Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council
A Dissertation submitted to the School of Public Administration and Management (SOPAM) In Partial Fulfillment of the requirements for the Degree of Master's In Health System Management (MHSM) Mzumbe University
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| Format: | Thèse |
| Langue: | anglais |
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Mzumbe University
2026
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| Accès en ligne: | https://scholar.mzumbe.ac.tz/handle/123456789/2195 |
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| _version_ | 1872791449667371008 |
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| author | Chengula, Veronica ,Andreas. |
| author_facet | Chengula, Veronica ,Andreas. |
| author_sort | Chengula, Veronica ,Andreas. |
| collection | DSpace |
| description | A Dissertation submitted to the School of Public Administration and Management (SOPAM) In Partial Fulfillment of the requirements for the Degree of Master's In Health System Management (MHSM) Mzumbe University |
| format | Thesis |
| id | ir-:123456789-2195 |
| institution | Mzumbe University |
| language | English |
| publishDate | 2026 |
| publisher | Mzumbe University |
| record_format | dspace |
| spelling | ir-:123456789-21952026-07-22T22:00:26Z Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council Chengula, Veronica ,Andreas. Health services Health financing Public health management A Dissertation submitted to the School of Public Administration and Management (SOPAM) In Partial Fulfillment of the requirements for the Degree of Master's In Health System Management (MHSM) Mzumbe University The study looks into the effects of exemptions on cost sharing practices at Chunya district hospital. The research objectives were to determine the awareness of health service providers on exemption mechanisms, how exemptions are implemented and satisfy the eligible groups, what are the effects of exemptions and identifying appropriate mechanisms of improving the implementation of exemptions. The study adopted a case study design by using questionnaires and interviews for primary data collection while secondary data were obtained from reviewed relate documents. The study was completed by 60 respondents working in different departments of Chunya district hospital including CHMT. Moreover, the sampling techniques were both non-probability and probability sampling, which include purposive sampling and simple random sampling. From the findings of the study, the majority 55 (91%) were aware with exemption Mechanisms in their work place. Moreover, on the satisfaction of the groups who are exempted 35 (58%) the system is satisfying with some challenges. Furthermore, on the effects of exemptions on cost sharing the result showed that 56 (93%) of respondents agreed that exemptions has effects of cost sharing due to lower revenue collections, workforce crisis and inadequate medicine and medical supplies. Tanzania should implement cost sharing and exemption mechanisms in situations that can maximize the revenue collection, compensate the revenue lost in exemption by using tax collected from natural resources i.e. gold mining, tourism, gas and mobilization of CHF. Private 2026-07-22T13:27:29Z 2015 Thesis APA https://scholar.mzumbe.ac.tz/handle/123456789/2195 en application/pdf Mzumbe University |
| spellingShingle | Health services Health financing Public health management Chengula, Veronica ,Andreas. Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council |
| title | Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council |
| title_full | Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council |
| title_fullStr | Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council |
| title_full_unstemmed | Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council |
| title_short | Effects of exemptions on cost sharing practices in government health facilities: A case study Chunya District Council |
| title_sort | effects of exemptions on cost sharing practices in government health facilities a case study chunya district council |
| topic | Health services Health financing Public health management |
| url | https://scholar.mzumbe.ac.tz/handle/123456789/2195 |
| work_keys_str_mv | AT chengulaveronicaandreas effectsofexemptionsoncostsharingpracticesingovernmenthealthfacilitiesacasestudychunyadistrictcouncil |