sky in a nutshell
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SKY in a Nutshell. SKY Impact Evaluation Meeting. October 4, 2011. Cedric Salze - GRET . SKY Objectives. - PowerPoint PPT PresentationTRANSCRIPT
Project Funded by
SKY in a Nutshell
SKY Impact Evaluation MeetingOctober 4, 2011
Cedric Salze - GRET
SKY Objectives2 • Protect vulnerable households from health
shocks by securing their incomes and assets through the creation of a viable micro-insurance institution, which provides them with low cost access to quality- controlled health care.
• Create a sustainable local institution which can achieve this objective beyond GRET support
SKY Target Groups3
Private Insurance
Microinsurance
Middle-Income
50%
Near Poor
Poorest (30%)
Popu
latio
n
Better-Off (20%)
Partnership with Health Equity Funds
SKY Model
SKY promotes and sells insurance contract for free access in public health facilities
Contracted health structures provide care without co-
payment
Insured receive care for free within public health facilities
SKY contracts the public providers
through performance-based contracts and monitor the service
deliveredHealth facilities provide feed back to SKY
Insured pay premium for all members of the family
SKY provides feed back to Insured
Health Center
Referral Hospital
Provincial Hospital
4
5
SKY Coverage Areas
Kampot- 12 HCs- Kampot Hospital
Ang Roka- 10 HCs - 2 Hospitals
Kirivong OD with BFH- 20 HCs- 2 Hospitals
Phnom Penh- Kossamak Hosp- KSH Hosp- Samdech Euv RH- Toul kork HC- Toul svay prey HC- Pochentong RH
Koh Thom OD- 6 HCs- KT Hospital- Chey Chumnas Hosp.
Daun Keo- 15 HCs - 1 Hospital
Bati- 13 HCs- 2 Hospitals
Prey Kabass- 13 HCs- 2 Hospitals
Currently SKY contracts with:- 104 Health centers - 08 District Referral hospitals - 03 Provincial hospitals - 02 National Hospitals
OD Takhmao- 1 HC- Chey Chumnas Hospital
SKY Membership6
(August)
SKY Membership7
Distribution of members
- Urban 8%- Rural 92%
Some Key Figures8
SKY
Utilisation of Service OPD: 3 contacts/Person/yearOPD (HEF): 1,5 contacts/Person/year
IPD: 10%/yearIPD (HEF): 8%/year
Average Premium 4,5 USD/Pers/Year19 USD/Pers/Year (urban)
Technical Sustainability 100%
Margin on premium 5% (global)22% (urban)
Overall Sustainability 35%
Operation costs subsidized by donors (AFD, GIZ-Ausaid, EU)
Next Steps9 • Prepare the institutionalization of SKY in 2012
• Continue to expand the activities in Takeo, Kampot and Phnom Penh
• Improve the economic model of SKY (productivity, operation and technical cost containment,..)
• Contribute to the development of the national policy on social protection from evidence-based activities
• Last but not least… look for additonal financial partners for the coming years…
Project Funded by
SKY in a Nutshell
SKY Impact Evaluation MeetingOctober 4, 2011
Cedric Salze - GRET