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SKY in a Nutshell

SKY in a Nutshell. SKY Impact Evaluation Meeting. October 4, 2011. Cedric Salze - GRET . SKY Objectives.

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SKY in a Nutshell

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  1. SKY in a Nutshell SKY Impact Evaluation Meeting October 4, 2011 Cedric Salze - GRET

  2. SKY Objectives • Protect vulnerable households from health shocks by securing their incomes and assets through the creation of a viable micro-insurance institution, which provides them with low cost access to quality- controlled health care. • Create a sustainable local institution which can achieve this objective beyond GRET support

  3. SKY Target Groups Private Insurance Population Better-Off (20%) Middle-Income 50% Near Poor Microinsurance Poorest (30%) Partnership with Health Equity Funds

  4. SKY promotes and sells insurance contract for free access in public health facilities SKY contracts the public providers through performance-based contracts and monitor the service delivered Insured pay premium for all members of the family Health facilities provide feed back to SKY SKY provides feed back to Insured Provincial Hospital Contracted health structures provide care without co-payment Referral Hospital Insured receive care for free within public health facilities Health Center SKY Model 4

  5. SKY Coverage Areas OD Takhmao - 1 HC - Chey Chumnas Hospital Prey Kabass - 13 HCs - 2 Hospitals Bati - 13 HCs - 2 Hospitals Daun Keo • 15 HCs • - 1 Hospital Ang Roka • 10 HCs • - 2 Hospitals Phnom Penh - Kossamak Hosp • - KSH Hosp • Samdech Euv RH • Toul kork HC • Toul svay prey HC • Pochentong RH Kampot - 12 HCs - Kampot Hospital Koh Thom OD - 6 HCs - KT Hospital - Chey Chumnas Hosp. Kirivong OD with BFH - 20 HCs • 2 Hospitals • Currently SKY contracts with: • 104 Health centers - 08 District Referral hospitals • - 03 Provincial hospitals - 02 National Hospitals

  6. SKY Membership (August)

  7. SKY Membership Distribution of members - Urban 8% - Rural 92%

  8. Some Key Figures Operation costs subsidized by donors (AFD, GIZ-Ausaid, EU)

  9. Next Steps • Prepare the institutionalization of SKY in 2012 • Continue to expand the activities in Takeo, Kampot and Phnom Penh • Improve the economic model of SKY (productivity, operation and technical cost containment,..) • Contribute to the development of the national policy on social protection from evidence-based activities • Last but not least… look for additonal financial partners for the coming years…

  10. SKY in a Nutshell SKY Impact Evaluation Meeting October 4, 2011 Cedric Salze - GRET

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