234. The institutionalization by the Government of the Compulsory Health Insurance (AMO)
and the Medical Assistance Fund (FAM), which is implemented by regulations, the National
Health Insurance Fund (CANAM) and related tools guarantee care for workers, soldiers,
members of parliament, retirees and the destitute and for their beneficiaries; such health care
is provided in the public and private hospitals which are subsidized for this purpose.
There is need to note the creation of 23 new mutual funds, bringing the total number to 121
mutual funds approved by the end of 2008. Thus, the population coverage by health mutual
funds increased from 1.7% (215 156 beneficiaries out of a population of 12,712,655
inhabitants) to 1.9% (244 028 beneficiaries out of a population of 13,056,837 6 inhabitants)
representing an increase of 0.2 percentage points corresponding to 28,873 new memberships.
In 2009, the mutual health insurance coverage was 2.1% (3% target) and the coverage rate of
population was 2.8% (target of 3.5%).
235. The fight against the disease (including epidemics) is facilitated through the
strengthening of research in the area of health through specialized structures created for this
purpose. In the same vein, the strengthening of the National Health Information System
(SNIS) through staff training in epidemiology and public health was undertaken. The
availability of qualified and monitored human resources, as well as the provision of computer
hardware contributes to effective and efficient management of cases following a mechanism
for monitoring and periodic evaluation implemented at various levels of the health system
with the involvement of all stakeholders (State, local authorities, communities, civil society,
and technical and financial partners).
236. This system under review (prompted by the growth of the institutional environment) is
crucial in taking appropriate decisions. Indeed, and as an example, through the organization
of health services and the rational management of health statistics, epidemics and endemic
diseases are steadily declining. The indices of morbidity and mortality are being improved as
the years go by.
237. The policy of essential drugs and the support mechanism put in place have led to the
availability, in the remotest parts of the country and in the health centres, of essential
international drugs at an affordable price and in good dispensing conditions.
238. This policy includes the Pharmacopoeia and Traditional Medicine. In this context, the
production of Improved Traditional Medicines (MTAs) at the National Public Health
Research Institute (INSRP) helps to increasing the health coverage of the population with
essential drugs. This is done with the help of associations of traditional healers and some
technical and financial donors interested in the issue.
239. In 2010, the 10 essential drugs were available at 98% in health facilities. The average
number of prescribed drugs was three (3) and the average cost of a prescription for the same
period was one thousand six hundred and sixteen (1616) CFA francs in CSREFs, as against
one thousand three hundred and sixty five (1365) CFA francs in CSCOMs.
240. As accompanying measures, vigorous actions were taken and are on-going to
rehabilitate, construct and equip health facilities according to established standards.
Similarly, within the framework of capacity building, the supply of logistics, office
equipment (especially computers) and cold chain is still going on to meet the planned needs
with the support of all stakeholders.
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