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Enrollees in Nigeria, Kenya and Tanzania


Total disbursed loan amount in USD


Number of patient visits to SafeCare facilities per month


Number of active clinics in the SafeCare program


Minister Koenders in the Dutch parliament: The Health Insurance Fund is a good example of an innovative financial method for supporting the poor in developing countries.

Dec 4, 2008

The Parliamentary Commission on Foreign Affairs met the Minister for Development Cooperation Bert Koenders on Wednesday 3 December to discuss the policy document on the financial sector in developing countries. In brief, the document discusses the access to financial services as an effective mean to diminish impoverishment. Koenders sees an important role for the private sector to effectively improve financial systems in developing countries. He mentioned the Health Insurance Fund several times during the debate as an effective model in which a private partner, in this case offering insurance, can support the poor by preventing catastrophic health spending in developing countries.

The debate in parliament focused on the question if it was more effective to strengthen the financial sector in developing countries by investing in official government structures (top-down) or by contracting with private partners (bottom-up). Member of Parliament Arend-Jan Boekenstijn of the VVD (liberal party) expressed his enthusiasm for the Minister’s plan to invest more in the bottom-up structure. He mentioned micro-credits as a good way of setting up a financial system from within the population.

On the other hand Member of Parliament Ewout Irrgang of the SP (Socialist Party) wondered whether the Minister kept in mind that governments provide the much needed stability in which financial systems can flourish. He did not, however, reject the use of private partners, but he wanted the Minister’s assurance that enough will be done to improve the financial sector through governments. Foremost, as he believes that the financial crisis will affect the structures of these countries even more.

Overall a consensus existed among the different parties that the use of private partners can effectively improve the financial sector of the developing countries and thus improve the entry to financial services for the poor. Especially after Minister Koenders explained that in his eyes investments in both structures, bottom-up as well as top-down, are needed. However, Koenders believes that effective support can only be reached by a tailor-made approach. The inclusion of private partners can contribute to a more sustainable development approach for many countries.


On 12 September 2016, OPIC, Calvert Foundation and two private investors announce expansion
PharmAccess and its German consultancy partner GFA have won a 27.3 million Euros tender from the German development bank KfW to improve access to healthcare for low-income pregnant women in 5 regions of Tanzania.
President Felipe Nyuse of Mozambique officially opened the University Clinic


A population-based study
Date: September, 2015

Research findings on Health Insurance Fund supported programs

Date: February, 2015