Zambia

The project “Accelerating the extension of the Zambia National Health Insurance scheme to the poor and vulnerable” supports the application of actuarial costing models to contribute towards the implementation of the National strategy on the extension of social security coverage to the informal economy. The overall project objective is to pave the way for the extension of health insurance coverage to the poor and vulnerable, as per the Zambia National Health Insurance Act No. 2 of 2018.

The initiative seeks to strengthen the National Health Insurance Management Authority’s (NHIMA) capacities in scheme performance monitoring, data collection and actuarial modelling. The project is providing technical support to quantify the cost of extending health insurance benefits to non-contributing poor and vulnerable participants, and its impact on the overall financial sustainability of the scheme. This data will serve to develop evidence-based recommendations to Government, for expanding social health coverage in line with the Zambian Government’s goal of attaining Universal Health Coverage (UHC).  

Project implementation period: March 2022 to March 2023.

Events

  • Data cleaning workshops for NHIMA and Ministry of Labour and Social Security (MLSS) officials, October 2022.
  • Project launch on 15th June 2022: report in the local print (Zambia Daily Mail) and television media (Zambia National Broadcasting Corporation). See also CBC News TV report and news.

Partners

The project is implemented by the International Labour Organization in partnership with the National Health Insurance Management Authority, the Ministries of Labour & Social Security, Community Development and Social Welfare, Health, and Finance. The project similarly engages with the Zambia Statistics Agency and the relevant Technical Working Group stakeholders of the National strategy on the extension of social security coverage to the informal economy.

Contacts

Felix Mwenge, ILO Co-Lusaka, National Project Coordinator – Social Protection mwenge@iloguest.org

Andrew Allieu, ILO DWT Pretoria, Sr Specialist, Social Protection, allieu@ilo.org

Kagisanyo Kelobang, ILO HQ SOCPRO Social Protection Analyst, kelobang@ilo.org   

Data cleaning workshops for NHIMA and MLSS officials (October 2022).

Data cleaning workshops for NHIMA and MLSS officials (October 2022).

Brochure promoting the project “Accelerating the extension of the Zambia National Health Insurance scheme to the poor and vulnerable”, supported by SP&PFM.

Lauching of the SP&PFM project in Zambia on 22nd June 2022.

Woman at her fruit stall at a market in the town of Lumwana, Zambia (2015)

Achieving Universal Health Coverage is a key strategic goal for the government of Zambia. In this pursuit, the National Health Insurance Management Authority (NHIMA) is extending health insurance coverage to the poor and the vulnerable, which requires robust estimates of the cost and fiscal implications to the government and the Scheme. The project is supporting NHIMA to build actuarial costing capacity to estimate prospective liabilities to the Scheme. This will help NHIMA and the government to devise strategic policies for sustaining the Scheme’ solvency while leaving no one behind.

Herryman Moono

Director, Research & Planning, National Health Insurance Management Authority (NHIMA)

Woman with her baby working in her little food shop in Kambwise, Zambia (2015)