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Régime d’Assistance Médicale (RAMED)
Programme
Régime d’Assistance Médicale (RAMED)
Country
Mali
Geographic area
Sub-Saharan Africa
Previous programme name (if any)
Start date July 2009 1
Programme objectives
To provide health insurance to poor people
who are not able to pay to access the health system. 2
Programme type
Non-contributory health insurance
Programme components
Conditionalities (if any)
None
Targeting methods Community-based targeting 2
Target areas Nationwide 1
Target groups
Poor households; orphans and vulnerable children (OVC).
Eligibility criteria
Eligibility for the programme is granted on a temporary basis (one year)
to people who have no other health coverage. Other groups which are
rightfully entitled to the programme are: people who are homeless;
residents of charitable institutions, orphanages or institutions for
rehabilitation; inmates of prisons; and any public or private non-profit
institution hosting abandoned children or adults without families. 1,3
Eligibility reassessment (if any)
Type of benefits
RAMED covers free health care, consultations, outpatient care
(e.g. laboratory testing, medical analysis), hospitalisations, medicines
and other medical expenses, analyses, examinations, hospitalisation
costs, and pregnancy and childbirth health care. 1,3
Amount of benefits
Payment/delivery frequency
Benefit delivery mechanism Health care facilities are reimbursed by the government. 1
Benefit recipients
Heads of poor households and their dependants;
other legal beneficiaries 1
Minimum and maximum
duration of benefits (if any)
Access to the programme is of a temporary nature (three years).
The programme also ceases for beneficiaries who receive benefits
from other health insurance sources. 1,3
Coverage Around 597,835 beneficiaries or 5 per cent of the population 3
Programme expenditure
RAMED is largely financed by the State (65 per cent),
which spent XOF1.047 billion on the programme in 2011. 3
Institutions and agencies involved Agence Nationale d’Assistance Médicale
(ANAM—National Medical Assistance Agency)
Monitoring and evaluation
Monitoring and evaluation is conducted by a Programme Monitoring Unit.
mechanisms and frequency
See the references on page 179: Régime d’Assistance Médicale (RAMED)
Social Protection in Africa: inventory of non-contributory programmes | 83