In 2014 and 2015, 583 million and 614 million Seychelles Rupees respectively, was spent on health care. The chairperson of Health Care Agency (HCA), Mrs Daniella Larue, said this during the presentation of the National Health Accounts (NHA) on Friday 21st July 2017.  

“The National Health Accounts tells us how much we have spent and exactly what we spent it on. It helps us understand how we allocate resources,” Mrs Larue said.

Mrs Larue along with 6 focal persons from the Ministry of Health had employed this powerful tool, recommended by the World Health Organisation (WHO), to gather fundamental information on health care financing from public, private and donor sources for 2014 and 2015.

The team comprised of Mr Jean Malbrook, Statiscian, Mrs Patricia Rene, Chief Allied Health Officer, Dr Shoba Hajarnis, Consultant, Mr Joachim Didon, Principal Statistician, Mrs Sheila Nicole, Accounts Officer and Mr Claude Julienne, Procurement Officer.

The National Health Accounts team

They remarked that as previously seen in accounts produced for 2009 and 2013, the government caters to most of the financing in health care, despite their being room for them to give more. Their share was 96.65% and 97% of expenses incurred for these two years respectively. 

“The budget received by the health sector from the national government budget was 9.75% for 2014 and 10.35% for 2015,” she added. “This is important for us to note because we are signatories of the Abuja Declaration and according to that declaration we are supposed to allocate 15% of the national budget to health care spending. According to these results, there is still room for the government to spend on health.

However, there are some limitations of the National Accounts. This difficulty comes when recording spending outside the government. Noted by Mrs Rene, during her presentation of the overview of the accounts was the hesitation of organisations from the private sector to take part in the chronicling. “There’s simply no expenditure information from the private sector,” Mrs Rene said. “We need information not only from the public health sector but, also from the private sector. The information are not as comprehensive as you would like them to be.” No information could be gathered from sector spending despite the explosion in pharmacies and private health practices across the country.

Minister Adam (right) presented with a copy of the data

Also attending the forum, was the Minister for Health, Mr Jean Paul Adam, the Health Principal Secretary, Dr Bernard Valentin, Ms Louana Pillay, a representative of SCCI and the Managing Director of Bank of Ceylon, who were each presented with a copy of the accounts.