Background In early 1990s, Tanzania like other African countries, adopted health sector reform (HSR). The most strongly held centralisation system that informed the nature of services provision including health was, thus, disintegrated giving rise to decentralisation system. It was within the realm of HSR process, user fees were introduced in the health sector. Along with user fees, various typ...

Abstract Background Several countries including Tanzania, have established voluntary non-profit insurance schemes, commonly known as community-based health schemes (CBHIs), that typically target rural populations and the informal sector. This paper considers importance of household perceptions towards CBHIs in Tanzania their role explaining enrolment decision households. Methods was a cross-sec...

Previous research based on the Community Tracking Study (CTS) showed that while coverage expansions through the State Children's Health Insurance Program (SCHIP) greatly increased children's eligibility for public or private health insurance coverage, uninsurance rates remained unchanged because of low take-up by eligible children. However, more recent data show that this is changing. Children'...