Table 1.
Selected characteristics of sampled case study districts
| Characteristics | Rural district | Urban district |
|---|---|---|
| Population size |
486,900 |
175,717 |
| Proportion of the population living below the poverty line (%) |
56 |
46 |
| Number of health facilities |
57 |
16 |
| Number of government facilities |
47 |
10 |
| Population per health facility |
8,542 |
10,982 |
| Year of introducing CHF |
1999 |
2008 |
| Number of CHF member households and estimated population coverage (2011) |
11,802 (12%) |
792 (2%) |
| CHF premium |
3.13 USD per household per year |
3.13 USD per household per year |
| CHF benefit package |
Outpatient care in selected public primary facility (dispensary or health centre) plus referral care up to 9.38 USD in regional hospital, district designated hospital (faith-based) |
Outpatient care in selected public primary facility (dispensary or health centre) |
| User fee level |
0.63 USD until 2009 |
0.63 USD for dispensaries and health centres |
| 1.89 USD since 2009 | ||
| Financial flows | CHF, NHIF and user fee revenue pooled in district CHF-account | CHF and user fee revenue deposited in facility bank account. NHIF revenue pooled in the District Medical Officer account |
Source: Comprehensive Council Health Plans of respective districts, 2010/2011 [20].