Cameroon - BEPHA

Overview

Country/Region

Cameroon

Solution

Health Insurance

Program Operator

Bamenda Ecclesiastical Provincial Health Assistance (BEPHA)

Program type

Micro Health Insurance scheme

Implemented since

2013

Implementing Partner(s)

BEPHA, with previous support from Swiss Tropical and Public Health Institute (https://openimis.atlassian.net/wiki/spaces/OP/pages/835682333)

Supporting Partner(s)

Financial Assistance: MISEREOR

Version

Legacy

Functionalities used

  • Beneficiary Management

  • Claims Management

  • Claims Review

  • Reports

Coverage

Bamenda Region

Number of beneficiaries

66,878

Number of users

10

Number of health facilities

140

Last update

Nov 2021

Scheme Features / Caractéristiques du régime:

Health scheme implemented since / Le régime de santé implémenté depuis

2008

openIMIS Implemented since / openIMIS implémenté depuis

2013

Name of openIMIS focal point / Personne de contacte pour openIMIS

 Atohmbom Yuh George

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

 50

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

 10

Total number of employees not trained on openIMIS / Nombre d’employés non-qualifiés pour openIMIS

 15

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

 5


Product Features / Caractéristiques du produit:

Number of households covered / Nombre de familles couverte

5655

Number of households covered / Nombre de familles couverte

5655

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

-

Household contribution amount / Cotisation par famille

N/A

Individual contribution / Cotisation individuelle

5,000 FCFA

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

-

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

Version

-

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

A digital tool to support the implementation of an insurance scheme is indispensable

Two

A comprehensive digital tool like the openIMIS greatly improves on a responsible financial management

Three

Need for continuous capacity building

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

What to improve / Améliorations

Improve on a simplified method on the installation and implementation of the offline version of the openIMIS

What to improve / Améliorations

Improve on a simplified method on the installation and implementation of the offline version of the openIMIS

What to add / Additions

Need to be able to generate and print beneficiary cards from the openIMIS

What to remove / Eliminations

 





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