Current Implementations
The Insurance Management Information System (IMIS) was originally designed and implemented since 2012 by Swiss TPH in Tanzania as part of the Health Promotion and System Strengthening Project funded by the Swiss Agency for Development and Cooperation (SDC). Since 2013 the system has been implemented in Cameroon on a project to support the church based schemes of Bamenda Ecclesiastical Provincial Health Assistance (BEPHA), supported by Swiss TPH and funded by MISEREOR. In 2014 Swiss TPH supported the transfer of the system to Nepal to support the national health insurance scheme set up by the government under a GIZ funded Nepal Health Sector Support Programme, which continues to support the implementation of the system. In 2017 under Programme d’Appui au Système de Santé du Sud-Kivu project funded by the Swiss Agency for Development and Cooperation (SDC), Swiss TPH supported a pilot implementation of the system with 8 mutuelles.
Types of insurance schemes
openIMIS is a generalized insurance software designed to support different insurance models and currently supports the following health insurance models in the current implementation countries:
- Tanzania – Decentralized (District level) government run health insurance scheme targeting the informal sector which is now moving towards regional level pooling
- Nepal – Centralized (National) government supported (through the Health Insurance Board) social health insurance scheme targeting the informal sector
- Cameroon and Democratic Republic of Congo (DRC) – Church supported community based health insurance schemes/mutuelles targeting primarily rural and informal sector population
Deployments
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Country
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Start of implementation
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Scope of deployment
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Insurer
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Implementation partner
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Scale
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Since 2012
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Online, Offline, AR IMIS and mobile phone components
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Community Health Funds (District based, now moving towards a regional structure), operated by President Office Regional Administration and Local Government (PORALG)
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Swiss TPH
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Implemented in 3 regions (23 districts) and currently being rolled out nationally to all 26 regions of Tanzania mainland
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Since 2014
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Online, offline and mobile phone components
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Health Insurance Board
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GIZ (Swiss TPH till Mid 2017)
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Ongoing nationwide rollout. Currently implemented in 36 out of 77 districts (additional 6 being planned within 2018). Single scheme for all - family based (base of 5 member families, NRs. 2500 contribution, NRs. 50,000 coverage)
Over 1M people actively insured.
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Since 2013
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Online and offline components
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Bamenda Ecclesiastical Provincial Health Assistance (BEPHA)
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Swiss TPH
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4 schemes operating within 2 administrative regions
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Democratic Republic of Congo (DRC)
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Since 2017
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Online component
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*Réseau des Mutuelles de Santé Communautaires de l’Archidiocèse de Bukavu (REMUSACO),
*RAMS
*Mutuelle of Tushiruku Afya Yetu
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Swiss TPH
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8 schemes (2 networks of mutuelles + 1 independant mutuelle) operating within 1 administrative region - South Kivu
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