About FairChoices – Health Benefit Package Design
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The Gambia

National Health Insurance Scheme Priority Setting Initiative

Project Objectives

  • Develop evidence-based essential health service packages for The Gambia’s National Health Insurance Scheme aligned with National Health Policy
  • Evaluate cost-effectiveness and equity impact of health interventions across The Gambia’s 5 regions and 8 local government areas
  • Strengthen health system capacity for priority setting and resource allocation in the context of universal health coverage rollout
  • Support the Ministry of Health in developing sustainable financing mechanisms for informal sector population coverage

The Team

Meet the dedicated local team leading the Ethiopia health benefit package design initiative.

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Dr. Abc Xyz

Principal Investigator

Ministry of Health, Ethiopia

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Dr. Abc Xyz

Health Economist

Ethiopian Public Health Institute

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Mr. Abc Xyz

Policy Analyst

Ministry of Health, Ethiopia

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Dr. Abc Xyz

Data Analyst

Ethiopian Public Health Institute

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Timeline & Status

Phase 1: Health System Assessment
Comprehensive assessment of The Gambia’s health system, NHIS readiness, and population health needs across 5 regions and 8 local government areas.
Phase 2: Evidence Synthesis
Systematic review of cost-effectiveness evidence, local adaptation of intervention parameters, and modeling of NHIS benefit package scenarios using FairChoices tool.
Phase 3: Stakeholder Engagement
Multi-level stakeholder consultations with Ministry of Health, regional health teams, and community representatives to validate priority setting recommendations.
Phase 4: Implementation Planning
Development of implementation guidelines, capacity building programs, and monitoring frameworks for NHIS benefit package rollout across The Gambia’s health system.

Related Outputs

Report

The Gambia NHIS Readiness Assessment: Regional Health System Analysis

Analysis of The Gambia’s health system readiness for National Health Insurance Scheme implementation across 5 regions and 8 local government areas.

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Policy Brief

River to Coast: Addressing Geographic Health Disparities in The Gambia

Policy brief examining equity considerations for NHIS benefit package design across The Gambia’s geographic regions from river areas to coastal zones.

Read Policy Brief →
Research Paper

Cost-Effectiveness of Essential Health Interventions in The Gambia’s NHIS Context

Peer-reviewed research analyzing cost-effectiveness of priority health interventions within The Gambia’s National Health Insurance Scheme framework.

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Presentation

NHIS Priority Setting: Lessons from Multi-Stakeholder Dialogues

Presentation summarizing key insights from stakeholder consultations with Ministry of Health and community representatives on benefit package design.

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