214541 A framework for success: Comparative analysis of African community based health insurance initiatives

Monday, November 8, 2010 : 2:30 PM - 2:48 PM

Christine Ortiz , International Health Division, Abt Associates Inc, Bethesda, MD
Francois Diop, Phd , AFTHE, Dakar Regional Hub, World Bank, Dakar, Senegal
Steven R. Machlin, MS , Center for Financing, Access, and Cost Trends, Agency for Healthcare Research and Quality, Rockville, MD
Abdoulaye Ba , Ihd, Consultant - Abt Associates Inc., Vientiane, Laos
The Authors compared experiences in expanding health insurance through community based schemes across six Sub Saharan African countries: Ghana, Rwanda, Senegal, Benin, Cameroon and Niger. These experiences were studied based on an analytical framework including quantitative, functional, political and organizational aspects to health insurance scale up, the success in improving financial access to care and the remaining challenges.

Senegal and Benin were among the first countries where community mutual health organizations (MHOs) emerged in Africa. MHOs in Ghana and Rwanda developed in the late 1990s, supported by lessons learned on self-management and community participation from MHO experiences in French-speaking countries. However, in the expansion of MHO-based health insurance, Ghana and Rwanda quickly moved ahead of Francophone Sub-Saharan African and many other developing countries. Consequently, their experiences are now considered full-size laboratories for the expansion of health insurance.

Lessons are drawn from this comparison to highlight factors which lead to effective rapid scale up in Ghana and Rwanda and the authors discuss the continued opportunities to do the same in other Sub Saharan African countries.

Learning Areas:
Other professions or practice related to public health

Learning Objectives:
Describe the policy framework for success in scaling up health insurance coverage for the poor in Africa. Discuss the experiences of 6 Sub Saharan African Countries in using community based health insurance to improve financial access to health services by the informal and rural sectors of the population Analyze the potential for scaling up health insurance coverage in Sub Saharan Africa building on community based health insurance.

Keywords: Insurance, Access to Health Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I work on a range of health insurance / cbhf activities with Abt Associates and worked closely with Francois Diop and Abdoulaye Ba on the original article
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.