Planned Social Health Protection EAC Conference – 2012
Jun 2012 – The Ministry of Health (MoH) requests GIZ’s assistance in the development of a concept paper for a regional conference among countries in the East African Community (EAC). The overall objective of the conference is to highlight various approaches for the development and implementation of a comprehensive social health protection system for the East African countries. The conference will contribute to the EAC’s ongoing evidence-based efforts to meet social health protection needs of its population, aimed at universal coverage and guaranteed access to health services. The conference is planned for June 2012. At this stage, the MoH and the Ministry of the East African Community (MINEAC) are exploring possible funding from the P4H partners and technical assistance in the preparation for the conference.
Training on Social Health Protection for HFU Staff and District CBHI Managers
Feb 2012 – Recognizing the need for basic understanding of social health protection (SHP) and Health Financing (HF) principles, concepts and best practices, the Ministry of Health (MoH) asks P4H partners for a curriculum on SHP for its technical staff at central level (e.g. Health Financing Unit) and a Community-based Health Insurance (CBHI) Management Course for district CBHI managers. GIZ and WHO will jointly support this initiative using materials from existing courses tailoring them to the needs of Rwanda.
MoH needs help in development of a Health Financing Strategic Plan
Feb 2012 – Rwanda is currently developing its Health Sector Strategic Plan III(HSSP III) for the period 2013 to 2017. Strategic priorities for the next five years have been identified based on health financing functions and the Rwanda Health Financing Policy. To implement the strategic priorities within the context of a long-term vision for health financing and universal coverage, the Ministry of Health (MoH) would like assistance in the development of a Health Financing Strategic Plan as soon as the HSSP III is approved by the Parliament. As the main development partners of the Health Financing Unit (HFU), GIZ and WHO are asked to renew their offer of support for this process.
Strategic Planning Retreat on Health Financing for HSSP III
Feb 2012 – Following the sector-wide Health Sector Strageic Plan III (HSSP III) retreat on strategic priorities, the health financing stakeholders propose to further develop a logframe for key result areas, including resource generation, pooling, purchasing and stewardship function. A two-day retreat is organized and conducted by the Ministry of Health (MoH) in Musanze with the support of GIZ, WHO and other development partners.
HFU calls for Organizational Planning Retreat on Health Financing
Jan 2012 – Under new leadership, the Health Financing Unit (HFU) in the Ministry of Health (MoH) is in the process of strengthening and developing its core processes and operating functions. In view of its challenging mandate as the implementing arm for the Health Financing Policy, it requests GIZ to support the organization of a retreat (the Health Sector Strategic Plan III retreat) for its entire staff to foster a common understanding of the unit’s vision and mission as well as to clarify the roles and responsibilities of each unit.
HFWG as platform for HF Policy Implementation
Jan 2012 – The Health Financing Working Group (HFWG) is the main platform for coordination, sharing and discussion of health financing issues between the government, Development Partners and other stakeholders. Established in 2010, it became fully functional in 2011 with GIZ as Co-Chair. The P4H network partners, GIZ, ILO, SDC, WHO, are active members and joint P4H activities, plans and results are presented to it for the purposes of information, eliciting inputs and consensus forming.
P4H backs missions focused on the implementation of CBHI Reforms
May 2011 – Jun 2011 – There are two P4H-backed missions in 2011 in support of the implementation of Community-Based Health Insurance (CBHI) in Rwanda. The first, focusing on the CBHI Procedure Manual and CBHI strategic direction (May 2011), includes a review of the implications of the planned health system reforms for governance and issues including the introduction of a comfort package, wealth-based premiums, efficient fund collection, financing a national risk pool, equalization mechanism and funds flow, and a framework for revenue distribution between levels of care. The second, backed by WHO, analyzes the CBHI financial data and develops a financial model for equalization and redistribution of premium revenue across health care levels. These sequenced studies result in the revision of the CBHI Procedure Manual and are used as the basis for the issuance of an inter-ministerial order on premium redistribution and equalization.
MoH calls for P4H support on community-based health insurance
Feb 2011 – P4H network partner GIZ convenes a kick-off meeting for all the P4H in-country organizations, including the ILO, SDC and WHO, who informally agree to collaborate in supporting universal health coverage and social health protection activities, and to actively exchange information on their respective areas of work. As a first step, the group agrees to introduce the P4H Initiative to the Ministry of Health (MoH), supported by a letter from the WHO Representative, on behalf of the P4H partners. In response the MoH requests support in the implementation of the new Community-based Health Insurance Policy and in the development of a health financing strategic plan.
P4H supports implementation of new CBHI Policy
Nov 2010 – Dec 2011 – GIZ, ILO and WHO offer technical and financial support during the transition to a new Comunity-based Health Insurance Policy. To make the new system more equitable and sustainable P4H partners worked on the development of a national database (Ubudehe) of the wealth of individuals used to determine the Community Based Health Insurance (CBHI) premium contribution. They also worked on: a communication and sensitization campaign covering all districts which included tri-media support; the training of all district and section managers using the CBHI Procedure Manual; and provided technical assistance to the CBHI unit in the Ministry of Health (MoH).