CCNHFI Country Updates 2011:

Algemene Ziektekostenverzekering Suriname

CCNHFI Country Updates 2011:Update on the National AZV in Suriname

Drs. Cynthia O. Alendy, MD, MPH

International Conference

“SIXTH CARIBBEAN CONFERENCE ON NATIONAL HEALTH FINANCING INITIATIVES”

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ON NATIONAL HEALTH FINANCING INITIATIVESNovember 22 – 24, 2011

BERMUDA

Page 2http://www.parbo.com/tourism/geninfo1.htm#people

Speaker of the HousePresidentPresident

Page 3Vice-president

Vice-Speaker

Ministry of Health Suriname

primary health care clinics in the Coast region of S i (RGD)

Multi-ethnic population:504.275 in 2006

Suriname (RGD)

private clinics in

Primary health care by: RGD & Medical Mission & Private clinics

The Poor:MM Hi t l d /I t i private clinics in

the Coast region of Suriname (RGD)

MM: Hinterland /InteriorRGD: Coastal Area

Access to primary health care: 99% of population

primary health care clinics in the Interior of

p y p pbut health care of 170.000 (33%) has no

official insurance and costs are financed by government (the Poor)

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Suriname

(Medical Mission)Secondary Health Care: No transparency in health

finances

MOH: Current Package of ServicesSWITI SRANANSWITI SRANAN

WAN PIPEL , SOMENI KLORU !!!

M thMore than10 different

types of forms for: Drugs prescription

Laboratory &Laboratory &X-ray-

requests

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Traject: 2007• A LONG WAY TO GO• … A LONG WAY TO GO…

• Consultations…, information…, legislation…, recommendations to MOH…, installation of relevant structures and organizations…,

• IMPLEMENTATION

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Plan 2009• Feb 2009: Submission of Final• Feb 2009: Submission of Final

concept/draft legislation & treatment package to MOHtreatment package to MOH

• Completion of discussions and implementation before 2010, the year of the elections in Suriname

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2010• CCNHFI Presentations of 2009 and 2010:

no progress, discussions are strongly politicized and the highest authorities are against implementationg p

• Elections in may 2010: Many messages/promises of current coalitionmessages/promises of current coalition on implementation of AZV.

• Presentations for current coalition members and SER, Social Economic Council of Suriname

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ou c o Su a e

2010• Politicized discussions focus on the

presented model of financing of the AZV of indirect (sin) taxes.

• The total explanation of that it is just part of the AZV that will be financed in this way is not being discussed but it isway is not being discussed but it is brought as if the whole AZV will be financed by indirect (sin) taxes.

• AZV became a hot issue in the election campaigns of different parties

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ca pa g s o d e e pa es

2011• Feb 2011: SER shares its conclusion with the

authorities and advises that introduction of AZV should take place in phases

• President is positive about AZV but there is no presentation for him, only for his cabinet.

• AZV bureau continues with promotions and educational programs on AZV on radio and TV, with special focus on the WHO report 2010with special focus on the WHO report 2010 ‘Health Systems Financing- the path to universal coverage’ in which indirect taxes is promoted as a better way to include in health finances then

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ythe direct payments.

Traject: 2011-2012• Decision made by the coalition toDecision made by the coalition to

start non-politicized discussion of the proposed legislation followed p p gby a discussion about the proposed treatment package.

• Non-politicized discussion of the pproposed finances followed by adjustment of the proposals.

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THANK YOU !!!Dank U !!!Dank U !!!

Gran Tangi !!!

Gaan Tangi !!!

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