{"id":987502042,"date":"2023-02-03T08:20:02","date_gmt":"2023-02-03T07:20:02","guid":{"rendered":"https:\/\/p4h.world\/country\/seychelles\/"},"modified":"2025-02-19T19:28:57","modified_gmt":"2025-02-19T18:28:57","slug":"seychelles","status":"publish","type":"country","link":"https:\/\/p4h.world\/en\/countries\/seychelles\/","title":{"rendered":"Seychelles"},"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;\">Seychelles has the highest health spending per capita in Africa, as shown in the <\/span><a href=\"https:\/\/score-card.africa\/scorecard\"><span style=\"font-weight: 400;\">Africa Scorecard on Domestic Financing for Health 2024<\/span><\/a><span style=\"font-weight: 400;\">. Still, out-of-pocket (OOP) health expenditure as a percentage of current health expenditure (CHE) was <\/span><a href=\"https:\/\/p4h.world\/en\/resources-tools\/data\/\"><span style=\"font-weight: 400;\">22% in 2021<\/span><\/a><span style=\"font-weight: 400;\">, despite health services in public health institutions being free at the point of delivery. This OOP\/CHE ratio exceeds the ratio of prior years, such as <\/span><a href=\"https:\/\/score-card.africa\/scorecard\"><span style=\"font-weight: 400;\">20% in 2020<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p>[\/et_pb_text][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;]<\/p>\n<p>The <a href=\"https:\/\/www.health.gov.sc\/the-constitution-and-health\/\">Constitution<\/a> of Seychelles states that \u201cthe State recognizes the right of every citizen to protection of health and to the enjoyment of the highest attainable standards of physical and mental health \u2026\u201d. The constitution also addresses the measures the country will take to regarding these rights in the areas of free primary health care; prevention, treatment and control of disease; infant mortality and the healthy development of children; promoting individual responsibility for health; private medical services.<\/p>\n<p>[\/et_pb_text][ba_gradient_heading title=&#8221;A Strategic plan and a national health promotion policy&#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<p><span style=\"font-weight: 400;\">To facilitate the implementation of the <\/span><a href=\"https:\/\/p4h.world\/fr\/documents\/national-health-strategic-plan-nhsp-2022-2026\/\"><span style=\"font-weight: 400;\">National Strategic Health Plan<\/span><\/a><span style=\"font-weight: 400;\"> (NHSP) and a national health promotion policy, Seychelles has opted for the guiding principle of &#8220;health for all and health by all&#8221;. This plan, adopted in 2022, is built around six pillars:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">SD1 Strengthen leadership, governance and administration<\/span><\/li>\n<li><span style=\"font-weight: 400;\">SD2 Protect and improve universal health coverage<\/span><\/li>\n<li><span style=\"font-weight: 400;\">SD3 Improve health security<\/span><\/li>\n<li><span style=\"font-weight: 400;\">SD4 Promote healthy populations<\/span><\/li>\n<li><span style=\"font-weight: 400;\">SD5 Invest for results<\/span><\/li>\n<li><span style=\"font-weight: 400;\">SD6 Improve data for impact<\/span><\/li>\n<\/ul>\n<p>[\/et_pb_text][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;]In 2023, Seychelles adopted a <a href=\"https:\/\/p4h.world\/en\/documents\/national-health-promotion-policy\/\">National health promotion policy<\/a>, which states that during the few preceding years the country had found maintaining past health gains challenging. In this context, the policy promises to implement the NHSP by proposing \u201cbold changes to maintain and build on health gains for all people in Seychelles throughout the life-course. It recognizes that promoting, protecting, and restoring health in the fragile and unpredictable post-pandemic social and economic situation requires bold and innovative approaches.\u201d[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 5&#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;]This approach would help support the country&#8217;s efforts to advance universal health coverage (UHC). Indeed, the country&#8217;s annual <a href=\"https:\/\/p4h.world\/en\/documents\/annual-health-sector-performance-report-2019\/\">Health sector performance report for 2019<\/a> states \u201cSeychelles has achieved a high service coverage index (80)\u201d. However, it also notes \u201csome aspects of UHC, such as equity and quality of services, are not currently systematically measured at present\u201d.\u00a0[\/et_pb_text][ba_gradient_heading title=&#8221;Universal health coverage in the coming years&#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 6&#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;\">To address this concern, the NHSP&#8217;s Strategic Direction 2 (SD2) aims to \u201cprovide people of all ages and all health needs with health services. Transform primary health care. Use a proactive approach to prevention, work on achieving all dimensions of quality care\u201d.\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;TEXT &#8211; BLOCK 6&#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;]To this end, Seychelles aims to meet <a href=\"https:\/\/www.health.gov.sc\/wp-content\/uploads\/2023\/10\/SD2-Specific-Objectives.pdf\">four &#8220;specific objectives&#8221;<\/a> listed and detailed in the NHSP 2022-2026 :\u00a0<\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improve health services across the life- course and address priority health conditions.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Champion Quality Improvement across the health system.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Improve collaboration with private health sector and health-related NGOs.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Mitigate risks and mainstream resilience across the health system.<\/span><\/li>\n<\/ol>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Seychelles has the highest health spending per capita in Africa, as shown in the Africa Scorecard on Domestic Financing for Health 2024. Still, out-of-pocket (OOP) health expenditure as a percentage of current health expenditure (CHE) was 22% in 2021, despite health services in public health institutions being free at the point of delivery. This OOP\/CHE&#8230;<\/p>\n","protected":false},"author":1,"featured_media":987718279,"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\/987502042"}],"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":3,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502042\/revisions"}],"predecessor-version":[{"id":987759608,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/country\/987502042\/revisions\/987759608"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987718279"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987502042"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}