The Ministry of Finance, Planning and Economic Development has issued a Certificate of Financial Implications for the National Health Insurance Scheme (NHIS) Bill which is projected to start in financial year 2018/2019. The certificate allows the Ministry of Health to present the NHIS Bill to Parliament for discussion.
The certificate dated 7th April 2017 and signed by the Minister of Finance, Planning and Economic Development, Hon. Matia Kasaija, indicates that government and private employees will contribute 4 percent of their monthly salary to the NHIS while employers will contribute 1 percent of each employee’s monthly salary. Self-employed individuals will pay shs100,000 per year while pensioners will contribute 1 percent of their monthly pension payment.
The certificate further indicates that indigents will not contribute to the scheme but will be subsidised by other members of the scheme. It will take 10 years for all indigents to be covered as only 10 percent will be enrolled per year.
According to the certificate, the Government will continue to fund the provision of free health services in health facilities until every Ugandan is enrolled in the NHIS. It will also continue to fund public health interventions and other specialised services outside the standard benefits package and other health system investments such as major infrastructure, human resources, specialised medicines and technology at a reducing scale as contribution to NHIS increase.
The NHIS will be composed of three sub-schemes including the Social Health Insurance (SHI), the Community Based Health Insurance (CBHI), and the Private Commercial Health Insurance (PCHI) which will be implemented concurrently. The CBHI will largely comprise of the informal sector.
It is projected that the Government requires shs.3bn as start-up costs of the NHIS including creation of awareness; developing regulations and institutional framework; developing information systems; quality assurance mechanisms; and the review and costing of the benefits package, among others.