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Overview

Cooperation partner
Page Properties

Country/Region

Democratic Republic of Congo (DRC)

Scheme Operator

Réseau des mutuelles de Santé Communautaires (RAMESCO), Réseau d’appui des Mutuelles de Santé (RAMS), Mutuelle de Tushikiri Afia Yetu

Scheme type

Health Insurance Scheme

Implemented since

2017

Implementing Partner(s)

Swiss TPH, GIZ InS

Supporting Partner(s)

Financial Assistance: Swiss Agency for Development and Cooperation

Version

-

South Kivu Region

 

Program type

Health Insurance Scheme

 

Current status

The openIMIS software is operational in 9 Mutual Health Organizations in South Kivu Region

 

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

South Kivu

Number of beneficiaries

-

Number of users

-

Number of health facilities

-

Last update

July 2021

Scheme Features

Health scheme implemented since

-

Implemented since

2017

Name of openIMIS focal point

Total number of health scheme employees

-

Total number of employees using openIMIS

-

Total number of employees not trained on openIMIS

-

Number of health insurance products managed by the health scheme and using openIMIS

-

Health facilities using openIMIS

-

Product Features

Number of households covered / Nombre de familles couverte

-

Average size of a household / Taille moyenne d’une famille

-

Household contribution amount / Cotisation par famille

-

Individual contribution / Cotisation individuelle

-

Average amount paid for a claim / Somme moyenne payé pour une prestation

-

Specifications of the openIMIS used:

Version

-

Has anything been modified (customization)

-

What standards are used to code services, items, diagnosis and products

-

Page Properties
hiddentrue

Three main lessons learned:

One

Two

Three

Recommendations for Developers Committee:

What to improve

What to add

What to remove

More information here.

Overview

Scheme Features / Caractéristiques du régime:

Country/Region / Pays/Région

DRC - South Kivu Region

Scheme type / Type de régime

Health Insurance Scheme

Cooperation partner / Partenaire de cooperation

Réseau des mutuelles de Santé Communautaires (RAMESCO), Réseau d’appui des Mutuelles de Santé (RAMS), Mutuelle de Tushikiri Afia Yetu

...

 

Implementation Support / Support d’implémentation

Swiss Tropical and Public Health Institute, GIZ International Service (InS)

Health scheme implemented since

...

 

...

/ Le régime de santé implémenté depuis

openIMIS Implemented since / openIMIS implémenté depuis

2017

...

 

Name of openIMIS focal point

...

 

...

 

...

Participation in the last implementer committee meeting

...

/ Personne de contacte pour openIMIS

 

Total number of health scheme employees / Nombre d’employés du régime de santé

 

...

 

Total number of employees using openIMIS / Nombre d’employés utilisant openIMIS

...

 

Total number of employees not trained on openIMIS

...

/ Nombre d’employés non-qualifiés pour openIMIS

 

Number of health insurance products managed by the health scheme and using openIMIS / Nombre de produits d’assurance géré par le régime et openIMIS

 

...

 

...

Follow up of main indications for each product:

...

Product Features / Caractéristiques du produit:

Number of households covered

...

 

...

/ Nombre de familles couverte

Number of

...

 

...

 

beneficiaries / Nombre de bénéficiaires

Average size of a household

...

 

...

/ Taille moyenne d’une famille

Household contribution amount

...

 

...

 

/ Cotisation par famille

Individual contribution

...

 

...

 

/ Cotisation individuelle

Average amount paid for a claim

...

 

...

 

/ Somme moyenne payé pour une prestation

Specifications of the openIMIS used / Spécifications de l’openIMIS utilisé:

...

Version

...

...

 

Has anything been modified (customization)

...

 

...

/ Modifications

What standards are used to code services, items, diagnosis and products

...

 

...

 

/ Quels standards sont utilisés pour coder les services, médicaments, diagnostiques et produits

Three main lessons learned

...

/ Trois leçons principales tirées:

One

...

...

 

Two

...

...

 

Three

...

 

...

Recommendations for Developers Committee / Recommendations pour le commitée des dévelopeurs:

...

 

What to improve

...

 

...

/ Améliorations

What to add / Additions

...

 

...

 

What to remove

...

 

...

/ Eliminations

More information here.