Gabon government launches task force to restructure CNAMGS amid financial difficulties
via Gabon Review3 min read
The Gabonese government has established an interministerial Task Force to undertake a comprehensive restructuring of the National Health Insurance and Social Guarantee Fund CNAMGS. Coordinated by government Vice-President Hermann Immongault, this initiative aims to restore the fund's financial stability, strengthen its governance, and ensure the continuity of services for insured individuals. The CNAMGS has faced escalating financial imbalances since its creation in 2007, exacerbated by the expansion of its coverage to include independent workers and voluntary insured individuals. These challenges have led to delays in reimbursement for healthcare facilities and pharmacies, impacting the quality of care, particularly for medical evacuations. The Task Force, which held its first meeting on July 6, 2026, with ministers from Social Affairs, Public Service, Health, and Budget, will first conduct an independent financial, accounting, and actuarial audit to diagnose the situation. The government also plans to secure CNAMGS resources through automated state contribution remittances for public agents and the creation of a special allocation account at the Treasury for the Special Solidarity Contribution. Digital transformation via the Gabon Connect project will interconnect information systems of CNAMGS, CNSS, the General Directorate of Taxes, and the Treasury to improve collection and combat social fraud. Additionally, internal governance will be strengthened with an upcoming perfor
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