https://goo.gl/sZ7V7x

MAURITANIA
Prise en charge des soins de santé des indigents—Indigent Health Coverage
Programme
Country
Geographic area
Prise en charge des soins de santé des indigents—Indigent Health Coverage
Mauritania
Sub-Saharan Africa
Previous programme name (if any)
Start date The programme has been in place for decades, 1
but the cash transfer component was initiated in 2012.
Programme objectives
To ensure free access to health care for destitute persons suffering
from a chronic health condition or cancer; recently, a cash transfer
component was added to help improve the living conditions of beneficiaries.
Programme type
Non-contributory health insurance, unconditional cash transfer
Programme components
The programme provides grants to national hospitals to cover health services for
programme beneficiaries and covers evacuation costs to neighbouring Morocco,
when necessary; evacuees benefit from a special cash allowance to cover living
expenses during their stay abroad. In 2012, a cash component was added to the
programme to help with the living conditions of beneficiaries.
Conditionalities (if any)
Targeting methods
Self-targeting
Target areas
National programme; benefits are currently being delivered
in Nouakchott; however, any Mauritanian national can apply.
Target groups
People who are destitute
Eligibility criteria
Beneficiaries are destitute persons suffering from a chronic health condition
(such as renal insufficiency, mental illness or diabetes) or cancer. Applicants
need to present a certificat d’indigence delivered by the commune where they
reside as proof of their socio-economic situation, a national identification card
and a medical certificate delivered by a specialist. 1
Eligibility reassessment (if any) Annually
Type of benefits
Free access to health care, free medical evacuation
(when necessary) and an annual unconditional cash transfer.
Amount of benefits
The annual cash transfer is MRO30,000–50,000 (USD90–150)
(depending on the socio-economic and medical profile); evacuees
are granted MRO200,000 (about USD600) for living expenses.
Payment/delivery frequency Cash transfer component: annually
Benefit delivery mechanism Treasury cheque
Benefit recipients
Minimum and maximum
duration of benefits (if any)
Coverage
603 (in 2015), out of which 99 had chronic illnesses,
210 had cancer,153 required dialysis, and 141 were evacuees.
Programme expenditure
Total expenditure in 2015: MRO1,035,000,000 (about USD3,135,000)
Institutions and agencies involved The programme is managed by the Direction de l’Assistance Sociale
et de la Solidarité Nationale (DASSN), which is part of the Ministry of Social
Affairs, Children and Family, in collaboration with the Ministry of Health.
Monitoring and evaluation
mechanisms and frequency
A database has been set up with the help of the Agence Nationale de
Registre de la Population et des Titres Sécurisées (ANRPTS); beneficiary
dialysis patients submit weekly sign-off sheets; and there is an annual review
of cases with the National Health Council (Conseil National de la Santé).
See the references on page 180: Prise en charge des soins de santé des indigents—Indigent Health Coverage
Social Protection in Africa: inventory of non-contributory programmes | 85