Zopinga zomwe zikulepheretsa mayiko a East Africa kuti apeze chithandizo chamankhwala padziko lonse lapansi

by The EastAfrican

Maboma a kum’mawa kwa Africa akuyenda movutikira pakufuna kwawo kupereka chithandizo chamankhwala kwa anthu onse.

Ku Kenya, Uganda ndi Tanzania, maboma akulimbana osati ndi malamulo ofunikira komanso osayanjanitsika – komanso nthawi zina kutsutsidwa kwenikweni – kuchokera kwa omwe akukhudzidwa nawo.

Lamulo la ku Uganda lomwe likanapangitsa kuti dziko lino lizipereka chithandizo chaumoyo likuwunikiridwa pomwe Purezidenti Yoweri Museveni adakana kusaina kuti likhale lamulo potsatira kutsutsa kwa olemba anzawo ntchito.

Biliyo inkafuna olemba anzawo ntchito kuti agwirizane ndi zopereka za ogwira ntchito, koma osewera adatsutsa kuti ndi mtengo wowonjezera wopangira bizinesi.

Mavuto ambiri

Ku Kenya, kukankhira kwa chithandizo chaumoyo padziko lonse (UHC) kwakumana ndi zovuta zambiri kuyambira kusowa kwa njira yoyenera yopezera ndalama, kusamalidwa bwino ndi boma mpaka kulephera kwa National Health Insurance Fund (NHIF) kuti ikwaniritse anthu onse.

malonda

Universal Health Coverage inali imodzi mwazipilala “zazikulu zinayi” zomwe zinalengezedwa ndi Purezidenti wakale Uhuru Kenyatta kuti atsimikizire kupezeka kwa chithandizo chamankhwala chotsika mtengo komanso chapamwamba kwambiri.

Wolowa m’malo mwake, William Ruto, wati akufuna kusintha bungwe la NHIF kuti lipereke chisamaliro chabwino kwa nzika.

“Zotsatira zathu zaumoyo zakhazikika pakusintha kofunikira momwe chisamaliro chaumoyo chimalandirira ndikupereka. “Zopereka ku National Health Insurance Fund tsopano zichotsedwa ndipo zidalira ndalama za anthu,” Purezidenti Ruto adatero potsegulira.

Koma chigamulo cha khoti la bungwe la olemba ntchito n’chimene chikutsutsana ndi ganizo la boma logwiritsa ntchito lamulo la National Health Insurance Act ngati njira yopezera chithandizo chamankhwala kwa anthu onse.

zopereka zapamwamba

Dr Ruto wavomereza zokakamiza kuti olemera azipereka ndalama zochulukirapo mwezi uliwonse ku NHIF pomwe nkhaniyi ikuyembekezera kugamula kukhoti.

Cholingacho chakanidwa

NHIF Kenya idati koyambirira kwa chaka chino kuti zopereka za ogwira ntchito omwe amapeza ndalama zoposa 100,000 za ku Kenya ($ 819) ziwerengedwe pa 1.7 peresenti ya malipiro awo.

Koma izi zidakanidwa ndi nyumba yamalamulo yapitayi komanso bungwe la olemba anzawo ntchito, Federation of Kenya Employers (FKE), kukakamiza kampani ya inshuwaransi yaumoyo kuti ibwerere ku board board.

Pakadali pano, ogwira ntchito omwe amalandira ndalama zoposa Ksh100,000 amapereka ndalama zokhazikika pamwezi za Ksh700 ($13.93) ku NHIF.

“Kuthandizira zaumoyo padziko lonse ndi ulendo, ndipo monga NHIF, takhala paulendowu kuyambira pamene NHIF inakhazikitsidwa mu 1966,” adatero Peter Camunio, mkulu wa thumba. East Africa.

Chishango chopeza ndalama zochepa

Ku Tanzania, Nyumba Yamalamulo ikutsutsana ndi lamulo la Universal Health Insurance (UHI) lomwe cholinga chake ndi kuteteza nzika zopeza ndalama zochepa komanso okalamba ku mavuto azachuma omwe amadwala, makamaka poyang’anizana ndi kukwera mtengo kwa chithandizo cha matenda osapatsirana.

Lingaliro limodzi ndi loti dongosololi likhale lokakamiza kwa a Tanzania onse, ndi chindapusa chapachaka cha TZS340,000 (US$146) pa phukusi lomwe lingapindulitse banja la anthu anayi odalira.

Izi zimachokera ku ziwerengero za Unduna wa Zaumoyo zomwe zikuwonetsa kuti 85 peresenti ya a Tanzania alibe inshuwaransi yamtundu uliwonse. Ndi a Tanzania 8.2 miliyoni okha (14.7 peresenti) omwe adalembetsa ku inshuwaransi yazaumoyo.

Tanzania yati ikufuna anthu 15 miliyoni, koma iyenera kulipira anthu 4.5 miliyoni, ambiri mwa iwo okalamba, malinga ndi nduna ya zaumoyo Omi Mwalimu.

Kwamba kukambirana

Komabe, nkhani yokakamiza nzika kuti zilembetse m’kaundula idadzetsa mikangano, makamaka atanenedwa kuti ntchito ziletsedwa kwa omwe alephera kulembetsa.

Mtsogoleri wa chipani chotsutsa cha ACT Wazalendo a Zito Kabwe apempha kuti tikambirane za lamuloli.

