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1 Towards a national health insurance system in Yemen Part 3: Materials and documents Health Insurance Study Team GTZ with WHO and ILO Health Insurance Study Team Yemen Prof. Dr. Detlef Schwefel 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 Dr. Jamal Nasher Dr. Saleh Fadaak Atty. Gamal Srori Dr. Rashad Sheikh Dr. Ali Al-Agbary Sana a, November 2005

2 Towards a national health insurance system in Yemen Part 3: Materials and documents 1 Towards a national health insurance system in Yemen Part 3: Materials and documents Table of Content Chapter Page Table of contents 1 Preamble 3 1 List of electronic documents compiled, used and handed over on CD 5 2 Health insurance law proposal Yemen 12 3 Health insurance authority law proposal Yemen 18 4 Health insurance proposal for armed forces Yemen 25 5 Letter exchange on health insurance law proposal 29 6 Al Shura council comments on health insurance law proposal 35 7 Workers comments on health insurance law proposal 41 8 Regulations for treatment abroad 47 9 Medical care regulation for Cement Corporation Policy interview guideline Opinion leaders opinion survey form Public health benefit schemes questionnaire Assessment of multiple jobs and willingness to join health insurance in MoPH&P Selected statistics Company Benefit Schemes Private Company Schemes Public Companies Public institutions Mixed Companies HMO/PPO-like schemes Private Health Insurance Companies Ministry Health Benefit Schemes Health-related Solidarity Schemes Employee-driven solidarity schemes Community-based Schemes Profiles of providers visited during the study period Production Al-Thawra Hospital, Sana a Elements of health care provision Health insurance schemes in Asia South Korea Philippines Thailand Pro-poor programmes Health insurance schemes in Latin America Chile Paraguay El Salvador Health insurance schemes in MENA region Egypt Algeria Syria 150

3 2 Towards a national health insurance system in Yemen Part 3: Materials and documents Chapter Page 23 Health insurance scheme in Kenya Results of the opinion leaders survey on health insurance Diagnoses in Al Thawra Hospital, Sana a, Relevant articles of the Labour Law SimIns basic data requests Occupational health in Yemen Institutions contacted Knowledge management towards national health insurance in Yemen Questionnaire answers on health benefit schemes of public companies in Yemen 200

4 Towards a national health insurance system in Yemen Part 3: Materials and documents 3 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: II III before the end of the consultancy: at the end 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). 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). 1. A final report on the consultancy service (in English with Arabic translation) The contract was signed on 17 th June The consultancy started 17 th July The interim report was given to MoPH&P in four hardcopies and one softcopy in English by 14 th September The above mentioned before-the-end-of-the-consultancy report was handed over in English by 10 th October 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, 17 th November 2005 Detlef Schwefel GTZ GmbH International Services

5 4 Towards a national health insurance system in Yemen Part 3: Materials and documents

6 Towards a national health insurance system in Yemen Part 3: Materials and documents 5 1. List of electronic compiled, used and handed over on CD Towards a national health insurance system in Yemen GTZ-WHO-ILO study reports 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, 17 th November 2005 GTZ-WHO-ILO study presentations GTZ workshop

7 6 Towards a national health insurance system in Yemen Part 3: Materials and documents Health care Yemen Health financing Yemen

8 Towards a national health insurance system in Yemen Part 3: Materials and documents 7 Health insurance abroad Health insurance articles Health insurance surveys Yemen

9 8 Towards a national health insurance system in Yemen Part 3: Materials and documents Health insurance training Health insurance Yemen Health policy Yemen

10 Towards a national health insurance system in Yemen Part 3: Materials and documents 9 Health surveys Yemen Social security Yemen

11 10 Towards a national health insurance system in Yemen Part 3: Materials and documents Yemen generalities Yemen photos and maps

12 Yemen statistics Towards a national health insurance system in Yemen Part 3: Materials and documents 11

Part 3: Materials and documents

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