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Health services research journal. The national health insurance scheme nhi in zambia is designed to pool funds to provide universal health care services for all zambians based on their health needs irrespective of their socio economic status. This is law enacted by parliament and assented by his excellence the president of zambia on 25th april 2018. Despite the absence of user fees at the primary level of care in the public sector inadequate funding for.
Although there are adequate private health facilities in lusaka the public health system remains heavily underfunded and many expats requiring serious medical attention will find themselves evacuated to another country such as south africa where there are better medical facilities. The general state of healthcare in zambia is poor. Health financing strategy and social health insurance in zambia moh 5.
Defining zambias proposed shi package nhi coordination unit. Research and existing evidence university of zambia 6. East central and southern africa health community advocacy symposium on universal health coverage.
A renowned zambian economist has praised government for introducing social insurance policy. In 2015 the government of zambia grz proposed a social health insurance shi scheme with the aim of covering all zambians. The national health insurance schemes statement of intent is to cover all zambians regardless of their social economic or.
Therefore as zambia embarks on the social health insurance program it can learn from other countries. Herryman moono says the initiative by the ministry of health would not only improve access to health care but would also help reduce the cost of access to quality health care. If enacted this scheme will mark rapid progress tow ard universal health coverage.
The national health insurance scheme model that zambia will establish is based on the following guiding principles of universality social solidarity equity affordability efficiency effectiveness and accountability. Aaron mujajati the zambia medical association says it is happy that after several years of discussions with government the social health insurance is becoming a solid reality. Health insurance is separate from general tax that the government collects.
The national health insurance act number 2 of 2018 was assented by the president in 2019. It is going to support health care service delivery.
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