The paper begins by briefly outlining the background of the Community Health Funds (CHF) before examining current trends in: coverage; membership and enrolment; sources of revenue; and expenditure patterns. The report then summarizes the evidence with respect to four key areas of concern, namely: reaching the poor; management and accountability; service provision issues; and future sustainability of the scheme. For each area, the main issues raised in the literature are presented; and each section ends with a summary of areas for future investigation or research. The report concludes by suggesting some ideas for the future operation of CHF in Tanzania.
Consortium for Research on Equitable Health Systems, London, 19 pp.