Resource

Actuarial analysis of the National Health Insurance Scheme and costing of the extension of coverage to Social Cash Transfer beneficiaries

Report to the Board of the National Health Insurance Management Authority as of 30 September 2022 - Zambia

  • English
ILO; NHIMA; Republic of Zambia, Ministry of Labour and Social Security.
ILO
ILO
2023
9789220395554 (Print); 9789220395561 (Web PDF)
113
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Summary (English)

This actuarial analysis and costing of the extension of coverage of the National Health Insurance Scheme (NHIS) to Social Cash Transfer (STC) beneficiaries was developed by the National Health Insurance Management Authority (NHIMA) of Zambia with the support of the ILO–EU Global Programme on Improving Synergies between Social Protection and Public Finance Management. At the request of NHIMA, and under the overall coordination of the Ministry of Labour and Social Security (MLSS), this project supported NHIMA in estimating the cost of expanding coverage to STC beneficiaries, in line with Section 16(c) of the National Health Insurance Act, as well as in assessing its impact on the overall financial sustainability of the scheme.

This report synthesizes the main results of the project and provides recommendations for action. It is hoped that the project results contribute to the extension of coverage of the NHIS and support NHIMA’s operational objectives to give effect to the National Health Insurance Act of 2018.

Report 20207 Zambia actuarial valuation , social health protection
08.04.2024