 This research paper explores the implementation of micro-health insurance, MHI, in Tanzania's Dodoma region. It found that while there were high levels of adoption and fidelity of implementation, FOI, at the district level, these were lower at the individual level. This suggests that the implementation process needs to take into account both organizational and individual factors. Organizational factors include the presence of strong leadership, communication and facilitation strategies, resource availability, reward systems, the number of stakeholders, and implementer skills. Individual factors include the level of education, occupation, length of time living in the district, and length of time working in the scheme. This article was authored by Albino Cololo, Lara Gautier, Ralph Rademarca, and others.