Implementation Evaluation of Community Based Health Insurance in Limu Kossa District, Jimma Zone, South West Ethiopia

Abstract

Background: Worldwide about 11.1 million adults are co-infected with tuberculosis and human immune deficiency syndrome. Seventy percent of co-infected people are living in sub-Saharan Africa, 20% in South East Asia, 4% in Latin America and the Caribbean. In Ethiopia routine data from 44 sites in the year 2005/6 showed 41% of tuberculosis patients were Human Immune virus positive. Another routine data collected in 2006/7 showed that the co-infection was 31% from Federal Minister of Health. These figures show the severity of the co-infection in the Country. Evaluation Objectives: To identify gaps in creating linkage among Tuberculosis and HIV/AIDS collaborative activities in Jimma zone, Southwest Ethiopia, 2010. Methods: The Evaluation was conducted in selected health facilities of Jimma zone. It was facility based descriptive Cross sectional Implementation Evaluation. It was conducted in eight of the 15 health facilities who implemented tuberculosis and human immune deficiency syndrome collaborative activities. The dimensions were Compliance and Availability. The approach was Formative aimed at improving the program with the involvement of stakeholders. The focus was Process by assessing the Availability of inputs and linkage. The data collection methods were the combination of expert interview, observation and document review. Supervisors and data collectors were Tuberculosis and Human Immune Deficiency virus collaborative activity trained health professionals which were previously trained at their work health facility. The analysis was done on SPSS 16 version and descriptive analysis was done. Results: Of the total 8 selected health facilities in Jimma zone 68% of health facilities had inputs through out 2010 and of the total 1427 clients in Jimma zone 70% of the clients were linked. The overall achievement of availability and Compliance dimensions were 68% and 70% respectively. The resources recommended by the Guideline were available except trained Human resource, Anti retro viral medication, Cotrimaxzole and Isoniazed drugs in some health facilities. Conclusion and Recommendations: From the study even if the over all achievement was good HIV and tuberculosis is very sensitive and creates social, economical and political crisis on the country it needs special attention and it should followed critically.