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Table 9 Benefits package in 2012 and amounts paid by MHO and patient

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

Services Type of coverage by the MHO % co-payment Average amount of coverage by the MHO in MRO and (EUR) Average amount co-payment in MRO and (EUR)
Outpatient curative care 100% above deductible Deductible 295 (0.79) 200 (0.54)
Antenatal care 75% 25% 900 (2.4) 300 (0.8)
Flat fee for delivery in PSDN including referral 75% 25% 2600 (6.97) 900 (2.4)
Deliveries in non PSDN facilities     
 Normal delivery in other health centres 75% 25% 2607 (6.98) 869 (2.33)
 Referral for complicated delivery + transport Fixed reimbursement Above ceiling 5500 (14.74) Unknown
 C-section in Cheikh Zayed (technical act only) Fixed reimbursement Above ceiling 30,000 (80.4) Unknown
 C-section in CHN (technical act only) Fixed reimbursement Above ceiling 20,000 (53.6) Unknown
 Laboratory in first line 75% 25% 1136 (3.04) 379 (1.02)
 Dental care 50% 50% 1326 (3.55) 1326 (3.55)
 Hospitalisation Fixed reimbursement Above ceiling 30,000 (80.4) Unknown
 Ambulatory hospital services 100% up to ceiling of 5000 MRO Above ceiling 2776 (7.44) 0
 Medicines in private pharmacy 50% reimbursed 50%   
 Medicines in private pharmacy for chronic care 30% reimbursed 70%   
 Average amount medicines in pharmacy    821 (2.2) Unknown