensaries and 1500/=
at health centre level
• Each beneficiary is issued a card that enables her/him to access health services at all council owned facilities
• Health staff have been trained on financial management
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Drug Revolving Fund (DRF)
• Now on process to establish DRF • Note: Health financing and DRF are among the
components of PHC project which is supported by Belgian Government- they are interdependent
• DRF aims at addressing availability of essential drugs and supplies at the district level
• DRF will be purchasing drugs from MSD and other suppliers as per government regulations
• Initial stocks of drugs will be purchased using funds from the donor
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DRF continues,
• Health facilities will procure supplementary drugs from DRF by using funds which are collected through user fee and CHF – The procurement will be initiated the health
facility committee and approved by Council
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DRF-current situation
• Health staffs have been trained on rational drug use
• Recruitment of key staff: Pharmacist and Accountant
• Building financial capacity of the ‘customer’ (health facility) through user fee and CHF
• Construction of a standard district drug store is now on final stages
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District Drug store-under construction
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Challenges
• Inadequate number qualified staff– But the government has approved
employment of 151 health staffs of different cadres for 2006/2007 financial year
• Low enrolment to CHF– ?timing: (January)– Non-involvement faith based health facilities
in CHF– The contribution
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Way forward
• Completion of drug store
• The MOHSW is requested to post staff
• Negotiation with:– SACCOS: to pay for their members– Faith based organizations, etc
• Conducting another sensitization for the period starting in July: still under discussion
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