Improving coordination between SENASA, NGO health facilities, and other stakeholders
Several institutional barriers exist that could hinder the long-term viability of contracting arrangements and effective enrollment of people living with HIV in the Seguro Familiar de Salud, the country’s health insurance plan. For example, responsibilities for enrolling these people are divided among health clinics, Seguro Nacional de Salud (SENASA), and the National Council for HIV and AIDS. The process is not clearly defined or institutionalized, resulting in inefficiencies and systemic barriers to enrollment.
Throughout its activities, SHOPS Plus is strengthening the overall environment for private sector provision of HIV services. The project held a series of meetings with SENASA, a public health insurance company, to advocate for contracting with non-governmental organizations and to prioritize enrollment of people living with HIV. SHOPS Plus will also implement strategies to improve coordination between SENASA, non-governmental organization health facilities, and other key stakeholders by institutionalizing standardized insurance enrollment procedures and advocating for their use across all stakeholders.