DSpace
CMI

BORA CMI >
Chr. Michelsen Institute >
CMI Collection (Reports, Working Papers, Articles etc.) >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10202/107

Title: Evaluation of NPA's support to Mutuelle, a voluntary health insurance scheme in Rwanda
Authors: Hatlebakk, Magnus
Olsen, Øystein Evjen
Keywords: Health insurance
Incentives
Rwanda
Issue Date: 2005
Publisher: Chr. Michelsen Institute
Series/Report no.: CMI Report
R 2005: 2
Abstract: The report was commissioned by Norwegian People’s Aid (NPA) with funds from NORAD. The evaluation looks into NPA’s support to health services in Gisenyi district of Rwanda. The focus of the evaluation is on Mutuelle, a community based health insurance scheme. The evaluation has a number of recommendations for reforming the Mutuelle, which may contribute to financial sustainability. A necessary condition for sustainability is a high membership rate, which in turn depends on the payment scheme as well as the quality of the health services. We recommend that the premiums must be transferred automatically to the health centre and the dis trict hospital. This will ensure financial sustainability for the Mutuelle and the risk is transferred to the health district that can more easily bear the risk. In addition, small co-payments must be applied to avoid excessive use of the health services. We also suggest a second voluntary contract, where the prepayment is higher than in the present contract, and the co-payment is smaller. Finally, we suggest that NPA, or other agencies, pays the prepayment for the very poor.
URI: http://hdl.handle.net/10202/107
ISBN: 82-8062-108-3
ISSN: 0805-505X
Appears in Collections:CMI Collection (Reports, Working Papers, Articles etc.)

Files in This Item:

File Description SizeFormat
Report R 2005-2.pdf164KbAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

 

Feedback Chr. Michelsens Institutt
Fantoftveien 38, 5072 Bergen
E-post: bora@cmi.no