Making health insurance work for the poor: Learning from the Self-Employed Women’s Association’s (SEWA) community-based health insurance scheme in India

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

Understanding CBHI hospitalisation patterns: a comparison of insured and uninsured women in Gujarat, India

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

Overview of Health Sector Reforms in South Africa

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

An introduction to Health Insurance for Low Income Countries

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