Gender roles and perceptions about improved Community-Based Health Insurance : A case study in Babati, Tanzania

Abstract: People´s access to safe health care is not as common as one might think. Today with new and different health insurances and improved health policies people should in theory have safe health care. Although numerous of health insurances exist, targeting large parts of populations, there are still many issues with them. The Behavioural Model of Health Services Use and Separate Spheres are the two theories that are used in this study. Where Separate Spheres describes men´s and women´s separate worlds, their responsibilities in them and how it effects them and the Behavioural Model of Health Services Use, which describes factors that either impede or enable people’s access to health care utilization. This study´s purpose is to see what different perceptions men and women have about the insurance and how these perceptions can affect families’ choice to enroll to the insurance. The study uses a qualitative approach and is based on semi-structured interviews. Results in this study showed that men and women have very different perceptions about the insurance. Men want the insurance because they want to save money and decrease health expenses. While women wants the insurance for their children to always have access to health care. The roles between men and women in households are significant and their different responsibilities affect their priorities and perceptions.