After 1994 genocide, Rwanda absolutely left with nothing. But against all odds it has managed to develop its health solutions from the ground up. It has been exemplary in improving its healthcare system, and as a result, the health of its workforce. Rwanda has shown that healthier citizens mean a more productive workforce which leads to an improved economy. Today Rwanda provides a healthy role model. Currently,it is the only country is Sub-Saharan Africa on track to meet most of of its Mellenium Development Goals..HOW THEY GOT IT RIGHT? In 2003 the Community-Based Health Insurance system that’s started as a pilot project was expanded to a national system. CBHI is comprised of Mutuelles de Sante; Military Medical Insurance; and Rwanda Health Insurance Scheme. Funding comes from such things like risk pooling, cross-subsidies, and substantial support from donors, NGOs, and tax-generated funding from the formal sector. In the Mutuelle system, funding is comprised of annual member premiums organized on a per household basis, with an annual payment of 1000 Rwandan francs (equivalent of approximately US$1.80) per family member, and a 10% service fee paid up-front for each visit to a health center or hospital. Enrollment in the Mutuelle system is voluntary and is primarily coordinated at the district and sector level. Each community-based Mutuelle is responsible for increasing enrollment, maintaining re-enrollment, educating the population about the program, verifying the number of participants in each household, and collecting membership contributions. Outreach is done most frequently at the community level via church services, radio broadcasts, etc, and tends to focus largely on the rural and informal sector in order to most effectively target those individuals unable to access formal health insurance through other means.Over the past 10 years,Rwanda has seen an 80% drop in in deaths from HIV,TB and Malaria.A 60% drop in maternal mortality.A 63% drop in annual child deaths.WHY CANT WE EMULATE SUCH A HEALTHCARE SYTEM? #My Moyo WaThanzi Bill
Posted on: Thu, 03 Jul 2014 06:58:06 +0000
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