COMMUNITY BASED HEALTH INSURANCE (CBHI) IN RWANDA. INYARUBUGA Hertilan CBHI Coordinator. Kampala, 15-16 june 2005. OUTLINE OF THE PRESENTATION. Introduction Evolution of health « mutuelles » Organization and management of health « mutuelles » Partners et Role of the goverment
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INYARUBUGA HertilanCBHI Coordinator
Kampala, 15-16 june 2005
The health « mutuelles » in Rwanda are associations which are not for commercial purposes and that are based on solidarity of beneficiaries for forseing financial risks in term of access to health care services
In setting up the health »mutuelles », the principal objectives are those determined in rwanda government targets:.
Health financing challenge 2:Low financial access and utilization of modern health care as a consequence of the levels of out-of-pocket payments
RUHONDO CBHI: AN ISOLATED INITIATIVE
54 CBHIs IN 3 HEALTH DISTRICTS
Organization and Managemt enrollement rate at 47%.
At the national level, there is a technical support cell in charge of:
Health enrollement rate at 47%. Center level:
Unlimited access to all services and drugs
Referral by (ambulance) to District Hospital
District Hospitallevel: all healthcare packages
Reference Hopital: all healthcare packagesOrganization and Management
Result 1: Improvement of financial accessibility: enrollement rate at 47%.
Members of CBHI seek care earlier and use services more frequently than non-members
Result enrollement rate at 47%. 2 Financial sustainability of basic health care services
2000 2001 2002 2003
Up to now three indicators are used for decision-making at the community, and institutions levels:
Soon, with the BIT/STEP,we will implement a software before the end of this year . This software will allow us to capture indicators on :
These indicators would allow an appropriate management of the system
The health « mutuelles » are a useful tool for the provision of financial access to health services for the poor people, however, its sustainability and strength sare focused on: