Gabon Civil Registration and Vital Statistics and Unique Identification Number Systems for Universal Health Coverage : A Case Study
Gabon’s national health insurance program (Caisse National d’Assurance Maladie et de Garantie Sociale [CNAMGS]) coupled with medical coverage financing for the poorest has helped advance achievement of universal health coverage. In 1975, the Nation...
| Main Authors: | , , , , |
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| Format: | Working Paper |
| Language: | English |
| Published: |
World Bank, Washington, DC
2019
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/129341570768963627/Gabon-Civil-Registration-and-Vital-Statistics-and-Unique-Identification-Number-Systems-for-Universal-Health-Coverage-A-Case-Study http://hdl.handle.net/10986/32543 |
| Summary: | Gabon’s national health insurance
program (Caisse National d’Assurance Maladie et de Garantie
Sociale [CNAMGS]) coupled with medical coverage financing
for the poorest has helped advance achievement of universal
health coverage. In 1975, the National Social Security Fund
(NSSF) was created in Gabon to guarantee the social
protection of the population and enable financial
contributions according to means, and benefits according to
needs. In 2007, reforms of Gabon’s health financing system
were instituted, including implementation of compulsory
health insurance schemes through the CNAMGS. The
responsibilities of the NSSF were transferred to the CNAMGS,
which provides medical, maternity, and miscellaneous
insurance and retirement pensions to insured persons and
their dependents. In 2008, Gabon introduced an innovatively
financed fund dedicated to the poor that extended health
protection to economically disadvantaged Gabonese. The fund
is managed by the same public institution that manages the
private and public national health insurance schemes,
enabling the poorest to have greater access to health
services and better financial protection against health
risks. The CNAMGS assigns an identification number to each
insured individual, although this number does not have all
the characteristics of a unique identification number (UIN).
The assignment of a UIN at birth would allow linkage of the
civil registration, vital statistics, and national
identification systems, facilitating coordination between
sectors and enabling individuals’ greater access to and
efficiency in using services. Gabon is working to strengthen
its national health information system (NHIS), to improve
health system planning, resource management, and quality of
care. By connecting all actors in the health system through
information and communication technologies, the integrated
NHIS will allow the sharing of health information,
statistical data, and human and material resources. |
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