The National Health Sector Strategy (2012-16) places universal health coverage and primary health care
high on its list within the framework of a decentralized local health system. The strategic objectives are to ensure social protection by increasing health insurance coverage and reducing reliance on Out Of Pocket (OOP) payments, expand coverage amount the informal sector and improve access to equitable services. An important input to the policy process for national health financing strategy was the actuarial study of the National Health Insurance Fund. In January 2014, a roadmap for Sudan to achieve UHC for its population was drawn out as part of a conference, organized by NHIF.
A new health care financing policy was accepted by the government that aim to achieve UHC by 2020, in this policy all Sudanese people will be provided by basic benefit package that cover health priorities in the country and the government pay the premium for all (126 SDG/family = $8.5)
Extra benefit package will be provided to poor people and Civil Servant (CS) based on the extra premium financed by government and participation from CS and other funding agents while rich people pay their premium.
National Health Insurance will be the single purchaser while the health care services provided by the MoH facilities and private sector and other charitable facilities, these facilities will be accredited by independent body.
Although many challenges will face all stakeholders to go for this goal and accept this reforms, as by now the coverage of HI is 41.6%
Sudan starts new era for UC the new law that obliges All Sudanese to be enrolled in HI is passed the parliament discussion last week, the new law has tow distinctive character which are national roaming on medical services and everyone should have health insurance
Companies and factories and all private institutions has to help all employees to be enrolled, 6% out of 10% of the salary should be paid by the employer
The National Health Insurance Fund (NHIF) has affirmed that it works to increase the coverage rate by the end of this year from 55.8% to 66% and that of the poor families to 90%.
Acting NHIF Director General Dr. Bassit Yusuf Ibrahim, addressing the inaugural session of the 7th forum of population coverage in the states here last week , said that the fund is keen to increase health insurance coverage rate to 66% and to not less than 90% of poor families.
He affirmed that NHIF is making good progress in the implementation of its 2017-2020 strategy, stressing importance that the coverage rate in the states of the country should exceeds 80%.
Dr. Ibrahim affirmed they planned to move from the stage of comprehensive coverage by health insurance to that of sustainable one by the year 2020, urging branch directors in the states to work for attaining health services coverage of high quality at affordable cost.
Director of population coverage at NHIF Dr. Bashir Al-Mahi, on his part, affirmed that they target increasing coverage rate to more than 60% by end of 2018 in 10 states, saying that the real challenge is that all states of the country should have coverage rate of not less than 80% by 2020, referring to making interventions in the targeted states, especially concerning coverage at the private and free sectors.
It is worth noting that the National Health Insurance Fund is a governmental organization in Sudan aiming at alleviating the risks of the high cost of health services on both the government and population and securing the quality and accessibility of health services.
National Health Insurance Fund is a governmental organization in Sudan aiming at alleviating the risks of the high cost of health services on both the government and population and securing the quality and accessibility of health services. It was established in 1994, firstly implemented in 1995.
Coverage: 40% (December 2009) Poor families covered by Zakat Chamber, and Pensioners by Ministry of Finance.
Provides Health Services to insured population-Participate in availability of Health Professionals in the remote area by improving working and living environments. Achieving the values of social solidarity, equity, community participation, transparency and stewardship; participation in poverty reduction, improving access to the health services; reduces the burden of health expenditure among vulnerable groups.
Many factors are related to human resources for health influences the health outcomes and accessibility to health services:
High turnover of medical doctors causes irrational use of medicines and hence waste of the scarce resources. Insufficient qualified procurement staff increases the work load of the few numbers of staff at the federal level. Lack of highly qualified public health professional, specifically in health insurance systems hinder the running of the project efficiently and effectively.
Therefore, the National Health Insurance Fund aims to bridge the gap by making an attractive environment to the staff, conducting in service training and motivate the staff to participate in the international workshops training courses to exchange experiences and gain more knowledge and skills.
Sudan has already taken some strategic steps towards UHC, such as the National Health Sector Strategic Plan (2012-16). The health sector strategy aims at achieving UHC, and one of the means by which it hopes to do that is by launching a primary health care expansion programme. The Federal Ministry of Health (FMOH) has stated a policy of integration and task shifting to primary and community care.
To improve the situation especially in regard to the delivery of integrated services, programmes are addressing Sudan’s high burden of diseases and related health priorities while targeting under-served populations to improve equity to access.