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A view from beneath: community health insurance in Africa [editorial]

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Show simple item record Ndiaye, P. en_US Soors, W. en_US Criel, B. en_US 2007-12-06T14:43:20Z 2007-12-06T14:43:20Z 2007 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.other ITG-H2A en_US
dc.identifier.other ITG-HLA en_US
dc.identifier.other HEALTH en_US
dc.identifier.other U-PUBLIC en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.description The definitive version is available at
dc.description.abstract This paper presents an overview of the development of Community Health Insurance (CHI) in sub-Saharan Africa. In 2003, nearly 600 CHI initiatives were registered in a dozen countries of francophone West Africa alone. At regional level, coordination networks have been created in Africa with the aim to support and monitor the developments of this innovative model of health care financing. At national level, governments are preparing the necessary legal frameworks for CHI implementation. CHI is increasingly seen as a strategy to meet other development goals than only health. It constitutes an interesting model to finance health care, to pool financial resources in a fair way and to empower health care users. The CHI movement however still faces many challenges. The relevance of more professional inputs in the management of CHI and the need for careful subsidy of CHI schemes are increasingly recognized. There is also need to optimize the relationship of CHI with the other actors in the health system and to scale-up CHI so as to gain in effectiveness and efficiency. The boom in the number of schemes in Africa during the last years is an indicator of the increasing attractiveness of the model. In practice however, enrolment rates per scheme remain low or are only slowly increasing. Context-specific research is needed on the reasons that prevent people from enrolling in larger numbers. On that basis, relevant action to be taken locally can be identified. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Health care financing en_US
dc.subject Health insurance en_US
dc.subject Community-based en_US
dc.subject Accessibility en_US
dc.subject Fund pooling en_US
dc.subject Empowerment en_US
dc.subject Management en_US
dc.subject Participation en_US
dc.subject Determinants en_US
dc.subject Africa, General en_US
dc.title A view from beneath: community health insurance in Africa [editorial] en_US
dc.type Editorial en_US
dc.type Article en_US
dc.citation.issue 2 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 12 en_US
dc.citation.pages 157-161 en_US Oxford
dc.citation.jabbreviation Trop Med Int Health en_US

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