Programme objectives

To provide medical benefits to persons not covered by the social insurance medical benefits system.

Legal Framework: Loi n°24/AN/14/7ème du 5 février 2014 portant mise en place d’un système d’Assurance Maladie Universelle 

References
Governemnt of Djibouti. Loi n°24/AN/14/7ème du 5 février 2014 portant mise en place d’un système d’Assurance Maladie Universelle. Djibouti: Governemnt of Djibouti. Accessed 7 March 2018. <http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=95524> SSA. 2017. “Djibouti” Social Security Administration website. Accessed 2 October 2017. <https://www.ssa.gov/policy/docs/progdesc/ssptw/2016-2017/africa/djibouti.html >.
Country
Geographic area
Previous programme name (if any)
 
Start date
2014
References
Governemnt of Djibouti. Loi n°24/AN/14/7ème du 5 février 2014 portant mise en place d’un système d’Assurance Maladie Universelle. Djibouti: Governemnt of Djibouti. Accessed 7 March 2018. <http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=95524>
Programme components
Benefits include medical treatment provided by general practitioners (such as consultations and child delivery), generic medicine, radiology (except for specialised medical imaging such as scans and ultrasounds), medical analyses prescribed by specialist doctors, and any necessary treatment in public hospitals related to these examinations
References
SSA. 2017. “Djibouti” Social Security Administration website. Accessed 2 October 2017. <https://www.ssa.gov/policy/docs/progdesc/ssptw/2016-2017/africa/djibouti.html >.
Conditionalities (if any)
 
Contribution type and amount
 
Targeting methods
Means Test
Categorical Targeting
Targeted areas
The first beneficiaries are already supported in the region of Arta; a scale-up to the entire national territory is pending
References
Caisse Nationale de Sécurité Sociale. n.d. “Assurance Maladie Universelle”. Caisse Nationale de Sécurité Sociale website. Accessed 7 March 2018. <http://www.cnss.dj/index.php/assurance-maladie-universelle/assurance-maladie-universelle>.
Target groups
Persons identified by the competent authorities as not having sufficient income to benefit from the compulsory health insurance scheme, including their spouse (s) and dependent children according to the definitions of the national legislation
References
Governemnt of Djibouti. Loi n°24/AN/14/7ème du 5 février 2014 portant mise en place d’un système d’Assurance Maladie Universelle. Djibouti: Governemnt of Djibouti. Accessed 7 March 2018. <http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=95524>
Eligibility criteria
Beneficiaries must not be covered by the social insurance medical benefits system
References
SSA. 2017. “Djibouti” Social Security Administration website. Accessed 2 October 2017. <https://www.ssa.gov/policy/docs/progdesc/ssptw/2016-2017/africa/djibouti.html >.
Eligibility reassessment (if any)
 
Type of benefits
Health services
Amount of benefits
 
Payment/delivery frequency
 
Benefit delivery mechanism
 
Benefit recipients
 
Minimum and maximum duration of benefits (if any)
 
Coverage
10 052 households (55 286 people) (December 2016) (in May 2017, more than 12.500 households)
References
République de Djibouti. 2017. STRATEGIE NATIONALE DE PROTECTION SOCIALE DE LA REPUBLIQUE DE DJIBOUTI (2018-2022). (Version provisoire) Juin 2017. Accessed 4 July 2017. Available at: http://www.affairessociales.dj/wp-content/uploads/2015/12/Strat%C3%A9gie-Nationale-de-la-Protection-Sociale-2018-2022.pdf
Programme expenditure
The programme is funded up to 500 million FDj by the Caisse Nationale de Sécurité Sociale (CNSS) and 500 million FDj by the state budget. (2017)
References
République de Djibouti. 2017. STRATEGIE NATIONALE DE PROTECTION SOCIALE DE LA REPUBLIQUE DE DJIBOUTI (2018-2022). (Version provisoire) Juin 2017. Accessed 4 July 2017. Available at: http://www.affairessociales.dj/wp-content/uploads/2015/12/Strat%C3%A9gie-Nationale-de-la-Protection-Sociale-2018-2022.pdf
Institutions and agencies involved
The Ministry of Employment in Charge of the Reform of the Administration provides general supervision; the National Social Security Fund (Caisse Nationale de Sécurité Sociale) (http://www.cnss.dj/), managed by a tripartite board and a director, administers the programmes
References
SSA. 2017. “Djibouti” Social Security Administration website. Accessed 2 October 2017. <https://www.ssa.gov/policy/docs/progdesc/ssptw/2016-2017/africa/djibouti.html >.
Monitoring and evaluation mechanisms and frequency