Forecasting the National Health Insurance Fund Membership Enrolment in Tanzania Using the SARIMA Model

Alfred Tembo, Bahati Ilembo, Joseph Lwaho
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Abstract

This paper aimed at forecasting membership enrolment in the National Health Insurance Fund (NHIF) in Tanzania using quarterly time series data. This study used 88 time series data to fit the seasonal Autoregressive Integrated Moving Average model (SARIMA). ARIMA (3,1,1) (0,1,0)[4] model was built and used for forecasting. The results show that there will be an increasing membership enrolment overtime over the years and no signs of decreasing. Thus, the government, apart from continuing  subsidizing the cost of accessing health insurance services,  should also improve the National Health Insurance (NHI) coverage to accommodate the increased enrolment and discourage dropouts. In turn, this will help to achieve the Universal Health Coverage (UHC) ultimate aim of ensuring equitable access to essential and manageable healthcare services, regardless of individuals’ financial situations, their location, and personality.
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利用 SARIMA 模型预测坦桑尼亚国家健康保险基金成员注册情况
本文旨在利用季度时间序列数据预测坦桑尼亚国家健康保险基金(NHIF)的会员注册情况。本研究使用 88 个时间序列数据来拟合季节性自回归综合移动平均模型(SARIMA)。建立了 ARIMA (3,1,1) (0,1,0)[4] 模型并用于预测。结果表明,多年来会员注册人数将不断增加,没有减少的迹象。因此,政府除了继续补贴医疗保险服务的费用外,还应改善国民健康保险(NHI)的覆盖范围,以适应参保人数的增加并阻止退保。反过来,这将有助于实现全民健康保险(UHC)的最终目标,即无论个人的经济状况、所处位置和性格如何,都能公平地获得基本的、可管理的医疗保健服务。
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