National health insurance scheme starts paying hospital bills
Mar 2012 – The national health insurance scheme, (Institut National d’Assurance Maladie – INAM) starts to pay for the health services included in its benefit package. Available only to Togolese civil servants during the first phase of deployment – extension to the informal sector will come later – INAM covers approximately 300,000 people. Technical support in the setting up and reinforcement of INAM is provided by the International Labour Organization (ILO).
National workshop on the health services tariffs policy
Feb 2012 – The Ministries of Labour and Health hold a national workshop to analyse health services costs in Togo and make decisions on the new pricing policy in public health facilities. The workshop is technically and financially supported by WHO, as one of the activities included in the P4H network joint support plan.
- Workshop report (pdf, 47kb)
Joint P4H scoping mission
Sep 2011 – A joint P4H scoping mission comprising WHO, ILO, World Bank, GIP-SPSI and the P4H Coordination Desk runs from 7 to 14 September 2011. The mission team attends a 2-day workshop with various staff from the Ministry of Social Affairs, the Divisions of Internal Revenue and Customs (MoF), the National Institute for Statistics and union representatives. There is a basic review of the existing health system financing mechanisms and the long term vision of the Ministry of Labour is shared with the other national and international stakeholders, a core aspect of which is the extension of the coverage provided to civil servants under the national health insurance scheme Institut National d’Assurance Maladie (INAM) to all categories of the population as quickly as possible, paying particular attention to the contributing capacity of the different categories to be covered.
The main recommendations of the scoping mission team include improving the coherence between stakeholders and mechanisms of Universal Health Coverage (UHC) and improving the relationship between INAM and the health facilities through contractual arrangements. The team also recommends increasing the efficiency and quality of service of public health facilities, and exploring new approaches to UHC financial resource mobilization. Finally the team recommends building up the capacity of all stakeholders involved in UHC in Togo.
Engaging with P4H
Jun 2011 – During the International Labour Conference (ILC 2011), the Togolese delegation, headed by the Minister of Labour, Employment and Social Security (MLESS), requests a meeting with the department of Health Systems Financing (HSF) of WHO to discuss the issue of potential WHO technical support regarding progress towards universal health coverage (UHC) in Togo. The WHO/HSF director introduces the P4H network as an instrument for donors’ coordination in the area of social health protection and the Togolese delegation expresses an interest in having further discussions with the P4H coordination desk (P4H-CD). These discussions take place the following day with the participation of a representative of WHO/HSF, and the fundamentals of the P4H network concept is explained. The Togolese delegation decides to collaborate with the different development partners active in the area of UHC within the P4H network.
- Togo MoL request (tif, 1.92Mb)
Legislation passed establishing a national health insurance scheme
Feb 2011 – Law No 2011-03 calling for the establishment of a national health insurance scheme, the Institut National d’Assurance Maladie (INAM), targeting civil servants and their dependants is passed. The Togolese government commits to expanding coverage to other categories of the population without delay.