The initiative addresses issues related to the quality of data collection, the transparency of financial transactions and weakness in fraud control encountered by insurance systems that still operate with “paper-based procedures”.
The implementation of the IMIS pilot in the Democratic Republic of Congo (DRC) is part of Phase III of the Health System Support Programme, PASS South Kivu funded by the Swiss Cooperation (SDC). Swiss TPH and GIZ were commissioned to implement the project with similar roles, but in different areas. Towards the end of Phase III, it was decided to allocate part of the budget to strengthen community health insurance through a project to revitalise health insurance. Thus, the establishment of an information system has been identified as the priority to strengthen the development of health insurance in South Kivu, by:
- strengthening improvement of operational procedures management
- making data more reliable for risk monitoring for better knowledge and adaptation of the insurance product
- providing more transparency regarding the management of affiliation, contribution and reimbursement data by each promoter.
In April 2017, a team of three consultants from Swiss TPH was commissioned to set up IMIS in six healthcare zones in South Kivu, with a limited pilot focusing on the configuration of systems, the test of affiliation registration and the encoding and validation of repayments. Implementation of the pilot began in April with eight insurance mutuals, with a first mission in June 2017 to set up the system and train the users. It will be finished by the end of December 2018. The PASS project is entering its final phase. For the moment, investment continuity for the implementation of IMIS remains uncertain while local partners are interested in continuing development and extending the pilot to insurance mutuals in their network. Thus, financial and technical assistance is needed to maintain continuity in the development of this project.