This is the 4th National Community Health Financing (CHF) Conference Save for Health Uganda (SHU) is organising to promote community health financing initiatives and advocate for their integration in national programs. CHF refers to a voluntary, non-profit mechanism under which community members pool resources for their health care in a prepayment arrangement. SHU has worked with both rural and urban families, formal and informal sector groups to form community health insurance (CHI) schemes in nine districts of Uganda.
CHI is one of the CHF instruments for mitigating shocks caused by ill-health and improving access to healthcare for low-income families. The CHI schemes are helping protect families from impoverishing out-of-pocket healthcare expenditures, which is a key component of universal health coverage. The future of these schemes and many others started in more than 20 districts covering over 152,000 individuals lies in having a national policy and legal framework promoting prepayment mechanisms that enable households to plan for their healthcare costs.
To mobilise leaders and other actors to embrace and support CHF initiatives and the NHIS for universal health insurance coverage.
Uganda has largely been implementing a free healthcare system since 2001, which presumes free access to healthcare services at public facilities. A few public hospitals charge user fees from patients who opt for the private wing. However, household expenditure on healthcare has remained high at 40 percent with 37 percent being out-of-pocket expenditure and only 3% is raised through prepayment mechanisms. Up to 17.5 percent of out-of-pocket expenditure on health is spent at government owned facilities. High out-of-pocket expenditure pushes many of the vulnerable into poverty.
For over 17 years, the Uganda government has been planning to introduce a national health insurance scheme and developed a draft National Health Insurance Scheme (NHIS) Bill, which was approved by Cabinet in June 2019 and tabled in Parliament on 22nd August, 2019. At the same time, in February this year, Parliament granted leave to the Chairperson of the Health Committee, Hon. Dr. Michael Bukenya, to develop a private member’s Bill on NHIS. The National Social Protection Policy, 2015 recognises affordable health insurance as one of the priority social protection interventions. CHI and other CHF initiatives which will be discussed at the conference a envisaged as an avenue for the informal sector to benefit from the NHIS.
This conference will bring together key stakeholders including policy makers, researchers and implementers to share scientific and practical experiences on expanding health insurance as an intervention for achieving universal health coverage in Uganda. Outcomes of the conference will be shared widely with stakeholders including policy makers and development partners.
To showcase the impact of community health financing initiatives on families and healthcare providers, their role in the implementation of the NHIS, and advocate for universal health coverage.
1. Community based health financing schemes: their operations, benefits and impact
2. Integrating Community Health Financing initiatives in other local and national systems and programs (case studies).
3. Progress of Luwero District based Community Health Financing scheme
4. Progress of National Health Insurance Scheme bill
5. The role of Community Health Financing initiatives in linking the informal sector to the National Health Insurance Scheme.
6. Role of leaders at various levels in Community Health Financing and National Health Insurance Scheme implementation.
Participation fee: UGX 150,000 (for meals, stationary in kampala only)
Field visit to Luwero : UGX 200,000
Registration deadline: 1st November, 2019
Imperial Royale Hotel in Kampala
Participants will spend the first day of the conference in Luwero district visiting communities and healthcare providers involved in the CHI program. Luwero district has made a significant contribution to the growth of CHI in Uganda through community-level efforts and the commitment of the district leadership. Last year, the district council passed an ordinance (law) to regulate CHI and promote it across the district. In addition, CHI schemes have continuously existed in Luwero since 2000. By December 2018, there were 52 running schemes covering 20,000 individuals, representing 13 percent of all people enrolled in CHI schemes in the country. At least 20 percent of healthcare providers serving CHI schemes are located in the district. These range from health centres to hospitals linked through a referral network established by the schemes.
For the final two days of the conference, participants will gather at Imperial Royale Hotel in Kampala to share experiences from the field visits and hold discussions with policy makers on the conference topics.
1. Makaire Fredrick
Tel : 0772515466
Email: firstname.lastname@example.org / email@example.com
2. Nnamulondo Proscovia
Communication and Advocacy Officer
Tel : 0777490902 /0752598394