Support for establishment of the national medical benefit fund


  • Reference: P-NA-IZ0-001
  • Approval date: 12/03/2012
  • Start date: 06/02/2014
  • Appraisal Date: 12/02/2012
  • Status: OngoingOnGo
  • Implementing Agency: Social Security commission (SSC)


To achieve its objective, the proposal encompasses broadly defined activities to be financed from the MIC Fund. These activities have been grouped in two components:

(i) Technical Assistance; and

(ii) Feasibility of financing social health insurance. Specific activities to be financed under these two components are the following:

Component I -Technical Assistance. The MIC grant resources are envisaged to finance the recruitment of technical assistance in the form of a health economist (for a period of at least 12 months) to be attached to the SSC (see attached TORs) to coordinate the establishment of the NMBF and advise the SSC and HIFTAC on activities related to development of policy on national health insurance. Given the stated lack of capacity in the SSC for this function, the health economist is expected to develop and finalize a detailed road map for the establishment of the NMBF and the development of the policy on national health insurance.

Component II- Feasibility Study of National Health Insurance. This component will finance the feasibility study of national health insurance including its implementation and financing. The detailed terms of reference for the feasibility study will be developed by the Health Economist (Technical Assistance) and will also be informed by the findings of the ongoing study commissioned by the SSC.


The objectives of the proposal are to develop the policy and finance a feasibility study on an appropriate national health insurance model and its implementation. These objectives will be achieved through financing technical assistance to coordinate and oversee the development of relevant policies and related analytical work as well as facilitating the implementation processes.


The provision of grant resources from the MIC Fund forms part of the efforts by the Bank Group to establish a pipeline of operations in Namibia as well as engender long term policy dialogue. The move towards supporting universal access to financial risk protection through social health insurance is gaining ground globally and in Africa. Although lessons are emerging from a number of African countries including Rwanda, Ghana, Tanzania, Kenya and most recently South Africa, on the i mplementation of national health insurance, the evaluation of its impact on improving access to quality health care and progress towards universal coverage has not yielded clear results to date. It would therefore be necessary to broaden studies beyond Africa and include developing countries in Asia and the America's that have achieved measurable success in both universal coverage and health outcomes.


The intervention will greatly help the country to achieve improved access to health services by the majority of citizens. The establishment of the NMBF will further open the way for adoption of a policy on national health insurance and plans for its financing. If that happens, then the country should be on its way to achieve the health related MDGs. ..

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Finance source Amount
MICFUAC 498,000
DeltaUAC 27,000
TotalUAC 525,000