national health fund (nhf) progress, challenges and preparing for the next 10 years

National Health Fund (NHF)

Progress, Challenges

And

Preparing for the next 10 Years

Turks and Caicos - October 28, 2015

Jamaica’s Demographic Profile

Health Financing in Jamaica

About the NHF

Challenges and Unresolved Issues

Measures Taken to Address Gaps

Outline


Total population 2.7m

Population growth of 23% between 1982

and 2011

Ratio of male to female is 1:1

Life expectancy is 71 years for male and 76 years for

females



2008 Estimates 2050 Projections



Health Service Financing In Jamaica


About The NHF

2003

•NHF Formed by Act of Parliament

2004

•Assumed responsibility for JADEP

2011

•Took over operations of Health Corporation Limited including Drug Serv Pharmacies

2014

•Commenced take over of Pharmacy Services


Funding Sources

20% SCT on tobacco products

1% payroll deduction collected through NIS

5% of SCT on imports of petroleum products, alcohol & tobacco, & motor

vehicles

Sale of Pharmaceuticals


NHF Card subsidy

• 16 Chronic Conditions

• 1,400 drugs covered

JADEP

• 10 Conditions• 73 items covered

Individual Benefits

Combined Over 630,000


Increasing threat of NCDs

NCD deaths are 5 times more than deaths from other diseases

NCDs account for 65% of the disease burden in Jamaica

Individual Benefits


Individual Benefits - Claims Experience

1 2 3 4 5 6 7 8 9 10 11 120

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

3,500,000

4,000,000

MembersTotal Claims


Individual Benefits - Claims Experience

1 2 3 4 5 6 7 8 9 10 11 12 $-

$1,000,000,000.00

$2,000,000,000.00

$3,000,000,000.00

$4,000,000,000.00

$5,000,000,000.00

$6,000,000,000.00

$7,000,000,000.00

$8,000,000,000.00

SubmittedSudsidy Paid


Provide grants to

public and private sector

institutions.

Financed over 550 Projects relating to infrastructure

development, education and primary care services

Expenditure to date over US$9.8m Over 85 Active

projects

Institutional Benefits


Over 300 community

interventions annually

Over 120,000

screening tests

conducted per year

Own and Operate

Mobile Clinic

Wellness Programmes

Brochures and Other

Information

Health Promotions and Prevention


Pharmacy ServicesProcurement• Competitive Tender Process• VEN List Items

Warehousing• Over 1500 items• Value at over US$58m• Supply over US$34m annually

Distribution• Own Fleet• Island-wide

Dispensing• 13 Locations• Over 1 million prescriptions

annually• Over 3 million prescription items


Political and Social Factors

IMF agreements since 2010

No User Fee Policy

Expanded role of the NHF



High Out Of Pocket Expenditure

No major change in NHF Benefits Package

No Clear Way Forward

No true demand established



Collaboration with MOH and PAHO on deepening the way forward with UHC

Sustainability study conductedof the fund

Measures Taken To Address Gaps


Board and Management reviewed financing model and proposal made to

Minister of Health

Proposal in place for establishing Health Financing Unit at the NHF

Discussions have commenced around defining and costing a package of care

relevant to the population needs.

Measures Taken To Address Gaps


Closing

NHF is fully aware of the support of WHO/PAHO of UHC including the

resolution adopted by member states at the of UHC – 53rd Directing Council

meeting in 2014.

We Acknowledge the role of NHF in advancing Health Financing in Jamaica.

Board and Management remains committed to fulfilling mandate.


Closing

Who will walk the

walk?

national health fund (nhf) progress, challenges and preparing for the next 10 years

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