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The Resident Doctors Association of Zambia (RDAZ) has opposed the proposed hike in tariffs by the National Health Insurance Management Authority (NHIMA), urging the government to explore alternative health financing mechanisms.
RDAZ President, Dr. Paul Chibwe, in a statement issued in Lusaka on Wednesday, called for innovative funding options such as the introduction of a sin tax on harmful products, allocating a portion of the Value Added Tax (VAT), and utilizing part of the Social Cash Transfer programme.
He further urged the government to fulfil its responsibility to cover vulnerable populations, particularly the elderly aged 65 and above, and to consider leveraging a portion of the Workman’s Compensation Fund to strengthen health financing.
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“We commend the Ministry of Health for ongoing investments in health infrastructure, including the launch of NHIMA-funded equipment and the nearing completion of cancer hospitals in Lusaka and Ndola,” Chibwe said.
However, he warned that in the current economic climate—where civil servants are already burdened by low and stagnant salaries—an increase in NHIMA contributions would place an additional strain on already struggling households.
Chibwe noted that doctors, through the Zambia Medical Association (ZMA), had consistently advocated for more equitable and sustainable financing models.
“We remain committed to working with the Ministry of Health and all stakeholders to ensure that reforms to health financing are inclusive, evidence-based, and protect the most vulnerable,” he added.
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