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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


The Netherlands provides health insurance for 115,000 Nigerians

Jan 23, 2007

Today, a new health insurance, which will provide basic health care to 115,000 low-income people, is launched in Nigeria. This health insurance (Health Insurance Fund) will first be offered to 40,000 working women in Lagos (market women and female car mechanics, among others), to be followed by 75,000 farmers from the Shonga region in Kwara province. A Dutch delegation is currently in Nigeria for a meeting with Nigerian president Obasanjo, among other things. The Nigerian government has indicated to support the initiative.

The Health Insurance Fund is a new, innovative insurance fund for countries in Africa that will enable low-income groups to receive collective health insurance through a premium subsidy (each individual will make a contribution). This insurance principle will make basic health care, including treatment for HIV/AIDS, malaria, cholera and TB, accessible to more people in Africa. Chairman of the Health Insurance Fund is Kees Storm, former CEO of AEGON. Dutch Minister Agnes van Ardenne (Development Cooperation) will support the Health Insurance Fund with the amount of 100 million Euros for the next six years.

Care will be provided by both public and private care providers with whom the insurer will enter into care contracts. The care providers will be paid based on their performance. The care provider in Nigeria is Hygeia, a Nigerian health insurer that also manages hospitals and clinics. This approach focuses on a more effective healthcare system in Africa that will be accessible to more people. The available physicians, nurses and care centers can be better utilized and the quality of care will improve. The participation of companies and their employees makes for a large enough group to set up collective health insurance.

The execution of this project lies with PharmAccess Foundation. This organization has extensive experience in setting up and monitoring healthcare projects in Africa for employees of large multinationals and their relatives. In addition to the Health Insurance Fund the Dutch insurance companies Achmea, SNS Reaal and AEGON will support a private investment fund with a starting capital of more than 1.5 million Euros. This fund will invest in local insurers and in organizations involved in the execution of the programs.


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