Exploring the Potential Role Of Community Health Insurance Schemes In A National Health Insurance Scheme

THE POTENTAIL ROLE OF COMMUNITY HEALTH INSURANCE SCHEMES IN A NATIONAL HEALTH INSURANCE SCHEME David Lambert Tumwesigye 10 February 2010

Objective ,[object Object],[object Object],[object Object]

The starting point ,[object Object],[object Object]

INTRO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

INTRO ,[object Object],[object Object],[object Object]

What is a Community Health Insurance ,[object Object]

The National Health Insurance Scheme ,[object Object]

The specific objectives of the Scheme are to: ,[object Object],[object Object],[object Object]

The specific objectives of the Scheme contd: ,[object Object],[object Object],[object Object],[object Object]

Expected outcomes ,[object Object],[object Object],[object Object]

Expected outcomes contd... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Issue 1:Coverage ,[object Object],[object Object],[object Object],[object Object],[object Object]

Issue 2: Equity ,[object Object],[object Object],[object Object],[object Object]

Issue 3:Quality assurance ,[object Object],[object Object]

Issue 4: Financing ,[object Object],[object Object],[object Object],[object Object]

Issue 5:Concensus ,[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object]

[object Object],Overview and contribution of CHI to the development of Health Insurance coverage in selected African countries

Health Insurance in Ghana ,[object Object],[object Object],[object Object],[object Object]

Ghana’s NHIS at a glance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source: Ghana National Health Insurance Authority

Source: Ghana National Health Insurance Authority

Real money spent Source: Ghana National Health Insurance Authority 1$=1.42 GH¢ ITEM 2006 2007 2008 2009 JAN-NOV GH¢ GH¢ GH¢ GH¢ SUBSIDY 34.63M 70.09M 129.65M 217.75M REINSURANCE 0.85M 9.17M 8.32M 39.85M ADMIN/LOGISTICS 8.09M 13.6M 13.68 6.54M GRAND TOTAL 43.57M 92.86M 151.65M 264.14M

Background to the NHIS and the role of Community Health Insurance ,[object Object],[object Object],[object Object],[object Object],[object Object]

Background to the NHIS and role of CHI ,[object Object],[object Object],[object Object]

The role of CSOs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Political will and support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

The beauty about CHI ,[object Object],[object Object],[object Object]

BUT... ,[object Object],[object Object],[object Object],[object Object]

Also... ,[object Object],[object Object],[object Object],[object Object]

Design of the NHIS ,[object Object],[object Object],[object Object],[object Object]

How the NHIS works DWHIS Regional NHIA office NHIA/NHIF Health Provider 2.5% VAT 2.5% SSNIT Contributions/Premiums Subsidies Services Claims Payment Technical Assistance

How it works-Admin ,[object Object],[object Object],[object Object],[object Object],[object Object]

How it works-Membership and contributions ,[object Object],[object Object]

How it works-Membership & Financing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Issues ,[object Object],[object Object],[object Object],[object Object],[object Object]

Emerging issues: 2010 ,[object Object],[object Object],[object Object]

A New chapter in Ghana! ,[object Object]

[object Object],The potential role of CHI in the extension of social health protection coverage in Uganda

Is CHI ripe for Uganda? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Benefits of CHI ,[object Object],[object Object],[object Object],[object Object]

The writing on the wall ,[object Object],[object Object],[object Object],[object Object]

Prerequisites for success of CHIs ,[object Object],[object Object],[object Object],[object Object],[object Object]

CSO ACTION NEEDED ,[object Object],[object Object]

Specific actions for CSO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Specific actions for CSO contd... ,[object Object],[object Object]

What is the role for CHI in expanding social health protection ,[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exploring the Potential Role Of Community Health Insurance Schemes In A National Health Insurance Scheme

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Exploring the Potential Role Of Community Health Insurance Schemes In A National Health Insurance Scheme