equity implications of health sector user fees in tanzania

ANNEX 3 GUIDELINES FOR DATA COLLECTION
1. GUIDELINES FOR INTERVIEWS IN DAR ES SALAAM
Note for the interviewer
You can make a selection out of the set of questions, depending on the resource persons you
meet. However, make sure that the key issues are sufficiently addressed. The supporting
questions (small font) are there to probe further (if needed) and a reminder for the interviewer.
Introduction of the consultant
Introduction of the assignment
Request how much time the respondent has available. Indicate the expected duration of the
interview.
Guiding questions in logical sequence
� Could you indicate what the current status and progress is with the Poverty Reduction Strategy in
Tanzania?
� What are positive achievements over the past 3 years?
� What have been major constraints in achieving the set goals over the past years? What have
been the reasons behind the constraints?
� What are your expectations of the upcoming Poverty Reduction Review? What are priorities that
should be addressed? What are expected outcomes? What do you personally hope what will be
the outcome of the Review?
� Could you indicate how the health sector in Tanzania implements the PRS? What are key
strategies?
� What can you say about the commitment of your organization (e.g. MOH) to the PRS?
� Is the user fee system, exemption systems, waiver systems and CHF approaches an integrated
part of the PRS in Tanzania? Is there a trend or a shift in PRSP thinking over user fees over the
years?
� What is the current status of the User Fee System, Exemption Systems, Waiver Systems and
CHF Systems in Tanzania? Have official policies been formulated? What are key elements in the
design of the various systems?
� What have been the main reasons /rationale for the introduction of user fees user fee
systems/exemption systems/waiver systems/CHF?
� For raising revenue?
� For enhancing efficiency?
� For enhancing sustainability?
� For improving services?
� For reducing frivolous consumption of health care?
� For substituting formal fee systems for informal charging?
� For extending coverage?
� For increasing equity?
� For improving access?
� For special vulnerable groups?
� For reduction poverty?
� Others, which ones?
Equity Implications of Health Sector User Fees in Tanzania IX