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MIF and DASH to facilitate pre-paid health services for low-income populations in Haiti

Sep 17, 2013

The Multilateral Investment Fund (MIF), a member of the Inter-American Development Bank (IDB) Group, approved a US$827,807 donation for a project with Development Activities and Services for Health (DASH), a Haitian NGO health provider that will offer a market-based, low-cost, pre-paid health card to serve 100,000 low-income Haitians with limited access to quality basic health care. The health services will be made accessible in the densely populated low-income neighborhoods of Port-au-Prince, where DASH has medical facilities, and will be especially targeted to pregnant and lactating women, parents of children under 5, elderly persons, people with chronic or disabling illnesses including HIV/AIDS and tuberculosis, and acutely ill patients. 

The low-income population in Port-au-Prince lack access to quality health care. The most important barrier to accessing health care is economic, essentially the inability to pay for services. Only 40 to 60 percent of the population has access to public or private health providers. The private sector does not serve low-income populations because of the prevailing view that this segment is unable to pay for health care services. 

This project will pilot a pre-paid health services card “Carte Avantage Santé”, that will offer access to unlimited consultations with a doctor for a membership fee payable every six months. Members will also receive all prescribed medicines at a low cost under their generic brands, as well as lab exams. Patients can further expand their plan to include hospitalization and surgery.

For patients who require specialized or intensive care, DASH will provide referrals to NGO, donor and government programs, e.g. Medecin sans Frontières, Medecin du Monde, FOSREF, Centre de Developpement pour la Santé, Fondation pour la Santé Reproductice et l’éducation Familiale (FOSREF), and Management Science for Health (MSH), thus offering health services not provided through the Carte Avantage Santé, thereby providing integrated health services for the beneficiaries.

The project will create at least 100 direct jobs by providing training to health promoters (micro entrepreneurs) to implement an outreach campaign to communicate health information and education, and promote the benefits of the pre-paid Carte Avantage Santé.

About the MIF

The Multilateral Investment Fund (MIF), a member of the Inter-American Development Bank Group, is funded by 39 donors and supports private sector-led development benefitting low-income populations and the poor - their businesses, their farms, and their households. The aim is to give them the tools to boost their incomes: access to markets and the skills to compete in those markets, access to finance, and access to basic services, including green technology. A core MIF mission is to act as a development laboratory - experimenting, pioneering, and taking risks in order to build and support successful micro and SME business models. More information at

About DASH

Development Activities and Services for Health (DASH) ,is a not-for-profit local institution founded in 1985. Its primary goal is to provide quality healthcare to low income workers and middle income employees. Its members come from the formal and the informal sectors. Its social protection plans in health offer different types of coverage, going from $1 a month per beneficiary, providing workers in the assembly sector free and unlimited access to a network of doctors affiliated with DASH and to point of service fees and surgery. DASH manages 11 medical centers and 4 hospitals in the greater Port-au-Prince area and one medical center in Cap Haitian. Its workforce is about of 400 employees, 15% of them being medical doctors. 


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