Tanzania

Scheme operator

President’s Office Regional Administration and Local Government (PORALG)

Year deployed

2012

openIMIS functionalities used

☑Enrollment ☑ Claims Management ☑ Beneficiary Management ☑ Claims Review ☑Reports

Deployment coverage

As of June 2019, the national roll-out had reached all (26) regions in the mainland Tanzania.

Beneficiaries

261,748 households, corresponding with 1,6 Mio beneficiaries actively covered (12/2020), 52% women

Implementing partners

Swiss Tropical and Public Health Institute (Swiss TPH)

Supporting partner

Financial Assistance: Swiss Agency for Development and Cooperation

Photo credit

Danielle Powell, Swiss TPH

Overview on the ground

IMIS was originally developed in Tanzania (2012) under the SDC-funded Health Promotion and System Strengthening (HPSS) project implemented by the Swiss Tropical and Public Health Institute. The systems development and implementation in Tanzania is ongoing. The system was initially piloted in one region but later expanded to three.

The project has supported the government roll-out of IMIS in all 26 regions of the Tanzanian mainland. All regions in Tanzania have been asked to implement the new iCHF (Improved Community Health Funds) model in the country using CHF IMIS as the IT backbone for running CHF operations. All components of IMIS (online, offline, mobile phone and AR IMIS) are being used. The country continues to develop the system based on stakeholder needs and is working to integrate openIMIS into its IT landscape.

The server is installed and maintained by PORALG and the project team supports the government’s roll-out and implementation activities. Each region (initially district) operates its own CHF scheme through IMIS. Enrollments and renewals are handled by village-based enrollment officers. Each health facility (existing staff) undertakes verification and claims submissions for the patients they treat and regional-level teams then manage payment to each facility.

More information can be found here.

Full Project scope

Health centers

6,270 health facilities registered (as of Nov 2021) and connected with openIMIS

Users

About 23,000 users = staff at scheme operator and health facilities
About 20,000 enrolment officers with access to and can submit enrolment data in IMIS

Configuration

National Product (some variations exist e.g. in Dar es Salaam):

Contribution: 30,000 TSH for a family of 6
Benefit Package: All services offered at government health facilities (dispensaries, health centers and hospitals)
No co-payment required
Cashless system for beneficiaries

System Set-up:

Central Server

Hosted at and managed by PORALG (Dodoma)
Server firewall
Back-up in recovery site in Dar es Salaam
Windows Server 2016
Microsoft SQL Server 2016
Dedicated Virtual Machine (VM) for Web Server (Web Application and Web Services)
Dedicated VM for database server
Dedicated VM for AR IMIS server
Dedicated VM for development and training

Android phones for enrollment and renewals; used by enrollment assistants
Claims submitted to CHF through web interface, Android phones or on paper (subsequently entered through web interface by CHF staff) by health facilities
IT team: Exact Software Ltd. (Programing team of 2 - 5 junior programmers, 3 senior programmers/Project Manager), Swiss TPH/HPSS project team (Product Manager, Systems Architect, Senior Insurance Informatics Specialist, IT Systems Analyst and regional IT officers)

Integration and interoperability

The system is currently being integrated with other government systems including:

SMS gateway solution to allow enrollment, renewals and payment confirmations to clients.
GEPG (Government e-Payment Gateway) solution.
USSD gateway for mobile requests (enquiring, renewal, request control numbers for mobile or bank payments).

Discussions are ongoing for integration of IMIS with the government's GoTHOMIS (Government of Tanzania Hospital Management Information System) system to link health facility claims coming directly to IMIS, as well as the CHF accounting system. In the next phase of the project, integration with other systems will be undertaken based on government-identified priorities.

More implementations

External links