CHAPTER ONE

1.1 INTRODUCTION

Social work is a practice-based profession that promotes social change, development,

cohesion and the empowerment of people and communities. Social work practice involves
the understanding of human development, behavior and the social, economic and cultural
institutions and interactions. According to socialworklicensemap.com

And the primary mission of the social work profession is to enhance human well-being and
help meet the basic human needs of all people, with particular attention to the needs and
empowerment of people who are vulnerable, oppressed, and living in poverty. According to
www.socialworkers.org

Community Engagement is…the process of working collaboratively with and through

groups of people affiliated by geographic proximity, special interest, or similar situations to
address issues affecting the well-being of those people. According to www.bangthetable.com

Also Community engagement is involvement and participation in an organization for the

welfare of the community. It is a powerful vehicle for bringing about environmental and
behavioral changes that will improve the health of the community and its members It often
involves partnerships and coalitions that help mobilize resources and influence systems,
change relationships among partners, and serve as catalysts for changing policies, programs,
and practices (CDC, 1997). According to www. aese.psu.edu

A project is defined as a sequence of tasks that must be completed to attain a certain

outcome. According to the Project Management Institute (PMI), the term Project refers to ” to
any temporary endeavor with a definite beginning and end”. Depending on its complexity, it
can be managed by a single person or hundreds. According to kissflow.com

1.2 Project topic

Assessment of challenges facing Improved Community Health Fund user's

1.3 Objectives/General and specific objectives

GENERAL OBJECTIVE:

To increase access to quality healthcare for people in the formal sector, mostly rural and low
income groups.

SPECIFIC OBJECTIVES:

A.To identify causes of challenges facing ICHF user's in mbambua village.

B. To examine challenges facing ICHF user's in mbambua village.

C.To examine alternative ways on how to reduce challenges facing ICHF user's in mbambua
village.

1.4 schedule of activities

S/N Time frame ACTIVITIES

 01 First week 23/3/2021 write introduction letter to
community leader (chairperson)

25/3/2021 chairman of mbambua village

give us a date to meet with mbambua
village community members.

02 Second week 31/3/2021 Talking to ICHF coordinator

about cooperate with us to the meeting with
mbambua village members to.

1/4/2021Meeting with mbambua village

community members and introduce the
project.

03 Third week 6/4/2021 Develop topic and title

8/4/2021 Develop general objective and

specific objective

04 Fourth week 13/4/2021 Meeting with nurse to discuss

different issue concerns our project

05 Fifth week 23/4/2021 prepare the schedule of activity.

06 Sixth week 7/5/2021 writing down our project

CHAPTER TWO

2.1.1 ACTIVITY NUMBER ONE(Brief information about the problem)

Improved Community Health Fund (iCHF) is a voluntary community-based financing
scheme in which households pay contributions to finance part of their basic health care
services to compliment the government health financing efforts. Community Health Fund
was established by the government of Tanzania through Act number 1 of Community Health
Fund of 2001.

An evaluation of the operation of this fund has shown that its implementation faces a variety
of challenges that arise from problems with its design and operating system. www.chf-
iliyoboreshwa.or.tz/en/kuhusu-chf

As in our project we were interested to perfom this project because mbambua village is the
one of village with low number of people joining ICHF due to different reasons as we
decided to conduct project so as to asses challenges facing ICHF user's in mbambua village
so as to not be interested in joining that fund.

Causes of challenges facing ICHF user's in mbambua village.

Lack of awareness, people of mbambua village were not aware of their rights concern
health services which increased discrimination.

Challenges facing ICHF user's in mbambua village.

The following are challenge of NCHF insurance at mbambua village:

Poor service in health sector: The poeple which can use these insurance they can not get good
health service to the hospital as they don't get priority in in receiving services like people
with cash.

Lack of medicine: Also the people can say sometime the insurance can not help them because
if theres no medicine after checkup it must going to the dispensary and to buy a medicine
with the money.
Through discussion with community members and ICHF coordinator we came with different
ways which can help to reduce those challenges facing ICHF user's

 To bring strict laws to health working who are tend to discriminate patients rights.
 To advise authorities in charge to reduce bureaucracy and formulate good policy
which will support this fund.
 To rise awareness to Community members to understand that they should not silent
when they are facing discrimination or charging while they have this ICHH card and
report it to specific authority.

2.1.2 ACTIVITY NUMBER TWO

During our project there are different people who were cooperate with so as to make sure our
project is successed.

Students-we were in charge of conducting all activities in this project.

Community leader-was the one who introduce us and helped us to meet with community
members.

ICHF coordinator-he was the one who give us all information concerning ICHF.