Akuluakulu a Unduna wa Zaumoyo adati kulemedwa kwa chithandizo cha matenda osapatsirana kudalimbikitsa kukonzanso dongosolo la dziko.

Matenda a khansa ku Tanzania adakwera ndi 42,060 pachaka, ndipo ndalama zothandizira odwala omwe akulandira mankhwala a chemotherapy kudzera mu chithandizo cha NHIF zidakwera kuchoka pa TZS9 biliyoni ($ 3.8 miliyoni) mu 2016 kufika pa TZS22.5 biliyoni ($ 9.6 miliyoni) pakati pa 2021 ndi 22, nthambi ya zaumoyo inatero.

NHIF idagwiritsanso ntchito Sh35.44 biliyoni ($ 15 miliyoni) mu 2022 pa matenda a impso ndi Sh4.33 biliyoni ($ 1.8 miliyoni) pakuchiza matenda amtima.

Bungwe la Amendment Act linkafuna kukulitsa udindo wa NHIF wopereka chithandizo chaumoyo kwa onse powonjezera njira zake zopezera ndalama mwa, mwa zina, kufuna kuti olemba anzawo ntchito onse aboma ndi mabungwe azigwirizana ndi zopereka zomwe ogwira ntchito apanga.

Pempholo lachita apilo

Ku Kenya, lamulo losinthidwa lidafuna kuti wothandizira zaumoyo azilipira kaye ma inshuwaransi apadera asanalipitse NHIF pomwe munthu ali ndi zophimba zonse ziwiri.

Komabe, Khoti la Nairobi Labor and Employment Relations Tribunal pa Epulo 22 lidaimitsa kwakanthawi kutsatiridwa kwalamulo pa pempho lomwe bungwe la Federation of Kenya Employers linapereka.

Pempholi linatsutsa zosinthazo ponena kuti kutenga nawo mbali mokwanira kwa anthu sikunachitike lamuloli lisanakhazikitsidwe.

Komanso, iwo ananena kuti mfundo za kusinthaku zikuphwanya ufulu wa olemba ntchito pa kayendetsedwe ka kayendetsedwe kabwino, katundu, kufanana, komanso kusakhala ndi tsankho.

Gwiritsani ntchito luso lamakono

Kumayambiriro kwa mwezi uno, Purezidenti Ruto adati dziko la Kenya ligwiritsa ntchito ukadaulo kuti likhazikitse pulogalamu yopereka chithandizo chamankhwala padziko lonse lapansi.

“Kupereka chithandizo chaumoyo ku Universal Health Coverage ndichinthu chofunikira kwambiri paulamulirowu. Tiyenera kukonzanso momwe chithandizo chaumoyo chimaperekedwa ndipo ukadaulo ndiye yankho. ”

“Izi zidzaonetsetsa kuti zikuyenda bwino, kuletsa kuba komanso kupeza mwayi kwa anthu onse a ku Kenya, makamaka omwe ali pansi pa piramidi ya chuma,” Dr. Ruto adatero pamene anakumana ndi mkulu wa Bill & Melinda Gates Foundation, Sheikh Omar Sidi, pa msonkhano. State House. pa November 3.

Mtsogoleri wamkulu wa NHIF Kenya ali ndi chiyembekezo kuti ngakhale pali zovuta pakukhazikitsa kwake koyambirira, chithandizo chaumoyo padziko lonse lapansi chidzayamba posachedwa.

“Dongosolo la UHC poyambilira lidapangidwira ogwira ntchito m’magawo okhazikika ndipo lidali longopereka ndalama zothandizira odwala pochepetsa bedi,” adatero Camunio.

“Zasintha zambiri m’zaka zapitazi kuphatikiza mapindu ochulukirapo, mabanja omwe akukhudzidwa ndi omwe sali okhazikika komanso, posachedwapa, kupereka chisamaliro chakunja.”

mtengo wa tchati

Nthawi zambiri, dziko lililonse lakum’mawa kwa Africa lanena kuti mtengo woyendetsera madongosolowo ukhala pakukopa anthu ambiri momwe angathere.

Ku Uganda, lamuloli likufuna kuti aliyense wazaka zopitilira 18 alembetse.

Komabe, dzikolo liyeneranso kuthana ndi kuchepa kwa ogwira ntchito zachipatala ndi malipiro.

“Masiku atatu omwe tidapereka undunawu kuti athane ndi vuto la kusiyana kwa malipiro apita osayankhidwa,” Dr. Moses Lumumba, Purezidenti wa Uganda Medical Trainees Federation (FUMI), adauza The East African pa Novembara 10, ponena za sitiraka yomwe adayambitsa.

“Unduna wa Zaumoyo walephera kuthetsa kusiyana kwa malipiro komwe kulipo pamalipiro a madotolo, anamwino ndi azamankhwala,” adatero Lumumba, pomwe Purezidenti Museveni adauza unduna wa zaumoyo kuti ulipire theka la ndalama zomwe anzawo akuluakulu amapeza.

Malangizo a Museveni awona kuti malipiro onse a wophunzirayo akwera kuchoka pa $750,000 ($198.4) pamwezi kufika pa $2.5 miliyoni ($661.4), theka la malipiro a dokotala.

(Chikuto) Wolemba Luc Anami, Capona Iciara, ndi Apollinari Tyro

Leave a Comment

Your email address will not be published. Required fields are marked *