This case study encourages students to interrogate the strengths and weaknesses of the voluntary community health fund (CHF) model. Based on the results of a health systems analysis of the performance of the CHF, students are asked to use systems thinking to test how accurately they can anticipate the problems experienced in implementation and then to propose modifications to the CHF model that might mitigate shortcomings or take advantage of synergies elsewhere in the system.
This case study address issues around health care access, quality and equity; the facilitation of stakeholder involvement; politics and power; as well as accountability and trust.
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