Addressing rising healthcare costs in Namibia: Embracing preventative solutions

The Namibian healthcare landscape is facing unprecedented challenges, exacerbated by the economic repercussions of the Covid-19 pandemic. In response to the dramatic rise in healthcare membership costs, the Namibia Financial Services Supervisory Authority (Namfisa) has issued a call to action to the medical aid industry. Amid concerns over escalating contribution rates and statutory solvency ratios, Namfisa has emphasised the urgent need for innovative solutions that prioritise sustainability, affordability and transparency.

The traditional healthcare model, focused primarily on curative services, is proving unsustainable in the face of mounting financial pressures. However, amid these challenges lies an opportunity for transformative change. As highlighted by Namfisa, collaboration between medical aid funds, service providers, administrators and regulators is essential in reshaping the healthcare landscape.

One promising avenue for addressing rising healthcare costs is a shift towards preventative health solutions. This approach, increasingly recognised for its potential to reduce long-term healthcare expenses, aligns with Namfisa’s call for innovative strategies. By prioritising prevention over treatment, healthcare stakeholders can not only improve health outcomes, but also mitigate financial burdens on individuals and families.

Promoting well-being

Incorporating preventative measures such as medical nutrition therapy (MNT) into healthcare offerings holds promise for reducing healthcare expenditures while promoting overall health and well-being. MNT, which plays a crucial role in managing chronic conditions and preventing diseases, can be integrated into medical aid coverage plans to provide members with comprehensive preventative care.

In arguing for much more inclusion in reimbursable MNT services, the following benefits can be highlighted:

1. Improved health Outcomes: MNT interventions have been shown to effectively manage chronic conditions such as diabetes, cardiovascular disease and obesity. By providing access to MNT services, medical aid funds can help members better manage their health conditions, leading to improved health outcomes and reduced healthcare utilisation.

2. Cost savings: Investing in preventative care, including MNT, can result in significant cost savings for both individuals and healthcare systems. By addressing underlying health issues early on, MNT interventions can prevent the progression of diseases and reduce the need for costly medical treatments and hospitalisations. 3. Enhanced quality of life: MNT services not only focus on disease management, but also promote overall well-being and quality of life. By incorporating MNT into medical aid coverage plans, funds can support members in adopting healthy lifestyle behaviours, leading to long-term improvements in health and vitality.

Furthermore, integrating preventative health solutions can also address the issue of unemployment among nutrition graduates from the Namibia University of Science and Technology, as well as dietitians and other allied health professionals. By expanding the scope of preventative care services, there is a growing demand for skilled professionals in nutrition, dietetics and allied health fields. This not only creates employment opportunities, but also enhances the capacity of the healthcare workforce to deliver quality preventative care services.Tangible solution

Additionally, the establishment of a National Medical Benefit Fund, as outlined in the Social Security Act of Namibia, presents a tangible solution to addressing public healthcare challenges. Once operational, this fund could provide preventative services to individuals in need, including MNT - thereby reducing the burden on medical aid funds and promoting equitable access to healthcare services across all demographics including self-employed individuals.

Furthermore, leveraging technology and data analytics can enhance operational efficiencies within the healthcare industry, as suggested by Namfisa. Automation, modernisation, and data analysis technologies can streamline processes, improve fraud management and reduce administration costs, ultimately leading to cost savings for both funds and members.

However, achieving comprehensive healthcare reform requires addressing fundamental questions surrounding coverage, services and funding. Collaboration between stakeholders is essential in navigating these complexities and developing sustainable solutions that prioritise prevention, accessibility and quality.

In conclusion, the challenges faced by the Namibian healthcare system underscore the urgent need for transformative change. By embracing preventative health solutions, leveraging technology and fostering collaboration, stakeholders can create a healthcare ecosystem that is not only sustainable, but also equitable, affordable and of high quality.

**Dr Penehafo Haitamba-Shindume is a naturopathic doctor specialising in medical nutrition therapy, preventive healthcare and wellness tourism. She operates her own practice called Happy Health in Windhoek and serves as a part-time lecturer at the Namibia University of Science and Technology.