Source: Marielle Goursat (advisor, financed by SIDA)
| Legal framework |
- SHI Draft Bill.
- SHI integrated into 6th National Strategic Plan for 2011-2015, the National Strategic Plan for 2011-2015, the National Health Policy, the National Social Protection Policy and the Medium Term Expenditure Framework (2015-2017).
- Provincial sensitization meetings (2 rounds)
- National and Provincial consultative meetings on the SHI Bill.
- Discussions (reports and debates) with the Parliamentary committee on Health, Community Development and Social service on SHI and strong support acquired.
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| Planning |
- Project plan.
- Road Map.
- Estimates on revenue from contributions to the SHI (to be finalized)
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| Systems design and development |
- Design report
- Actuarial assessment report.
- Benefit package.
- NSHIMA organogram.
- NSHIMA Job Descriptions.
- Relations established with other institutions and programmes with information systems that will be in relation with the SHI Information Systems (NAPSA, MCDMCH, DHIS2)
- Main provider payment mechanism agreed.
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| Coverage of the informal sector |
- Review of best practices to engage the informal sector.
- Informal sector rapid assessment report and recommendations on possible way to engage the informal economy workers.
- Feasibility and opportunity assessment of mobile money to collect contribution from the informal sector.
- On-going discussion with the saw milling industry to design appropriate solutions for covering the industry’s workers and ToRs for further study developed
- Identification of community health saving schemes as a potential mean to facilitate payment of contributions to the SHI, Rapid assessment to be carried out in April (ILO funded)
- On-going identification of other occupation-based informal sector groupings to facilitate cost efficient mass enrolment
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| Coverage of the vulnerable population groups |
- Note on how to use social safety nets to cover the Vulnerable.
- Review of existing systems to cover the Vulnerable and active collaboration with the MCDMCH to cover the Vulnerable.
- Design of procedures to link the SHI with the Social Cash Transfer programme.
- Identification of other vulnerable poor population groups not covered by the SCT programme to be considered for coverage (to be validated)
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| Coverage of the private formal workers |
- Preliminary discussion with NAPSA to cover the formal private sector.- Preparation of the negotiations with NAPSA (note to be validated)
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| Capacity building |
- National Training plan (to be validated)
- SHI training course done in Zambia by the ILO ITC (25 senior officers from social security institutions and line Ministries)
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| Communication |
- Draft Communication strategy
- Immediate communication plan (to be validated).
- Advocacy tools kit (to be validated).
- SHI video being revised
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| Quality assurance |
- Note on accreditation, performance based purchasing and use of revenue at provider level (to be validated).
- Concept note for key stakeholders workshop on accreditation, performance based purchasing and use of revenue at provider level (to be validated).
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