09 May

2012NPF

From NMBF to UHC: The role of Health Insurance and Finance Technical Advisory

Committee (“HIFTAC”)

- By Mpingana Kalimba-Msimuko

09 May

2012

Universal Health Coverage

Tool: National Health Insurance (“NHI”)

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09 May

2012

National Health Insurance(“NHI”)

•Overall objective: promote equitable access to sustainable and optimum quality health care and providing increased financial protection for the people of Namibia.

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09 May

2012

NHI: Expected Outcomes

1)Improve access and quality of health care services.

2) Provide a comprehensive range of health services, which would be free at the point of use

to residents of Namibia.

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09 May

2012

NHI: Expected Outcomes3) High coverage of health insurance for both

formal and informal sector employees and non-employed groups of Namibia.

4) Eliminate discrimination based on ability to pay when a Namibian needs health services.

5) Well informed citizens, who understand, support and own the NHI.

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09 May

2012

Social Security Commission(“SSC”) mandate

•SSC Act 34 of 1994 •National Medical Benefit Fund (“NMBF”) which shall provide “for the payment of medical benefits to employees”.

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09 May

2012

Social Security Commission(“SSC”) mandate

•With consideration towards the Social Protection Floor (“SPF”), a United Nations’ initiative led by the International Labour Organization (“ILO”) and World Health Organization (“WHO”), that emphasizes the promotion of access to essential services and social transfers for the poor and vulnerable inclusive of health services, it is recognised that the NMBF is only a subset of the mechanisms available for the achievement of the SPF and UHC.

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09 May

2012

NMBF status update• Research study – by Delloite • Initial report completed and some stakeholders

submitted inputs – this was consolidated• Important stakeholder, i.e., MOF, still to provide

input• Process on hold until MOF submit input

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09 May

2012

NHI Mandate

Ministry of Health and Social Services (“MoHSS”):•NHI Workshop (September 2011)

- preliminary results of Research Study was presented - NHI is a national issue: MoHSS

- Health Insurance and Finance Technical Advisory Committee (“HIFTAC”)(a) Delegated NHI mandate to HIFTAC(b) Approved HIFTAC’s Terms of Reference (“ToR”)

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09 May

2012

Health Insurance & Finance Technical Committee

(“HIFTAC”)

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09 May

2012

HIFTAC: objectives

• Advice and guide MoHSS on the development of a NHI with a focus on evidences and alternatives.

• Provide technical recommendations on the way forward.

• Delve into broader health financing issues as needed.

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09 May

2012

HIFTAC: Membership• Ministry of Labour and Social Welfare• Ministry of Finance• Ministry of Health and Social Services • Ntional Planning Commission• Medical Aid schemes and administrators:• MAFAF• Health Professions Council of Namibia• International Labour Organisation

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09 May

2012

HIFTAC: Membership• International Labour Organisation• NAMAF• Namibia Medical Association• Namibia Medical Society• NANGOF• National Employers Federation• National Union of Namibian Workers• PharmAccess• Social Security Commission • USAID• World Health Organisation

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09 May

2012HIFTAC: Development partners

• Grant Funding: African Development Bank (N$5.2 million)

• Technical Support: Health Systems 20/20USAID

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09 May

2012

Way Forward

(Road Map)

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09 May

2012 Preparatory Phase

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09 May

2012 Implementation Phase

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09 May

2012

Progress to date

• MoHSS delegated NHI mandate to HIFTAC• Health Economist recruitment• HIFTAC Meeting and Stakeholders Consultation

Workshop – October 2013

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09 May

2012

THE END!