WHO 2005 Towards a National Health Insurance System in Yemen Part 3- Materials and Documents

Towards a national health insurance system in Yemen

Part 3: Materials and documents

Health Insurance Study Team GTZ Prof. Dr. Detlef Schwefel with WHO and ILO Dr. Dr. Jens Holst Dr. Christian Gericke Dr. Michael Drupp Mr. Boris Velter Mr. Ole Doetinchem Dr. Rüdiger Krech Dr. Xenia Scheil-Adlung Prof. Dr. Guy Carrin Dr. Belgacem Sabri Health Insurance Study Team Yemen Dr. Jamal Nasher Dr. Saleh Fadaak Atty. Gamal Srori Dr. Rashad Sheikh Dr. Ali Al-Agbary

Sana’a, November 2005

Towards a national health insurance system in Yemen – Part 3: Materials and documents

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Part 3: Materials and documents

Table of Content

Chapter PageTable of contents 1Preamble 31 List of electronic documents compiled, used and handed over on CD 52 Health insurance law proposal Yemen 123 Health insurance authority law proposal Yemen 184 Health insurance proposal for armed forces Yemen 255 Letter exchange on health insurance law proposal 296 Al Shura council comments on health insurance law proposal 357 Workers comments on health insurance law proposal 418 Regulations for treatment abroad 479 Medical care regulation for Cement Corporation 5110 Policy interview guideline 5611 Opinion leaders’ opinion survey form 6112 Public health benefit schemes questionnaire 7213 Assessment of multiple jobs and willingness to join health insurance in MoPH&P 7814 Selected statistics 8015. Company Benefit Schemes 86 15.1 Private Company Schemes 86 15.2 Public Companies 94 15.3 Public institutions 104 15.4 Mixed Companies 105 15.5 HMO/PPO-like schemes 106 15.6 Private Health Insurance Companies 108 15.7 Ministry Health Benefit Schemes 11016. Health-related Solidarity Schemes 112 16.1 Employee-driven solidarity schemes 112 16.2 Community-based Schemes 11317 Profiles of providers visited during the study period 11518 Production Al-Thawra Hospital, Sana’a 11919 Elements of health care provision 13220 Health insurance schemes in Asia 136 20.1 South Korea 136 20.2 Philippines 137 20.3 Thailand 138 20.4 Pro-poor programmes 13921 Health insurance schemes in Latin America 141 21.1 Chile 141 21.2 Paraguay 143 21.3 El Salvador 14722 Health insurance schemes in MENA region 149 22.1 Egypt 149 22.2. Algeria 150 22.3 Syria 150


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Chapter Page23 Health insurance scheme in Kenya 17024 Results of the opinion leaders’ survey on health insurance 17225 Diagnoses in Al Thawra Hospital, Sana’a, 2004 17626 Relevant articles of the Labour Law 18227 SimIns basic data requests 18528 Occupational health in Yemen 19029 Institutions contacted 19730 Knowledge management towards national health insurance in Yemen 19931 Questionnaire answers on health benefit schemes of public companies in Yemen 200


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Preamble Based on a Decree of the Cabinet of the Republic of Yemen the Ministry of Public Health & Population (MoPH&P) contracted in June 2005 Deutsche Gesellschaft für Technische Zusammenarbeit (GTZ) GmbH for conducting a study on situation assessment and proposals for a national health insurance system. GTZ formed a consortium together with World Health Organization and International Labour Office. Together with the Republic of Yemen the World Bank and the World Health Organization co-financed the study. We would like to acknowledge the good partnership of all parties involved. The consultancy contract requested the consortium to present I by two months of

commencement of the consultancy:

1. A report summarizing the main findings of the situation assessment (summary of relevant documents, review of national insurance schemes, analysis of the health financing opinion schemes as well as outcome of the visits and interviews of relevant stakeholders).

II before the end of the consultancy:

1. Findings of the study which include a report on proposals for health financing alternatives.

2. A proposal framework for national health insurance which includes: - An implementation action plan - Macro-financial projections for the next 10 years - Material to be presented in the dissemination workshop(s).

III at the end of the consultancy:

1. A final report on the consultancy service (in English with Arabic translation)

The contract was signed on 17th June 2005. The consultancy started 17th July 2005. The interim report was given to MoPH&P in four hardcopies and one softcopy in English by 14th September 2005. The above mentioned “before-the-end-of-the-consultancy” report was handed over in English by 10th October 2005. After a few modifications this report was translated and handed over as final report four months after starting the study. The final report has the title “Towards a national health insurance system in Yemen” and consists of four volumes: • Part 1: Background and assessments - translated into Arabic • Part 2: Options and recommendations - translated into Arabic • Part 3: Materials and documents • CD with electronic files of parts 1, 2 and 3, PowerPoint presentations and various background

documents. We take the opportunity to thank our partners in Yemen, especially His Excellency Prof. Dr. Mohammed Yahya Al Noami in the name of all partners and stakeholders who shared with us their insights, knowledge and wisdom. Sana’a, 17th November 2005

Detlef SchwefelGTZ GmbH International Services


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1. List of electronic compiled, used and handed over on CD


Part 1: Background and assessments – Arabic & English Part 2: Options and recommendations – Arabic & English Part 3: Materials and documents PowerPoint presentations and various background documents on social health insurance and its context in Yemen and abroad Sana’a, 17th November 2005

GTZ-WHO-ILO study reports

GTZ-WHO-ILO study presentations

GTZ workshop 11.09.05


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Health care Yemen

Health financing Yemen


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Health insurance abroad

Health insurance articles

Health insurance surveys Yemen


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Health insurance training

Health insurance Yemen

Health policy Yemen


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Health surveys Yemen

Social security Yemen


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Yemen generalities

Yemen photos and maps


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Yemen statistics