Poverty Africa (POA) is an international Non-Governmental Organisation (NGO) headquartered in Dar es Salaam, Tanzania. This paper highlights POA’s holistic health promotion strategy and institutional structure and describes its microinsurance scheme. It gives an overview of the scheme and analyzes the operating mechanism including – accounting and marketing strategy, sustainability, management and governance related issues and the role of the providers and their relationship with POA. The paper also addresses issues like client’s satisfaction with the product and the quality of health care services offered and problems regarding quality of health care. It highlights client’s concerns and associated risks to partner and includes a SWOT analysis to describe the scheme’s strengths, weaknesses, opportunities and threats.