4. Allocations and Expenditure of Government Budget on Health
Sector, 2004 – 2013
Year Total GDP at
constant
basic prices
(in million
Rf)
Total GDP at
current
basic prices
(in
million Rf)
Public health
expenditure
(% of
total GDP)
GDP growth
rates
Health
expenditure
as % of
national
budget
2004 13,767.80 13,678.00 3.1 7.5 11.3
2005 12,489.00 12,704.00 4.1 8.6 8.7
2006 14,936.00 16,683.00 4.1 16.8 9.7
2007 16,512.00 19,737.00 4.0 27.2 9.4
2008 18,526.00 24,213.00 5.5 62.3 12.8
2009 17,853.00 25,403.40 5.6 14.2 12.6
2010 19,113.20 27,316.50 3.7 1.3 9.0
2011 20,351.00 31,583.70 1.3 1.0 3.1
2012 20,621.80 32,469.40 NA 1.0 NA
2013 21,387.60 35,341.00 NA 2.1 NA
Source: Department of National Planning, 2014
5. SYSTEM OF MEDICAL INSURANCE
• Medical insurance in Maldives include both:
- universal health scheme from the government for all nationals
- the private insurance.
UNIVERSAL HEALTH SCHEME
• Called Aasandha program
• Universal social health insurance scheme (a public-private
partnership) 60%-40% with Allied insurance company of the
Maldives.
• The program gives free universal access to the scheme of the entire
population, with annual individual financial limits.
• The service begins in 1st
January 2012.
• Currently, has a sizable coverage
• Available from all government institutes and some private sector.
• More information: www.aasandha.mv
6. Sources of Health
Funds
Amount MVR % Amount USD Per Capita
USD
Ministry of Finance
and Treasury
1 209 222 934 43.7 78 419 127 245
Other Public 8 200 557 0.3 531 813 2
Household Funds 1 365 372 621 49.4 88 545 566 277
NGOs and
Community Health
4 910 654 0.2 318 460 1
Employers Funds 87 965 070 3.2 5 704 609 18
Donors 90 901 454 3.3 5 895 036 18
Total 2 766 573 290 100 179 414 610 561
10. GOVERNMENT PRIVATE
INPATIENT OUTPATIENT INPATIENT OUTPATIENT
CAPITAL 2 2 1 38
ISLAND 226 226 0 8
GOVERNMENT
ONE Tertiary Hospital (IGMH) in Male’ the capital.
ONE Hospital for employees and family of army forces.
SIX Regional Hospitals which is one regional hospital for
every
3 Atolls.
13 Atoll hospitals
116 Health Centers
20 health posts
PRIVATE SECTOR
1 tertiary private hospital (ADK), and 45 private clinics.
Number and types of medical institutions of
outpatient and inpatient care.
12. MALDIVES NATIONAL UNIVERSITY
• The faculty of health sciences of Maldives national
university provides education courses in the following
fields.
• Bachelor of nursing
• Bachelor of health sciences and management
• Bachelor of health sciences in primary health care
• Advanced diploma in critical care
• Advanced diploma in midwifery
• Advanced diploma in public health
• Diploma in medical laboratory technology
• Diploma in primary health care
• Diploma in pharmacy
• Diploma in nursing
13. • Medical Staff and distribution according to
population
• According to 2011 statistics,60% of nurses and
80% of doctors in maldives are expatriates.
Numberofstaffper10000population
NumberofMO+SPECIALISTSper10,000population
14. Indices of provisions of the population with Hospital bed per 10000
person.
• IGMH: 9 Beds.
• ADK: 2 Beds.
Frequency of Hospitalization per 1000 person
• In year 2013
- IGMH: 38 person
- ADK: 10 person
The Average duration of the
patient stay in the hospital
IGMH: 5 days
ADK: 5days
Hospital lethality and other
indicators of hospital
activity
• IGMH: 212 person/ year.
• ADK: 140 person/ year.
15. • Besides the 2 tertiary hospitals, a number of private clinics
are present in the city. They must be registered at the MoH in
order to give service to the public. These clinics all provide
out patient based medical care, giving out approximately 30-
60 appointments per specialists. Most of these clinics are not
covered under the government health scheme, thus the
service is in paid form by the patient themselves.
16. Organization of medical care to women
• Family care workers and midwives are the caregivers in the islands
• At atoll hospitals and regional hospitals, medical officers and gynecologists are
accessible
• Regional hospitals have availability for delivery, gynecological consultations and
operations
• Modern facilities including a contemporary emergency care for pregnant women,
specialists doctors are available in the city.
System of family planning
• A policy to implement programs in
family planning in Maldives was
adopted in 1986.
• Most of the family planning
outlets are in the public sector.
• Private pharmacies are registered
to provide contraceptives
prescribed by private physicians.
17. • Besides good prenatal maternal care,
protection of the fetus refers to permission
of abortion. Generally, Maldives is a country
with the main population consisting of
Muslims, so abortion is not permitted.
• However, grounds on which abortion is
permitted:
Conditions Permissability
To save the life of the woman Yes
To preserve physical health Yes
To preserve mental health No
Rape or incest No
Fetal impairment No
Economic or social reasons No
Available on request No
System of prenatal protection of fetus
18. • The percentage of births delivered by a gynaecologist
decreases with age of the mother at birth and
increases with the mother’s level of education and
wealth status.
• The percentage of births delivered by a gynaecologist
decreases with increasing birth order and is higher in
urban areas than in rural areas
