|
Category |
q Tax financed q Social insurance X Micro insurance (community based) |
|
Compulsory |
No |
|
Ownership |
q Private for profit q Private not for profit X Private not for profit (provider involvement) q Public (government involvement) q Public (community based) q Mutual (members participate in management) |
|
Organizational capacity building (staff training) |
Yes |
|
Target population |
100,000 |
|
Competing schemes/free choice |
Yes |
|
Nr of insured |
1,119 (in 2006) |
|
Nr of policies |
1 |
|
Subscription unit |
q Individual q Household X Group |
|
Contribution type |
X Flat rate (app. USD 3.5 / person / year) q Income related |
|
Benefit package |
X Primary care X Child and maternity care q Specialist physician (ambulatory care) X Hospital inpatient care X Drugs q Dental care q Eye care q Transport to and fro hospital |
|
Extra benefits |
q Health promotion q Immunization q Birth control q Long-term care q Mental illness q Rehabilitation |
|
Health care provision |
X Direct (medical services free of charge) q Indirect (reimbursement) |
|
Co-payments |
Yes |
|
Deductibles |
No |
|
Provider payment system |
q Salary or budget q Case payment
X Flat rate X Fee for service q Capitation fee q Bonus payment |
|
Cost containment |
Yes |
|
Management information system |
Yes |
|
Pay-as-you-go system |
Yes |
|
Technical reserves |
No |
|
Co-insurance |
No |
|
Re-insurance |
No |
|
Subsidies |
q (Local) government X International agencies (DFID up to 2002) X NGO, Cordaid starting in 2007 q Other |
|
Risk rating |
q Individual q Group X Community |
|
Underwriting |
X Direct q Broker |
|
Load ratio (administration costs/premium income) |
App. 70 % |
|
Loss ratio (claims/premium income) |
App. 150 % |
