Health and Medicine
RH-OBA (Reproductive Health – Output Based Aid) is a initiative, co-funded by renowned German Development Bank (KfW) and Government of Kenya. It aims to provide quality reproductive health care services for economically disadvantaged populations. It offers services such as:
- Safe Motherhood
- Family Planning
- Gender Based Violence.
PriceWaterhouseCoopers Limited (PWC) act as Voucher Management Agency (VMA), a body which runs this project on behalf of the Government of Kenya. On behalf of PWC. Distributors and Field managers, are deputed for field jobs i.e. evaluation, verification, and registration of beneficiaries. To extend medical services to these beneficiaries, existing Medical Service Providers (Hospitals/Nursing Homes/Doctors etc) are associated, who are rembursed for the services provided by them.
Amity has implemented this complete RH-OBA system which includes:
- Evaluation, registration, and verification of beneficiaries in the field
- Identity confirmation of registered beneficiaries, at service provider locations
- Auto generation of service provider’s reimbursement claims
- Auto Claim processing to process these claims, with the help of Medics
- Electronic Payment system to release payments to “Service Providers” against approved claims
- Accounting of the complete RH-OBA system
This system by AMITY, ensures successfully running and monitoring of RH-OBA project. It is a smart card based system and deploys Hand-held & Desktop terminals, enabled with fingerprint readers, to automate the entire working of the project.
Hand-held terminals are used for enrollment of beneficiaries at remote sites, by distributors & Field Managers. A smart cards is issued to beneficiary on the spot, replacing the manual vouchers used earlier. Further, this enrollment information is instantly sent to main VMA server to update central records. This eliminates enrollment related frauds in the project.
The hospitals or Service Providers (VSP) associated with RH-OBA, are provided with Desktop terminals, enabled with biometric readers. Whenever a beneficiary walks-in there to avail their services, her identity is verified by matching her fingerprint. Only after verification of identity, the required services are extended to that beneficiary and a ‘reimbursement claim’ is automatically generated & transmitted to main server. This process eliminates fraudulent claims and ensures that project funds are utilized only by registered beneficiaries.
At VMA office, the claim is processed by the system automatically, and analysed by the Medics if the need be. Claim is approved or rejected as the case may be. In case of approval, claim is forwarded to accounts department for payment, while rejected claims are returned to Service provider for further queries. The “claim reimbursement” process is expedited keeping the Service Provider happy and interested in the project. The processing is similar to “Health Insurance Claim Processing” by helath insurance companies.