About NPPF

Who are we?

The NPPF is a forum of private practitioners formed to make current policies in medical third-party funding more transparent.The Namibia Private Practitioners Forum is therefore a new concept for interactions, negotiations, data exchange, funding and control for private medical care in Namibia.

This is a non-profit organization with members from across the board of health professions. Among these are medical doctors, dentists, physiotherapists, clinical psychologists, biokineticists, occupational therapists and speech therapists. On an organizational level, the NPPF consists of the consolidated healthcare professionals as members, who elect delegates to form a board of directors.This board of directors oversees the actions and duties of the permanent staff, headed by the CEO, all employed by the NPPF.

What does the NPPF stand for?

Our goal is to provide everybody, healthcare practitioners and the public alike, with a transparent healthcare and funding systems, leading to a sustainable way of providing healthcare to all Namibians.

Under current legislation in Namibia, medical aids are united by an umbrella body called the Association of Medical Aid Funds (NAMAF). This is a statutory body designed to control and guide the activities of medical aids. Due to the fact however that office bearers of NAMAF are in fact drawn from management and employees of medical aids themselves, a situation is created where conflict of interest is highly likely.

Recent reports by the NPPF have substantiated the fact that transparency and good governance may not be guaranteed under current circumstances. The NPPF seeks to provide transparency and fairness in healthcare. If old structures cannot be improved, new structures may have to be developed. If need be, alternative solutions for third party funding may have to be created.

What has been done so far?

In January 2011, after a conference had been held to bring all involved parties together,exchange information and facts and to discuss options for the road ahead, the NPPF was formed as an association not for gain.

Once in place, registration for membership and consolidation of the different health-care professions took place. Several  roadshows have been undertaken to inform health-care professionals across the country. Countrywide more than 230 professionals contribute financially to the activities of the NPPF.

The following are just some of the strategies and accomplishments of the NPPF over the last three years:

  • Namaf has been charge of monopolistic conduct with the Competition Commission
  • Consultations on the new Financial Institutions legislation (FIM-BILL) have been attended and NPPF made its inputs regarding the position of the Private Health Care Sector in future legislation.
  • NPPF launched an Inquiry into the functioning of the open Medical Aid Funds and their administrators the results of which were published as the so-called ISG-Report. From the information so obtained, a Memorandum was submitted to the Ministries of Finance and Health and Social Services. ​
  • NPPF directly challenged the legal right of Namaf to compile and implement their so-called NAMAF BENCHMARK annually. The compilation and implementation of a Benchmark of codes and prices for the professions has many facets involving different laws and regulations and the creation of a proper legal platform to replace NAMAF in this domain, has been launched by NPPF in negotiations with the relevant Ministries.
  • On an extensive road show across the country, two very important surveys have been conducted. The one provided information about general aspects of private practice.
    These included an assessment by professionals of the four open medical aid funds, an assessment of computer programs in use by professionals, the availability of private practitioners for partnerships with the State in the provision of healthcare countrywide, the status of indemnity insurance and many other, including the average age of practitioners countrywide.
    The second survey gathered information on the costs of running a private practice in seven different disciplines. Results of the latter will have far reaching consequences on the fees to be charged by professionals and the sustainability of private healthcare practice in future.
  • The theoretical foundations and much of the groundwork for the implementation of a review system whereby the performance of our healthcare professionals can be assessed both qualitatively and quantitatively, have already been completed by NPPF. Because of the very different backgrounds in terms of training of our healthcare community, standardization and quality control of healthcare have become imperative. This is a very complicated and controversial, but no less important issue which need immediate further attention.
  • An alternative funding system for private healthcare, in opposition to the traditional medical aid fund concept which may prove more and more problematic in future,  has been investigated and developed by NPPF.

The NPPF’s mission is simple and clear: "To strive for and promote the principle that money allocated for healthcare in Namibia be used to the maximum long term benefit of patient health."

It is therefore clear that any short term gain and enrichment of specific groups in the healthcare environment is not sustainable and can therefore not be part of the company mission. Monies for healthcare are for healthcare and healthcare only.

Monies are not for excessive administration, brokers fees, insurance or any other administrative cost that do not directly add value to the healthcare process. The use of funds allocated to healthcare whether by private individuals, employers or government has to be clear, efficient and transparent for all to see. Hidden agendas and selfish enrichment are not sustainable and will add to the crisis that has slowly been creeping up on healthcare in Namibia. Too many people that do not add value to patients and their health are on the "healthcare gravy train".