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Operational Review of the National Health Insurance Scheme in Zambia
- Start activities
- 18-04-2022
- End activities
- 30-09-2022
- Partner Institution
- National Health Insurance Management Authority
- Type of Assistance
- Institutional capacity building
- Code
- 2022-02
- Description
- The purpose of this action was for the National Health Insurance Management Authority (NHIMA) to optimize the management of the National Health Insurance Scheme (NHIS). NHIMA was established by the National Health Insurance Act No.2 of 2018. The Act provided for the establishment of a compulsory National Health Insurance Scheme under the management of NHIMA. The Scheme, as part of the Health Care Financing Strategy of the Ministry of Health, is aimed at providing sound financing of the national health system and enhance universal access to quality insured healthcare services for all Zambians. NHIMA wished to understand where they stand after two years of implementing the Scheme, where are their strengths or weaknesses, and identify potential bottlenecks. NHIMA also wished to gain more knowledge and guidance on strengthening their current health-financing system, as well as to understand possible health financing options in view of attaining universal health coverage. Mobilized experts from Estonia, Finland, France, and Germany accompanied the partner’s reflection in the framework of 3 activities.
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Feasibility study for the establishment of a compulsory or voluntary health insurance mechanism in Kongo Central
- Start activities
- 05/04/2021
- End activities
- 30/06/2022
- Partner Institution
- Kongo Central Provincial Government [Gouvernement provincial du Kongo Central]
- Type of Assistance
- Institutional capacity building
- Code
- 2020-06
- Description
- SOCIEUX+ has been solicited by the Ministry of Health and Social Affairs of the Province of Kongo Central to formulate a feasibility study regarding the establishment of a compulsory or voluntary health insurance mechanism in the Province. To this end, SOCIEUX+ facilitated exchanges (on site and on-line) between the national partners (including mutualist organizations) and European experts in the field of health systems (financing, governance and health care delivery). Several experts from France delivered an inventory of the health system’s components in place in the province of Kongo Central, then a study on the financial feasibility of the health insurance system, and a prospective study on how such a health insurance system should be governed and organized.
Support in the implementation of a health financing reform and introduction of mandatory health insurance
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Support to the International Forum on health coverage in the CIPRES area
- Start activities
- 03/03/2019
- End activities
- 03/05/2019
- Partner Institution
- Conférence Interafricaine de la Prévoyance Sociale (CIPRES)
- Type of Assistance
- Code
- 2018-32
- Description
- The Conférence Interafricaine de la Prévoyance Sociale (CIPRES) is a long-standing partner of SOCIEUX+. It gathers social security entities from 18 countries, mainly from Francophone Africa. In this circumstance the CIPRES Secretariat requested SOCIEUX+ to mobilize two public experts to share their country experiences and models on the occasion of the annual Forum on health coverage in the CIPRES area. Experts from France and Luxembourg have covered the following themes: an intervention of the financing of universal health coverage and good practices on the governance of organizations running health insurance schemes. The Forum took place in Lomé (Togo) in March 2019.
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Improving technical management tools available to INAM
- Start activities
- 02/04/2018
- End activities
- 02/08/2019
- Partner Institution
- National Health Insurance Institute (INAM)
- Type of Assistance
- Organisational management (structures & functions)
- Code
- 2017-39
- Description
- The experts’ contribution targeted several dimensions of organizational capacities and tools that are key to allow the Institut National d’Assurance Maladie (INAM) of Togo to efficiently run an extension of health insurance coverage to private sector’s workers and aim to full, universal coverage. Among the matters tackled by mobilized teams of experts from France, Italy, and Romania were contracting capabilities and management of agreements with health care providers, costing of medical procedures, and economic and actuarial analysis. The technical assistance has thus provided very specific, methodological and operational recommendations that aim to enlarge INAM’s set of tools and knowledge necessary to efficiently run health insurance.
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Social Health Protection Reform and Policy
- Start activities
- Jan-18
- End activities
- 09/11/2018
- Partner Institution
- Ministry of Health and Child Care
- Type of Assistance
- Institutional (Regulatory & Policy)
- Code
- 2017-27
- Description
- The Ministry of Health and Childcare of Zimbabwe was committed, through this action, to engage the Cabinet of the President in the process of creating an inter-ministerial committee for national health insurance in collaboration with the other main institutional stakeholders. Experts from France, Germany, and Italy developed together with the partners a roadmap consisting of 9 different steps, including institutional tasks (set-up of an inter-ministerial steering committee, establishment of a statutory body in charge of pooling funds and enrolment of population), and technical ones (costing estimates, enrolment and contribution procedures, legal framework for the implementation of NHI).
