• Technical assistance for the evaluation of the real cost of health care procedures and the updating of the basic prices for the reimbursement of health care services

    Western Africa Togo
    Start activities
    05/09/2022
    End activities
    24-02-2023
    Partner Institution
    National Health Insurance Institute [Institut National d?Assurance Maladie du Togo] (INAM)
    Type of Assistance
    Organisational capacity building
    Code
    2022-05
    Description
    The National Health Insurance Institute (INAM) of Togo is a SOCIEUX+ long-standing partner. Together, strategic and organizational topics have been addressed, thus enhancing INAM’s role into the management of health insurance, particularly in view of the roll-out of the 2021 Law instituting the Universal Health Coverage (UHC). This Action focused on specific components of health insurance management such as tariffication of health procedures and the assessment of the quality/performance of health service provision covered by the insurance. Experts from Belgium and France helped updating the reimbursement prices of a sample, based on a price-setting methodology that will remain in INAM’s availability.
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  • Santé

    Strengthening capacities of the public health insurance fund in Uzbekistan in the area of price setting

    Central Asia Uzbekistan
    Start activities
    23-06-2022
    End activities
    20-03-2023
    Partner Institution
    State Fund Health Insurance
    Type of Assistance
    Organisational capacity building
    Code
    2022-01
    Description
    Uzbekistan State Health Insurance Fund established in December 2020 is invested with the mandate to improve the access to healthcare services and the efficiency of the sector. At the initial stage, the fund is responsible for the formulation and piloting of new public health funding schemes. The peer-to-peer cooperation with the experts from Estonia, France, Czech Republic, and Germany reinforced the capacities of the Fund to manage this process, from identification of packages of reimbursable healthcare services to proposing guidelines for the price-setting mechanism and performance-based assessment. The Fund was also supported in implementing the pilot project in one of the regions.
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  • Accès aux services de base

    Set-up of a foster care system for minors without parental support and protection

    Central Asia Kazakhstan
    Start activities
    23-05-2022
    End activities
    24-03-2022
    Partner Institution
    Commissioner for Children's Rights
    Type of Assistance
    Institutional capacity building
    Code
    2021-24
    Description
    In Kazakhstan, the Commissioner for Children’s is engaged into deinstitutionalization reform as a lead of a consortium of NGOs, childcare institutions, and state administration. Professional foster families are considered an alternative to institutional placement for children without parental care. Through the peer-to-peer cooperation with the experts from Croatia and the Czech Republic, a set of methodological guidelines was developed with recommendations for different stages of working with foster families, from identification and selection to continuous support and evaluation. The outputs of the action also include the training curricula for prospective foster parents elaborated on the basis of EU countries best practices and good examples from Kazakhstan organizations. Finally, the action was an occasion for the partners to discover the practical set up of alternative care and services provision for vulnerable children during a study visit to Czech Republic (Prague, Pardubice).
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  • Comprehensive review of Botswana's Worker's Compensation framework, to develop a national framework reform proposal

    Southern Africa Botswana
    Start activities
    25-04-2022
    End activities
    10-12-2022
    Partner Institution
    Ministry of Labour and Home Affairs (MLHA)
    Type of Assistance
    Legislative & regulatory framework development
    Code
    2022-03
    Description
    The Department of OSH at Ministry of Labour and Home Affairs of Botswana was working on exploring whether and how it would be feasible to replace employer liability provisions with a system of workers’ compensation based on social insurance. As a result of the mobilization of public expertise from Germany, Italy, Spain and Slovenia in the framework of SOCIEUX+, the current national legislation and regulatory framework on workers' compensation was assessed against existing best practice and international standards and guidance and recommendations were provided for updating the current national legislation and regulatory framework, based on feasibility, technical capacity and sustainability considerations.
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  • Operational Review of the National Health Insurance Scheme in Zambia

    Southern Africa 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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  • Capacity building for the improvement of the Brazilian second pillar pension governance and supervision of the legal and regulatory framework

    South America Brazil
    Start activities
    21-02-2022
    End activities
    21-10-2022
    Partner Institution
    Cearense Association of Economists Pensioners and Retirees (ACEA)
    Type of Assistance
    Individual capacity building (human resources development)
    Code
    2021-23
    Description
    The Associação Cearense dos Economiários Aposentados e Pensionistas (ACEA) reached out to SOCIEUX+ in order to provide capacity building, in the form of e-learning courses, to members of Brazilian organizations defending the rights of pensioners. ACEA noticed a clear need for members of such organizations to gain more extensive knowledge on governance, management, and supervision of occupational pension funds, in order to detect shortfalls in the system, apply due diligence, and prevent mismanagement and fraudulent behaviors. The e-learnings, crafted by Portuguese, Spanish, German, and French expertise covered topics such as basic knowledge of the functioning of second pillar pension funds, best practices for regulation and supervision of funds, legal and regulatory frameworks governing second pillar pension funds. This successful e-learnings were followed by hundreds of participants from various parts of Brazil.
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