{"id":987706827,"date":"2024-07-10T14:07:31","date_gmt":"2024-07-10T13:07:31","guid":{"rendered":"https:\/\/p4h.world\/?post_type=case_study&p=987706827"},"modified":"2025-04-01T13:11:50","modified_gmt":"2025-04-01T12:11:50","slug":"universal-health-coverage-advances-in-chad-a-multi-year-presence-pays-off-2-2-2","status":"publish","type":"case_study","link":"https:\/\/p4h.world\/en\/case_study\/universal-health-coverage-advances-in-chad-a-multi-year-presence-pays-off-2-2-2\/","title":{"rendered":"Universal health coverage advances in Chad: a multi-year presence pays off"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”!! PLEASE DO NOT EDIT !!!” _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ admin_label=”!!! PLEASE DO NOT EDIT !!!” _builder_version=”4.20.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.19.5″ _module_preset=”default” global_colors_info=”{}”][et_pb_text admin_label=”SUMMARY” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”10px||20px||false|false” global_colors_info=”{}”]The government of Chad declared universal health coverage a priority in 2011 and has since made gradual progress laying its foundations. Since 2019, P4H Country Focal Person Saibou Seynou, has supported Chad in its work related to health financing, social health protection reforms and UHC.[1]<\/a><\/sup><\/strong>[\/et_pb_text][et_pb_text admin_label=”TEXT – BLOCK 1 ” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

In 2015 Chad<\/a> adopted its national universal health coverage (UHC) strategy, including an implementation road map. In 2016 the Ministry of Public Health and Prevention (MSP) requested technical assistance from the P4H Network. A health financing expert, Saibou Seynou, funded by the Deutsche Gesellschaft f\u00fcr Internationale Zusammenarbeit (GIZ) was thus deployed to support the newly set up Cellule interminist\u00e9rielle de coordination de la Strat\u00e9gie nationale de la Couverture sanitaire universelle [an interministerial coordination unit for UHC] (CIC). In 2018 Saibou began serving as a P4H country focal person (P4H-CFP), contracted by GIZ, and funded by the Swiss Agency for Development and Cooperation (SDC).<\/p>\n

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With support from the P4H-CFP and other development partners (DPs), the Chadian government signed a law in 2019 to set up a UHC-oriented health insurance system<\/a> through three schemes: Assurance sant\u00e9 des salari\u00e9s (health insurance for salaried workers), Assurance sant\u00e9 des ind\u00e9pendants (health insurance for the self-employed), and Assurance maladie des d\u00e9munis (health insurance for people living in poverty). The latter group was estimated to comprise 20% of the total population for the purpose of the UHC rollout.<\/p>\n

[\/et_pb_text][ba_gradient_heading title=”P4H-CFP contributes to momentum and collaboration” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=”HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”24px” title_line_height=”1em” custom_padding=”||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 3″ _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

The P4H-CFP plays an important role in Chad, serving as a resource person for UHC-related topics, supporting government stakeholders in advancing institutional and legal frameworks, drafting documents and navigating donor procedures. Saibou provides technical input to laws, decrees, ministerial orders, and strategic documents on UHC. This includes, for example, drafting terms of reference for studies, revising legal, institutional and strategic documents, such as the health financing strategy, and preparing texts such as the definition of benefit packages.<\/p>\n

[\/et_pb_text][ba_gradient_heading title=”The P4H-CFP\u2019s highly valued role ” html_tag=”h3″ primary_color=”#455A64″ secondary_color=”#455A64″ admin_label=”HEADING (50-60 characters)” _builder_version=”4.21.0″ _module_preset=”default” title_font=”||||||||” title_font_size=”24px” title_line_height=”1em” custom_padding=”||10px||false|false” global_colors_info=”{}”][\/ba_gradient_heading][et_pb_text admin_label=”TEXT – BLOCK 4 ” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||1em||false|false” global_colors_info=”{}”]<\/p>\n

Stakeholders highly value the P4H-CFP\u2019s role in facilitating joint activities and exchange visits to other countries for learning best practices. In Chad, key informants qualified the P4H-CFP as a \u201cmoral and technical compass\u201d. <\/em>The P4H-CFP has facilitated exchange visits to Rwanda (in 2020), Cameroon (in 2022) and Mali (in 2023). Delegates were drawn from the Agence nationale de re\u0301gulation de la CSU (National Regulatory Agency for UHC), the Caisse nationale d\u2019assurance sant\u00e9 (National Health Insurance Fund), the Caisse d’assurance maladie des Arm\u00e9es (Army Health Insurance Fund), the MSP, civil society, the CIC, Chad\u2019s Ministry of Finance and DPs.<\/p>\n

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References<\/strong><\/p>\n

[1]<\/span> This content is based on the evaluation of the in-country pilot of the P4H Monitoring and Evaluation Framework conducted by Hera in 2023 and reported in Development and Piloting of P4H\u2019s Monitoring and Evaluation Framework. The synergies created among key actors such as the World Health Organization, SDC, the Global Financing Facility for Women, Children and Adolescents, the World Bank Group, Agence fran\u00e7aise de d\u00e9veloppement and GIZ have led to collaborative efforts, curtailed duplications, and ultimately contributed to the successful development and implementation of UHC initiatives. Key examples include the pooling of resources to support the functioning of the CIC, the coordinated funding and technical input to studies and reviews, and the contracting of consultants.<\/span>\u00a0<\/p>\n

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The government of Chad declared universal health coverage a priority in 2011 and has since made gradual progress laying its foundations. Since 2019, P4H Country Focal Person Saibou Seynou, has supported Chad in its work related to health financing, social health protection reforms and UHC.[1]In 2015 Chad adopted its national universal health coverage (UHC) strategy,…<\/p>\n","protected":false},"author":51,"featured_media":987706832,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[121,134,123,127,135],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/case_study\/987706827"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/case_study"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/case_study"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/51"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987706827"}],"version-history":[{"count":16,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/case_study\/987706827\/revisions"}],"predecessor-version":[{"id":987765574,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/case_study\/987706827\/revisions\/987765574"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987706832"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987706827"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987706827"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987706827"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}