Managing the purchaser-provider split
• Improve the purchasing function and strengthen commissioning of health
services at the local level.
• Enhance the district health system’s capacity to provide a comprehensive
range of services to its catchment population, including improving the
effectiveness of the referral system.
• Use the information system better to understand and address quality of
care issues. Define indicators and set benchmarks to assess the impact
of the UCS on health outcomes, access to interventions, and primary and
secondary prevention of key noncommunicable diseases.
Harmonizing the three public health insurance schemes
• Reduce inequities in benefits and level of expenditure, and address
inefficiencies across the schemes.
• Streamline operations by standardizing common features, for example
the benefits package, the information system and the payment method.
• Generate evidence on the strengths and weaknesses of each scheme to
inform ongoing and future scheme harmonization.