Table 2 Structural fragmentation of financial coverage

Non-contributory approaches:

*From taxes, prices, and donors;

*For formal and informal people;

*Covering institutional functioning and vertical diseases programs

Voluntarily contributory approaches:

*From payroll deductions and individual contributions;

*For informal people, private sector formal workers, and geographical areas;

*Covering specific and limited set of services.

Compulsorily contributory approaches:

* From payroll deductions;

* For civil servants and security bodies;

*Covering a specific and limited set of services.

Horizontal fragment 1: output based-payment mechanisms

Medical Assistance Card

Medical assistance card

National Office for Pensions and Occupational Risks

Performance-Based Financing and Free Healthcare

Community-based health insurances (more than 125 micro-insurance)

National Institute of Social Security

Fee exemption for needy people

Private health insurances (more than 10)

Public Service Health Insurance

Foreign aid

Out-of-pocket payments

Horizontal fragment 2: input based-payment mechanisms

Government’s share

Foreign aid