The Gambia / National Health Insurance

Overview

Country/Region

The Gambia

Scheme Operator

under MoH

Scheme type

National Health Insurance

Implemented since

2023

Implementing Partner(s)

BlueSquare https://openimis.atlassian.net/wiki/spaces/OP/pages/3115581538

Supporting Partner(s)

Financial Assistance: The World Bank

Version

-

Functionalities used

  • Beneficiary Management

  • Payment records

  • Reports

Coverage

Nationwide

Number of beneficiaries

potentially 3 Mio beneficiaries

Number of users

-

Number of health facilities

N/A

Last update

April 2024

Scheme Features

Scheme implemented since

2023

Name of openIMIS focal point

 Momodou Jarju

Total number of scheme employees

-

Total number of employees using openIMIS

-

Total number of employees not trained on openIMIS

 

Number of products managed by the scheme and using openIMIS

1

Product Features

Number of households covered

 

Number of households covered

 

Average size of a household

7

Household contribution amount

 

Individual contribution

 

Average amount paid for a claim

 

Last Update

July 2021

Specifications of the openIMIS used:

Version

 

Version

 

Has anything been modified (customization)

 

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

 

 

 

Resources

 

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