Skip to main content

Table 8 Evolution of benefits’ package and financial coverage in the MCSDN: Summary 2003–2012

From: An in-depth investigation of the causes of persistent low membership of community-based health insurance: a case study of the mutual health organisation of Dar Naïm, Mauritania

  Payments by MCSDN
  2003 2004 2005 2007 2008 2009 2010 2011 2012
First line health facilities 4 of PSDN 5 7 7 8 8 8 8 8
Curative consultations 50% Above 50 MRO Above 50 MRO Above 50 MRO Above 50 MRO Above 100 MRO Above 200 MRO Above 200 MRO Above 200 MRO
Antenatal care 50% 50% 75% 75% 75% 75% 75% 75% 75%
Delivery 75% 75% 75% 75%      
Fixed sum for obstetric care in PSDN + referral (risk is borne by PSDN)      75% = 2250 MRO 75% = 2625 MRO 2600 MRO 2600 MRO 2600 MRO
Normal delivery in other facilities      75% 75% 75% 75% 75%
Laboratory examinations - 50% 75% 75% 75% 75% 75% 75% 75%
Dental care - - 50% 50% 50% 50% 50% 50% 50%
Referral care          
Fixed reimbursement for hospitalisation 10,000 MRO 10,000 MRO 20,000 MRO 20,000 MRO 20,000 MRO 20,000 MRO 20,000 MRO 30,000 MRO 30,000 MRO
Fixed reimbursement for complicated delivery + emergency transport 5500 MRO 5500 MRO 5500 MRO 5500 MRO      
Fixed reimbursement for complicated delivery + emergency transport outside PSDN obstetric care package      5500 MRO 5500 MRO 5500 MRO 5500 MRO 5500 MRO
Caesarean section (intervention only) - - 100% 100%      
Caesarean section (intervention only) outside PSDN obstetric care package      100% 100% 100% 100% 100%
Ceiling for ambulatory care   5000 MRO 5000 MRO 5000 MRO 5000 MRO 5000 MRO 5000 MRO 5000 MRO 5000 MRO
Medicines in private pharmacy - - 50% 50% 50% 50% 50% 50% 50%
Medicines in private pharmacy for chronic disease      30% 30% 30% 30% 30%