MoU to Achieve Social Safety and Poverty Reduction

Haffiya Elyas

Khartoum – The National Health Insurance Fund is a governmental organization in Sudan aims at alleviating the risks of the high cost of health services on both the government and population and securing the quality and accessibility of health services. It was established in 1994, firstly implemented in 1995. The goal of the NHIF is to expand the Coverage among the poor families and informal sector.*Minister of Security and Social development Widad Yagoub Ibrahim, asserted to achieve universal health insurance coverage to *80% by the year2020.
Widad asserted yesterday during the signing of the memorandum of understanding to complete the coverage of private sector between the Ministry and the Sudanese Businessmen and Employers Federation and Sudan Workers Trade Unions Federation, Widad announced the commitment of all business sectors to provide good services to all workers, She also affirmed her absolute support of the Ministry and the support of programs to fight poverty and all other social issues Director-General of the National Health Insurance Fund, Dr. Talal *Al-Fadil disclosed the introduction of a million new families funded by the Federal Ministry of Finance. He predicted that the coverage of the poor would reach 90 percent by the end of 2020.
Talal said this is a major shift in the state’s commitment to protect the poor from the high cost of medical services. The first half of this year witnessed an increase in the number of States that exceeded the 85% coverage, he said.
Talal referred to the study carried out by the NHIF, which concluded that the medicine and medical service increased to 52% in the year 2017. There are 3,000 health institutions offering services to insured persons in different States of and more than 2,500 pharmacies to provide medicine.
The Vice-President of the Sudan Workers Trade Unions Federation, Al- Sadiq Kodi, said they were the first partners of the NHIF. More effort and work must be done for the sake of the workers to fight poverty, he said. Chairman of the Sudanese Businessmen and Employers Federation Saud Mamoun Al-Bereir , said the signing of the MOU is an achievement for all sectors to receive health insurance services, saying that *a strong health insurance system should be managed to relieve the financial burden of the State.
It is worth noting that the National Health Sector Strategy (2012-16) places universal health coverage and primary health care high on its agenda within the framework of a decentralized local health system. The strategic objectives are to ensure social protection by increasing health insurance coverage and reducing reliance on Out Of Pocket (OOP) payments, expand coverage amount the informal sector and improve access to equitable services. An important input to the policy process for national health financing strategy was the actuarial study of the National Health Insurance Fund. In January 2014, a roadmap for Sudan to achieve UHC for its population was drawn out as part of a conference, organized by NHIF.
Equitable access to quality medicines and responsible use are main determinants of achieving the desired health outcomes. However, the comprehensiveness of Pharmaceutical Benefits Packages in different Health Insurance Schemes are different, so an implementable model for selection and use of medicines in Health Insurance schemes is needed and it would have a major role in achieving Universal Health Coverage. I would suggest a platform within the JLN for ” Medicines for UHC”.
A new health care financing policy was accepted by the government that aim to achieve UHC by 2020, in this policy all Sudanese people will be provided by basic benefit package that cover health priorities in the country and the government pay the premium for all (126 SDG/family = $8.5)
Extra benefit package will be provided to poor people and Civil Servant (CS) based on the extra premium financed by government and participation from CS and other funding agent while rich people pay their premium. National Health Insurance will be the single purchaser while the health care services provided by the MoH facilities and private sector and other charitable facilities, these facilities will be accredited by independent body. Sudan starts new era for UC. The new law that obliges All Sudanese to be enrolled in HI is passed the parliament discussion last week, the new law has two distinctive characters which are national roaming on medical services and everyone should have health insurance*Companies and factories and all private institutions has to help all employees to be enrolled, 6% out of 10% of the salary should be played by the employer.

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