Presentation by Mr Joseph Birago Msc, Occupational health unit, ministry of Health and Social Welfare Tanzania at the WHO/TNO/Dutchgovernment Congres 'Connecting Health and Labour' 29 - 1 December 2012
Round table 1 Occupational Health System in Tanzania
THE UNITED REPUBLIC OF TANZANIAMINISTRY OF HEALTH AND SOCIAL WELFARE Occupational Health System in Tanzania Prepared By Joseph Birago M.Sc. in TDC and M.Sc. HIS Occupational Health Unit
Surname Birago First name Joseph Nationality Tanzanian Date of birth June 27, 1976 Sex Male Marital status Married - Mercy Religion Christian Number of children 2 =Male-Lukeregwa-5years and = Female -Sekanabho 1.5years Tribe Muha – from Kigoma – Kibondo district Language English & SwahiliEMPLOYMENT STUTUS and CONTACT ADDRESSName of Employer Ministry of Health and Social WelfarePosition Environmental Health OfficerDepartment Preventive ServicesUnit Occupational HealthContact Address P. O. Box 9083Location Dar es salaam, TanzaniaE-mail email@example.comMobile Phone +255 653 112 844
S/N Name of institution Duration of study Academic award3.1 University of Dar es Salaam (UDSM) 2009 -2011 M.Sc. Health Informatics3.2 Muhimbili University of Health and Allied Sciences 2008-2010 M.Sc. Tropical Disease (MUHAS) Control3.3 University of Dar es salaam 2001 – 2004 B.Sc. Environmental Health3.4 Pugu secondary school 1997 – 1999 Certificate of Advanced secondary education3.5 Chunya Secondary School 1993 – 1996 Certificate of Ordinary level secondary education
Health Financing in TanzaniaFinancing for universal coverage and ensuring equity, the role ofsocial security and insurance •Formal Sectors – National Health Insurance for GVT employees. Very few are served with this scheme as compared to about 45M Tanzanian population •Private Formal Sectors(mining, industries, business) are all covered with companies health schemes •Informal Sector (subsistence farmers, Mining– uses community health funds, little knowledge for the beneficiaries to this type of health financing = UMASIDA in informal sector
• The role of Social Security funds and insurance• - not covered well in the informal sector, information are available to individuals but protocol to enrolment difficult.
• To SUMMARIZE majority of Tanzanian relay on out of pocket payment for the Health Services. Insurance scheme just covers a portion of workers in the informal sector• insurance schemes cover for only permanent staff in the GVT and private formal sectors• To ensure universal coverage and ensuring equity we needle to strengthen Communities Health Funds and government investment in the PHC
A Case of UMAIDA• Urban based Community Health Fund• To date CHFs have been established exclusively in rural district. There are, however, populations in the urban areas which need these schemes to improve accessibility to health care. These populations include most unemployed persons, retired individuals and those in the informal sector economy
• mutual health scheme established by this sector has organized them for health care• It based its work in informal sector groups. These include small scale market retailers, carpenters, mechanics, tinsmiths etc.The Package it offers• It offers a comprehensive health care package. This package consists of• Maternal Child Health Care Services• Treatment for regular diseases like Malaria, diarrhoea etc• Provides VCT and STI management• Surgical needs, ENT, and Ophthalmic provided at government units.The Premiums• The scheme has a premium paid by each family. A family here is a woman, her four children under eighteen, her husband and grandparents if they’re around.• The premium is Tshs. 1,500/= per month. It is 18,000/= Tshs per year.
• UMASIDA has its own dispensaries in Dar es Salaam, Arusha and Moshi
Health Services• In Tanzania we have health inequalities among groups of people.• People in the informal sector have no security when it comes to health services• Health Insurance covers only formal sector
• Coverage with essential interventions• Interventions at present- Inspection of workplaces and law enforcements- HIV and AIDS in formal workplaces- TB-workplace guideline• Future plan• - training informal sector• Developing manual for informal sector
Occupational Health in Tanzania• Very diverse occupational activities exist• Occupational health services focuses more in formal sectors than in informal sector• Little investments in occupational health services because of inadequate knowledge among policy makers, decision makers and politician
Barriers/obstacles how to overcome themMost of the uncovered working Sensitize and assist them inpopulations are unorganized, collective obligation towardsunregulated with diverse their future Healtheconomic activitiesFrequent change of economic Assist development ofactivity among the uncovered organized and coordinatedpopulation economic activitiesUncontrolled change of location Institutionalize of Laws allow closure time esp in miningInadequate participation in Develop other types ofhealth financing schemes (CHF) contributions eg in-kind payment, taxationInadequate services among Government commitment
THE WAYFOWARD• MoHSW is in the plan to prepare the policy guideline covering the informal sector• MoHSW is in the plan to develop and implement the Ministerial Occupational Health Strategy• MoHSW is in the process of calling stakeholders of Occupational Health to have a National Steering Committee on Occupational Health and Safety