CHF Management - LGA Level


In 2014 HPSS Project in collaboration with PO-RALG developed a simplified CHF Financial Management and Operations Guidelines to facilitate CHF management in LGAs implementing CHF iliyoboreshwa. The guidelines meant to improve financial accountability in utilizing finances available for healthcare provision from CHF scheme. The guideline is aligned with the Public Finance Act, Local Authority Finance Act and Public Procurement Act, and other Public financial regulations. It takes into account the policy and procedural instructions introduced by the central government, the council and other legislative authorities.

These guidelines were developed in responding to results from the assessment conducted regarding the CHF management practise in LGAs. The assessment indicated that LGAs had no standardized means to manage CHFs.

The guideline summarizes the CHF Standard Operating Procedures (SoPs), the roles and responsibilities of all stakeholders, financial control and accounting procedures applicable to Community Health Funds available for financing health services. the issuance of this guideline is expected that local government authorities will adhere to sound financial management practices so that accountability, efficiency, value for money and improved service delivery is achieved.

Key Issues on the Guidelines

The manual guides CHF operation and financial management practices, the focus includes:


After endorsement and application of these guideline, it has resulted into:


It is expected that the continual compliance to these guidelines will eventually lead into substantial increase of resource for financing health service hence universal health coverage in regions implementing CHF Iliyoboreshwa in particular and in the country at large.  


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