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Madagascar's government council passed a decree in April 2017 establishing a national health solidarity fund as part of its universal health coverage (UHC) efforts. The solidarity fund, called Caisse Nationale de Solidarité en Santé(CNSS), aims to cover the cost of preventive, curative, and rehabilitation care for its affiliates, which will be provided nationally via a third-party payment system. The USAID-funded Health Policy Plus (HP+) project provided technical and financial support to the Ministry of Health's universal health coverage division to develop the decree with a broad group of public and private stakeholders. This is an important step for Madagascar following the launch of the UHC strategy, but there is still a long road ahead. HP+ Madagascar will continue to work with the government on next steps, including establishing a clear benefits package and determining the payment structure.
Madagascar's government council passed a decree in April 2017 establishing a national health solidarity fund as part of its universal health coverage (UHC) efforts. The solidarity fund, called Caisse Nationale de Solidarité en Santé(CNSS), aims to cover the cost of preventive, curative, and rehabilitation care for its affiliates, which will be provided nationally via a third-party payment system. The USAID-funded Health Policy Plus (HP+) project provided technical and financial support to the Ministry of Health's universal health coverage division to develop the decree with a broad group of public and private stakeholders. This is an important step for Madagascar following the launch of the UHC strategy, but there is still a long road ahead. HP+ Madagascar will continue to work with the government on next steps, including establishing a clear benefits package and determining the payment structure.