Introducing large-scale health insurance for the rural poor in Senegal

Introducing large-scale health insurance for the rural poor in Senegal

From 2012 to 2017, the Belgian governmental cooperation and the Senegalese authorities implemented a € 17 million project to support offer and demand of health services aimed at organising health insurance for the rural poor (PAODES). The purpose of the project was to develop a sustainable approach to bring health insurance to rural communities in Senegal

PAODES accompanied the Health Ministry in its endeavours to reform the financing structures of health care, by installing a health insurance system and by rationalising basic health care services at local and district level. Ultimately, the project’s ambition was to offer the Health Ministry a health insurance model for the rural poor that had been tested long enough on a large enough scale so as to draw lessons from it with a view to scaling the model up.

PAODES intervened in four health districts: Koungheul (Department of Koungheul), Foundiougne, Passy and Sokone (Department of Foundiougne), totalling 480,000 people.

Results
• Health insurance coverage rate after two years: 64% (more than 300,000 people).
• Health insurance is financially viable at 30% coverage.
• Utilisation of primary care up from 0.6 to 1.2 consultations per person per year (insured people).

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