Center for Health Market Innovations (CHMI)

Programs

Kisiizi Community Health Insurance Scheme (KCHIS)

last updated Jun 21, 2012

Overview

Implementing organization: 
Kisiizi Hospital
Implementation Partner(s): 
Ministry of Health
Legal Status: 
Private (not-for-profit)
Year Launched: 
1996
Stage: 
Existing/expansion stage
Income Level of Target Population: 
All income levels

Funding

Primary Source of Funding: 
Membership/subscription fees
Additional Source(s) of Funding: 
Out-of-pocket payments

Scale

Personnel Employed: 
<10
Number of Clients Served: 
35,000 beneficiaries
Other Measures of Scale: 
Covers 7201 households and 158 groups
Summary: 

This micro insurance scheme utilizes a variety of groups (credit & savings groups, women groups, etc.) to gain access to poor community members who need help financing health care.

Program goals/rationale: 

The community depends on agriculture, and their income fluctuates with the seasons, and so coping with healthcare spending tends to be more problematic at certain lean times of the year. Micro insurance therefore comes in to help households to budget saving for an annual premium to cover their healthcare needs.

Key program components: 

The health-insurance package offered covers outpatient and inpatient services but excludes medication for chronic illnesses such as HIV/AIDS, hypertension and diabetes. This has improved people's health as they can easily receive treatment. The scheme has also under taken the provision of subsidized treated mosquito nets to its members.

KCHIS is the largest in Uganda currently serving 35,000 beneficiaries, 7201 households and 158 groups. Currently the scheme is made up of several categories of groups such as credit and savings groups, associations, women groups, burial groups and ‘engozi’ groups.

The scheme is expanding to other areas of demand, other districts as well as covering all those who use Kisiizi hospital for care

Program history: 

Kisizi Health Insurance Scheme was the first micro–health insurance scheme in Uganda, started by Kisiizi Hospital in 1996 with support from DFID in cooperation with the Ugandan Ministry Of Health. In Oct 2002, due to withdrawal of the donors, Kisiizi Hospital partnered with MicroCare Uganda Limited to completely manage and own the scheme. This registered a tremendous growth in coverage. However in 2009 Micro care stopped its operations in Uganda and the scheme was handed back to the management of Kisiizi hospital.

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