{"id":987501997,"date":"2023-02-03T08:19:35","date_gmt":"2023-02-03T07:19:35","guid":{"rendered":"https:\/\/p4h.world\/country\/namibia\/"},"modified":"2025-02-18T11:35:05","modified_gmt":"2025-02-18T10:35:05","slug":"namibia","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/namibia\/","title":{"rendered":"Namibia"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;1&#8243; admin_label=&#8221;!!! PLEASE DO NOT EDIT !!!&#8221; _builder_version=&#8221;4.20.4&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.19.5&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 1&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Namibia&#8217;s health financing system has evolved significantly since the country gained independence in 1990, with ongoing efforts to achieve universal health coverage (UHC). Despite notable progress, challenges remain in ensuring sustainable and efficient financing for health services.<\/span><\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Current health system structure and funding sources&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 2 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]The government is the primary source of health care financing in Namibia, contributing 47.5% of total current health expenditure (CHE) in 2021. Other significant sources include private employers through voluntary prepayments (36.4%) and household out-of-pocket payments (7.7%). Notably, donor funding only accounts for about 8% of CHE, primarily due to Namibia&#8217;s transition to an upper middle-income country status. Namibia has one of the highest health spending per capita among countries with similar GDP. The government\u2019s health expenditure as a percentage of total government spending has fluctuated, exceeding the Abuja target (15% threshold) at 16.3% in 2005 and falling to 11.2% in 2021.<sup><a href=\"#1\">[1]<\/a><\/sup>[\/et_pb_text][ba_gradient_heading title=&#8221;Reforms for universal health coverage&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 3&#8243; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">To <\/span><a href=\"https:\/\/p4h.world\/en\/documents\/review-of-health-financing-in-namibia\/\"><span style=\"font-weight: 400;\">advance towards UHC<\/span><\/a><span style=\"font-weight: 400;\">, Namibia established the <\/span><span style=\"font-weight: 400;\">Universal Health Coverage Advisory Committee<\/span><span style=\"font-weight: 400;\">, which collaborates with the Ministry of Health and Social Services of Namibia to develop a sustainable health financing system. Key objectives include improving equity in health service access, enhancing quality of care and ensuring financial protection for all citizens.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Namibia employs several risk-pooling mechanisms, including the <\/span><a href=\"https:\/\/p4h.world\/en\/documents\/reforming-the-public-service-medical-aid-scheme-psemas-in-namibia\/\">state-run Public Service Employees Medical Aid Scheme (PSEMAS)<\/a> for civil servants and various private medical aid schemes. These schemes cover <a href=\"https:\/\/lhssproject.medium.com\/namibia-stands-close-to-adopting-universal-health-coverage-policy-5b35b7dd2c4f#:~:text=The%20Government%20of%20Namibia%20can,about%2020%20percent%20of%20people.\">about 20% of the population<\/a><span style=\"font-weight: 400;\">, indicating limited access to financial risk protection.\u00a0<\/span><\/li>\n<\/ul>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;Challenges and opportunities&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221; HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221; custom_padding=&#8221;||10px||false|false&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][\/ba_gradient_heading][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 4 &#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;||1em||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p><span style=\"font-weight: 400;\">Despite progress, Namibia faces the following considerable challenges in health financing.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/p4h.world\/en\/documents\/review-of-health-financing-in-namibia\/\">Fiscal capacity<\/a><span style=\"font-weight: 400;\">: The government&#8217;s ability to allocate additional resources for health is influenced by overall economic conditions and revenue generation capabilities. The fiscal context suggests a need for innovative financing mechanisms to sustain health expenditures.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/p4h.world\/app\/uploads\/2023\/02\/Health-Financing-Review-Namibia.x23411.pdf\">Equity and access<\/a><span style=\"font-weight: 400;\">: Ensuring equitable access to health care services remains a critical issue, particularly for vulnerable populations. The government aims to expand coverage through improved risk-pooling and service delivery mechanisms.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.giz.de\/en\/downloads\/giz2023-sector-brief-namibia-health.pdf\">Quality of care<\/a><span style=\"font-weight: 400;\">: There is a pressing need to enhance the quality of health services quality, since few public health facilities adhere to established treatment guidelines.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 9 &#8211; Footnotes&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; text_font_size=&#8221;13px&#8221; custom_margin=&#8221;20px||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; custom_css_main_element=&#8221;a{color:#4c7e96 }&#8221; global_colors_info=&#8221;{}&#8221;]<strong>References<\/strong><\/p>\n<p><span style=\"font-weight: 400;\"><span id=\"1\">[1]<\/span> World Health Organization, <a href=\"https:\/\/apps.who.int\/nha\/database\/country_profile\/Index\/en\">Global Health Expenditure Database<\/a> (choose country)<\/span>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Namibia&#8217;s health financing system has evolved significantly since the country gained independence in 1990, with ongoing efforts to achieve universal health coverage (UHC). Despite notable progress, challenges remain in ensuring sustainable and efficient financing for health services.[ba_gradient_heading title=&#8221;Current health system structure and funding sources&#8221; html_tag=&#8221;h3&#8243; primary_color=&#8221;#455A64&#8243; secondary_color=&#8221;#455A64&#8243; admin_label=&#8221;HEADING (50-60 characters)&#8221; _builder_version=&#8221;4.21.0&#8243; _module_preset=&#8221;default&#8221; title_font=&#8221;||||||||&#8221; title_font_size=&#8221;26px&#8221; title_line_height=&#8221;1em&#8221;&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987573269,"template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501997"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/country"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501997\/revisions"}],"predecessor-version":[{"id":987759268,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987501997\/revisions\/987759268"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987573269"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987501997"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}