How best to provide effective protection for the poorest against the financial risks of ill health remains an unanswered policy question. Community-based health insurance (CBHI) schemes, by pooling risks and resources, can in principal offer protection against the risk of medical expenses, and make accessible health care services that would otherwise be unaffordable. The purpose… Read more
Community-based health insurance has been associated with increased hospitalisation in low-income settings, but with limited analysis of the illnesses for which claims are submitted. A review of claims submitted to VimoSEWA, an inpatient insurance scheme in Gujarat, India, found that fever, diarrhoea and hysterectomy, the latter at a mean age of 37 years, were the… Read more
This paper provides an overview of key reforms and organisational development initiatives currently underway within the South African public health sector at the national level. South Africa has made significant progress establishing certain aspects. For example: progressive public health legislation and policies, a unified national health system, increased infrastructure at primary care level, removed user… Read more
HSRC REPORT: This is a report of a two day DFID workshop on health insurance in sub-Saharan Africa (SSA) in April 2002. The initiative was in response to the increasing policy interest in health insurance (HI) in several SSA countries, and particularly in social health insurance schemes.
HSRC REPORT: This is a brief introductory guide to health insurance. It is written primarily for people thinking about introducing health insurance, including senior staff of Ministries of Health and in development agencies. The purpose of the guide is to explain the concepts and terms used in health insurance and to identify key issues for… Read more