GTZ-ILO-WHO-Consortium on Social Health Protection in Developing Countries

Our Work

What are our main activities?

The Consortium’s focus so far has been on carrying out conceptual work on policies and tools, technical cooperation at country level, policy dialogue at regional and international level and capacity development through seminars, workshops and international conferences (e.g. legal support, fiscal advice). We give country advice in Yemen, Kenya, Indonesia and Cambodia. As well as applying social budgeting, the development and application of the financial simulation tool SimIns in Kenya, Vietnam, Yemen and Philippines.


Technical Support

The case of Mongolia:

In Mongolia the GTZ-ILO-WHO Consortium in collaboration with the Asian Development Bank (ADB) has initiated a consultative process towards the goal of consensus building since the end of 2007. A workshop organized by the Consortium from 18. – 30. April 2008 has set up a national stakeholder working group in order to build up the necessary structures for identifying and addressing the bottlenecks of collaboration. An independent expert group supported by GTZ will assist and advise the newly established stakeholder working group in its efforts to move ahead with the reform process.

GTZ-ILO-WHO Workshop in UlaanbaatarApril 29th, 2008 [Final Workshop Report]

Bayarsaihan: Experiences in the Region with Health Insurances
Bodart: ADB Support to the Development and Implementation of SHI in Mongolia, Part II
Erdene: Role and Responsibility of SSIGO in the Health Insurance System in Mongolia
Narmandah: Social Health Insurance Reform: MONEF’s Position, Roles & Private Sector
Scheil-Adlung: Global Experiences with Health Insurance
Weber: Introductory Remarks on the Reform on the Mongolian Health Insurance
Wodsak: Multisector Collaboration and Consensus-Building for Health Insurance Reform

The case of Yemen:

The government of Yemen expressed interest in advice on the extension of social health protection. Several experts associated with the Consortium contributed to this project during 2005 and recommendations for the next steps in improving social health protection were made. A report was prepared and approved by the Yemen Government in 2006.

GTZ, ILO WHO (2005): Towards a national health insurance system in Yemen. Sana’a
Part 1: Background and assessments (English)
Part 2: Options and recommendations (English)
Part 3: Materials and documents (English)

The case of Kenya:

GTZ, WHO and ILO have been working for some years in close cooperation to support the Kenyan Ministry of Health in extending its existing health insurance provision.
In the run-up to the implementation of the National Social Health Insurance Fund Act, GTZ is currently supporting the state hospital insurance scheme by making key improvements to the present insurance system. The ratio of expenditure on services to total expenditure has been revised significantly upwards, service providers have been accredited, and financial incentives have been introduced to boost quality.

Carrin et. all (Eds.) (2007): Health financing reform in Kenya – assessing the social health insurance proposal. South African Medical Journal (SAMJ). Vol. 97, No. 2 (English)

Joint Research Projects:

A recent project analysed the impact of social health insurance on poverty reduction.
“What is the impact of social health protection on access to health care, health expenditure and impoverishment? A comparative analysis of three African countries.” (English)

Capacity Development:

Guinea – “Documentation de l’Atelier CHIC: Formation de gestion en assurance maladie” (French),
Tanzania – “CHIC-Management Seminar in Dar es Salaam, Tanzania 22nd – 26th March 2004 – Seminar Report” (English),
Rwanda – “Documentation de l’Atelier CHIC: Formation de gestion en assurance maladie” (French)


The Berlin Conference “Social Health Insurance in Developing Countries”, December 2005: The conference set a political agenda for health financing systems based on values of solidarity, universal access and equity. A result of this conference is the reader “Extending Social Protection in Health – Developing Countries´ Experiences, Lessons Learnt and Recommendations” (English).

The Manila Conference “Extending Social Health Insurance to the Informal Economy Workers”, October 2006: The conference addressed the question of how to extend social health protection to the informal sector.

The Kigali Conference “Assuring Quality Health Care trough Social Health Protection”, November 2007: The conference addressed the questions of efficient, equitable and financially sustainable ressource allocation while ensuring quality health care.