What must an employer do, and by when?
The CNSS occupational health service is at Gabode 4. Call the CNSS switchboard on +253 21 35 03 21 to find out how to book.
| Duty | Deadline | With whom |
|---|---|---|
| Pre-employment medical exam | 8 days after hiring, before the employee starts | CNSS occupational health service |
| Annual medical check-up | Every year, for all employees | CNSS occupational health service |
| Fitness exam for a fixed-term contract over one month | Before the written contract | Occupational health service |
| Registering the business and employees | On hiring | CNSS |
| Reporting a work accident or occupational disease | 48 hours | Labour inspectorate and CNSS |
| Health and safety committee | From 50 workers, industry and construction | At least 3 meetings a year |
How much does an employer pay the CNSS?
The employer pays 15.5% of gross salary and withholds 6% from pay, which it also passes on to the CNSS. Check the CNSS document on applicable contribution rates before running payroll.
| Branch | Employer | Employee |
|---|---|---|
| Healthcare (AMO) | 5% | 2% |
| Pensions | 4% | 4% |
| Family benefits | 5.5% | 0% |
| Work accidents | 1% | 0% |
Which rules apply in the workplace?
- First aid
- A kit on site, and anyone you cannot treat taken to the nearest medical facility. In an emergency, call 119.
- Training
- Health and safety explained at hiring, at every change of post and after more than six months off.
- Banned
- Alcohol, khat and any other drug on the premises.
- Right to stop work
- An employee may stop a task that poses a serious and imminent danger.
Does a sick employee keep their pay?
When an approved doctor confirms the illness, the employee keeps half their salary. How long depends on length of service:
- Under one year
- The notice period.
- One to five years
- Three months.
- Over five years
- Nine months.
What can a company health programme add?
The law sets a minimum. A company programme adds faster access to a doctor, check-ups, chronic illness follow-up and lab tests without leaving work. It replaces neither contributions nor compulsory exams.
In Djibouti, Medyc’s ProCare programme starts at 12,000 DJF per employee per month. Whatever offer you consider, get these points in writing:
- Services included and number of consultations.
- Who is covered: employees only, or spouses and children too.
- Billing: price per employee, limits, exclusions, renewal.
- Where care happens: by video, at home, which clinics.
- Confidentiality: the employer sees usage, never diagnoses.
Before you take the next step
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Your questions, answered
Is a pre-employment medical exam mandatory in Djibouti?
Yes, within 8 days of hiring, and the employee only really starts after the result. It is done by the CNSS occupational health service.
Where is the occupational health service in Djibouti?
At the CNSS occupational health service in Gabode 4. The CNSS switchboard tells you how to book.
Which form do I use to report a work accident?
The “Déclaration d’accident ou de maladie” form on the Forms page of cnss.dj. The employee or their family can also report the accident for up to two years.
Does a company health plan replace the CNSS?
No. Contributions and compulsory exams are still due; the plan comes on top.
Sources & further reading
- Official Journal: Law 133/AN/05/5e L, Labour Code
- Official Journal: Law 24/AN/14/7e L on universal health insurance
- CNSS: funding and contribution rates
- CNSS: occupational health service moves to Gabode 4
- CNSS: forms for employers and employees
- CHU de Djibouti: 119 emergency number (SMUR)
- Medyc: CNSS and AMU in Djibouti
- Medyc: ProCare, employee health in Djibouti
This guide explains how to organise care. It does not provide a diagnosis or individual medical advice. How we write our guides