Mbambua village community member-these was the key people in our project as it concerns
about challenges facing ICHF users in mbambua village.

Nurse-she helped us getting different information about challenges facing them in job setting
concerning ICHF.

2.1.3 ACTIVITYNUMBERTHREE

Meeting: this involve assembly of people especially the members of community or

committee.As social workers we used this methodology as we meet with members of
mbambua village and introduce our project.
Presentation:Also we can produce our project to the member and to the leader and importance
of NCHIF insurance and how can help them.

Plenary discussion: Also we can discuss with leader about challenges of NCHIF insurance
and how we can over come those challenge.

2.1.4 ACTIVITY NUMBER FOUR

STUDENT PARTICIPATION

While conducting this project we used different social work skills , roles,values,principle and
ethics as the followings;

SOCIAL WORK ROLES

Educator

Education is both the act of teaching knowledge to others and the act of receiving knowledge
from someone else. and is the process of facilitating learning, or the acquisition of
knowledge, skills, values, morals, beliefs, and habits. As social workers we play a role of
educator to educate society importance of joining ICHF.

Broker

The social worker is involved in the process of making referrals to link a family or person to
needed resources. Social work professionals do not simply provide information. We played
this role as we link health officer with society for more information about iCHF.

SOCIAL WORK VALUE AND ETHICAL PRINCIPAL

Importance of human relationships (Ethical principle: Social workers recognize the central
importance of human relationships)

There is an understanding that facilitating healthy, solid human relationships can lead to the
long-term success of communities. Social workers connect people who need help with
organizations and individuals who can assist them.

Competence (Ethical principle: Social workers practice within their areas of competence and
develop and enhance their professional expertise)
Social workers must continue to strive to expand their knowledge, but always be realistic and
practice within their scope of understanding.As social workers we study alot about ichf to
know more so as to be able to educate well people of mbambua village about joining that
fund.

ethical standards:

Ethical responsibilities to the broader society

Professionals within the social work field should promote the general welfare of society –
from local to global levels – and the development of communities.As Social workers we
should continue to advocate for efforts to fulfill basic human needs, as well as promote all
aspects of social justice.

Ethical responsibilities to colleagues

Social workers should treat their colleagues with respect. They should also protect the
confidential information shared by their colleagues in their professional relationships. When
working in collaboration with colleagues in other fields, as an interdisciplinary team,
professional and ethical obligations should be clearly established. As Social workers we were
also consult with other professionals for the best interest of the client. An important note is
that when social workers are speaking with their colleagues about clients, they should
disclose the least amount of information possible. Similarly, social workers are encouraged to
take all necessary measures to discourage, prevent or expose (and correct) the unethical
conduct of their peers.

ACTIVITY NUMBER FIVE

ThefollowingareLessonLearn,challengefaced,competenciesandskillsgained during conducting

our project in mbambua village.

Challengesface

1.Lackofgoodserviceinhospital;ThepersonalwhichcanusetheNCHIFinsurancetheycannotgetag
oodservicetothehospitalandtheycannotgetpriority.
2.Theinsuranceisveryexpensive:Whenthepeoplecreatetheinsuranceisveryexpensiveandtheynot
haveamoneytocreateandtorenuetheNCHIFinsurance.

3.Lackofmedicinetothehospital;Afterpeoplegetaservicetheycansupposedtobuyamedicinetothe
despencarysotheycangetanotherresponsibleoftobuyamedicinethroughtheyhaveainsurance.

Thefollowingarecompetenceorskillgainedthroughourproject:

1.Willworkinteamwork

Wecooperatewithdifferentpeopleinodertogetasolutionandthepeoplecangetaknowledgeandtokn
owaboutNCHIFinsurance.

2.Eagertolearn

AsasocialworkerwecanworkwithdifferentprofessionallikechairmanofNCHIFinsuranceinodert
oprovideawarenesstothepoepletocreatetheinsurance.

AlsoasasocialworkerIgotexperiencehowsocialrolesperformedinreallifesituation.

2.1.6 ACTIVITY SIX RECOMMENDATION WITH REGARDST TO ICHF

A. We recommend that government should modify it's system regarding ICHF as are many
negative concerns about ICHF services.

B.we recommend that instute should bring favorable environment for students to perform
project as there places which are far that if possible cost put in fees

References

Https://socialworklicensemap.com/become-a-social-worker/what-is-social-work>
Https://www.socialworkers.org/About/Ethics/primarymission>

Https://www.bangthetable.com/what-is-community-engagement/

Https://aese.psu.edu/research/centers/cecd/what-is-community-engagement>

https://kissflow.com/project/what-is-a-project/

Https://http://www.chf-iliyoboreshwa.or.tz/en/kuhusu-chf