Morocco’s policy choices to achieve Universal health coverage

Tinasti, Khalid

doi:10.11604/pamj.2015.21.53.6727

Cited by 10 publications

(4 citation statements)

References 1 publication

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“…RAMED is a new national health insurance scheme in Morocco that aims to protect the most vulnerable populations from health‐related out‐of‐pocket expenses. It provides exemption from payment for a wide range of services, including vaccination, reproductive, maternal, newborn and child health, dental and reconstructive surgery, access to medications, treatment and to emergency care . Total health insurance coverage, including RAMED and other schemes covering the formal sector and retirees, was estimated at 53% of the population .…”

Section: Introductionmentioning

confidence: 99%

The free delivery and caesarean policy in Morocco: how much do households still pay?

Boukhalfa¹,

Abouchadi

Cunden

et al. 2015

Tropical Med Int Health

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Abstractbackground The Free Deliveries and Caesarean Policy (FDCP) entitles all women in Morocco to deliver free of charge within public hospitals. This study assesses the policy's effectiveness by analysing household expenditures related to childbirth, by delivery type and quintile.methods Structured exit survey of 973 women in six provinces at five provincial hospitals, two regional hospitals, two university hospitals and three primary health centres with maternity units.results Households reported spending a median of US$ 59 in total for costs inside and outside of hospitals. Women requiring caesareans payed more than women with uncomplicated deliveries (P < 0.0001). The median cost was US$45 for a uncomplicated delivery, US$50 for a complicated delivery and US$65 for a caesarean section. The prescription given upon exiting the hospital comprised 62% of the total costs. Eighty-eight per cent of women from the poorest quintiles faced catastrophic expenditures. The women's perception of their hospital stay and the FDCP policy was overwhelmingly positive, but differences were noted at the various sites.conclusion The policy has been largely but not fully effective in removing financial barriers for delivery care in Morocco. More progress should also be made on increasing awareness of the policy and on easing the financial burden, which is still borne by households with lower incomes.

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Section: Introductionmentioning

confidence: 99%

The free delivery and caesarean policy in Morocco: how much do households still pay?

Boukhalfa¹,

Abouchadi

Cunden

et al. 2015

Tropical Med Int Health

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“…The Moroccan government spends 6.5 percent of GDP on health, which is also significantly higher than what the Cameroon government spends. The Moroccan government also offers a national insurance program that covers free immunizations, reproductive, maternal, and child health, as well as dental and reconstructive surgeries to the poor and underprivileged in order to reduce out-of-pocket health costs (33). Other African countries included in table 1 have low UHC-SCIs due to a lack of cash, poorly executed policies, religious and language diversities and over reliance on foreign subsidy to fund their health agendas.…”

Section: Universal Health Coverage-service Coverage Indexmentioning

confidence: 99%

Management of Universal Health Coverage in Cameroon

CYNTHIA

Kiliç

2022

Journal of Basic and Clinical Health Sciences

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Universal Health Coverage, (UHC), has proven to be an undeniable political and very ambitious health agenda aimed at ensuring that everyone has access to basic quality health care services irrespective of their socio-economic status and geographical location. The UHC concept is of upmost importance in Cameroon considering the very high levels of out-of-pocket health expenditures and fragile health systems. Achieving UHC in Cameroon will not only increase the life expectancy of Cameroonians but it will also increase the economic output of the country. Although Cameroon has set in place targets and agendas aimed at providing UHC to her citizens, they're far from being implemented. With the country having a huge pool of informal workers coupled with the high level of mistrust citizens have for the governments Community-based health insurance, (CBHI), the concept of UHC in Cameroon remains more of a theoretical than practical phenomena. To cost effectively achieve UHC; aside increasing trained health care professionals, intersectoral collaboration between government authorities, civil society organizations like non-governmental organizations, community health workers, religious and cultural stakeholders should be prioritized.

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“…The study showed UHC brought hope to improve welfare of the poor (Yilma et al, 2015;Korenman et al, 2016;Ridha & Perdana, 2015;Lu et al, 2020). Nevertheless, the application still faces many challenges (Tinasti, 2015;Yang, 2018), especially for vulnerable populations (Vilcu, 2016).…”

Section: Introductionmentioning

confidence: 99%

Subsidized health insurance impact among the poor: Evidence on out-of-pocket health expenditures in Indonesia

Sosodoro,

Ramadhan,

Susamto

2023

JESP

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Universal Health Care (UHC) in Indonesia, named the National Health Insurance (Jaminan Kesehatan Nasional - JKN), has been running since 2014. JKN was predicted to be the most extensive UHC program in the world. Under JKN, the poor get free health services through the cashless method through a sub-program called Contribution Assistance Recipients (Penerima Bantuan Iuran - PBI). Unfortunately, JKN faced several failures to cover the program's expenditures within years. Within the current dynamics, was PBI, as part of JKN still effectively helping the poor? We examined the effectiveness of the PBI program by measuring differences in out-of-pocket health expenditures for the poor with similar socio-economic characteristics who used PBI and those who did not. We incorporated secondary data from National Socio-economic Survey (SUSENAS). The dataset was executed by using Propensity Score Matching (PSM) methodology. We used health expenditures and socio-economic parameters such as income, education, and gender from the 2017 and 2018 SUSENAS data. We found that in 2017, the total health expenditures of the PBI beneficiaries were lower than the non-beneficiaries. Nevertheless, by merging all two years' data, similar to 2018, we found general pattern that PBI participants' total health out-of-pocket payments were bigger than the non-participants. Health expenditures such as medicine, traditional practitioners, and others, were expenditure classifications in which PBI beneficiaries had lower expenses than non-beneficiaries in 2017. Therefore, Therefore, the UHC subsidy program for the poor in Indonesia has not only been ineffective through the years of implementation but also has not been effectively implemented for all variations of health expenditure types.

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Morocco’s policy choices to achieve Universal health coverage

Cited by 10 publications

References 1 publication

The free delivery and caesarean policy in Morocco: how much do households still pay?

The free delivery and caesarean policy in Morocco: how much do households still pay?

Management of Universal Health Coverage in Cameroon

Subsidized health insurance impact among the poor: Evidence on out-of-pocket health expenditures in Indonesia

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