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EXPERIENCE OF NATIONAL PROGRAMS ON COVERAGE EXTENSION IN HEALTH Belize’s Experience

EXPERIENCE OF NATIONAL PROGRAMS ON COVERAGE EXTENSION IN HEALTH Belize’s Experience. Presentation at ISSA Conference 29 th May, 2006 Belize Biltmore Plaza. Ramon Figueroa, M.D, MPH. OUTLINE OF PRESENTATION. Justification Social Security Changes…extension of coverage. Pilot Project.

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EXPERIENCE OF NATIONAL PROGRAMS ON COVERAGE EXTENSION IN HEALTH Belize’s Experience

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  1. EXPERIENCE OF NATIONAL PROGRAMS ON COVERAGE EXTENSION IN HEALTHBelize’s Experience Presentation at ISSA Conference 29th May, 2006 Belize Biltmore Plaza Ramon Figueroa, M.D, MPH

  2. OUTLINE OF PRESENTATION • Justification • Social Security Changes…extension of coverage. • Pilot Project. • Roll-Out. • Discussion

  3. JUSTIFICATION • Existing Gaps in Social Protection: • ILO Strategies (Social Security Policy and Development Branch, Paper No.3) • Health Profile • Impact on Socio-Economic Development

  4. ILO STRATEGIES • Social Insurance, Universal benefits and systems and social assistance programs. • Decentralized systems, micro-insurance. • Cooperative efforts between initiatives at local level (decentralized systems, social protection initiatives)

  5. HEALTH PROFILE

  6. SOCIO-ECONOMIC DEVELOPMENT

  7. Literature support • Negative effects of “unhealthy” population on productivity. • Decreased Income: household, contributions to SSB, • Increased Expenditure • Increase in life expectancy…increased growth in GDP!!

  8. CHANGES IN SSB FOCUS ON HEALTH CARE……… “Health is an intrinsic human right as well as a central input to poverty reduction and socioeconomic development. Cost-effective interventions for controlling major diseases exist, but a serious lack of money for health and a range of system constraints hamper global and national efforts to expand health services…” W.H.O Publication

  9. MODERNIZATION OF SOCIAL SECURITY. • Extension of Employment Injury Medical Care to include Private Sector. • Extension of E.I coverage to include H-W-H. • Management of National Health Insurance under umbrella of SSB.

  10. HEALTH SECTOR REFORM AND THE NATIONAL HEALTH INSURANCE • Reform starts 1996. • Financing of Health Care…National Health Insurance. • Introduction of New Paradigm in Health Care Delivery Model. • Pilot Project implemented in South Side of Belize (pop of 36,853, poverty) • Monitoring and evaluation

  11. Separation of Function Payments Health care services PROVIDER REGULATOR SEPARATION OF FUNCTIONS SEPARATION OF FUNCTIONS PURCHASER USER Premiums/taxation/ user charges

  12. MONITORING AND EVALUATION

  13. PATIENT SATISFACTION SURVEYS

  14. MEDICAL RECORDS AUDIT RESULTS 2005

  15. MEDICAL RECORD AUDIT RESULTS2004 VS 2005

  16. PROTOCOL AUDITS, 2005

  17. FUTURE PLANS ROLL OUT • TO SOUTHERN REGION…..2006 • TO NORTHERN REGION…..2007 • TO WESTERN REGION…….2008

  18. THANK YOU ! SUCCESS COMES WHEN OPPORTUNITY MEETS PREPARATION………

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