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