national health fund (nhf) progress, challenges and preparing for the next 10 years
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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
Turks and Caicos - October 28, 2015
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
Jamaica’s Demographic Profile
Turks and Caicos - October 28, 2015
2008 Estimates 2050 Projections
Jamaica’s Demographic Profile
Turks and Caicos - October 28, 2015
Health Service Financing In Jamaica
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
NHF Card subsidy
• 16 Chronic Conditions
• 1,400 drugs covered
JADEP
• 10 Conditions• 73 items covered
Individual Benefits
Combined Over 630,000
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
Political and Social Factors
IMF agreements since 2010
No User Fee Policy
Expanded role of the NHF
Challenges and Unresolved Issues
Turks and Caicos - October 28, 2015
High Out Of Pocket Expenditure
No major change in NHF Benefits Package
No Clear Way Forward
No true demand established
Challenges and Unresolved Issues
Turks and Caicos - October 28, 2015
Collaboration with MOH and PAHO on deepening the way forward with UHC
Sustainability study conductedof the fund
Measures Taken To Address Gaps
Turks and Caicos - October 28, 2015
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
Turks and Caicos - October 28, 2015
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.
Turks and Caicos - October 28, 2015
Closing
Who will walk the
walk?
Turks and Caicos - October 28, 2015
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