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Achieving UHC in Chad is a major challenge. The country is not only one of the poorest in the world, more than 75% of its population lives in rural areas, making it difficult for them to access health services.

Despite the development of innovative sources of financing for UHC in Chad’s finance laws since 2020, resources that have been planned and collected have never been transferred to the bodies governing and administering UHC, including the National Health Insurance Fund (CNAS).

As a result, the start of UHC schemes has been postponed several times for lack of funding. Resolution of this problem depends on the removal of all bottlenecks, and the application of appropriate national rules and practices in the management of public health finances.


UHC Indicators

UHC service coverage index: 27.8%

Physicians per 1,000 population: 0.05

Catastrophic expenditure: 6.3%

L4UHC Support

Start Date

2016 – 2023

Type of Support

  • L4UHC Modules
  • Collective Action Initiatives
  • National coach
  • Ministère de la Santé Publique et de la Solidarité Nationale
  • Ministère des Finances et du Budget
  • Conseil National des Patronats du Tchad
  • Caisse Nationale d’assurance Santé
  • Union des Syndicats du Tchad
  • Agence du Développement Economique et Social
  • Ordre des Médecins du Tchad
  • Conseil National de Transition
  • Caisse d’assurance Maladie des Armées
  • Agence Nationale de Régulation pour la CSU
  • German Development Cooperation
  • World Health Organization
  • French Development Agency
  • Swiss Agency for Development and Cooperation
  • World Bank
  • United Nations International Children’s Emergency Fund
  • Global Financing Facility
  • Global Fund/GAVI, the Vaccine Alliance
  • Saibou Seynou (GIZ)

Ongoing Collective Action Initiatives


1. Mobilize resources for the National Health Insurance Fund

The aim is to Increase the resources from dedicated taxes for the National Health Insurance Fund (CNAS) by 1.5 billion CFA francs.

Steps to achieve this goal have included: setting up an Inter-ministerial Technical Committee to draft texts for mechanisms for transferring funds to the CNAS; and holding high-level advocacy meetings with the Ministers in charge of health, finance and public services.

Completed Collective Action Initiatives


Enable the national UHC strategy to be implemented


  • The relevant orientation document for the implementation was officially adopted
  • A project to define the law for health insurance was developed


October 2023
Regional module in Morocco with Cameroon and Chad
October 2023
December 2022
Regional module in Tunisia with Burkina Faso, Cameroon, Chad and Niger
December 2022
May 2017
Regional module in France with Benin, Chad, Cote d'Ivoire and Madagascar
May 2017
Fall 2016
Regional module in Morocco with Benin, Chad, Cote d'Ivoire and Madagascar
Fall 2016
November 2016
Regional module in Tunisia with Benin, Chad, Cote d'Ivoire and Madagascar
November 2016